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,3 <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVTS <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS I <br /> LEAD AGENCY <br /> F-E� ---- AGENCY CONTACT <br /> CONSULTANT CO <br /> — PHONE u/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # PROD/ELEMENT I2�._�(� BILLING CODE I F <br /> SSIGNED TO <br /> TITLE OF SUBMITTAL: ---JJJ <br /> DATE RECEIVED << J� l Z DATE ON SUBMITTAL LL ZS Q�Z OT REQUEST I` OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL COOL- 111 <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION Wo WRKPLII 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLH w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT u/WKPLN G OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT H/RAP 6 PUBLIC PART iHFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 i <br /> STAFF REVIEW DUE: /�/ OT SCHEDULED: / /__l OT COMPLETED: <br /> ACTION DATE ACTION h DATE ] ACTION DATE <br /> ACKNOWLG/COMMFMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRF DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILF./NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED O111ER AGENCY DUE DATE <br /> WORrPLAH REVIEW COMPLETE COMMENT LTR SENT PROJECT CGIPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />