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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVI I <br /> SITE MITIGATION/ASSESSMENT SUIBMITTAL LOG # / Av <br /> SITE ADDRESS LEAD AGENCY i <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA i <br /> I <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # 17l 7 PROG/ELEMENT 22 2,c, BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: dZC4612 <br /> J <br /> DATE RECEIVED q,4DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SU ITT CODE TYPE OF SVBdITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> I <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 7 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) S $ <br /> QRTLY RPT/POST REMED MONITORING9 S <br /> STAFF REVIEW DUE. / _/ _ OT SCHEDULED: f ^/� OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION.REQSTD PR DUE <br /> RWQCB COMMENTS REPORT !7 �y AR DUE <br /> OTHER AGENCY APPROVAL FILE/NO,ACTIO l FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W ./ B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />