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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG \# -� o <br /> SITE ADDRESS r LEAD AGENCY J /) <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> 17 PHONE w/AREA <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # PROG/ELEMENT 2 BILLING CODE ASSIGNED TO mz <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED1 /A DATE ON SUBMITTAL , �! OT REQUEST OT REQUEST DATE <br /> TYPE OF S BMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 RKPLAN for PERMIT ACTIVITY 11 $ crZZ Zl 3 <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S , <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 f <br /> [QRTLY:7RPT/P0:ST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/� OT SCHEDULED: _/_/, OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW r AR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT Isst B I �� SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />