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SAN JOAOUIN rryJNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL 'W'%TH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG N..o, <br /> SITE NATE p �*EN <br /> ADDRESS Y CONTACTzza,�;, — <br /> J <br /> CITY / v ZIP PHONE w/AREA CD <br /> CONSULTANT COMPANY TACT p <br /> OTHER CONTACT NR►E o I OAMAT I oz��J 5-,F.2- <br /> UGT SITE 23. ASSESS--DHS / RWOCB 22. ENVIRON ASSESE 22.48 PILO 23.f2 FUND SOU SF ) TASK / <br /> SWEEPS 1/SITE CODE B j lq DIST , l LOC CD y ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED -2-/1L/ DATE OF SUBMITT _/ /-7--/ BILLING FORM INITIATED _/_/ OT REOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) COD FEE PO CK 1/CA DATE <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLAN (SCWP) 1 PERMIT APPLICATION 10 1 <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL. 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL IL um- 6 OTHER WRKPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONl1. ASSESSMENT PROPOSAL T12 <br /> 7 <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR, 9 <br /> STAF�PEVI DUE J /L// OT SCHEDULED _/_/_ OT COMPLETED <br /> ACTION DATE ACTION. - DATE -_ ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSID INCOMPLETE/ADDTNL INFO REOSTE SRPUDUE 1990 <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REDSTD PR DUE <br /> RWOCB COMMENTS REVIEW COMPLETE PAR DUE � •� � <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL IWO RECVD DENIED � REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> CH 23-117 89-5711V)12/89 PLNLOG <br />