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SAN JOAQUIN Cbt-,,.TY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEA�H DIVIS <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESSI LEAD AGENCY <br /> ( V AGENCY CONTACT <br /> CONSULTANT CO C� <br /> PHONE w/AREA CO <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> [SI:T:E:CODE # PROG/ELEMENT 2�. Z BILLING CODE ASSIGNED TO LT <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED 2�/j�� DATE ON SUBMITTAL ��/9Z OT RECUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2''� WORKPLAN for PERMIT ACTIVITY 11 S <br /> / <br /> ASSESSMENT REPORT / 3 / OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> CRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/_. OT SCHEDULED: OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR RECSTD INCOMPLETE/ADDTNL INFO REGSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REGSTD PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT I OTHER AGENCY DUE DATE <br /> -8�i <br /> WORKPLAN REVIEW COMPLETE CCMME LT f -E OJECT COMPLETE/FINAL BIIL <br /> EH 29 03 (PLNLOG revised 5/91) <br />