Laserfiche WebLink
SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV ,V Oc r <br /> �Avy <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG JSITE ADDRESS ' LEAD AGENCY DA��I111 CCC... -- AGENCY CONTACT �W <br /> CONSULTANT CO ,J- <br /> C• lXi __ PHONE WAREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # F-C <br /> PROG/ELEMENT I2 . BILLING COOJE [ASSIGNEDTITLE OF SUBMITTAL: el IQyx p'n <br /> DATE RECEIVED P/iOt - DATE ON SUBMITTAL �1' 9 Oi REQUEST I` OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL LODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION i+/o WRKPLII 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAII for PERMIT ACtiVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLII w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER i8 % <br /> ASSESS RPT w/RAP 6 PUBLIC PART ;NFO 19 REVIEW FEE PD CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING C9 3 <br /> STAFF REVIEW DUE: _/�/^_ OT SCHEDULED: �/_,/__l OT CCMPLETED: <br /> ACTION DATE ACIION — I^ DATG T�` ACTION DATE <br /> ACKNOWLG,/COMMTMNT LTR REQSTD INCCMPLETE/ADDINL INFO REQSTD SRF DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCB COMMENTS REPORT REVIEW COMPLC(E PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE C7IMENT LTR SENT PROJECT CJIPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />