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LIC HEALTH <br /> SAN JOAQUIN COUNTY <br /> SITE MIBTIGATION/ASSESSMENTSSUBMIRO�ME�CL HEALTH V # <br /> SITE ADDRESS LEAD AGENCY <br /> AGE HCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CO <br /> CONTACT NAME PHONE'�� <br /> OTHER CONTACT NAME or INFO ff� PHONE <br /> SITE CODE N / PROG/ELEMENT 2 _ Q BILLING CODE I A ASSIGNED TO <br /> 76 <br /> TITLE OF SUBMITTA : <br /> DATE RECEIVED DATE ON SUBMITTAL / ! OT REQUESY I OF REQUEST DATE — <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION UKPLN 1 PERMIT APPLICATION w/o WRKPLII 10 PERMIT FEE PO CK M/CASH DATE <br /> SITE ASSESS WKPLN 2 W0RKPLAN for PERMIT ACTIVITY 11 Y <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 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART mro 19 REVIEW FEE PD CK JI/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> DRILY 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 REQSTD INCCMPLETE/ADDINL INFO RECSTD SRF DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWQCO COMMENTS REPORT REVIEW CC3MP E(E PAR DUE <br /> OTHER AGENCY APPROVAL FILE/HO A T10 j( G P DUE <br /> ADDENDUI(/ADDTNL INFO RECVD DENIED 04 1( REVISICN DUE <br /> PERMIT ISSUED W / 8 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 />