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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL PATH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG #�• � <br /> SITE ADDRESS a 1. I V GiU �` ' ,�, LEAD AGENCY <br /> AGENCY CONTACT �— l <br /> CONSULTANT CO _ 6r <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO J G( PHONE <br /> SITE CODE # f 31, <br /> 7 PROG/ELEMENT 2� BILLING CODE S_6 ASSIGNED <br /> TITLE OF SUBMITTAL: �' <br /> DATE RECEIVED Cf' DATE ON SUBMITTAL / Z—IDT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMI TAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o URKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN WORKPLAN for PERMIT ACTIVITY 11 1. <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 kl <br /> C�v Al <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 f <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 f <br /> QRTLY RPT/POST REMED MONITORING 9 <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 /> RWOCS COMMENTS J_ REPORT REVIEW COMPLETE _ PAR DUE <br /> OTHER AGENCY APPROVAL lV FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD 1} DENIED REVISION DUE <br /> PERMIT ISSUED B �I,�k71gc3' SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT COMPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />