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0 * � i) / <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV <br /> Inl1 I(/�.• �Ol <br /> r SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ACDRESS I —n^-�— �� LEAD AGENCY < <br /> -- AGEHCY CONTACT <br /> CONSULTANT CO <br /> PIIONE w/AREA CD <br /> CONTACT NAME PHONE f <br /> OTHER CONTACT NAME or INFO / PHONE Gm./, <br /> SITE CODE # PROG/ELEMENT 21� 01LLING TORE 5 ASSIGNED 70 <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED y DATE ON SUBMITTAL Z OT REOUE S'f I OT REQUEST DATE <br /> TYPE OF SUBMIT AL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLII 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 E <br /> ASSESSMENT REPORT 3 OTHER MRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 1 SS <br /> REMED ACTION PLN (RAP) S LETTER IB $ <br /> ASSESS RPT w/RAP b PUBLIC PART ;Hro 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) B S <br /> DRILY RPT/POST REMED MONITORING 9 % <br /> STAFF REVIEW DUE: _/_/ OT SCHEDULED: ^/—_/ ` OT COMPLETED: <br /> ACTION DATE ACTION !� I^DAT f: T� ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REPORT REV 1! M LETE PAR DUE <br /> OTHER AGEHCY APPROVAL - FILE/ RP DUE <br /> ADDENDUM/ADDTNL INFO RECVO DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CUIMENT LTR SENT PROJECT fCMPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />