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N R�1D <br /> SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVIS \` q <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # _•_3�1 <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY f-��v <br /> CONSULTANT CO CONTACT �✓ <br /> PHONE w/AREA CD <br /> CONTACT NAME /I /PHONE �i[s <br /> OTHER CONTACT NAME or INFO //i PHONE <br /> SITE CODE �JPPRROGG/ELEMENT 2.Z. _ BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: ZAr <br /> DATE RECEIVED O Gf DATE ON SUBMITTAL G // OT REQUEST 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 /> 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 /> ORTLY RPT/POST REMED MONITORING 9 E <br /> STAFF REVIEW DUE: _/_/_ OT SCHEDULED: _f_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNCWLG/COMMTMNT LTR REQSTO INCCMPLETE/ADOTNL INFO REOSTD N. REID SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD LJU _, 1 9 �y 1PR DUE <br /> RWOCS COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION /8 FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED ( REVISION DUE <br /> PERMIT ISSUED W / B 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 />