Laserfiche WebLink
SFVs 3OAOUIN L•Y - PUBLIC HEALTH SERVICES/ENVIROMENTfIL Hoi DIVISION T <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG 1 <br /> SITE NAME OTHER LEAD AGENC <br /> ADDRESS j AGENCY CONTACT <br /> CITY 11P PHONE w/AREA CD <br /> CONSULTANT COMPANY <br /> — ----- CONTACT <br /> OTHER CONTACT NAME or INFORMATI <br /> UGT SIZE 23. ASSESS—DHS / RWUCB 22. ENVIRON ReSSESE 22.48 PILO 23 FUND SOUR' S / F TASK / <br /> SWEEPS 1/SITE CODE 1 /'77-0DIST LOC CD ASSIGNED TO <br /> TITLE OF SUBMITTAL: / PZ- <br /> DATE <br /> DATE RECEIVED ITIATEO _/_/ OT REUST <br /> TYPE OF SUBMITTAL 1G1L0T1 COO TYLE OF SUBMITTAL MOTHER) COO FEE PD CK t/CA DATE <br /> RE-EXCAV/SOIL CONTAMINATION WOW" (SEW) 1 PERMIT APPLICATION 10 t <br /> _ fav iov < y <br /> SOIL CONTAMINATION RFPORT/REMEDIATION PLAN (SRP) 2 WORKPLAN For PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL A ASSESS REPORT/with WORHPUN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORTLY/NONITDRING REPORT 15 <br /> PAR/with WMED10L ACTION PROPOSAL 6 OTHER WRKPL N w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROPCISIL 7 <br /> FINAL REMEDIATION PLAN (FRPI 8 <br /> DAILY REPORT/POST RM MONITOR 9 <br /> STAFF REVIEW DIE _/_/_ OT SL1iEDULED _/_/_ OT CIYIPLETED_/_/_ <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ICKNOWLG/CDMMTMNT LTA REOSTD INCOMPLETE/ADUTNL INFO REOST SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCB COMMENTS K Role AEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL- ` ( /NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD- DENIED A REVISION DUE <br /> PERMIT ISSUED IL 13 /y„ SPECIAL PERMIT ISSl1ED OTHER AGENCY DUE DATE <br /> WORKPLAN APPROVED 1 COMMENT LTR !ENT BILLING FORM SUBMITTED <br /> CH 23-117 89-57(IV)12/09 PLNLOG <br />