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i <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG j4- itE"u #�!-� <br /> SITE ADDRESS uG` E I NCY <br /> AGENCY CONTACT <br /> CONSULTANT CO -r <br /> lz;;�m <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT HAKE or INFOPHONE <br /> �lJ -gyp <br /> i <br /> SITE CODE # PROG/ELEMENT 12_9 <br /> BILLING CODE JASSIGNED TO <br /> TITLE OF SUBMITTAL: T <br /> i <br /> DATE RECEIVED DATE ON SUBMITTAL Z OT REQUEST <br /> JOT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 1i 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 G PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING f 9 S <br /> STAFF REVIEW DUE: / /r_ OT SCHEDULED: /�/— OT COMPLETED: !_/_ <br /> i <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCC3�LETE/ADDTNL.INFO R \EQSTDt� 5RP DUE ' <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD .� y 1 A DUE <br /> I <br /> RWOCS COMMENTS REPORT REVIEW COMPLET PAR DUE <br /> ( <br /> OTHER AGENCY APPROVAL FILE/NO ACTION /RP 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 /> I <br /> EH 29 03 (PLNLOG revised 5/91) <br />