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� a i <br /> SAN JOAQUIN gTT - PUBLIC HEALTH SERVICES/ENVIRONMENTALE�.0 HH DIVI <br /> !� SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # I <br /> (� LEAD AGENCY L N <br /> SITE ADDRESS �� Y 7 <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> Ye94 PHONE w/AREA CD <br /> CONTACT NAME PHONE ` <br /> OTHER CONTACT NAME or INFO ,� PHONE <br /> SITE CODE # 3 3 PROG/ELEMENT 2 Z BILLING CODE ASSIGNED TOC <br /> -L <br /> TITLE OF SUBMITTAL: <br /> fi <br /> DATE RECEIVED I� G� ©ATE ON SUBMITTAL'', R� OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL` CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o W.RKPLN 10 PERMIT FEE P9 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 /> � r <br /> RENED ACTION PLN (RAP) 5 LETTER 18 t <br /> ASSESS'RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) a S <br /> GRTLT RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE: �_f OT SCHEDULED: _f � OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION: DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTO INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT E C PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION 1� FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVO DENIED; REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WDRKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91)1 <br /> x IIS <br /> .M . <br />