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SAN J�,�COLI+MTY - PUBLIGHEALTH � , <br /> SITE MITIGATIONIAASSESSNENT SUBMITTAL LI' �EALTH.Dwisifly <br /> B <br /> SITE --- _ #_qL <br /> ADDRESS OTHER LEAD AGENC <br /> Q , <br /> CITY AGENCY CONTACT <br /> IIP PHONE w/AREA CO <br /> CONSULTANT COMIPAPIY -���"' <br /> -� <br /> d ronrAcr <br /> OTHER CONTACT NAME or IWQRMATI <br /> UGT SITE 23. <br /> ASSESS—M / RWOCB 22. ENVIRON ASSES 22.48 PILO 23. I <br /> SWEEPS #/SITE CODE # .� FUND SOUR S / F TASK 1 <br /> DIST LOC CD ASSIGNED TOJ//�' r <br /> TITLE: OF SUBMITTAL: <br /> DATE RECEIVED / <br /> DATE OF SUBMITT ! BILLING FORM INITIATED / <br /> --- / OT REOST <br /> TYPE OF SUBMITTAL (PILOT) <br /> I COD TYPE IF SUBMITTAL (OTHER) COD FEE PD CK #/ <br /> 1 RE-£XCAV/SOIL CONTANINATION WO%pLAN (SW) DATE <br /> 1 PERMlT APPLICATION 10 1 <br /> SOIL CONTAMINATION REPORTlREMEDIATION PLAN ISRPI 2 WORKPLAN for PERMIT ACTIVITY <br /> 11 <br /> PRELIMINARY REPORT IPR1 <br /> 3 ASSESS REPORT 13 <br /> PRlwi#h ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN <br /> 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 ORTLY/MONITORING REPORT <br /> Is , <br /> PAR/with REMEDIAL ACTION PROPOSAL ---------------- <br /> 6 OTHER WRKPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSESSMENT PROMIL 7 <br /> FINIAL REMEDIATION PLAN IFRPI g <br /> J:GR�TLY�RMRT/POMSTRUEY)GIEDTOR <br /> Ell <br /> STAFF REVIEW BLE OT SCHEDULED 1_1� OT COMPLETED—/—/ <br /> ACTION BATE ACTION. DATE ACTION DATE <br /> ACKNOULG/COMMTMNT LTR REOSID INCOMPLETE/ADDTNL INFO REDSTE SRP DUE <br /> 1 <br /> ACIIHMGICOMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RWOCB C@YIFJIIS REVIEW COMPLETE -PAR <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDEOJM/ADDTNL INFO RECVD DENIED �, � REVISION DUE <br /> PERMIT ISSUED SPECIAL PE IT ISSUED 7. R AGENCY DUE DATE <br /> WOR1LPLIW APPROVED COMMENT LIT SENT 9�y j BILLING FORM SUBMITTED <br /> EK 23-117 81-57(1012/89 PLNLOG — — <br />