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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # LtA- <br /> LEAD AGENCY <br /> SITE ADDRESS <_5 <br /> 1 <br /> AGENCY CONTACT ' <br /> CONSULTANT CO ! <br /> PHONE W/AREA CD <br /> CONTACT NAME / PHONE <br /> —[ <br /> OTHER CONTACT NAME or INFO ' PHONE <br /> SITE CODE N 3 PROD/ELEMENT 2 BILLING CODE ASSIGNED TO <br /> TITLE Of SUBMITTAL: L�, ;e��I � 1 ,7 <br /> DATE RECEIVED DATE ON SUBMITTAL / 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 REPORT3 THER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RAT WRAP 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 S <br /> STAFF REVIEW DUE: �J�f_. _ OT SCHEDULED: f / OT COMPLETED; /�/_•___ <br /> _1 <br /> ACTION DATE ACTION DRTE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR REM REVISION REOSTD PR DUE <br /> RWOCB COMMENTSREPORT REVI _ // 'PA DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION 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 OR;SENT PROJECT CCMPLETE/FINAL DILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />