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,. SAN AMIN PUBLIC HEALTH SERVICESIENYIRONMENTAL I `TH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL. LOG <br /> FE"NAM£ OTHER LEAD AGENC <br /> S AGENCY CONTACT <br /> CITY IIP PHONE w/AREA CD <br /> CONSULTANT COMPAMflf CONIACi <br /> OTHER CONTACT NAME or INFORMIATI <br /> UGT SITE 23. ASSESS—DHS ! RWOCB 22. ENVIRON ASSESS 22. 8 PILO 23,-2� FUND SOU S / F TASK 1 <br /> SWEEPS #/SITE CODE II ?xb GIST LOC CD ASSIGNED <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED1 I DATE OF SUBMITT <br /> ,� l&�1uLi BILLING FORM INITIATED ) 1 Of REOST <br /> TYPE OF SUBMITTAL IPILOTI COD TYPE OF SUBMITTAL IOIHERI !D FEE PO CK 1/ DATE <br /> RE-EYCAV/SOIL CONTAMINATION WORRPLIW ISCWPI 1 PERMIT APPLICATION <br /> SOIL CONTAMINITION REPORT/REMEDIATION PLAN (SRP) 2 IORM" For PERMIT ACTIVITY it <br /> PRELIMINARY REPORT IPR1 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL A ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT IPARM 5 DRILY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRHPLAN w/o PERMIT ACTIVITY 16 <br /> ADDITIONAL ASSES� PROPOSAL 7 <br /> FINAL REMEDIATION PLAIT iFRPI B <br /> ORTLY REPORT/POST REMED MONITOR g <br /> STAFF REVIEW OLE I IOf SDIEDULED ____I l� � _ . OT COMPLETED I I <br /> ACTION DATETION DATE ACTION DATE <br /> AD00lLG/COMMTWT LTR REOSTD 10IMPLETE D 60 REDST / SAA ZH�IE�,, <br /> ACKN9Mx.G/COMMTMNT LTR RECVO REVISION RE9ST 1996 'PR DUE <br /> RWOCB COMMENTSR . EW COMPLETE <br /> OTHER AGENCY APPROVAL FILEINO ACTION / FRP DUE <br /> ADDENDLWADDTNL IWO RECVD DENIED ' / REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMITSISLED OTHER AGENCY DUE DATE <br /> WORULAN APPROVED CONI O- f LTR SENT BILLING FORM SUBMITTED <br /> N <br /> CH 23-117 01-57(IV)12/09 PLNLOG — <br />