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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH$aAc?Q�+�!r <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # •�? <br /> SITE ADDRESS 'LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> i <br /> CONTACT NAME PHONE I /�cy <br /> OTHER CONTACT NAME or. INFO PHONE <br /> SITE CODE # PROG/ELEMENT BILLING CODE ASSIGNED TO <br /> TITLE Of SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> ZOAZ 4��I <br /> TYPE OF SUBMITTAL CODE TYPE OFU. ITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN z WORKPLAN for PERMIT ACTIVITY 11 f <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> - ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD -CK #/CASH DATE <br /> FINAL REMED PEM (FRP) 8" S <br /> e QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: /�_ OT SCHEDULED: �_/_ OT COMPLETED: --- <br /> ACTION DATE ACTION DATE ACTION DATE <br /> 1 <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL,INFO REQSTD SRP DUE <br /> r <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION-REQSTD y PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO,ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO REM 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 /> EH 29 03 (PLNLOG revised 5/91) <br />