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y SAN .1iN COUNTY - PUBLIC HEALTH SERVICES/ENVIRDNM HEALTH DIVISION <br /> SITE MITI6ATION/ASSESSM4ENT SUBMITTAL LOG �4��1/ <br /> SITE NAME ' OTHER LEAD AGEt1C <br /> ADDRESS <br /> lift Clv� AGENCY CQrrrACT r <br /> u <br /> CITY �---- - �.q <br /> ��a C TIP 7"611 PHONE w/AREA CD <br /> CONSULTANT COMPANY <br /> CONTACT PHO <br /> B <br /> -9 <br /> OTHER CONTACT NAME or 1NFORNATI <br /> UGT 51 23.A <br /> ASSESS---DHS / RWQCB 22. ENVIRON ASSESE 22.48 PILO 23. RIND SOU �/ F TASK MI <br /> SWEEPS B/SITE CODE # f y I DIST 3� LOC CD Q ASSIGNED TO <br /> TITLE OF SUBMITTAL: /J ✓y]/ jf <br /> J <br /> DATE RECEIVED 1f.Z/ja/:�JDATE OF SMIBMITT �Qll BILLING FORM INITIATED .tel I OT REQST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTHER) . COD FEE PD CK #/CASI -DATE <br /> RE-EXCAU/SOIL CONTAMINATION[ WORKPLAN (SCWP) 1 PERMIT APPLICATION 10 s � W <br /> SOIL CONTAMINATION REPORT/REKEDIATION PLAN (SRP) 2 WORKPLAN for PERMIT ACTIVITY 11 <br /> PRELIMINARY REPORT (PR) 3 ASSESS REPORT 13 <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> PROBLEM ASSESSMENT REPORT (PAR) 5 QRTLY/MONITORING REPORT 15 <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WR1(PLAN w/o PERMIT ACTIVITY 16 jj <br /> ADDITIONAL ASSESSMENT PRDPOS& <br /> FINAL REMEDIATION PLAN (FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR 9 <br /> STAFF REVIEW DUE ll� OT SCHEDULED f�l� OT COMPLETED—/—/— <br /> ACTION <br /> OMPLETED /_/_ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD l2 S�S INCOMPLETE/ADDTNL INFO REQST 5�S SRP DUE W <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD- PR DUE <br /> RWQCB COMMENTS REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE ` <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORM(P(.AN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> Ei 23-117 89-57(IV)12/89 PLUf <br />