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SAN 10AD''—"COUNTY - PUBLIC HEALTH SERVICES/ENviRONMENTP"�#1EALTH <br /> SIV <br /> - SITE MITIGATION/ASSESSMENT SUBMITTAL Ll+,,,�.aI 1 D l _-z 9 a <br /> _ 4 <br /> SITE NAME <br /> .._ OTHER LEAD AGENC <br /> ° 1 <br /> ADDRESS , <br /> AGENCY CONTACT <br /> CITY <br /> PW-01 IIP PHONE w/AREA"C <br /> CONSULTANT COMPANY <br /> P <br /> OTHER CONTACT NAME or INFORMATI <br /> IF <br /> 0 4` <br /> OGT SITE 23. ASSESS—DHS / RWQCB 22. ENVIR�1110EDSJ 22.48 PILO 23.� FUND SOURC S 1 F TASK t <br /> SWEEPS Y/SITE CODE 1 � � DIST LOC ASSiGNiJ)3� `� 0 3 <br /> TITLE OF SUBMITTAL: r - - <br /> DATE RECEIVED DATE OF SUBMiTT :c ` <br /> � Q�1 U BILLING FOAM INITIATE[? I_•/ �� OT REOST <br /> TYPE OF SUBMITTAL (PILOT) COD TYPE OF SUBMITTAL (OTlfEA) COp FEE.PD CK #/CASt DATE I <br /> RE-EXCAV/SOIL CONTAMINATION WORKPLAN (SLAP) 1 PERMIT APPLICATION to 4' <br /> SOIL CONTAMINATION REPORT/REMEDIATION PLAN (SRP) 2 WORffA AN for PERMIT ACTIVITY II ) <br /> !k <br /> PRFlIMINARY REPORT (PR) ASSESS REPORT <br /> PR/with ADDTL ASSESS PROPOSAL 4 ASSESS REPORT/with WORKPLAN 14 <br /> y <br /> PROBLEM ASSESSMENT REPORT (PAR) S ORTLY/MON170RING REPORT 15 ° <br /> PAR/with REMEDIAL ACTION PROPOSAL 6 OTHER WRKPLAM w/o PERMIT ACTIVITY 16 <br /> f <br /> ADDITIONAL ASSESSMENT PROPOSAL 7 <br /> FINAL REMEDIATION PLAN {FRP) 8 <br /> ORTLY REPORT/POST REMED MONITOR g <br /> _ s <br /> STAFF REVIEW DUE Or SCHEDULED / / <br /> ---- _. OT COMPLETED/ <br /> ACTION DATE ACTION. ACTION DATE F <br /> ACKNOWLG/CQMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REDST SRP DUE <br /> 3� <br /> ACKNOWLGICOMMTMNT LTR RECUD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REVIEW COMPLETE PAA DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION ` FRP DUE <br /> ADDENDUM/ADDTNL INFO ABVD DENIED . <br /> REVISION DUE <br /> PERMIT ISSUED SPECIAL PERMIT ISSUED OTHER AGENCY DIE DATE <br /> WORKPLAN APPROVED COMMENT LTR SENT BILLING FORM SUBMITTED <br /> �i <br /> EH 23-117 89-57111112/89 PLNLOGro <br /> E! � <br />