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01, <br /> '3 10 <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV AN <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL, LOG # - <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> lwOTHER CONTACT N or INFO PHONE <br /> SITE CODE # PROVE LEMENT 2f.. BILLING CODE ASSIGNED-TO SS, <br /> TITLE OF SUBMITTAL: C/ <br /> DATE RECEIVED `� !� DATE ON SUBMITTAL �0 C/ OT REQUEST OT REQUEST DATE <br /> 11 <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> Rt-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 f a� <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 f y <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 s <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> t <br /> ASSESS RPT WRAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE i <br /> FINAL REMED ALN (FRP) 8 i <br /> QRTLY RPT/POST REMED MONITORING 9 t <br /> STAFF REVIEW DUE: _/� OT SCHEDULED: _/_/_ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL.INFO REQSTD SRP DUE <br /> I <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD. PR DUE <br /> REPORT REVIE RWQCB COMMENTS PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> I <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> x 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 />