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u tra. <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DlYI410H , <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG r1J� #AL-& <br /> SITE ADDRESS LJ LEAD AGENCY <br /> AGENCY CONTACT <br /> `CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME 1 PHONE �� �2 <br /> OTHER CONTACT N or INFO / PHONE <br /> X,�4Z4 <br /> SITE CODE # ��/�, PROG/ELEMENT 2/ BILLING CODE ASSIGNED TO S <br /> TITLE OF SUBMITTAL: :�z <br /> f� <br /> DATE RECEIVED /, Gj DATE ON SUBMITTAL r� 3 a OT REOUEST OT REQUEST DATE <br /> TYPE OF SUUBMITTAL Iv CODE TYPE OF/SUBMITTAL CODE <br /> RE-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 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> RIMED ACTION PLN CRAP) 5 LETTER 18 i <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORIN 9 $ <br /> STAFF REVIEW DUE: _ //Y OT SCHEDULED; f /� OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL.INFO REQSTD SRP DUE ' <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION.REOSTD PR DUE <br /> RWQC8 COMMENTS REPORT REV1 C 1(1, ,C� PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRA DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE.DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT. LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />