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q" -)o2--) SAN JOIAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIV 1 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG 1T� <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PIIONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # 2]�?3 PR0G,/ELEMENT �;Z. L� BILLING CODE ASSIGNED TO=V� L <br /> TITLE OF ;SUBMITTAL: i <br /> DATE RECEIVED Zt 9 DATE ON SUBMITTAL tT !Q} 9? OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION W/o WRKPLII 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN WORKPLAN for PERMIT ACTIVITY 11 $ �' a} I v <br /> 22 <br /> ASSESSMENT REPORT 3 OTHER WRKPLIi w/o PERMIT ACTIVITY 16 S 1l <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 i <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK N/CASII DATE <br /> FINAL REMED PLN (FRA) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: Tom/ OT SCHEDULED: _ ��/ OT COMPLETED: <br /> ACTION DATE ACTION DPIF. ACTION DATE <br /> ACKNOWLG/COMMTMNT ETR REQSTD INCCMPLETE/ADDINL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION RfQSTD PR DUE <br /> RWQCB C014MENTS REPORT REVIEW CCmC 9 PAR�DE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL CW` D IED REVISION DUE <br /> PERMI IS / 6 S SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORY,PL CCItl4ENT LTR SENT PROJECT CJAPLETE/FINAL BILL <br /> P T <br /> EH 29 03 (PLNLOG revised 5/91) <br />