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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH OIVI I V ^ <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG �/� <br /> SITE ADDRESS R-5,21 LEAD AGENCY <br /> AGENCY CONTAC <br /> CONSULTANT C <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CGDE # PRO;/ELEMENT 2 �N BILLING CODE ' ASSIGNED T <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED / DATE ON SUBMITTAL �v �dkl` REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLII w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 E <br /> ASSESS RPT w/RAP b PUBLIC PART 111r0 19 REVIEW FEE PD CK #/CAS11 DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/ / OT SCHEDULED: �/�/�_1 OT COMPLETED: <br /> ACTION DATE ACTION I�DATF. 1� ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD 1NCCMPLETE/ADDTNL INFO RECSTD 111 SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCB C014MENTS REPORT REVIEIIPMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NQ agfldM $ Jay -�`� JRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CC14PLETE/1!111AL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />