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04 <br /> SAN JOAQUIN OLMTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI " <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> G <br /> LEAD AGENCY <br /> SITE ADDRESS <br /> AGENCY CONTACT' 11II II II I u. , <br /> CONSULTANT COW�N✓��� <br /> PHONE u/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO ,i PHONE <br /> SITE CODE # f 7 <br /> PROW2g. BILLING CODE ASSIGNED TO _ <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVEDrfj 4j DATE SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL 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 $ °7� � ?]/ & ` <br /> ASSESSMENT REPORT 3 OTHER WRKPLN 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 $ <br /> ASSESS RPT W/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: /_/__ OT SCHEDULED: _,_/__ OT COMPLETED; <br /> ACTION <br /> DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADDTNL INFO REOSTD SRP DUE <br /> ACKNOWLG/CCMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWOCB COMMENTS REPORT REVIEW C AR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED T N / B SPECIAL PERMIT ISSU D OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SE PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />