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K REI#: <br /> . SEP Z 3 1991 i <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL. LOG #_�- <br /> SITE ADDRESSLEAD AGENCY <br /> i� AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE u/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> Sf7E CODE # FROG/ELEMENT 2 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: Azll,� <br /> DATE RECEIVED DATE ON SUBMITTAL G� OT REQUEST OT REQUEST DATE <br /> TYPE OF S BMITT 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 f <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RAT w/RAP 6 PUBLIC PART INFO 19 REVIEW .FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 f <br /> QRT.LY RPT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: /�/_ OT SCHEDULED: OT COMPLETED: <br /> ACTION DATE ACTIO Nrvi _, DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL,INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQC8 COMMENTS REPORT REVIEW COMPLETE PAR DUE: <br /> OTHER AGENCY APPROVAL F{LE/NO ACTION FRP 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 COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) F <br /> I <br />