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SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG 4,yz <br /> SITE ADDRESS - JC3 r �r p LEAD AGENCY <br /> e lie, AGENCY CONT T <br /> CONSULTANT CO <br /> CONTACT NAME /J PHONE W/AREA CD <br /> do ,/� PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SSI TE CODE # `] [� 00/E CEMENT �2_q:� BILLING CODE ASSIGNED TO G <br /> vTI TLE OF SUBMITTAL: 1/� l <br /> DATE RECEIVED lb 3DqTE ON SUBMITTAL b ClZ OT REQUEST I OT REQUEST DATE <br /> TYPE OF SUBMITTAL M30THER <br /> TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN PERMIT APPLICATION w/0 WRKPLII 10 PERMIT FEE PD CK #/CASH DATE <br /> i <br /> SITE ASSESS MCPLN 1ARKPLM4 for PERMIT ACTIVITY 11 Y <br /> ASSESSMENT REPORT WRKPLH W/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT W/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER IS E <br /> ASSESS RPT w/RAP 6 PUBLIC PART i11FO 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 CCt1PLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCHPLETE/ADDINL INFO RECSTD _.._ SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTO PR DUE <br /> RWQCD C014MENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDT NFO REC ENI REVISION DUE <br /> PERM! ISSUED / 8 I /' SPECIA PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLANV L E CpMENT LTR SENT PROJECT COMPLETE/FIHAL DILL <br /> EH 29 03 (PLHLOG revised 5/91) <br />