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SAN JMOUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRCHMENTAL HEALT9-4 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOGSITEADDRESS /I( �!/7(��{/CONSULTANT CO <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CC(JE # / FROr,/E LEMEHT BILI ING CIX)E �SS IGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED —.(-,t DATE ON SUBMITTAL TTALOT_P.EOUESi 1 OT NEOUESi GATE <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 2 WORKPLAN for PERMIT ACTIVITY 11 Y <br /> ASSESSMENT REPORT 3 OTHER WRKPLII w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT v/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER IB F <br /> ASSESS RPT N/RAP 6 PUBLIC PART ;HFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 0 5 <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/^_ OT SCHEDULED: _/ /_e OT COMPLETED: <br /> ACTION DATE ACTION DA,T f; � ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADDTNL INFO REOSTD SRF DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTD PR DUE <br /> RLIOCB COMMENTS REPORT REVIEW COMrLEIE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADOTNL INFO RE CVD DENIED REVISION CUE <br /> PERMIT ISSUED W / D SPECIAL PERMIT A <br /> SSUED ���111 OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE C7V(ENT L N 0 ROJECT COMPLETE/FINAL BILL <br /> EH 27 03 (PLNLOG revised 5/91) <br />