Laserfiche WebLink
SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/cENVIRIONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> 7SITEDDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE WAREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO j*' <br /> PHONE <br /> SITE COOS # 5 PROG/ELEMENT 2�. BIL ING CODEt I <br /> ASSIGNED TO <br /> TITLE OF SUBMITTAL: ` <br /> DATE RECEIVED Z DATE ON SUBMITTAL Z OT EQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL 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 S <br /> 1 Z�2— <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVI Y 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLM (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/� OT SCHEDULED: _/�/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REGST11 SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION.REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY.APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADOTNL IH VD DENIED REVISION DUE <br /> PERMIT ISSU 3 4 . 1 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN, REVIEW COMPLETE COMMENT ,L TR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />