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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVIS 1� <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CCOE # PROG/ELEMENT 12_q BILLING CODE ASSIGNED TO"I I1 <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED 1 ___2_Z_h9DATE ON SJBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TTP 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 P€RMIT ACTIVITY 11 f <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 f <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLM (RAP) 5 LETTER 18 f <br /> ASSESS RPT WRAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) $ <br /> QRTLY RAT/POST REMED MONITORING 9-) <br /> f <br /> STAFF REVIEW DUE: _/ /_ OT SCHEDULED: �_/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD TCNCCMP.UETE%AD0TNt7_IN . T 'Ih�(f _ RP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD _ lJJ 11 PR DUE <br /> RWQCB COMMENTS REPORV REVIEW.COMP--L � �� � PAR DUE <br /> OTHER AGENCY,APPROVAL FILE/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 CCMMENT LTR,SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG.revised 5/91) <br />