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SAH JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI <br /> SITE MITIGATION/ASSESSMENT SJBMITTAL LOG # - <br /> SITE ADDRES5 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 /> _A- <br /> EE # PROG/ELEMENT 2�. BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: !!! <br /> tp <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBM TTA CODE TYPE OF 4SUB14TTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH HATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVI 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED ACTION PLN CRAP) 5 LETTER i8 $ <br /> ASSESS RPT WRAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RAT/POST REMED MONITORING 9 $ <br /> STAFF REVIEW DUE: ,T/ _/ OT SCHEDULED: / _/ OT COMPLETED: <br /> ACTION DATE ACTION =DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTC SRP DUE <br /> ACKNOWLG/COMMTMNT.LTR RECVD REVISION REQSTO PR DUE <br /> RWQCB COMMENTS ;REPORT REVI€WjCOMP * jPAR DUE <br /> - .0! _ <br /> OTHER AGENCY APPROVAL FILE/g0-ACTION FRP DUE <br /> ADDENDUM/ADDTHL INFO RECVD DENIED. REVISION DUE <br /> PERMIT ISSUED. W. 1 B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMEN LTR SENT% F i PROJECT CWLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br /> s <br />