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% <br /> SAN JOAQUIN COUNTY • PUBLIC HEALTH SCRVICESJ NVIRONMENTAL HEALTH DIVISION <br /> SITE MITIGATION/ASSESSMENT SJSMITTAL LOG # <br /> SITE ADDRESS / LEAD AGENCY <br /> AGENCY CONTACT �J <br /> CONSULTANT CO <br /> 70mor 6,&— <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> L <br /> OPE # S` PROG/ELEMENT BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED ZDATE ON SUBMITTAL Z OT REQUEST OT REQUEST DATE <br /> TYPE OF SLIBMITTALI 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 $ <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVI Y 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT V S <br /> REMED ACTION PLN (RAP) 5 LETTER $ $ <br /> ASSESS RPT WRAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> 'QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: / lri OT SCHEDULED: /_/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCOMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION-REQSTD 1 PR DUE <br /> RWQCB COMMENTS REPORT REVIEW C ETE ISI(t, R DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION t` FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT155UED W- / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT; LTR SENT PROJECT COMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />