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t <br /> SAN JOAOUIN( ;TY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL 1 H DIVISI <br /> SITE MITIGATION/ASSESSMENTAMI T IP <br /> T AL LOG �. '� --�-- <br /> �SI1E NAIL <br /> OTHEp� <br /> ADDRESS �s ss (/�-1 � �,2, <br /> AGENCY CONTACT <br /> CITY 1P <br /> PWC w/AREA CD <br /> Ih <br /> ( hISULTAI T COMPANY COrITACT <br /> G <br /> F <br /> DiTHER CONTACT NAME or INFORMATi <br /> M <br /> +� I <br /> 4- SITE 23. ASSESS-DHS / Mae 22. ENVIRON ASSES 22.48 P1LQ 23. FUND SOURS / F TASK 1 <br /> SWEEPS <br /> I/SITE CODE 1 G' DIST LOC CD <br /> ASSIGNED TO <br /> I <br /> TITLE OF SUBMITTALS i <br /> 7"11RECEIVED a I ]3 / pATE pF SLIBMITTc ° BILLING F RM INITIATED l ! OT REQST I1�TYPE OF SUBMITTAL (PILOT) — � ___. <br /> COD TYLE OF SUBM TIAL (OTHER) •-FEE GD CK 11 Sl �DATE� <br /> RE—EXCAV/SOIL CONTAMINATION WORKPLAN 15CWP1 L PERMIT APPLICATION 10 1 <br /> Slb1L CONTAMINATION REPORT/REMEDIATION PLAN ISRp! 2 WORKPLAN for PERMIT ACTIVITY <br /> PihIMINARY REPORT (PRI3 ASSESS REPORT46 <br /> l3 1991 / <br /> GR%with ADDTL ASSESS PROPOSAL ; ASSESS REPORT/with: WORKPLAN <br /> ih � <br /> PROBLEM ASMSSMENT REQORT (PARI 5 DRILY/MONITORING RART <br /> lS <br /> PAR/with REMEDIAL ACTION PROPOSAL. <br /> 6 OTHER WRKPLAN w/o PERMIT ACTIVITY !6 <br /> ADDITIONAL ASSESS r PROPOSAL 7 <br /> F 1 L REMEDIATION PLAN iFRPI B <br /> I <br /> J�DRTLY REPORT/POST RM MONITOR g <br /> STAFF REVIEW DUE <br /> OT -- ---- <br /> SCHEDLLED _1_ 1� DT COMPLETED I 1 <br /> ACTION DATE »ACTION. DATE ACTION <br /> DATE <br /> AC KNOWLG/OOMMTMNT LTR R£QSTD INCOMPLETE/ADDTNL INFO REQSTL SRP ME <br /> d <br /> ACKNDWLG/mWTMNT LTR RECVD REVISION REOSTD GR Dll£ <br /> RW0CB DDMMENTS REVIEW W40E PAR DUE <br /> OTHER AGEJCY APPROVAL • R16I <br /> / FILE/NO ACTION FRP DUE <br /> ADDENAUM/ADDTNL INFO RECV<I8 2 0 1 cif <br /> REVISION DUE <br /> h <br /> PERMIT ISSUED SPECIfIL PERMIT ISSUED OTHER AGENCY DIJI: DATE <br /> WOR1I1><J1N APPROVEDCOMMENT LTR SENT <br /> - <br /> k 4 BILLING FORM SUBMITTED <br /> EH 23-117 85-57(IV112/04 PLNLoG <br />