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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ NVIRONMENTAL HEALTH DIVI I <br /> SITE MITIGATION/ASSESSMENT SWBMITTAL LOG # <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CON <br /> CONSULTANT CON <br /> PHONE w/AR CD � <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # /L� PROG/ELEMENT BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL jl�L2,�2f®rT (REQUEST OT REQUEST DATE <br /> TYPE OF SMITTAL CODE TYPE OF SUBMITTAL CODE <br /> FRE-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 f <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVIITY 16 f <br /> ASSESS RPT x/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 f <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FLEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 f <br /> QRTLY RPT/POST REMED MONITORING 9 f <br /> STAFF REVIEW DUE: _J_ _J_ 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 R DUE <br /> RWQCB COMMENTS R IE jFn LETE AR DUE <br /> OTHER AGENCY APPROVAL ILE/NO ACTI FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / 6 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 />