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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ NVIRONMENTAL HEALTH DTVI <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG Vl'. <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO &T <br /> PHONE u/AREA CD , <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # 1LG PROG/ELEMENT BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: ! <br /> DATE RECEIVED !q 9 2 DATE ON SUBMITTAL v OT EQUEST OT REQUEST DATE <br /> l <br /> 1 1 �l L__J <br /> TYPE OF SUBMITTAL 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 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 $ <br /> REMED AC7ION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP b PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> LQRTLYPT/POST REMED MONITORING <br /> STAFF REVIEW DUE: _ ,f- �_ OT SCHEDULED: f T/ OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADOTNL,INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION.REOST PR DUE <br /> RWQCB COMMENTS R T l PA DUE <br /> OTHER AGENCY APPROVAL F 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 COMMENT.,LTR, SENT PROJECT COMPLETE/FINAL BILI <br /> EH 29 03 (PLNLOG revised 5/91) <br />