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SAH JOAQUIN COUNTY - PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIV <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # 0 <br /> SITE ADDRESS LEAD AGENCY <br /> AGENCY CONTACT f <br /> CONSULTANT CO <br /> v PHONE w/AREA <br /> CONTACT NAME � PHONE <br /> OTHER CONTACT NAME or IN PHONE <br /> SITE CODE # PROG/ELEMENT 2 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL VA9�j <br /> 0T EQUEST OT REQUEST DATE <br /> TYPE Of SU ITTAL CODE TYPE OF SU 1TTAL 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 ACTIVITY 16 $ <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION ALM (RAP) 5 LETTER 18 S <br /> I <br /> ASSESS RPT WRAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 g <br /> ORTLY RPT/POST REMED MONITORING 9 $ <br /> i <br /> STAFF REVIEW DUE: / / OT SCHEDULED: / / OT COMPLETED:_j___'7 <br /> _ 7 <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLETE/ADDTNL INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD r PR DUE I <br /> RWQCB COMMENTS REPORT R DUE �I <br /> OTHER AGENCY APPROVAL FILE/NO-ACTION 11 r FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICH DUE <br /> PERMIT ISSUED W. / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> EXP:LAN,REVIEW COMPLETE COMMENT -LTR.SENT PROJECT CCMPLETE/FINAL BILL <br /> ER 29 03 (PLNLOG revised 5/91) <br /> t <br />