Laserfiche WebLink
SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISI I <br /> SITE MITIGATION/ASSESSMENT UBMITTAL LOG #L: C20( <br /> 7SITEDDRESS SCJ LEAD AGENCY <br /> AGENCY CONTACT ' <br /> CONSULTANT CO <br /> PHONE w/AREA <br /> CONTACT NAME PHONE / <br /> OTHER CONTACT NAME or INFO ` PHONE <br /> SITE CODE # PROG/ELEMENT 12.22Z:6 BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED -?; A A J_ __ -_ I <br /> DATE ON SUBMITTAL OT tEQUEST OT REQUEST DATE i <br /> TYPE OF SU ITTA CODE TYPE OF SU ITTAL CODE <br /> i <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 f <br /> ASSESSMENT REPORT 3 OTHER WRKPLN W/o PERMIT ACTIVI Y 16 f <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 f <br /> I <br /> REMED ACTION PLN (RAP) 5 LETTER 18 f <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RAT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/�_ OT SCHEDULED: / / OT COMPLETED: ,/ _/� <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 PR DUE <br /> RWQC8 COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED W / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT L aP OJECT CCHPLETE/FINAL BILL <br /> i <br /> EH 29 03 (PLHLOG revised 5/91) <br />