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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVI I W 2M <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG719 <br /> SITE tL2:20Z 1Z),111 <br /> OLEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITE CODE # l �J PROG/ELEMENT BILLING CODE I ASSIGNED TO <br /> TITLE OF SUBMITTAL: /oma- TTT��_ <br /> DATE RECEIVED / DATE ON SUBMITTAL /// Of REQUEST I OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLII 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 Y <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 6 PUBLIC PART PIFO 19 REVIEW FEE PO CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> ORTLY RPT/POST REMED MONITORING 9 x <br /> STAFF REVIEW DUE: ,/_/ OT SCHEDULED: / /_ OF COMPLETED: <br /> ACTION DATE ACTION I DATr-1 T ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADDINL INFO RECSTD SRF UUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWOCB C014MENTS REPORT REVIEW CC'MPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE/NO ACTION FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUEDTW / 8 SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAII REVIEW COMPLETE =CIJ114ENT SENT PROJECT C14PLETE/17INAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />