Laserfiche WebLink
\ow, <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTII SERVICES/ENVIRONMENTAL HEALTH OI <br /> /7 SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # <br /> SITE ADDRESS ,�/ LEAD AGENCY <br /> AGENCY CONTAC <br /> CONSULTANT CO <br /> — PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO PHONE <br /> SITECODE # PROD/ELEMENT UILLING CODE JASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED �/� DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL y 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 S <br /> ASSESSMENT REPORT 3 OTHER WRKPLII w/o PERMIT ACTIVITY 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 Y <br /> REMED ACTION PLN (RAP) 5 LETTER 18 S <br /> ASSESS RPT w/RAP 6 PUBLIC PART i11F0 19 REVIEW FEE PO CK #/CASII DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/ OT SCHEDULED: Or COMPLETED: <br /> ACTION DATE ACTION I DATF.D` ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCFIPLETE/ADDTNL INFO RECSTO SRC DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REQSTD PR DUE <br /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILE./NO ACTION FRP DUE <br /> ADDENDUM/ADOTNL INFO RECVD DENIED REVISiCN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CC1114ENT LTR SENT PROJECT CJIPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) <br />