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SAN JCAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVISI y1 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG ' # q1 - goo <br /> SITE ADDRESS D LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE /jyc/ <br /> OTHER CONTACT NAME or INFO O C/(( PHONE <br /> SITE CODE # / Z_ I <br /> PROG/ELEMENT 21 f� BILLING CODE s ASSIGNED TO <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED 9 DATE ON SUBMITTAL c/ OT REQUEST OT REQUEST DATE <br /> TYPE OF SU ITTAL / CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PO CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 t <br /> ASSESSMENT REPORT 3 )OTHER WRKPLN w/o PERMIT ACTIVITY 16 t <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 t <br /> REMED ACTION PLN (RAP) 5 LETTER 18 t <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 t <br /> ORTLY RPT/POST REMED MONITORING 9 t <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 /> RWQCB 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 T <br /> W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT LTR SENT PROJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised 5/91) n n <br />