Laserfiche WebLink
SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ENVIRONMENTAL HEALTH DIVI 10 <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG # �� <br /> SITE ADDRESS �'� ;' LEAD AGENCY <br /> AGENCY CONTACT <br /> CONSULTANT CO � <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONEL- V <br /> OTHER CONTACT or INFO PHONE <br /> SITE CODE # F PROG/ELEMENT 2 /. (�C,� BILLING CODE ASSIGNED TO <br /> TITLE OF SUBMITTAL: 7 / <br /> DATE RECEIVED �r /,3 DATE ON SUBMITTAL ` OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL 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 PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 S <br /> QRTLY RPT/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 /> RWQCB COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL `FILE/NO ACTI J , �, �� w�?, FRP DUE <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISION DUE <br /> PERMIT ISSUED 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) <br />