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ti <br /> �r <br /> SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVIS L <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 L_:_E �S Cd <br /> OTHER CONTACT NAME or INFO PHONE <br /> A <br /> SITE CODE # / PROG/ELEMENT .�Q„ BILLIN CODE ASSIGNED TO <br /> r > <br /> TITLE OF SUBMITTAL: t <br /> r <br /> DATE RECEIVED �f I DATE ON SUBMITTAL11��j?,AOT REQUEST FIET <br /> REQUEST DATE <br /> TYPE OF UBMITTAL CODE TYPE d S'uBdlTTAL CODE <br /> RE-EXCAVATION WKPLH 1 PERMIT APPLICATION w/o WRKPLN 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLH 2 WORKPLAN for PERMIT ACTIVITY 11 E <br /> ASSESSMENT REPORT 3 OTHER WRKPLN w/o PERMIT ACTIVITY 16 $ <br /> ASSESS RAT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT WRAP 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: f, / OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REQSTD INCCMPLEYE/ADOTNL,INFO REQSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISIONiREQSTD PR DUE <br /> RWOCB 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 ! B SPECIAL PERMIT SUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE LOMME �.L P OJECT CCMPLETE/FINAL BILL <br /> EH 29 03 (PLNLOG revised.5/91) <br />