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SAN JOAQUIN COUNTY - PUBLIC HEALTH SERVICES/ NVIRONMENTAL HEALTH RVISIONF�\ f <br /> SITE MITIGATION/ASSESSMENT SUBMITTAL LOG #�' V! <br /> FTE ADDRESS ` LEAD AGENCY //J <br /> i c mac/ <br /> AGENCY CONTACT <br /> CONSULTANT CO <br /> PHONE w/AREA CD <br /> CONTACT NAME PHONE <br /> U <br /> OTHER CONTACT NAME or INF llf PHONE <br /> SITE CODE # PROGMEMENT 122. BILLING CODE ASSIGNED TO Z-7 j <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED DATE ON SUBMITTAL OT REQUEST OT REQUEST DATE <br /> I <br /> TYPE OF SUBMITTAL CODE TYPE OF SU ITTAL CODE <br /> 1 <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 ACTIVI 16 S <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 f <br /> REMED ACTION ALN (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAA 6 PUBLIC PART INFO 19 REVIEW FEE PD CK #/CASH DATE <br /> FINAL REMED PLN-(fIRP) 8. f <br /> QRTLY RPT/POST REMED MONITORING 9 t <br /> STAFF REVIEW DUE: ..^fes JOT SCHEDULED: / / OT COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKHOWLG/CCMMTMNT ETR REQSTD INCCMPLETE/ADDTN.L- ` <br /> � ��- L,INFO RE05T -ikP DUE <br /> ACKNOWLG/COdrMTMNT ETR RECVD REVISION REQSTD PR Du <br /> RWQCS COMMENTS REPORT REVIEW COMPLETE PAR DUE <br /> OTHER AGENCY APPROVAL FILENO,ACTION rfl2 P Du <br /> ADDENDUM/ADDTNL INFO RECVD DENIED. REVISION DILE <br /> PERMIT ISSUEDW. / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE COMMENT..LTR,SENT PROJECT CCMPLETE/FINAL BILL <br /> £N 29 03 (PLNLOG revised 5/91) <br />