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A <br /> Supplementary Document E <br /> sitla! Study and Checklist <br /> (To be completed by Lead Agency) <br /> tie of Proposal: <br /> Ae Checklist submitted: <br /> 4eney Requiring checklist: <br /> xncy Address: <br /> :y/statemp: <br /> kgency Contact: Phone: <br /> ?�TERUINATION <br /> be completed by the Lead Agency.) <br /> On the basis of this initial evaluation: <br /> a) I find that the proposed project could not have a significant effect on the environment.and <br /> A NEGATIVE DECLARATION will be prepared ........................................................................................❑ <br /> b) 1-find that although the proposed project could have a significant effect on the environment,there will not be a <br /> significant effect in this case because the Mitigation measures described on an attached sheet have been added <br /> to the project. <br /> A NEGATIVE DECLARATION will be prepared ........................................................................................ ❑ <br /> c) I find the proposed project may have a significant effect on the environment,and <br /> An ENVIRONMENTAL IMPACT REPORT is required...............................................................................❑ <br /> i gnature Print Name <br /> :-W Date <br /> Revised December 194 <br />