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7 <br />SITE MITIGATION PROGRAM CHECKLIST <br />0 <br />SITE LOCATION: 1 jsg y +c„n f ton u-'_ <br />FA#: <br />p oZ-`1 u T PRW 05LJ 19 S9 <br />DATE <br />ACTMTY <br />INITIAL <br />Review submittal and make sure all documents/fees have been submitted. <br />L <br />z <br />Request documents/fees not submitted. M F(z , S• }P So c.+,j P 1"' <br />!_ <br />Provide MFR to Accounting to ensure project has a FA# and a PR#. The PR# for a <br />project does not change. If the lead agency changes, a new PR# must be created under <br />the existing FA. <br />Issue SR for Work Plan Review - Enter the data into the SR form in EC making sure <br />to link the SR to the related FA. Generate an SR# and document on the permit form. If <br />no permit form has been submitted, record the information on a golden rod Service <br />(pl VI <br />Request form. Use this SR# on your DAR to track time spent obtaining documents/ <br />fees, reviewing work plan, issuing permits, coordinating field work activities, reviewing <br />subsequent reportfsample results, making notifications/referrals. <br />(Q(� <br />Work Plan SR#: d0-7-1-1'L'Z <br />l� <br />Review Work Plan to ensure scope of work matches the scope of work approved by <br />the lead agency and that the mw construction/destruction meets SJC Ordinance Code <br />(, <br />and well standards. <br />Issue Permits - Enter permit information into SR form in EC, link to the FA# for the <br />b I��Il7 <br />project, and obtain an SR#. Use this SR# on DAR to track time spent in the field for the <br />L X <br />specific mw/boring activity specified on the permit. <br />I <br />(/ <br />SR#: <br />Scope: <br />A bor <br />L <br />SR#: <br />Scope: <br />SR#: <br />Scope: <br />SR#: <br />Scope: <br />SR#: <br />Scope: <br />After scope of work on the well and boring permit SRs are complete, update the <br />following fields in the Service Request Approval Dates section of the SR form in EC: <br />Plan Status - choose 'Finaled'; Final Inspection - enter date permit finaled. <br />After all field work is complete, flag calendar to follow up on report of findings. <br />Report Review: <br />• Environmental Assessment Projects -Review report to determine if <br />contamination was found. If contamination present, print out a 5021 and request a <br />new PR# be issued under PE 2960. Provide 5021 to Accounting Office for <br />processing. Complete a Prop 65 Notification. Send notification letter to CVRWQCB. <br />• EHD Lead Oversight Projects -Review report to determine next phase of work to <br />be conducted or if closure is appropriate. Complete Prop 65 for any new <br />contaminants found at the site. <br />• Other Lead Agency Projects -Review report to determine if any immediate public <br />health issues are found. If public health concerns are found, notify supervisor <br />immediately for follow up and further notifications. Complete Prop 65 for any new <br />contaminants found at the site. <br />After scope of work for the project SR is complete, update the following fields in the <br />Service Request Approval Dates section of the SR form in EC: Plan Status - choose <br />'Finaled'; Final Inspection - enter date work finalized. <br />