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SITE MITIGATION PROGRAM CHECKLIST <br />SITE LOCATION: -2 7 s- A j. jdt,Le.EI GITm. fiv-e---- Si-eyra,LAI"-- 1 FA#: cro-z-3 zt (2,6 PR# osim o_ <br />DATE ACTIVITY INITIAL <br />/Review submittal and make sure all documents/fees have been submitted. <br />Request documents/fees not submitted. <br />Provide MFR to Accounting to ensure project has a FA# and a PR#. The PR# for a <br />ithe <br />74 project does not change. If the lead <br />existing <br /> agency changes, a new PR# must be created under <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 />i i l i n _ no permit form has been submitted, record the information on a golden rod Service <br />WI <br />/ <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 report/sample results, making notifications/referrals. <br />Work Plan SR#: 0 Q 7 7 3 27 <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 />and well standards. <br />Issue Permits - Enter permit information into SR form in EC, link to the FA# for the <br />project, and obtain an SR#. Use this SR# on DAR to track time spent in the field for the <br />specific mw/boring activity specified on the permit. <br />SR#: 0_0 7 ....7, ,-.2) .3 s•--- Scope: <br />/ pi b../ ; ,,,,,;) -, i 1 c „4-1,- <br />SR#: Scope: ' i <br />SR#: Scope: <br />SR#: Scope: <br />SR#: 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.