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SITE MITIGATION PROGRAM CHECKLIST <br />SITE LOCATION: 6 (0 pi frit,-v--4-c-< <_scl-S of-?)-u-e---6k--- ) FA#: co 5 5(9 -7 PR# 0 s'zf i 6 13 <br />DATE ACTIVITY INITIAL <br />/1 /Li Review submittal and make sure all documents/fees have been submitted. ‘e------ <br />3 //47, Request documents/fees not submitted. Q-e--(1/ i?--- <br />3A the <br />Provide MFR MFR to Accounting to ensure project has a FA# alcd a PR#. The PR# for a <br />agency changes, a new PR# must be created under _ project does not change. If the lead <br />existing FA. <br />3 <br />7 <br />Issue SR for Work Plan Review — Enter the data into the SR form in EC making sure <br />on the permit form. If <br />on a golden rod Service <br />obtaining documents/ <br />work activities, reviewing <br />to link the SR to the related FA. Generate an SR# and document <br />no permit form has been submitted, record the information <br />Request form. Use this SR# on your DAR to track time spent <br />fees, review <br />1(7 <br />ing work plan, issuing permits, coordinating field <br />subsequent report/sample results, making notifications/referrals. <br />Work Plan SR#: o 0 76 9 '7 f <br />3/7 1 r/17 <br />Review Work Plan to ensure scope of work matches the scope of work approved by <br />construction/destruction meets SJC Ordinance Code v <br /> <br />the lead agency and that the mw <br />and well standards. <br />Issue Permits - Enter permit information into SR form in EC, link to the FA# for the <br />this SR# on DAR to track time spent in the field for the <br />on the permit. <br />project, and obtain an SR#. Use <br />specific mw/boring activity specified <br />5 / <br />n <br />SR#: 0 0 -7 70 ( 3 Scope: <br />> <br />e, <br />3 * <br /> <br />SR#: <br />00 -1 7 0 07 <br />Scope: c ---1 i ---j <br />bec <br />SR#: Scope: <br />S R#: 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 />Projects -Review report to determine if <br />present, print out a 5021 and request a <br />2960. Provide 5021 to Accounting Office for <br />65 Notification. Send notification letter to CVRWQCB. <br />-Review report to determine next phase of work to <br />appropriate. Complete Prop 65 for any new <br />-Review report to determine if any immediate public <br />health concerns are found, notify supervisor <br />further notifications. Complete Prop 65 for any new <br />Environmental Assessment <br />contamination was found. If contamination <br />new PR# be issued under PE <br />processing. Complete a Prop <br />EHD Lead Oversight Projects <br />be conducted or if closure is <br />contaminants found at the site. <br />Other Lead Agency Projects <br />health issues are found. If public <br />immediately for follow up and <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 />EHD-29 6/23/2015 <br /> <br />Site Mitigation Program Checklist