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SITE MITIGATION PROGRAM CHECKLIST <br />SITE LOCATION: 3 ,,<-:. // -Tv' <br />FA#: 00 ,73 i PR# r) S--- / 7 <br />DATE ACTIVITY INITIAL <br />/ Review submittal and make sure all documents/fees have been submitted. <br />Request documents/fees not submitted. , ki_., s <br />Provide MFR to Accounting to ensure proje& has aiFA# an a PIR#. The PR# for a <br />4 21 / project does not change. If the lead <br />the existing FA. <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 /><7„..‹.- Li / <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 />on the permit form. If <br />on a golden rod Service <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 0 77 z__ C.) 7 <br />Review Work Plan to ensure scope of work matches the scope of work approved by <br />ty. vr the lead agency and that the mw construction/destruction meets SJC Ordinance Code <br />i l 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 />to SR#: 00 77 3 Scope: Scope: <br />17 c A 1 <br />LI <br />SR#: <br />0 0-31 ; / 0 Scope: i <br />f 1 SR#: <br /> 0° 11 t I <br />Scope: <br />9_,-----.5 <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 />END 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.