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2900 - Site Mitigation Program
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PR0541941
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Last modified
6/1/2021 11:17:46 AM
Creation date
6/1/2021 10:51:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0541941
PE
2950
FACILITY_ID
FA0024063
FACILITY_NAME
STOCKTON REHAB HOSPITAL
STREET_NUMBER
0
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13921008
CURRENT_STATUS
01
SITE_LOCATION
N CALIFORNIA ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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SITE MITIGATION PROGRAM CHECKLIST <br />SITE LOCATION* p I 6 . I ,--eis(- y, f . 1 .7) .3 ._..4- <br />FM: PR 4) / <br /> <br />DATE ACTIVITY INITIAL <br />/f 4 C Review submittal and make sure all documents/fees have been submitted. <br />Request documents/fees not submitted. /1,4-j 1 ..Sr <br />0 6' <br />Provide MFR to Accounting to ensure project has a FA# and a PR#. The PR# for a <br />agency changes, a new PR# must be created under project does not change. If the lead <br />the existing FA. <br />tp _s- <br />ll' <br />k. / <br />Issue SR for Work Plan Review - Enter the data into the SR form in EC making sure t_—X 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 />Request form. Use this SR# on your DAR to track time spent obtaining documents/ <br />fees, reviewing reviewing work plan, issuing permits, coordinating field work activities, reviewing <br />subsequent report/sample results, making notifications/referrals. <br />hi Work Plan SR#: 00 -1 1 64 1- _ .. / <br />Cd / ..1 <br />Review Work Plan to ensure scope of work matches the scope of work approved by <br />construction/destruction meets SJC Ordinance Code L =t( the lead agency and that the mw <br />and well standards. <br />toiS11 1 <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 />1_, Y project, and obtain an SR#. Use <br />specific mw/boring activity specified <br />til q 0 SR#: oo _t Scope: i to s I to.„„-,e, <br /> <br />- --- - - — SR#: Scope: <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 />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 />EFID 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 Site Mitigation Program Checklist
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