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SITE MITIGATION PROGRAM CHECKLIST <br /> SITE LOCATION: <br /> FA#: PR <br /> DATE <br /> ACTIVITY <br /> Review submittal and make sure all documents/fees have been submitted. INITIAL <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 /> (Z,I <br /> j( 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 /> t� 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 obtainingdocuments/ <br /> L <br /> fees, reviewing work plan, issuing mviewi JC <br /> subsequent report/sample resultmaking notifications/referrals. <br /> tdork activities, reviewing <br /> Work Plan SR#: S 900_ <br /> 2--0 0 <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 SJCO <br /> /I and well standards. rdinance Code <br /> (_ ,X <br /> Issue Permits - Enter permit information into SR form in EC, link to the FA#for the <br /> Lilproject, and obtain an SR#. Use this SR#on DAR to track time spent in the field for the <br /> to specific mw/boring activity specified on the permit. <br /> q((?. -I SR#: 00,-)ZZO(o Scope: <br /> LA'lzit SR#: O 0 -1.7?ra q Scope: <br /> 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. <br />_EdD-29 6/23l2015 <br /> Site Mitioatinn Prnnrnm('k­1.1:­ <br />