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SITE MITIGATION PROGRAM CHECKLIST <br />SITE LOCATION: '7..- 0 pi- a-v-vci. c 1- , 1 , FA#: 00C 74/ 7/ PR# 0 -6) 6s-3 "u- z- ,ie) <br />DATE ACTIVITY INITIAL <br />V 7 Review submittal and make sure all documents/fees have been submitted. <br />Request documents/fees not submitted. rized./ (11H-1 FaLler.---5 <br />MFR to Accounting to ensure project has a # and a R#. The PR# f r a <br />agency changes, a new PR# must be created under A Provide <br />project does not change. If the lead <br />the existing FA. <br />. Ai <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 />nRoe op ueer mi t form b s submitted, on golden rod Service s t <br />form. <br /> h as <br />Use this <br />ee n you rOARrecord thet o <br />track <br /> ti rn e <br />spent <br /> information on a <br />obtaining documents! <br />fees, reviewing work plan, issuing permits, coordinating field work activities, reviewing <br /> <br />subsequent report/sample results, making notifications/referrals. <br />ripfi ti Work Plan SR#: 00 1gos-2_ L )1' <br />I- <br />Review Work Plan to ensure scope of work matches the scope of work approved by <br />construction/destruction meets SJC Ordinance Code the lead agency and that the mw <br />and well standards. <br />Ktui fu, <br />, <br />Issue Permits - Enter permit information into SR form in EC, link to the FA# for the <br />oisSnRpne <br />permit. <br /> onDAR to track time spent in the field for the ie Lii:--11 <br />, and obtain btanin an <br />specified specific <br />/b ty <br />'11 li <br />MX* : <br />(9 0031016- <br />Scope: ry <br />t 4`42 ^1 v.q./ot ottikyc-4-,....,. L- J( <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 />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 /> Site Mitigation Program Checklist