CERTIFICATE OF ENVIRONMENTAL COMPLIANCE AT PROJECT ...



CERTIFICATE OF ENVIRONMENTAL COMPLIANCEAT PROJECT CLOSEOUT (MILESTONE 800)End Project Date (Tentative): FORMTEXT ?????DIST-CO-RTE: FORMTEXT ?????PM/PM: FORMTEXT ?????EA/Project No.: FORMTEXT ?????Project Description: FORMTEXT ?????Environmental Commitment Record (ECR) updated on: FORMTEXT ?????Environmental Coordinator: FORMTEXT ?????Phone: FORMTEXT ?????The above referenced project, at project closeout, has met all environmental commitments referenced in the attachments listed below:? Environmental Commitments Record? Stormwater TBMP Certification? Mitigation and Monitoring Report? Recovery Plan? Monitoring Reports? Resource Agency Certifications? PLACs? FORMTEXT OtherMitigation Specialist or Responsible Staff FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Print NameSignatureDateEnvironmental Branch Chief FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Print NameSignatureDateProject Manager FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Print NameSignatureDateA completed Certificate is required at Milestone 800 for all projects that have environmental commitments that extend beyond Milestone 600. This form satisfies CEQA 21081.6 and WBS 295.35 reflecting the Department’s overall environmental compliance responsibilities. Uniform Filing System Category #700. An updated Environmental Commitment Record and any other items from the list above are attached to this form. ................
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