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ATTACHMENT B <br /> <br />MAIN STREET CONCOURSE MITIGATION MONITORING PROGRAM <br /> SAMPLE COMPLIANCE VERIFICATION FORM <br /> <br />Mitigation Measure: # <br />Location: <br /> <br />Impact Issue: <br /> Onsite <br /> <br />Project Phase: Design <br /> <br />Description of Activity/Method of Implementation: <br /> <br />Offsite <br />Construction <br /> <br />(Earth, Water, Traffic, etc.) <br /> <br /> Administrative <br /> <br /> Operation <br /> <br />Disposition: <br /> <br />Comments/Revisions: <br /> <br />Mitigation measure for the above-noted project phase implemented. No <br />further action is required. <br /> <br />Mitigation measure for the above-noted project phase is not fully <br />implemented. Further action required. (please explain below) <br /> <br />The mitigation measure for the above-noted project phase is not in <br />compliance. Further action required. (please explain below) <br /> <br />Completed by: <br /> <br />Name: <br /> <br />Title: <br /> <br />Date: <br /> <br />Approved by: Name: <br /> Title: <br /> Date: <br /> <br />11340001 ,MM B-I <br /> <br /> <br />