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RESOLUTION 94-023 · 51 ~ <br /> <br /> APPENDIX: B <br /> <br />SANTA ANA GATEWAY 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 />Water, Traffic, etc.) <br /> <br />Offsite Administrative <br />Construction Operation <br /> <br />Disposition: <br /> <br />Commenrs/Revision~: <br /> <br />Mitigation measure for the above-noted pro. jeer phase implemented. No <br />further amion is required. <br /> <br />Mitigation measure for the above-noted project phase is not full), <br />implemented. Further action required. (please explain b'eiow) <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: Name: <br /> Title: <br /> Date: <br /> <br />Approved by: Name: <br /> Title: <br /> Date: <br /> <br /> <br />