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498, <br /> <br /> ATTACHMENT A <br />MIDTOWN DISTRICT SPECIFIC PLAN <br />MITIGATION MONITORING PROGRAM <br />SAMPLE COMPLIANCE VERIFICATION FORM <br /> <br />Mitigation Measure: # <br /> <br />Impact Issue: <br /> (Earth, Water, Traffic, Etc.) <br /> <br />Location: Onsite Offsite <br />Project Phase: Design Construction <br /> <br />Description of Activity/Method of Implementation: <br /> <br />Administrative <br /> <br />Operation <br /> <br />Disposition: <br /> <br />Mitigation measure for the above-noted project phase implememed. No further action is <br />required. <br /> <br />Mitigation measure for the above-noted project phase is not fully implemented. Further <br />action required. (Please explain below) <br /> <br />Mitigation measure for the above-noted project phase is not in compliance. Further action <br />required. (Please explain below) <br /> <br />Comments/Revisions: <br /> <br />Completed by: <br /> <br />Nallle: <br /> <br />Title: <br /> <br />Date: <br /> <br />Approved by: Name: <br /> Title: <br /> Date: <br /> <br />A~I <br /> <br /> <br />