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Exhibit 6-A Local Assistance Procedures Manual <br />Preliminary Environmental Study (PES) Form <br />Caltrans District Professionally Qualified Staff (PQS) Signature <br />❑ Project does not meet definition of an "undertaking"; no further review is necessary under Section 106 ("No" Section A, <br />#35). <br />❑ Project is limited to the type of activity listed in Attachment 2 of the Section 106 PA and based on the information <br />provided in the PES Form, the project does not have the potential to affect historic properties ("No" Section A, #35). <br />❑ Project is limited to the type of activity listed in Attaclnnent 2 of the Section 106 PA, but the following additional <br />procedures or information is needed to determine the potential for effect ("To Be Determined" Section A, #35): <br />❑ Records Search ❑ ❑ ❑ <br />❑ Project meets the definition of an "undertaking"; all properties in the project area are exempt from evaluation per <br />ttachment 4 of the Section 106 PA ("No" Section A, #35). <br />Nlie proposed undertaking is considered to have the potential to affect historic properties; further studies for 1.06 <br />T <br />ompliance are indicated in Sections B, C, and D of this PES Form ("Yes" Section A, #35). <br />'(Signature ofPrgfersionally Qualifier] Staff) (Date) (Telephone No) <br />The following signatures are required for all CEs, routine and complex EAs, and EISs: <br />Caltrans District Senior Environmental Planner (or Designee) and DLAE Signatures <br />I have reviewed this Preliminary Environmental Study (PES) Form and determined that the submittal is complete and <br />sufficient. I concur with the studies to be performed and the reconvnen.ded NEPA Class of Action. <br />el /L <br />(Sloia e of Senior Envi •onmental Planner or Designee) (Date) <br />C- gl: Ie) r <br />(Signature of District Local. ssistance Engineer or Designee) (Date) <br />Jz V, V, , <br />(Name) <br />elephone No.) <br />bi�9) 75.1-- 7 <br />(Telephone lto) <br />d A3// <br />HQDEA Environmental. Coordinator concurrence � E-mailconcurrence attached. <br />((date) <br />Page 6-78 <br />May 30, 2008 <br />LPP 08-02 <br />