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-o2o <br /> <br />McFADDEN AVENUE REALIGNMENT AND wtDENING <br />MITIGATION MONITORING AND REPORTING PROGRAM <br />SAMPLE COMPLIANCE VERIFICATION FORM <br /> <br />Mit/gafion Measure: # <br /> <br />(Earth, Water, Traffic, etc.) <br /> <br />Location: On$ite: Offait¢: <br /> <br />Administrative <br /> <br />Project PImae: D~ign: <br /> <br />Operation <br /> <br />Description of Activity/Method of Implementation: <br /> <br />Disposition: <br /> <br />Comment~Revi$ion$: <br /> <br />Mitigation measure for the above noted project phase implemented. No forther action is <br /> <br />Mitigation measure fol' the above noted project phase is not folly implemented. Further action <br />required. (Pl~as~ ~:~pl~in below) <br /> <br />The mit/gat/on measure foe the above noted project pha.~ is not in compfiance. Further action <br />required. (Please explain below) <br /> <br />Name: <br /> <br />Date: <br /> <br />Name: <br /> <br />Title: <br /> <br /> <br />