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�pj Ia <br />DRAFT (August 7, 1990) <br />ATTACHMENT B <br />MITIGATION MONITORING PLAN <br />SAMPLE COMPLIANCE VERIFICATION FORM <br />Mitigation Measure: # Issue: (Earth, Water, Traffic, etc.) <br />Location: Onsite Onsite Administrative <br />Project Phase: Design Construction • Operation <br />Description of Activity/Method of Implementation: <br />Disposition: Mitigation measure for the above-noted project phase implc nented. <br />No further action is required. <br />Mitigation measure for the above -noted project phase is not fully <br />implemented. Further action required. (Please explain below) <br />The mitigation measure for the above -noted project phase is not <br />in compliance. Further action required. (Please explain below) <br />Comments/Revisions: <br />Completed by: Name: <br />Title: <br />Date- <br />G- LCMMP.BI3 <br />Approved by: Name: <br />Title: <br />Date: <br />