19E - SANTA ANA GRADE SEPARATION PROJECT

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Exhibit 6 -A Local Assistance Procedures Manual Preliminary Environmental Study (PES) Form Caltrans District Professionally Qualified Staff (PQS) Signature ❑ Project does not meet definition of an "undertaking "; no further review is necessary under Section 106 ( "No" Section A, #35). ❑ Project is limited to the type of activity listed in Attachment 2 of the Section 106 PA and based on the information provided in the PES Form, the project does not have die potential to affect historic properties ( "No" Section A, #35). ❑ Project is limited to the type of activity listed in Attachment 2 of the Section 106 PA, but the following additional procedures or information is needed to determine the potential for effect ( "To Be Determined" Section A, #35): ❑ Records Search ❑ ❑ ❑ ❑ Project meets the definition of an "undertaking "; all properties in the project area are exempt from evaluation per 4 of the Section 106 PA (` No" Section A, #35). <ttachment he proposed undertak ng is considered to have the potent al to affect histor c properties; further studies for ] 06 mpliance are indicated in Sections B, C, and D of this PES Form ( "Yes" Section A, #35). ZS gnature of Professionally Qualified SYaQ) (Dale) (Te1e.)rhoue No.) The following signatures are required for all CEs, routine and complex EAs, and EISs: Caltrans District Senior Environmental Planner (or Designee) and DLAE Signatures I have reviewed this Preliminary Environmental Study (PES) Form and determined that the submittal is complete and sufficient. 1 concur with the studies to be performed and the recommended NEPA Class of Action. 21 (Signamr<qf3enior &nTonmcntal Planner or Designee) (Dale) Telephone No.) GG, � r I1-f 9 a //g,r (Name) (Signalurc ofDisn'ici Local. sislonee Engineer or Designee) (Date) ) Jl� DEA Environmental Coordinator concurrence tJ �� E-mail concurrence attached. (/ (dale Page 19E-71 May 300, , 2 008 2UP 08 -02