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Exhibit 6-A <br />Preliminary Environmental Study (PES) Form <br />Local Assistance Procedures Manual <br />For Sections B, C, and D, check appropriate box to indicate required technical studies, coordination, permits, or approvals. <br />B. <br />Required Technical Studies <br />C. <br />Coordination <br />D. <br />Anticipated <br />and Analyses <br />Actions/Permits/Approvals <br />® <br />Traffic <br />Check one: <br />® Traffic Study <br />® <br />Caltrans <br />® <br />Approval <br />❑ Technical Memorandum <br />❑ <br />Caltrans <br />❑ <br />Approval <br />❑ Discussion in ED Only <br />❑ <br />Caltrans <br />❑ <br />Approval <br />® <br />Noise <br />Check as applicable: <br />® Traffic Related <br />® Construction Related <br />Check one: <br />® Noise Study Report <br />® <br />Caltrans <br />® <br />Approval <br />❑ NADR <br />❑ <br />Caltrans <br />❑ <br />Approval <br />❑ Technical Memorandum <br />❑ <br />Caltrans <br />❑ <br />Approval <br />❑ Discussion in ED Only <br />❑ <br />Caltrans <br />❑ <br />Approval <br />® <br />Air Quality <br />Check as applicable: <br />® Traffic Related <br />® Construction Related <br />Check one: <br />® Air Quality Report <br />® <br />Caltrans <br />® <br />Approval <br />❑ Technical Memorandum <br />❑ <br />Caltrans <br />❑ <br />Approval <br />❑ Discussion in ED Only <br />❑ <br />Caltrans <br />❑ <br />Approval <br />❑ <br />FHWA <br />❑ <br />Conformity Finding (6005 CEs, EAs, EISs) <br />❑ <br />Caltrans <br />❑ <br />Conformity Finding (6004 CEs) <br />❑ <br />Regional Agency <br />❑ <br />PM10/PM2.5 Interagency Consultation <br />® <br />Hazardous Materials/ <br />Hazardous Waste <br />Check as applicable: <br />® Initial Site Assessment <br />® <br />Caltrans <br />® <br />Approval <br />(Phase 1) <br />❑ Preliminary Site Assessment <br />❑ <br />Caltrans <br />❑ <br />Approval <br />(Phase 2) <br />❑ Discussion in ED Only <br />❑ <br />Caltrans <br />❑ <br />Approval <br />® <br />Cal EPA DTSC <br />® <br />Review Database <br />® <br />Local Agency <br />® <br />Review Database <br />® <br />Water Quality/Resources <br />Check as applicable: <br />❑ Water Quality Assess. Report <br />❑ <br />Caltrans <br />❑ <br />Approval <br />® Technical Memorandum <br />® <br />Caltrans <br />® <br />Approval <br />❑ Discussion in ED Only <br />❑ <br />Caltrans <br />❑ <br />Approval <br />❑ <br />Sole -Source Aquifer <br />(Districts 5, 6 and 11) <br />❑ <br />EPA (S.F. Regional Office) <br />❑ <br />Approval of Analysis in ED <br />❑ <br />Coastal Zone <br />❑ <br />CCC <br />❑ <br />Coastal Zone Consistency Determination <br />Page 6-72 <br />May 30, 2008 LPP 08-02 <br />