Notice Of Completion Page 2

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Reviewing Agencies Checklist
Lead Agencies may recommend State Clearinghouse distribution by marking agencies below with and "X".
If you have already sent your document to the agency please denote that with an "S".
Air Resources Board
Office of Historic Preservation
Boating & Waterways, Department of
Office of Public School Construction
California Emergency Management Agency
Parks & Recreation, Department of
California Highway Patrol
Pesticide Regulation, Department of
Caltrans District #
Public Utilities Commission
Caltrans Division of Aeronautics
Regional WQCB #
Caltrans Planning
Resources Agency
Central Valley Flood Protection Board
Resources Recycling and Recovery, Department of
Coachella Valley Mtns. Conservancy
S.F. Bay Conservation & Development Comm.
Coastal Commission
San Gabriel & Lower L.A. Rivers & Mtns. Conservancy
Colorado River Board
San Joaquin River Conservancy
Conservation, Department of
Santa Monica Mtns. Conservancy
Corrections, Department of
State Lands Commission
Delta Protection Commission
SWRCB: Clean Water Grants
Education, Department of
SWRCB: Water Quality
Energy Commission
SWRCB: Water Rights
Fish & Game Region #
Tahoe Regional Planning Agency
Food & Agriculture, Department of
Toxic Substances Control, Department of
Forestry and Fire Protection, Department of
Water Resources, Department of
General Services, Department of
Health Services, Department of
Other:
Housing & Community Development
Other:
Native American Heritage Commission
Local Public Review Period (to be filled in by lead agency)
Starting Date
Ending Date
Lead Agency (Complete if applicable):
Consulting Firm:
Applicant:
Address:
Address:
City/State/Zip:
City/State/Zip:
Contact:
Phone:
Phone:
Signature of Lead Agency Representative:
Date:
Authority cited: Section 21083, Public Resources Code. Reference: Section 21161, Public Resources Code.
Revised 2010

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