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<br />Reviewing Agencies Checklist <br /> <br />Appendix C. continued <br /> <br />Lead Agencies may recommend State Clearinghouse distribution by marking agencies below with and "X". <br />Ifyau have already sent your document to the agency please denote that with an "S". <br /> <br />Air Resources Board <br />Boating & Waterways, Department of <br />California Highway Patrol <br />Caltrans Distl;ct # <br />Caltrans Division of Aeronautics <br />Caltrans Planning (Headqnarters) <br />Coachella Valley Mountains Conservancy <br />Coastal Commissi on <br />Colorado River Board <br />Conservation, Department of <br />Corrections, Department of <br />Delta Protection Commission <br />Education, Department of <br />Energy Commission <br />Fish & Game Region # _ <br />Food & Agriculture, Department of <br />Forestry & Fire Protection <br />General Services, Department of <br />Health Services, Department of <br />Housing & Commwlity Development <br />Integrated Waste Management Board <br />Native American Heritage Commission <br />Office of Emergency Services <br /> <br />Office of Historic Preservation <br />Office of Public School Construction <br />Parks & Recreation <br />Pesticide Regulation, Department of <br />Public Utilities Commission <br />Reclamation Board <br />Regional WQCB # _ <br />Resources Agency <br />S.F. Bay Conservation & Development Commission <br />San Gabriel & Lower L.A. Rivers and Mtns Conservancy <br />San Joaquin River Conservancy <br />Santa Monica Mountains Conservancy <br />State Lands Commission <br />SWRCB: Clean Water Grants <br />SWRCB: Water Quality <br />SWRCB: Water Rights <br />Tahoe Regional PlaruJjng Agency <br />Toxic Substances Control, Department of <br />Water Resources, Department of <br /> <br />Other <br />Other <br /> <br />----------------------------------------- <br /> <br />Local Public Review Period (to be filled in by lead agency) <br /> <br />- <br />Starting Date U Uv e. /.' ;lODC- <br /> <br />Ending Date <br /> <br />- <br />vu()e ~. ..e.ooC; <br /> <br />----------------------------------------- <br /> <br />Lead Agency (Complete if applicable): <br /> <br />Consulting Firm: <br />Address: <br />City/State/Zip: <br />Contact <br /> <br />Applicant: 7~l""O~It..O.s A f-..\-o Jl..-t.ES. <br />Address: 1'1IC,7/ On..JE.,,",~ "])12... <br />City/State/Zip: 'Pt.~41<.-'""",,J J f'.A. 9Ys73A <br />Phone (9.z~-) 1"c...O - ~9P,1 <br /> <br />Phone: <br /> <br />Signature of Lead Agency Representative: <br /> <br />~~~ <br /> <br />() <br />Yp--=- __ <br /> <br />Date: ~?.kc. <br />