Appendix A CEQA Checklist
Appendix ACEQA Checklist
Appendix A: CEQA Environmental ChecklistDISTRICT 04-SOLPM 4.0/4.9 A.This checklist identifies physical, biological, social and economic factors that might be affected bythe proposed project. In many cases, background studies performed in connection with theprojects indicate no impacts. A NO IMPACT answer in the last column reflects this determination.Where there is a need for clarifying discussion, the discussion is included either following theapplicable section of the checklist or is within the body of the environmental document itself. Thewords "significant" and "significance" used throughout the following checklist are related toCEQA, not NEPA, impacts. The questions in this form are intended to encourage the thoughtfulassessment of impacts and do not represent thresholds of significance.PotentiallySignificantImpactI. AESTHETICS: Would the project:a) Have a substantial adverse effect on a scenic vistab) Substantially damage scenic resources, including, but notlimited to, trees, rock outcroppings, and historic buildings withina state scenic highwayc) Substantially degrade the existing visual character or qualityof the site and its surroundings?d) Create a new source of substantial light or glare which wouldadversely affect day or nighttime views in the area?II. AGRICULTURE AND FOREST RESOURCES: Indetermining whether impacts to agricultural resources aresignificant environmental effects, lead agencies may refer to theCalifornia Agricultural Land Evaluation and Site AssessmentModel (1997) prepared by the California Dept. of Conservationas an optional model to use in assessing impacts on agricultureand farmland. In determining whether impacts to forestresources, including timberland, are significant environmentaleffects, lead agencies may refer to information compiled by theCalifornia Department of Forestry and Fire Protection regardingthe state’s inventory of forest land, including the Forest andRange Assessment Project and the Forest Legacy AssessmentProject; and the forest carbon measurement methodologyprovided in Forest Protocols adopted by the California AirResources Board. Would the project:a) Convert Prime Farmland, Unique Farmland, or Farmland ofStatewide Importance (Farmland), as shown on the mapsprepared pursuant to the Farmland Mapping and MonitoringProgram of the California Resources Agency, to non-agriculturaluse?b) Conflict with existing zoning for agricultural use, or aWilliamson Act contract?A-1Less mpactNoImpact
PotentiallySignificantImpactc) Conflict with existing zoning for, or cause rezoning of, forestland (as defined in Public Resources Code section 12220(g)),timberland (as defined by Public Resources Code section 4526),or timberland zoned Timberland Production (as defined byGovernment Code section 51104(g))?d) Result in the loss of forest land or conversion of forest landto non-forest use?e) Involve other changes in the existing environment which, dueto their location or nature, could result in conversion ofFarmland, to non-agricultural use or conversion of forest land tonon-forest use?III. AIR QUALITY: Where available, the significance criteriaestablished by the applicable air quality management or airpollution control district may be relied upon to make thefollowing determinations. Would the project:a) Conflict with or obstruct implementation of the applicable airquality plan?b) Violate any air quality standard or contribute substantially toan existing or projected air quality violation?c) Result in a cumulatively considerable net increase of anycriteria pollutant for which the project region is non- attainmentunder an applicable federal or state ambient air quality standard(including releasing emissions which exceed quantitativethresholds for ozone precursors)?d) Expose sensitive receptors to substantial pollutantconcentrations?e) Create objectionable odors affecting a substantial number ofpeople?IV. BIOLOGICAL RESOURCES: Would the project:a) Have a substantial adverse effect, either directly or throughhabitat modifications, on any species identified as a candidate,sensitive, or special status species in local or regional plans,policies, or regulations, or by the California Department of Fishand Game or U.S. Fish and Wildlife Service?b) Have a substantial adverse effect on any riparian habitat orother sensitive natural community identified in local or regionalplans, policies, regulations or by the California Department ofFish and Game or US Fish and Wildlife Service?A-2Less mpactNoImpact
PotentiallySignificantImpactc) Have a substantial adverse effect on federally protectedwetlands as defined by Section 404 of the Clean Water Act(including, but not limited to, marsh, vernal pool, coastal, etc.)through direct removal, filling, hydrological interruption, or othermeans?d) Interfere substantially with the movement of any nativeresident or migratory fish or wildlife species or with establishednative resident or migratory wildlife corridors, or impede the useof native wildlife nursery sites?e) Conflict with any local policies or ordinances protectingbiological resources, such as a tree preservation policy orordinance?f) Conflict with the provisions of an adopted HabitatConservation Plan, Natural Community Conservation Plan, orother approved local, regional, or state habitat conservationplan?V. CULTURAL RESOURCES: Would the project:a) Cause a substantial adverse change in the significance of ahistorical resource as defined in §15064.5?b) Cause a substantial adverse change in the significance of anarchaeological resource pursuant to §15064.5?c) Directly or indirectly destroy a unique paleontologicalresource or site or unique geologic feature?d) Disturb any human remains, including those interred outsideof formal cemeteries?VI. GEOLOGY AND SOILS: Would the project:a) Expose people or structures to potential substantial adverseeffects, including the risk of loss, injury, or death involving:i) Rupture of a known earthquake fault, as delineated on themost recent Alquist-Priolo Earthquake Fault Zoning Map issuedby the State Geologist for the area or based on other substantialevidence of a known fault? Refer to Division of Mines andGeology Special Publication 42?ii) Strong seismic ground shaking?iii) Seismic-related ground failure, including liquefaction?A-3Less mpactNoImpact
PotentiallySignificantImpactLess mpactNoImpactiv) Landslides?b) Result in substantial soil erosion or the loss of topsoil?c) Be located on a geologic unit or soil that is unstable, or thatwould become unstable as a result of the project, and potentiallyresult in on- or off-site landslide, lateral spreading, subsidence,liquefaction or collapse?d) Be located on expansive soil, as defined in Table 18-1-B ofthe Uniform Building Code (1994), creating substantial risks tolife or property?e) Have soils incapable of adequately supporting the use ofseptic tanks or alternative waste water disposal systems wheresewers are not available for the disposal of waste water?VII. GREENHOUSE GAS EMISSIONS: Would the project:a) Generate greenhouse gas emissions, either directly orindirectly, that may have a significant impact on theenvironment?b) Conflict with an applicable plan, policy or regulation adoptedfor the purpose of reducing the emissions of greenhouse gases?VIII. HAZARDS AND HAZARDOUS MATERIALS: Would theproject:a) Create a significant hazard to the public or the environmentthrough the routine transport, use, or disposal of hazardousmaterials?b) Create a significant hazard to the public or the environmentthrough reasonably foreseeable upset and accident conditionsinvolving the release of hazardous materials into theenvironment?c) Emit hazardous emissions or handle hazardous or acutelyhazardous materials, substances, or waste within one-quartermile of an existing or proposed school?A-4An assessment of the greenhouse gas emissions andclimate change is included in the body ofenvironmental document. While Caltrans hasincluded this good faith effort in order to provide thepublic and decision-makers as much information aspossible about the project, it is Caltrans determinationthat in the absence of further regulatory or scientificinformation related to GHG emissions and CEQAsignificance, it is too speculative to make asignificance determination regarding the project’sdirect and indirect impact with respect to climatechange. Caltrans does remain firmly committed toimplementing measures to help reduce the potentialeffects of the project. These measures are outlined inthe body of the environmental document.
PotentiallySignificantImpactd) Be located on a site which is included on a list of hazardousmaterials sites compiled pursuant to Government Code Section65962.5 and, as a result, would it create a significant hazard tothe public or the environment?e) For a project located within an airport land use plan or, wheresuch a plan has not been adopted, within two miles of a publicairport or public use airport, would the project result in a safetyhazard for people residing or working in the project area?f) For a project within the vicinity of a private airstrip, would theproject result in a safety hazard for people residing or working inthe project area?g) Impair implementation of or physically interfere with anadopted emergency response plan or emergency evacuationplan?h) Expose people or structures to a significant risk of loss, injuryor death involving wildland fires, including where wildlands areadjacent to urbanized areas or where residences are intermixedwith wildlands?IX. HYDROLOGY AND WATER QUALITY: Would the project:a) Violate any water quality standards or waste dischargerequirements?b) Substantially deplete groundwater supplies or interferesubstantially with groundwater recharge such that there wouldbe a net deficit in aquifer volume or a lowering of the localgroundwater table level (e.g., the production rate of pre-existingnearby wells would drop to a level which would not supportexisting land uses or planned uses for which permits have beengranted)?c) Substantially alter the existing drainage pattern of the site orarea, including through the alteration of the course of a streamor river, in a manner which would result in substantial erosion orsiltation on- or off-site?d) Substantially alter the existing drainage pattern of the site orarea, including through the alteration of the course of a streamor river, or substantially increase the rate or amount of surfacerunoff in a manner which would result in flooding on- or off-site?e) Create or contribute runoff water which would exceed thecapacity of existing or planned stormwater drainage systems orprovide substantial additional sources of polluted runoff?f) Otherwise substantially degrade water quality?A-5Less mpactNoImpact
PotentiallySignificantImpactg) Place housing within a 100-year flood hazard area asmapped on a federal Flood Hazard Boundary or FloodInsurance Rate Map or other flood hazard delineation map?h) Place within a 100-year flood hazard area structures whichwould impede or redirect flood flows?i) Expose people or structures to a significant risk of loss, injuryor death involving flooding, including flooding as a result of thefailure of a levee or dam?j) Inundation by seiche, tsunami, or mudflowX. LAND USE AND PLANNING: Would the project:a) Physically divide an established community?b)Conflict with any applicable land use plan, policy, or regulationof an agency with jurisdiction over the project (including, but notlimited to the general plan, specific plan, local coastal program,or zoning ordinance) adopted for the purpose of avoiding ormitigating an environmental effect?c) Conflict with any applicable habitat conservation plan ornatural community conservation plan?XI. MINERAL RESOURCES: Would the project:a) Result in the loss of availability of a known mineral resourcethat would be of value to the region and the residents of thestate?b) Result in the loss of availability of a locally-important mineralresource recovery site delineated on a local general plan,specific plan or other land use plan?XII. NOISE: Would the project result in:a) Exposure of persons to or generation of noise levels inexcess of standards established in the local general plan ornoise ordinance, or applicable standards of other agencies?b) Exposure of persons to or generation of excessivegroundborne vibration or groundborne noise levels?c) A substantial permanent increase in ambient noise levels inthe project vicinity above levels existing without the project?A-6Less mpactNoImpact
PotentiallySignificantImpactd) A substantial temporary or periodic increase in ambient noiselevels in the project vicinity above levels existing without theproject?e) For a project located within an airport land use plan or, wheresuch a plan has not been adopted, within two miles of a publicairport or public use airport, would the project expose peopleresiding or working in the project area to excessive noise levels?) For a project within the vicinity of a private airstrip, would theproject expose people residing or working in the project area toexcessive noise levels?XIII. POPULATION AND HOUSING: Would the project:a) Induce substantial population growth in an area, eitherdirectly (for example, by proposing new homes and businesses)or indirectly (for example, through extension of roads or otherinfrastructure)?b) Displace substantial numbers of existing housing,necessitating the construction of replacement housingelsewhere?c) Displace substantial numbers of people, necessitating theconstruction of replacement housing elsewhere?XIV. PUBLIC SERVICES:a) Would the project result in substantial adverse physicalimpacts associated with the provision of new or physicallyaltered governmental facilities, need for new or physicallyaltered governmental facilities, the construction of which couldcause significant environmental impacts, in order to maintainacceptable service ratios, response times or other performanceobjectives for any of the public services:Fire protection?Police protection?Schools?Parks?Other public facilities?A-7Less mpactNoImpact
PotentiallySignificantImpactXV. RECREATION:a) Would the project increase the use of existing neighborhoodand regional parks or other recreational facilities such thatsubstantial physical deterioration of the facility would occur or beaccelerated?b) Does the project include recreational facilities or require theconstruction or expansion of recreational facilities which mighthave an adverse physical effect on the environment?XVI. TRANSPORTATION/TRAFFIC: Would the project:a) Conflict with an applicable plan, ordinance or policyestablishing measures of effectiveness for the performance ofthe circulation system, taking into account all modes oftransportation including mass transit and non-motorized traveland relevant components of the circulation system, including butnot limited to intersections, streets, highways and freeways,pedestrian and bicycle paths, and mass transit?b) Conflict with an applicable congestion management program,including, but not limited to level of service standards and traveldemand measures, or other standards established by the countycongestion management agency for designated roads orhighways?c) Result in a change in air traffic patterns, including either anincrease in traffic levels or a change in location that results insubstantial safety risks?d) Substantially increase hazards due to a design feature (e.g.,sharp curves or dangerous intersections) or incompatible uses(e.g., farm equipment)?e) Result in inadequate emergency access?f) Conflict with adopted policies, plans or programs regardingpublic transit, bicycle, or pedestrian facilities, or otherwisedecrease the performance or safety of such facilities?XVII. UTILITIES AND SERVICE SYSTEMS: Would the project:a) Exceed wastewater treatment requirements of the applicableRegional Water Quality Control Board?b) Require or result in the construction of new water orwastewater treatment facilities or expansion of existing facilities,the construction of which could cause significant environmentaleffects?A-8Less mpactNoImpact
PotentiallySignificantImpactc) Require or result in the construction of new storm waterdrainage facilities or expansion of existing facilities, theconstruction of which could cause significant environmentaleffects?d) Have sufficient water supplies available to serve the projectfrom existing entitlements and resources, or are new orexpanded entitlements needed?e) Result in a determination by the wastewater treatmentprovider which serves or may serve the project that it hasadequate capacity to serve the project’s projected demand inaddition to the provider’s existing commitments?f) Be served by a landfill with sufficient permitted capacity toaccommodate the project’s solid waste disposal needs?g) Comply with federal, state, and local statutes and regulationsrelated to solid waste?XVIII. MANDATORY FINDINGS OF SIGNIFICANCEa) Does the project have the potential to degrade the quality ofthe environment, substantially reduce the habitat of a fish orwildlife species, cause a fish or wildlife population to drop belowself-sustaining levels, threaten to eliminate a plant or animalcommunity, substantially reduce the number or restrict the rangeof a rare or endangered plant or animal or eliminate importantexamples of the major periods of California history orprehistory?b) Does the project have impacts that are individually limited,but cumulatively considerable? ("Cumulatively considerable"means that the incremental effects of a project are considerablewhen viewed in connection with the effects of past projects, theeffects of other current projects, and the effects of probablefuture projects)?c) Does the project have environmental effects which will causesubstantial adverse effects on human beings, either directly orindirectly?A-9Less mpactNoImpact
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Appendix BSummary of Relocation Benefits
Appendix B: Summary of Relocation BenefitsDECLARATION OF POLICY“The purpose of this title is to establish a uniform policy for fair and equitable treatment ofpersons displaced as a result of federal and federally assisted programs in order that suchpersons shall not suffer disproportionate injuries as a result of programs designed for thebenefit of the public as a whole.”The Fifth Amendment to the U.S. Constitution states, “No Person shall be deprived oflife, liberty, or property, without due process of law, nor shall private property be taken forpublic use without just compensation.” The Uniform Act sets forth in statute the dueprocess that must be followed in Real Property acquisitions involving federal funds.Supplementing the Uniform Act is the government-wide single rule for all agencies tofollow, set forth in 49 Code of Federal Regulations, Part 24. Displaced individuals,families, businesses, farms, and nonprofit organizations may be eligible for relocationadvisory services and payments, as discussed below.FAIR HOUSINGThe Fair Housing Law (Title VIII of the Civil Rights Act of 1968) sets forth the policy of theUnited States to provide, within constitutional limitations, for fair housing. This Act, andas amended, makes discriminatory practices in the purchase and rental of most residentialunits illegal. Whenever possible, minority persons shall be given reasonable opportunitiesto relocate to any available housing regardless of neighborho
the state’s inventory of forest land, including the Forest and Range Assessment Project and the Forest Legacy Assessment Project; and the forest carbon measurement methodology provided in Forest Protocols adopted by the California Air Resources Board. Would the project: a) Convert Prime Farmland, Unique Farmland, or Farmland of
health, must be considered. The Legislature mandated that these changes occur in the Guidelines that implement CEQA for several reasons. For one, as administrative regulations, updates to the CEQA Guidelines are vetted publicly and thoroughly. The Office of Planning and Research began to engage the public in the development of
Los Angeles City Council-Appeal of CEQA Determination for Bullock's Westwood Project December 17, 2014-Page 4 its inclusion in a local register of historical resources. (CEQA Guidelines § 15064.5(b)(2)(B).) Such an alteration is a significant effect on the environment. (CEQA
APPENDIX 3 Checklist for Emergency Generator Installation 24–28 APPENDIX 4 Checklist for Fire Detection and Fire Alarm System 29–50 APPENDIX 5 Checklist for Fire Hydrant and Hose Reel Installation 51–62 APPENDIX 6 Checklist for Staircase Pressurization System 63–69 APPENDIX 7 Checklist for Street Fire Hydrant System 70–75 .
Issue of orders 69 : Publication of misleading information 69 : Attending Committees, etc. 69 : Responsibility 69-71 : APPENDICES : Appendix I : 72-74 Appendix II : 75 Appendix III : 76 Appendix IV-A : 77-78 Appendix IV-B : 79 Appendix VI : 79-80 Appendix VII : 80 Appendix VIII-A : 80-81 Appendix VIII-B : 81-82 Appendix IX : 82-83 Appendix X .
Appendix H Forklift Operator Daily Checklist Appendix I Office Safety Inspection Appendix J Refusal of Workers Compensation Appendix K Warehouse/Yard Inspection Checklist Appendix L Incident Investigation Report Appendix M Incident Investigation Tips Appendix N Employee Disciplinary Warning Notice Appendix O Hazardous Substance List
Appendix G Children's Response Log 45 Appendix H Teacher's Journal 46 Appendix I Thought Tree 47 Appendix J Venn Diagram 48 Appendix K Mind Map 49. Appendix L WEB. 50. Appendix M Time Line. 51. Appendix N KWL. 52. Appendix 0 Life Cycle. 53. Appendix P Parent Social Studies Survey (Form B) 54
Manager Opening Checklist Line Check Prep Checklist Station Setup Bar Opening Checklist Closing Checklist Host Opening/Closing Checklist Multi‐unit Inspections Checklist Periodic Maintenance Checklist Permits & License Review Staff Reviews/Evaluations
Appendix 1 - School Food and Beverage Policy 66 Appendix 2 - Trans Fat Standards (O.Reg. 200/08) 83 Appendix 3 - Calculating Trans Fat 84 Appendix 4 - A-Z Food and Beverage List 86 Appendix 5 - Cafeteria Food Service Provider Checklist 92 Appendix 6 - Caterer Checklist 93 Appendix 7 - School Event Menu Ideas 94
