HomeMy WebLinkAboutDERR-2025-002637LUST CLOSEOUT
CORRESPONDENCE SIGN-OFF SHEET
ERRL#-_________________
Project Manager Enclosures
Subject Attached
File Location
Specify (Enclosures)
Special Instructions
PM verified site status module in database is current
Type of Closure Other
Internal Closeout (UST/LUST) LUST List Override
Below Initial Screening Levels Bill for Oversight Costs
Meets Tier 1 Screening Criteria LUST Billing Code: 4W _______EXX
Fails Tier 1 Screening Criteria Verify Oversight Costs Paid
Risk Assessment Update All Database Info
Transfer to DWMRC Verify UST Compliance and Fees
Transfer to DWQ Evaluate Redevelopment Potential
NFA Form
UST NFA
Internal Closeout Memo
Tier I Worksheet
Tier I Worksheet with Supplemental Information
Additional Requirements (Check all that apply)
Blue Stakes
Environmental Covenant
Residual Contamination Map
Risk Assessment
Additional Requirements (Check all that apply)
Blue Stakes
Environmental Covenant
Residual Contamination Map
Approval Process
Close Release
Project Manager (draft)
Section Manager (draft)
Branch Manager (draft)
Section Secretary
Project Manager (final)
Branch Secretary (final)
Administrative Secretary
Mailing Checklist
Certified Mail Enclosures Mailed
CCs Mailed Date Mailed
Mailed By
Program Coordinator