DERR-2025-003674

*support staff will automatically email health department contacts
LUST Correspondence Sign-Off Sheet
ERRL# __________
Author: Date to be mailed by:
File Location: File Name: _________________________________
Enclosure(s) needed? Attach Enclosure(s):
How to send to recipients*?
PM verified site status in database is current?
Draft Approval Process
Project Manager ___________________ __________ ____________
Section Manager ___________________ __________ ____________
Branch Manager ___________________ __________ ____________
Final Approval Process
Section Support ___________________ __________ ____________
Author ___________________ __________ ____________
Branch Support ___________________ __________ ____________
Admin Support ___________________ __________ ____________
Mailing
Certified Mail? Mailed by:
Enclosure(s) Included? Date Mailed:
cc’s sent?
EQDocs #: ________________________ Attach Final Letter:
Contact information and/or special instructions:
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