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7.B. - Page 15 <br /> APPENDIX G <br /> Environmental Checklist Form <br /> ENVIRONMENTAL FACTORS POTENTIALLY AFFECTED: <br /> The environmental factors checked below would be potentially affected by this project,involving at least one impact <br /> that is a "Potentially Significant Impact" as indicated by the checklist on the following pages. <br /> ❑ Aesthetics ❑ Agriculture Resources Air Quality <br /> ® Biological Resources • Cultural Resources Geology/Soils <br /> ❑ Hazards&Hazardous Materials • Hydrology/Water Quality ❑ Land Use/Planning <br /> 111 Mineral Resources • Noise El Population/Housing <br /> ❑ Public Services • Recreation Transportation/Traffic <br /> ❑ Utilities/Service Systems • Mandatory Findings of Significance <br /> DETERMINATION: (To be completed by the Lead Agency) <br /> On the basis of this initial evaluation: <br /> ❑ I find that the proposed project COULD NOT have a significant effect on the environment, and a NEGATIVE <br /> DECLARATION will be prepared. <br /> ▪ I find that although the proposed project could have a significant effect on the environment,there will not be a significant <br /> effect in this case because revisions in the project have been made by or agreed to by the project proponent. A <br /> MITIGATED NEGATIVE DECLARATION will be prepared. <br /> ❑ I fmd that the proposed project MAY have a significant effect on the environment, and an ENVIRONMENTAL IMPACT <br /> REPORT is required. <br /> ❑ I find that the proposed project MAY have a "potentially significant impact" or "potentially significant unless mitigated" <br /> impact on the environment, but at least one effect 1) has been adequately analyzed in an earlier document pursuant to <br /> applicable legal standards,and 2)has been addressed by mitigation measures based on the earlier analysis as described on <br /> attached sheets. An ENVIRONMENTAL IMPACT REPORT is required,but it must analyze only the effects that remain <br /> to be addressed. <br /> ❑ I fmd that although the proposed project could have a significant effect on the environment, because all potentially <br /> significant effects (a) have been analyzed adequately in an earlier EIR or NEGATIVE DECLARATION pursuant to <br /> applicable standards, and (b) have been avoided or mitigated pursuant to that earlier EIR or NEGATIVE <br /> DECLARATION, including revisions or mitigation measures that are imposed upon the proposed project,nothing further <br /> is required. <br /> Signature Date �S <br /> AtAq4 l4` 0` 013 <br /> �I <br /> PrinteI Name Tanisha Wernet,Project Engineer For City of Redwood City <br />