CONSULTANT QUALITY CONTROL CERTIFICATION

Project Name:	_______________________________________________________________________

FM #: ___________________ FAP#: __________________ETDM#: ___________________ LAP

Consultant:	________________________________________

Document Type: TYPE 2 CE EA DEIS FEIS/ROD	SEIR

Document Version: Draft Final

Department Project Manager:	___________________________________________________

Check the box for each stand-alone technical report prepared for the Environmental Document. Fill in date the review was completed, name of the technical specialist responsible for review of the report, and date of verification that QC was performed and all comments were addressed or resolved, as appropriate.
Report	Date QC Review Completed	Reviewer (Print Name)	Verification Date
CSRP
NRE
PSR
CSER
WQIE
LHR
Air Quality
Utility Assessment
NSR
CRAS
Section 4(f)
(check one) De minimis Programmatic Individual
PER
PTAR
Other (specify)
All technical studies and reports have been satisfactorily reviewed by assigned specialists in their areas of expertise. I have performed the required quality control reviews for this project and find that this Environmental Document satisfactorily meets state and federal requirements, as applicable, and is consistent with the Department’s PD&E procedures and scope of services for this project. Quality control documents for these submittals are available in our project file for your review upon request.
Consultant Quality Manager	/ /
Print Name	Signature	Date
I have reviewed this Environmental Document and find that it was prepared consistent with the Department’s PD&E procedures.
Consultant Project Manager	/ /
Print Name	Signature	Date