Site Impact Notification

Site Impact Notification

Please use this sheet to submit site impacts that have the same start and end dates across all impacted primary and secondary locations. Consistent dates are required for all impacted locations. If locations have different dates, please submit them separately.

Initiator*

Initiator's contact email (lbl.gov format)*

Project Name

Project names should be clear and easily understood by everyone.

Examples:

Molecular Foundry 2024 Annual User Meeting

Parking Lot B1 - Space Decommissioning

Division*

Select or enter value

Site Impact*

Describe planned impacts to roads, parking, gates, shuttle stops, buildings, walkways, as applicable

Examples:

Fencing along Alvarez Road in front of construction site requires pedestrians to use walkway across the street to travel up and own Alvarez Road.

Ongoing construction that requires fencing and closed walkways along Lawrence Road across from the Guest House. Parking Lot K1 is reserved for construction work, blocked off and no longer available. Potential construction noise and activities may disrupt nearby buildings. Construction vehicles entering and exiting the site may disrupt traffic along Lawrence Road.

Area of Impact*

Select all that appy

Select

Location(s) of Impact*

Select all that apply

Select

Impact Start Date

Impact End Date

Mitigations*

Describe how project is controlling, minimizing impacts

Example:

Fencing and closed walkways for pedestrian safety. Flaggers as needed for large construction equipment or vehicles. Demolition will be conducted on the weekends.

Communications*

Example:

Ongoing communication with neighboring buildings (B70, 70A, 50) and general emails to the lab population. The project will continue to communicate any changes to the adjacent building users and update the parking restriction requests in the system as needed.

Name of project point of contact*

This form will be routed to the project POC for validation

Project point of contact email*

Project point of contact cell phone

Project Page/Link (If Applicable)

File Upload

Attach any relevant documents here.

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