REFERENCE DOCUMENTS - RAL25/0004 (As Published)

Form
Contaminated land investigation document

 

          
     
     
  

   

Identified Hazardous Lot on plan State Role in project! Date Regulatory
knowledge contaminant completed function (if
area and/or notifiable applicable)?

required

  

activity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notes:

1) The SQP should be able to demonstrate at least three years’ experience in contaminated land assessment and management, and
demonstrate professionally competent application of that experience. The examples must be relevant to the characteristics of the site

that is the subject of this submitted CLID (see the department's guideline Assessing a suitably qualified person (ESR/2016/1938)).

&

The regulatory function may be either conducting a site investigation, preparing a site investigation, or a validation report, or a draft site
management plan or a draft amended SMP (see s. 564 of the EP Act).

L

Any additional SQP(s) who conducted technical professional services in support of the responsible SQP must complete a separate
Professional Support Team — Suitably qualified person declaration form (ESR/2015/1856) and submit it as part of the CLID submission.

 

Page 20 of 24 * ESR/2023/6339 + Version 1.03 * Last reviewed: 19 MAY 2023 Department of Environment and Science

Document Set ID: 23717062
Version: 0, Version Date: 01/01/1900