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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-50001 (REV 10/2017) <br /> ACTION AND DISTRIBUTION: <br /> j1. First line supervisor conducts meeting, completes, and signs form <br /> 2. First line supervisor retains and posts a copy <br /> 3. First line supervisor forwards a copy to second line supervisor for review and signature <br /> 4. Second line supervisor signs and returns the copy to first line supervisor to file in FPPP binder and forwards the copy to the <br /> Maintenance Storm Water Coordinator <br /> REGION OFFICENARD <br /> Stockton Lodi <br /> DATE OF MEETING COST CENTER <br /> 01/03/2018 632 <br /> ATTENDANCE: <br /> Employee Name(Print) Employee Signature Employee Name(Print) Employee Signature <br /> Clint mansfield <br /> Casey Hogan <br /> Tracy Callahan <br /> Joseph Villarreal <br /> BMPs Discussed(List): <br /> Covering Storm Drains <br /> Other <br /> Suggestions for BMP Improvements <br /> Cover any or all nearby storm drains during grinding,beading,and sweep up operations as to keep sediment and other debris from entering the <br /> drainage system. <br /> Supervisor's Comments <br /> Only Rain Down The Drain. <br /> FIRST LINE SUPERVISOR(Print) n ,r ,�, y SEGO DINE SUPERVISOR(Print) <br /> FIRSy� PERVI t ature) DATE SECOND LINE SUPERVISOR ignature) DATE <br /> /� 01/03/2018 01/03/2018 <br /> Forward complete to the District Maintenance Storm Water coordinator Post completed copy in crew room or 3)ye book, <br /> keep copies forcopy <br /> in crew <br /> of three(3)years. <br /> ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms <br /> Management Unit at(916)445-1233,TTY 711,or write to Records and Forms Management, 1120 N Street,MS-89,Sacramento,CA 95814. <br />