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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION BMP TAILGATE MEETING REPORT NPDE-50001 (REV 1012017) ACTION AND DISTRIBUTION: )First line supervisor conducts meeting, completes, and signs form 2: First line supervisor retains and posts a copy 3. First line supervisor forwards a copy to second line supervisor for review and signature 4. Second line supervisor signs and returns the copy to first line supervisor to file in FPPP binder and forwards the copy to the Maintenance Storm Water Coordinator REGION OFFICENARD Mountain Lodi DATE OF MEETING COST CENTER 11/19/2018 636 ATTENDANCE, Employee Name(Print) Employee Signature Employee Name(Print) Employee Lure Lev-.— J� BMPs Discussed (List): C Family B-26 Drain and Culvert Maintenance []06(,)r Suggestions for BMP Improvements Fltyiromnental ConcernsDischarge of the following materials into the stormwater drainage system or watercourse: •Concrete •Fuel •Litter and debris •Non-stormwater • Sediment •Vehicle fluids Supervisor's Comments •Vehicle and equipment washing is allowed only at designated rinsing areas,wash racks or other designated areas.All engine compartment and undercarriage rinsing/washing must be performed within a wash rack facility.The District Maintenance Storm-water Coordinator will approve or provide input on the approved location for a designated rinsing area. FIRST LI E SUPERVISOR (Print) SECOND LINE SUPERVISOR(Print) F -,LINE SUPERVI R(Signature) 1 DATE SECOND LINE SUP RVISOR(Signature) DATE Forward completed copy to the District Maintenance Storm Water coordinator Post completed copy in crew room or FPPP book, keep copies for minimum of three(3)years. ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms Management Unit at(916)445-1233,TTY 711,orwrite to Records and Forms Management, 1120.N Street,MS-89,Sacramento,CA 95814.