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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATI ON <br /> EMP TAILGATE MEETING REPORT <br /> NPDE-SOD01 (REV 1012017) <br /> 'ION AND DISTRIBUTION: <br /> 1. 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 OFFICEIYARD <br /> Spray Lodi <br /> DATE OF MEETING COST CENTER <br /> 08/27/2018 102608 <br /> ATTENDANCE: <br /> Employee Name(Pri t) Employee Signature Employee Name(Print) Employee Signature <br /> r �S <br /> BMPs Discussed(List): <br /> Nonlandscaped Chemical Vegetation Control <br /> ether <br /> Suggestions for BMP Improvements <br /> Environmental Concerns Discharge of the following materials into the storm water drainage,system or watercourse: <br /> -Fuel <br /> •Sediment <br /> -Non-storm water <br /> •Vehicle fluids <br /> •Pesticides <br /> Supervisor's Comments <br /> FIRST LINE S PERVISOR (Print) / SECOND LINE SUPERVISOR(Print) <br /> FIRST LINE SUPERVISOR (Signature) DATE SECOND LINE SUPER SOR(Signature) DATE <br /> Forward completed copy to the District Maintenance Storm Water coordinator Post completed copy in crew room or FPPP book, <br /> keep copies for minimum 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 Farms Management,1120 N Street,MS-89, Sacramento,CA 95814. <br />