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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-S0001 (REV 10/2017) <br /> 1APTION AND DISTRIBUTION: <br /> I 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 OFFICE/YARD <br /> Mountain Region Lodi Special Crews <br /> DATE OF MEETING COST CENTER <br /> 2603/631;$ <br /> ATTENDANCE: <br /> Employee Name(Print) mpl ee S nature Employee Name(Print) Employee Signature <br /> Richard Felix Harry Wietsma <br /> Phil Pulcifer Brad Laine <br /> Matt Brewer Frank Hayes41 ur <br /> Shaun Peitz � � Kent Goodreu <br /> Terry Barritt <br /> James Ross <br /> BMPs Discussed(List): <br /> Drain and culvert maintenance <br /> —r' her <br /> Suggestions for BMP Improvements <br /> Supervisor's Comments <br /> FIRST LINE SUPERVISOR(Print) SEC ND LINE SUPERVISOR(Print) <br /> Mark DuFrene <br /> �F T LINE SUPERVISOR(Signature) DATE SECOND LINE SUPERVISOR(Signature) DATE <br /> � 11/20/201.7 11/20/2017� <br /> Forward completed co to the District Maintenance Storm Water coordinator Post completed copy in crew room or 3)ye book, <br /> p PY keep copies for minimum of three(8)years. <br /> ADA Notice For individuals with sensory disabilities,this document is available in alternate formats. For alternate format information,contact the Forms <br /> i wf of rim dd5-19RA TTY 711.nrwrite to Records and Forms Management,1120 N Street,MS-89,Sacramento,CA 95814. <br />