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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPOE-S0001 (REV 1012017) <br /> ACTION AND DISTRIBUTION: <br /> 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 Lodi <br /> DATE OF MEETING COST CENTER <br /> 11/19/2018 636 <br /> ATTENDANCE: <br /> Employee Name(Print) Employee Signature Employee Name(Print) Employee ture <br /> �rz e <br /> J� <br /> BMPs Discussed (List): <br /> C Family B-26 Drain and Culvert Maintenance <br /> F]Otl)2r <br /> Suggestions for BMP Improvements <br /> Environmental ConcernsDischarge of the following materials into the stormwater drainage system or watercourse: <br /> •Concrete <br /> •Fuel <br /> •Litter and debris <br /> •Non-stormwater <br /> • Sediment <br /> •Vehicle fluids <br /> Supervisor's Comments <br /> •Vehicle and equipment washing is allowed only at designated rinsing areas,wash racks or other <br /> designated areas.All engine compartment and undercarriage rinsing/washing must be performed <br /> within a wash rack facility.The District Maintenance Stormwater Coordinator will approve or <br /> provide input on the approved location for a designated rinsing area. <br /> FIRST LI E SUPERVISOR (Print) SECOND LINE SUPERVISOR(Print) <br /> F LINE SUPERVI R(Signature) DATE SECOND LINE SUP RVISOR(Signature) TDATEg <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 Forms Management, 1120 N Street,MS-89,Sacramento,CA 95814. <br />