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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-S0001 (REV 10/2017) <br /> ACTION AND DISTRIBUTION: <br /> 1` <br /> 11. 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 /> Mountain - Lodi <br /> DATE OF MEETING COST CENTER <br /> 08/13/2018 636 <br /> ATTENDANCE: <br /> Employee Name (Print) Employee Signature Employee Name(Print) Em o p Si dature <br /> ? 31an )Il1cfvcGvjeZ <br /> a-CL I <br /> ,Ksp <br /> " lU <br /> BMPs Discus d(List): <br /> F Family B-48 Storm Water Treatment Devices <br /> '9ther <br /> Suggestions for BMP Improvements <br /> F Family B-48 Storm Water Treatment Devices <br /> Supervisor's Comments <br /> FIRST LINE SUPERVISOR(Print)1 ,0 / SEC LINE SUPERVISOR(Print) <br /> V M c/ <br /> FIRST LINE SUPERVJ R(Signature) DATE SECOND LINE SUP VISOR(Signature) DATE <br /> Forward completed copy to the Eris Oct 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 />