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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION , BMP TAILGATE MEETING REPORT NPDES-001 (REV 10/2017) . ACTION AND DISTRIBUTION: First line supervisor conducts meeting, completes, and signs form 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 06/04/2018 Spray 102608 ATTENDANCE: Employee Name(Print) Employee Signature Employee Name(Print) Employ Sig ture BMPs Discussed (List): C FAMILY B-21 �r Suggestions for BMP Improvements C FAMILY—SLOPE/DRAINS/VEGETATION: Nonlandscaped Chemical Vegetation Control Discharge of the following materials into the storm water drainage system or watercourse:FUEL,SEDIMENT,NON-STORM WATER, VEHICLE FLUIDS, PESTICIDES. Supervisor's Comments Identify drain inlets and watercourses,both upstream and downstream of the activity site.Protect the drain inlets,storm water drainage system and watercourses from discharges of potential pollutants.Calibrate the spray rig to ensure accurate application of pesticides.Minimize the use of pesticides in or near storm water drainage system or watercourses. FIRST KINE SUPERVISOR(Print) SECO? LINE SUPERVISOR(Print) FIRPT_LINE SUPERVISOR (Signature) :]DATE SECOND LINE SUPERVISOR (Signature) DATE Forward completed copy to the District Maintenance Storm Water coordinator Post completed copy in crew room or book, keep copies for minimum of three(3)3)ye 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,or write to Records and Forms Management,1120 N Street,MS-89,Sacramento,CA 95814.