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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-S0001 (REV 1012017) <br /> -7ION AND DISTRIBUTION: <br /> i1. First line supervisor conducts meeting, completes, and signs form <br /> 2. First line supervisor retains and posts a copy 'W <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 /> D,QT OF MEETING COST CENTER <br /> Y1/11/2018 636/2608 <br /> ATTENDANCE: <br /> Employee Name(Print) Employee Signature Employee Name(Print) Employee Sig ture <br /> Joseph Holcomb <br /> Don Hernandez �j.(� <br /> Pedro Mejia-Ramirez / -r Juan Mata-Cardenas - <br /> Terry Lee - Steven Bates <br /> Sam Presten Dave Johns 01 <br /> Jason Caravallo <br /> B7�)ther <br /> (List): Na ^LS i ' <br /> nd boo!Irts2l <br /> -es and - <br /> - - <br /> Suggestions for BMP Improvements <br /> Maintenance to Avoid Fuel,Fluids,down the drain <br /> Supervisor's Comments - - - <br /> FIRST LINE SUPERVISOR(Print) SEC NO LINE SUPERVISOR(Print) <br /> Henry Weave6 / ) / �w,� I <br /> i. <br /> 'DATE SECOND <br /> ' L/L <br /> NE SUPERV jOR (Sgnature) DATEFIRSTI, 'S VF(Sgue) 041&2018 <br /> Forward completed copy to the District Maintenance Storm Water coordinator Post completed copy in crew room or book, <br /> keep copies for minimum of three(3)3)ye 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 />