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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-S0001 (REV 10/2017) <br /> ,"^TION AND DISTRIBUTION: <br /> t <br /> 1. 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 /. P .�? COST CENTER <br /> (1 636/2608 <br /> ATTENDANCE: <br /> Employee Name(Print) Employee Signature Employee Name(Print) Employee Signa re <br /> Joseph Holcomb �.G t,V �0— <br /> Don Hernandez. - <br /> Pedro Melia-Ramirez Juan Mata-Cardenes <br /> Terry Lee Steven Bates ` <br /> Sam Presten Dave Johnson <br /> Jason Caravallo <br /> a <br /> BMPs Discussed(List): <br /> S.W Hand book/pg B-12 <br /> Non Landscaped Chemical Control <br /> Other <br /> Suggestions for BMP Improvements <br /> Maintenance to Avoid Fuel,Pesticides,Fluids <br /> Supervisor's Comments <br /> FIRST LINE SUPERVISOR(Print) SE�DNDLIN SUPERRVISOR(Print) <br /> Henry Weaver <br /> FIRST LINES PERVISOR(Slgnatur .. D ') SECOND INE SU ERVISOR(Signature) DATE <br /> c Forward completed copy to the -i5 net 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 />