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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0507085
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
6/16/2020 12:18:49 PM
Creation date
6/15/2020 4:04:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0507085
PE
2227
FACILITY_ID
FA0004925
FACILITY_NAME
Caltrans-Lodi
STREET_NUMBER
845
Direction
E
STREET_NAME
PINE
STREET_TYPE
St
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
845 E Pine St
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-S0001 (REV 1012017) <br /> A,PT!ON 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 OFFICENARD <br /> Mountain Region Lodi Special Crews <br /> DATE OF MEETING COST CENTER <br /> 08/13/2018 2603/631M <br /> ATTENDANCE: <br /> Employee Name(Print) Employee Signature Employee Name(Print) Employee Signature <br /> Richard Felix Harry Wietsma <br /> Phil Pulcifer Brad Laine <br /> Matt Brewer Samuel Galindo <br /> r <br /> Shaun Peitz Kent Goodreau <br /> Terry Barritt James Dix /) <br /> James Ross <br /> BMPs Discussed(List): <br /> Paint Striping and marking <br /> per <br /> Suggestions for BMP Improvements <br /> Supervisor's Comments <br /> FIRST LINE SUPERVISOR(Print) SECOND LINE SUPERVISOR(Print) <br /> Mark DuFrene Earl Larkin <br /> FIRST LINE SUPERVISOR Signature) DATE SECOND LINE SUPERVISOR <br /> (Signature08/13/2018 <br /> 08/ <br /> 8 <br /> orward 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 /> AnA Nnfire For individuals with sensory disabilities,this document is available in alternate^formats. For alternate format information, contact the Forms <br /> -- - I-- .- .--- -•- -_-- - __ _...,,.- n,...........--- +Ion ni Q,—, nnc_na Barramcnln CA BfiR14 <br />
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