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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-50041 (REV 1012017) <br /> AkIPTION AND DISTRIBUTION: <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 OFFICEIYARD <br /> Mountain Region Lodi Special Crews <br /> DATE OF MEETING COST CENTER <br /> 12/17/2018 2603/631 <br /> ATTENDANCE: <br /> Employee Name (Print) pl a sqiature Employee Name(Print) lwmployee Signature <br /> Richard Felix Harry Wietsma Y <br /> Phil Pulcifer Brad Laine <br /> James Dix ' -. Samuel Galindo <br /> r <br /> Shaun Peitz _�� Kent Goodreau <br /> Terry Barritt George Winchell <br /> Glenn Matthews <br /> BMPs Discussed(List): <br /> Thermoplastic striping and markings <br /> )Other <br /> Suggestions for SMP Improvements <br /> Supervisor's Comments <br /> Be aware of drains and water courses in area that you are working\, <br /> FIRST LINE SUPERVISOR(Print) SECOND LINT*SUPERVISOR (Print) <br /> Mark DuFrene Earl Larkin <br /> FI NE SUP RVI O re) DATE SECOND LINE SUPERVISOR(Signature) DATE <br /> � 12/17/2018 . 12/17/2018 <br /> Forward completed copy to the District Maintenance Storm Water coordinator Rost completed copy in crew roam or FPPP book, <br /> keep copies for minimum of three(3)years. <br /> Cnr canennr rlicahiiiiiac this r oniment is available in alternate formats. For alternate format information.contact the Forms <br />