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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-50001 (REV 1012017) <br /> ACTION 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 OFFICE/YARD <br /> Mountain Region Lodi Special Crews <br /> DATE OF MEETING COST CENTER <br /> 05/07/2018 2603/631M <br /> ATTENDANCE: <br /> Employee Name(Print) /Ifmpipy gna ure Employee Name(Print) Employee Signature <br /> Richard Felix Harry Wietsma <br /> Phil Pulcifer Brad Laine <br /> c. <br /> Matt Brewer <br /> Shaun Peitz �' Kent G <br /> Terry Barritt �. Johnathan Blakenship <br /> James Ross James Dix <br /> BMPs Discussed(List): <br /> Paint Striping and marking <br /> n Oth er <br /> i <br /> Suggestions for BMP Improvements <br /> Supervisor's Comments <br /> . ...... ............. ... <br /> FIRST LINE SUPERVISOR(Print) SECOND LINE SUPERVISOR(Print) <br /> Mark DuFrene Earl Larkin <br /> FI LINES PERVISOR(Signature) DATE SECOND LINE SUPERVISOR(Signature) DATE <br /> 05/07/2018 05/0712018 <br /> d Forward 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 /> 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,1129 N Street,MS-89,Sacramento,CA 95814. <br />