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COMPLIANCE INFO_2018
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_2018
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Entry Properties
Last modified
9/24/2020 5:44:02 PM
Creation date
9/24/2020 2:50:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
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
Scanner
KBlackwell
Tags
EHD - Public
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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> BMP TAILGATE MEETING REPORT <br /> NPDE-s0001 (REV 1012017) <br /> %}CTTION 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 /> 03/12/2018 26031631M <br /> ATTENDANCE: <br /> Employee Name (Print) Employee Signature Employee Name(Print) Employee Signature <br /> Richard Felix Harry Wietsma <br /> Phil Pulcifer -, Brad Laine <br /> r� <br /> Matt Brewer Frank Hayes <br /> Shaun Peitz Kent Goodreau <br /> Terry Barritt Johnathan Blakenship <br /> James Ross James Dix <br /> BMPs Discussed(List): <br /> Thermopastic striping and markings <br /> 1 'ter <br /> Suggestions for BMP Improvements <br /> Supervisor's Comments <br /> Be aware of drains and water courses in area that you are working\. <br /> FIRST LIVE SUPERVISOR (Print) SECOND LINE SUPERVISOR(Print) <br /> Mark€]uFrene Earl Larkin <br /> FIRS-I lNE SUPERVISOR (Signature) DATE SECOND INE SUP RVISOR(Signature) DATE <br /> 03/12/2018 03/12/2018 <br /> Forward completed copy to the District Maintenance Storm Water coordinator Post complete c py 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 /> 1,.,;,,, in4n,A Ar .,"„ 77V 711 nr—rifA ff%Ppmrrk and Forms Manaaement. 1120 N Street,MS-89,Sacramento, CA 95814. <br />
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