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TATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION i <br /> IMP TAILGATE MEETING REPORT <br /> IPDE-50001 (REV 1012017) <br /> s r'10N AND DISTRIBUTION: <br /> f. First line supervisor conducts meeting, completes, and signs form <br /> 2. First line supervisor retains and posts a copy <br /> S. 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 /> 12/18/2017 2603/631M <br /> ATTENDANCE: <br /> Employee Name(Print) W10 ,91Employee Name(Print) Employee Signature <br /> Harry WietsmaRichard Felix Phil Pulcifer Brad Laine <br /> J <br /> Matt Brewer Frank Hayes ^ <br /> Shaun Peitz Kent�Goad e�� •-�� ,_�� <br /> Terry Barritt �. _... Johnathan Blakenship y � <br /> James Ross " James Dix <br /> BMPs Discussed(List): `". <br /> Paint Striping and marking <br /> )Dther <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 LONE UPERVI50R(Si n tura) DATE SECOND LINE SUPERVISO Signature) DATE <br /> _✓��j� 121181201.7 <br /> 12/18/2017 <br /> Post completed copy in crew room or FPPP book, <br /> Forward completed copy to the District Ma-sntenance Storm Water coordinator 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 f=orms <br /> --_ ,,1,;t,,r01M a4ti_172'� TTY 711.or write to Records and Forms Management,1120 N Street,MS-139,Sacramento,CA 95814. <br />