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5020 ALKI DR 2016-01-01 MF Import
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5020 ALKI DR 2016-01-01 MF Import
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Last modified
1/23/2017 9:49:59 AM
Creation date
1/23/2017 9:49:09 AM
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Template:
Address Document
Street Name
ALKI DR
Street Number
5020
Imported From Microfiche
Yes
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Water Checiclist #4 <br /> A� S' rq ; Crew Lead Q �'�C'�V'P� <br /> Date �� � � � z Location OLO �k ��i <br /> a• Briefed? Bri��fed by <br /> Flaggers Names YES or NO � <br /> Flagger Briefing: <br /> PPE TNight Light ngR Planneid jEquip en[ Movement Emergency Escape P ansjfic work zone hazar s, <br /> C. Vehicle Inspection Checklist: <br /> Location Inspection Comments <br /> Driver's Name Equipment # Com leted2 <br /> ��/PA-vf � U 7d <br /> cN <br /> i � i � C <br /> D. Checklist #4 - Routine Part 1 <br /> YES NO <br /> YES NO <br /> 1. Make site visit before starting work <br /> 5. In water work <br /> • Stop work <br /> 2. Define activity, scope, and limits Contact environmental staff for <br /> . <br /> 3. Review Part 1 BMPs review <br /> • Permit needed . Evaluate usfng detailed checklist <br /> • Equipment maintenance 1, 2, and/or 3 and routine <br /> checklisC <br /> • Disturbed soil <br /> . Waste material removed <br /> 6. Locatlon <br /> • Spill kit <br /> t <br /> • Part 2 BMPs needed Z <br /> • Use checklist/33 and routine . �— <br /> checklist 4 <br /> 4. Is environmental s[aff required? 5 <br /> Np • continue maintenance <br /> YES - contact environmental staff for <br /> review <br /> s:\.Covunoe\datal\FSA\uaald\Ch.rklLu wuu.dac <br />
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