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5021 CREST LN 2016-01-01 MF Import
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5021 CREST LN 2016-01-01 MF Import
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Last modified
2/12/2017 1:20:56 AM
Creation date
2/12/2017 1:20:54 AM
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Template:
Address Document
Street Name
CREST LN
Street Number
5021
Imported From Microfiche
Yes
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��"�^�=f"�f-'f�!il"I�<�� ��ILC�;�1Si: n`: <br /> :'a�e Location <br /> / � �0�/ (�,� L,y Crew Lead -� <br /> �4 cr 40}�' <br /> E. <br /> Flag�ers Names Briered? <br /> (YES or NO) . . Briered by <br /> � <br /> . I <br /> Fla�ger Brie�ing: <br /> Job Tasks: Flagger Responsibilities, �mergency 5ignals, Flagger Radios, Specific �vork �one hazard�, <br /> PP=, �'ight Lighting, Planned Equipment Movement, Emergency Escape Pfans. � <br /> C. `tehicle Inspection Check(ist: <br /> Dri�rer's Name Equipment � Location � Inspection <br /> J� �' /'Z �� !, Jc�( ,� : Compleied? � Comments <br /> .ho • l 1 � • 7 � � � <br /> � <br /> D. Ch ecklist #4 - Routine Part 1 <br /> YES NO <br /> 1. A1al:e site visit before star;ing work v YES NO <br /> 5. In water work <br /> 2. Deiine activiry, scope, and Iimits • Stop �vork <br /> 3. Review Part 1 BhiPs � Contact environmenta; stafr ior <br /> • Permit needed � review <br /> • Equipment maintenance � • Evaluate using detailed checklis: . <br /> • Dirturbed soil � �� z� and/or 3 and routine <br /> chr.c;;list <br /> • 'rJaste material removed <br /> • Spifl kit . 6 6. Location <br /> ° Part 2 Bh1Ps needed � <br /> ° Use checklist �3 and routine ? � <br /> checklist t 3 <br /> ?. Is ecvironmentaf staff required? a <br /> h'0 - continue maintenance 5 <br /> YES - contact environmental stair tor I <br /> re��ie�v <br /> DHx:!v:11a0^nD\FJi.P!S1C`vckiSy�o�.er.dc: <br />
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