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9509 HOLLY DR 2016-01-01 MF Import
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9509 HOLLY DR 2016-01-01 MF Import
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Last modified
2/18/2017 12:46:45 PM
Creation date
2/18/2017 12:46:28 PM
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Address Document
Street Name
HOLLY DR
Street Number
9509
Imported From Microfiche
Yes
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Water Checklist #4 <br /> A. <br /> Date I �j�����v Location `�SC��' �l�/ (�� Crew Lead ��, �,,,,,'{G, <br /> B. <br /> Flaggers Names Briefed? Briefed by <br /> (YES or NO) <br /> Flagger Briefing: <br /> Job Tasks: Flagger Responsibilities, Emergency Signals, Flagger Radios, Specific work zone hazards, <br /> PPE, Night Lighting, Planned Equipment Movement, Emergency Escape Plans. <br /> C. Vehicle Inspection Checklist: <br /> Driver's Name Equipment /t Location Inspection Comments <br /> Completed? <br /> .�w(tis / Sl�r� — <br /> _�r��z- _c2c�.�rZ �o_r — <br /> . S l �r t� � <br /> D. Checklist #4 - Routine Part 1 <br /> YES NO YES NO <br /> t Make site visit before starting work 5. In water work <br /> Z Define ac[ivity, scope, and limi[s • Stop work <br /> 3. Review Par[ 1 4MPs • Contact environmen[al staff (or <br /> • Permi[ needed v= review <br /> • Equipment mninteoance • Evaluate using detailed checklist <br /> — _ , 1, 2, and/or 3 and routine <br /> • Disturbed soil � � checklist <br /> • Waste material reinoved / <br /> �— -- <br /> V <br /> • Spitt kit 6. Location <br /> • Part 2 BMPs needed V � <br /> • Use checklist k3 and rou[ine 2 <br /> � checklis[ v� 3 <br /> 4. Is environmental staf(required? 4 <br /> NO - continue maintenance I 5 <br /> YES - contact environmental staff for ,' <br /> review <br /> , ..C,nmmu\d<ncJ\Sl7tFE'Iti\=oox.soaJ\ChrckBs��_N'a�ar do: ✓/� <br />
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