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4501 GRAND AVE 2016-01-01 MF Import
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4501 GRAND AVE 2016-01-01 MF Import
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Last modified
5/11/2017 11:36:11 AM
Creation date
2/20/2017 9:40:57 PM
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Address Document
Street Name
GRAND AVE
Street Number
4501
Imported From Microfiche
Yes
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A. <br />Date I c)_ ,S-_ ob' <br />�_, <br />Location <br />Water Checklist #4 <br />YJa3 <br />Crew Lead I �� �� <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 />D. Checklist #4 - Routine Part 1 <br />YES NO <br />1. Make site visit before starting work <br />2. Define activity, scope, and limits <br />3. Review Part 1 BMPs <br />• Permit needed <br />• Equipment maintenance � <br />• Disturbed soil <br />• Waste material removed <br />• Spill kit � <br />• Part 2 BMPs needed <br />• Use checklist !l3 and routine <br />checklist <br />4. Is environmental staR requimd? <br />NO - continue maintenance <br />YES - contact environmental staff for <br />review <br />ti:\�Common\dcrial\�FhlS1'toot�auo�\Chmklistq N'alrcJ�e <br />YES NO <br />5. In water work <br />• Stop work <br />• Contact environmental staff f�r <br />review <br />• Evaluate using detailed checklist <br />t, 2, and/or 3 and routine <br />checklist <br />6. Location <br />t <br />2 <br />3 <br />4 <br />5 <br />
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