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11222 2ND AVE SE 2016-01-01 MF Import
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11222 2ND AVE SE 2016-01-01 MF Import
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Last modified
3/7/2017 8:43:16 PM
Creation date
3/7/2017 8:43:07 PM
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Address Document
Street Name
2ND AVE SE
Street Number
11222
Imported From Microfiche
Yes
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Water Checklist #4 <br /> ; A. <br /> � �ate j z �_ � � Location I il Z�-=- 2-� 9.,Z S� Crew Lead Sf,_J (— <br /> B. <br /> Briefed? Briefed by <br /> Flaggers Names (YES or NO) <br /> Flagger Briefing: <br /> Job Tasks: Ftagger Responsibilities, Emergency Signals, Flagger Radios, 5pecific �vork zone hazards, <br /> PPE, Night Lighting, Planned Equipment Movement, Emergency Escape Plans. <br /> C. Vehic(e Inspection Checklist: �" <br /> Inspection Comments <br /> Driver's Name Equipment n Location Completed? <br /> 5 (r Tcz��' .� h � ( <br /> ,�j� .J�ni/ti � <br /> ��c( L )=/ <br /> � � <br /> � I <br /> D. Checklist �4 - Routine Part 1 <br /> YES NO YES NO <br /> 1, hlake site visit before starting work .� 5. In water work <br /> Z. Define activity, scope, and limics • Stop work <br /> 3. Revie�v Part 1 BMPs • Contad environmental staff for <br /> I / review <br /> • Permit needed <br /> • Evaluate using de[ailed checklis[ / <br /> • Equipment maintenance 1, 2, and/or 3 and rou[ine <br /> • Disturbed soil checklist <br /> � Waste material removed <br /> � Spill kit 6. Location <br /> • Part 2 GIdPs needed � <br /> z <br /> • Use checklist ,"•3 and routine / 3 <br /> checklist <br /> 4. Is environmental s[aff required? 4 <br /> NO - continue maintenance 5 <br /> YFS - con[act environmental staff fcr / <br /> _review _ 5/5 <br /> ��ra:,,.—.:-.�d.::-�:��f es;s.;.�::�c��cn.:tl-,<_,v,i«.a�: <br />
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