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421 VERALENE WAY SW 2016-01-01 MF Import
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421 VERALENE WAY SW 2016-01-01 MF Import
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Last modified
3/8/2017 9:19:12 AM
Creation date
3/8/2017 9:19:07 AM
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Address Document
Street Name
VERALENE WAY SW
Street Number
421
Imported From Microfiche
Yes
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Water Checklist /14 <br /> A. <br /> I Date lD ^ �-l0 Localion �-/a/ ���.��r Crew Lead ��N � <br /> ��/1 f/ >w <br /> B. <br /> Flaggers Narnes ariefed? [3ricfed by <br /> ___ (YES or NO) <br /> -- —� <br /> Flagger f3riefing: <br /> Job Tasks: Flagger Responsibilities, Emergency Sinnals, Fla�ger Radios, Specific work zone hazards, <br /> PPE, Ni,ht Lighting, Planned [quipment Movement, Emergenc.y Escape Plans. <br /> C. Vehicle Inspection Checklist: <br /> _ - - - - - - -- ---- <br /> Driver's Name Equipment ll Location Inspection Comments <br /> Compteted? <br /> J PS$P Q/S."�1 5 .1GO�� ) �� �/ <br /> S�.?sju e�c'' JddyG oet �yGP !/ <br /> - — -- -- — -- ------- 1 <br /> D. Checklist N4 - Routine Part 1 <br /> ---- --- - - -- -- — — <br /> YES NO YES NO <br /> 1. Nlake site visi[ before star[ing work 5. In watcr work <br /> L Define activity, scope, and limits • Stop work � <br /> _3. Reviev: Part 1 RMPs _ � • Contact environmental sta!( for ./ <br /> � Pcrmit necded review <br /> • Equipment rnaintenance • Evaluate using detailed checklist <br /> -- _ 1, 2, and/or 3 and routine �� <br /> • Disturbed soil checklist <br /> • Wazte material removed <br /> • SpiU ki[ 6. Location <br /> • Part 2 UA1Ps needed t <br /> • Usc chccklist N3 and routine Z <br /> diccklist 7 g -- <br /> 4. Is environrnentatsta(f required? 4 <br /> NO - continue maintenance 5 — <br /> YES - conWct environmenla! sla(f (ur -- <br /> review <br /> .;.�.��,.��.���„���i,��„r.,ir�u�, �� . „�,<i�..�i�.�,_",�-�a..�— -- --- <br />
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