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0 0 <br /> 44!M <br /> `1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY Program Coordinators <br /> • od<iFBai'�p Kasey L.Foley,R.E.H.S. <br /> Donna K.Heron,R.E.H.S. 1868 E.Hazelton Ave., Stockton,California 95205 <br /> Director Robert McClellon,R.E.H.S. <br /> Telephone:(209)468-3420 Fax:(209)468-3433 JefCarruesco,R.E.H.S. <br /> Web:www.sjgov.org/ehd Linda Turkatte,R.E.H.S. <br /> SITE HEALTH& SAFETY PLAN <br /> PART PART II <br /> GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS <br /> 1. sae Name: Kenco Fleet Services In 1. Chemicals Hazards <br /> Address: <br /> 1030 Runwa Dr., Stockt n 95206 ❑Carcinogens: , <br /> Contact Person: EU ene Kilgore ®Corrosives: attery ACI <br /> Phone#: 423-643-2821 ❑Dusts: <br /> Proposed Date of investigation/inspection: <br /> OV 26, 2012 ❑Explosives: <br /> ❑Flammables: <br /> 2. Description and brief narrative of inspection activity: <br /> ❑Inorganic Gases: <br /> ❑New UST installation ❑UAR Investigation ❑Metals: <br /> ❑Tank Closure in Place ❑Tank/Pipe Repair <br /> ❑Oxidizers: <br /> ❑Tank/Pipe Removal ❑Re-excavation ❑PCBs: Waste oil <br /> ❑Sampling ❑Boring/Monitoring well installation ®Other: <br /> ❑Hazardous waste inspection ❑Tiered Permitting inspection <br /> ®Hazardous Materials Business Plan PART III <br /> 3. Specific Site Information: REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Tank No.: Tank Capacity: 1. Monitoring Equipment(Note:Monitoring instruments must be used for all <br /> operations unless appropriate rationale or restrictions are provided): <br /> Tank Content: Tank ge: <br /> ❑Combustible Gas/Oxygen Meter <br /> Other: ❑Detector Tubes(specify): <br /> ❑Photo ionization Detector <br /> 4. Type of Operation: ❑Organic Vapor Analyzer <br /> ❑Other(specify): <br /> 5. Release History: C]None(see below) <br /> Evidence of leaks/soil contamination: ❑YES ❑NO <br /> If monitoring imma nents are not used,rationale or activity/area restrictions: <br /> Documented Groundwater contamination: ❑YES ❑NO I will not be handling or opening any containers of <br /> Background and description of any previo investigation or incidence: hazardous material. <br /> 2. Personal Protective Equipment <br /> Level of Protection: ❑A I—]B El C El D <br /> 6. Potential Health&Safety Physical Conte s:(check all that apply& 9 Hard Hat <br /> describe) <br /> ❑Heat or Cold Stress: °F(h gh ambient temp.) ®Safety Glasses/Goggles <br /> E]Noise Sources: ®Steel toed/shank shoes or boots <br /> ❑Flame retardant coveralls <br /> [I Oxygen Deficiency: <br /> [3Excavation(falls,trips,slipping,cave ins): ®Hearing protection <br /> ❑Handling and Transfer of a Hazardo , Substance(fire,explosions,etc.):. ❑Tyvek [I APR ❑SCBA <br /> El Respirator: <br /> ❑Coined space entry(explosions): <br /> A/P Cartridge: <br /> ®Heavy equipment(physical injury&I raurm resulting from moving ❑Safety vest <br /> equipment):Forklift are in use at this facility. ❑Two-way communication <br /> ❑Other(specify): ❑Other(specify): <br /> 7. Anticipated Biological Hazards: PART IV <br /> ❑Snakes ❑Insects ❑Rodents ❑Poisonous Plants PLAN APPROVAL <br /> ❑Other/Unknown(specify): t 1/28112 <br /> Plan Prepared by: Robert Lopez Date. <br /> S. Narrative(provide all information which could impact Health and Safety, �-t U <br /> e.g.,power lines,integrity of dikes,to n,etc.): Plan Approved by: t G Date: L <br /> EH 23081(8/2112012) Ali <br />