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qy!N <br /> sgR�a.co <br /> yz ENVIRONMENTAL HEALTH DEPARTMENT <br /> e: a <br /> e; < <br /> ''y.,. : .:;e• SAN JOAQUIN COUNTY Program Coordinators <br /> crFoAN Donna K.Heron,R.E.H.S. Kasey L.Foley,R.E.H.S. <br /> Director 1868 E.Hazelton Ave.,Stockton,California 95205 Robert McClellon,R.E.H.S. <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Jeff Carruesco,R.E.H.S. <br /> Web:www.sjgov.org/ehd Linda Turkane,R.E.H.S. <br /> SITE HEALTH& SAFETY PLAN <br /> PPART II <br /> ART I <br /> GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS <br /> 1. Site Name: Kenco Fleet Services In I. Chemicals Hazards <br /> Address: 1030 RunIvay Dr., Stockton 95206 ❑Carcinogens: <br /> Contact Person:Eu ene Kilgore ®Corrosives: Battery Acid <br /> Phone k: 423-643-2821 ❑Dusts: <br /> Proposed Date of investigation/inspection: BD ❑Explosives: <br /> ❑Flammables: <br /> 2. Description and brief narrative of inspection activity: ❑Inorganic Gases: <br /> ❑New UST installation ❑UAR Ivestigation ❑Metals: <br /> ❑Tank Closure in Place E]Tank/Pipe Repair ❑Oxidizers: <br /> ❑Tank/Pipe Removal ❑Re-ex " <br /> vation ❑PCBs: <br /> ElSampling 11Bonn onitoring Well installation ❑Other: <br /> [I Hazardous Waste inspection (3d e <br /> Tierermitting 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 /> Tank A e operations unless appropriate rationale or restrictions are provided): <br /> Tank Content: g ❑Combustible Gas/oxygen Meter <br /> Other: ❑Detector Tubes(specify): <br /> F1 Photo ionization Detector <br /> 4. Type of Operation: ❑Organic Vapor Analyzer <br /> ❑Other(specify): <br /> 5. Release History: ❑None(see below) <br /> Evidence of leaks/soil contamination: ❑YES ❑NO <br /> If monitoring instruments are not used,rationale or activity/area restrictions: <br /> Documented Groundwater contamination E]YES [I NO (will not be handling or opening any containers of <br /> Background and description of any previa s investigation or incidence: hazafdou5 fnaterlai. <br /> 2. Personal Protective Equipment <br /> Level of Protection: C]A [I B ❑C [I D <br /> 6. Potential Health&Safety Physical Cancer s:(check all that apply& ®Hard Hat <br /> describe) <br /> ambient tem <br /> F1 Heat or Cold Stress: OF(hi P.) ®Safety Glasses/Goggles <br /> ❑Noise Sources: ®Steel toed/shank shoes or boots <br /> ❑Oxygen Deficiency: ❑Flame retardant coveralls <br /> ❑Excavation(falls,trips,slipping,cave-ns): ®Hearing protection <br /> ❑Handling and Transfer of a Hazardous Substance(fire,explosions,etc.):. ❑Tyvek <br /> ❑Respirator: ❑APR ❑SCBA <br /> ❑Confined space entry(explosions): <br /> AT Cartridge: <br /> ®Heavy equipment(physical injury&t mama resulting from moving ❑Safety vest <br /> equipment):Forklift are in use at this acili' . ❑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): 9/27/12 <br /> Plan prepared by: Robert Lopez Date. <br /> 8. Narrative(provide all information which ould impact Health and Safety, V <br /> e.g.,power lines,integrity of dikes,terrai ,etc.): Plan Approved by: r" Date: <br /> EH 23081(8212012) <br />