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i <br /> If <br /> I <br /> SITE HEALTH AND SAFETY PLAN <br /> I. PROJECT INFORMATION <br /> Project Number: 4203-173 Date: March 25, 1997 <br /> Project Name: 802 North Cluff Client: Alegre Trucking <br /> Contact: Mr.Robert Fowler Phone: (209)33412112 <br /> Site Location: 802 North Cluff-Lodi,California <br /> Site Description: Former Trucking Facility <br /> Type of Work: r <br /> ❑ Soil Borings(geotechnical) X Monitoring Well Installation <br /> ❑ Soil Borings(environmental) ❑ Domestic/Irrigati1on Well Installation <br /> ❑ Piezometer Installation ❑ Inclinometer Installation <br /> ❑ Other: <br /> II <br /> Work Activities: One soil boring,well installation;well development,soil/ground-water sampling <br /> i <br /> Site Personnel: <br /> 'i <br /> Company: Responsibility: �� <br /> ' Shawn Munger-ENGEO Inc. Logging/Sampling I': <br /> i i <br /> Westex,Inc Drilling/Well Installation <br /> Project Health and Safety Officer: Site Health and Safety Officer: <br /> ' Shawn Munger Shawn Munger <br /> f <br /> II. HAZARD EVALUATION <br /> Physical Hazards <br /> ❑ Heat ❑ Explosion/Fire Hazards <br /> ❑ Oxygen ❑ Excavations/Trenches <br /> J <br /> i Z Noise Z Slip,Trip,Fall <br /> ❑ Traffic ❑ Underground Hazards <br /> Z Equipment Z Overhead Hazards <br /> i <br /> i <br /> 4203-F2A <br /> January 31, 1997 <br /> Revised February 25, 1997 <br />