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REMOVAL 1999
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231405
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REMOVAL 1999
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Entry Properties
Last modified
5/29/2019 2:30:16 PM
Creation date
10/29/2018 9:31:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL 1999
FileName_PostFix
1999
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
A ONE GAS & FOOD
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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KBlackwell
Tags
EHD - Public
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�JGM2/1999 12:34 7077451477 OCIH PAGE 09- <br />7077451477 <br />ceciia R. Stoddmd, 04 <br />867 Hanlon Way <br />Benicia, CA 94S 10 <br />On Call IM Services <br />OCIM WORK AGREEMENT FOR <br />C.L. BRYANT <br />DIST Tank Inspedion & Repairffracy, California <br />Date of Preparation: ,Tune 2, 1999 <br />The following work agreement is submitted by On Call TH Services (OC" for C.L. Bryant's <br />review and signature of approval - <br />General Work Description- To provide industrial hygiene services for Fluid Containment <br />(Containment Solutions) personnel during the inspection and repair of an underground storage tarry, <br />Imated at the GET -N -GO Market, 574 Vilest Grant Road„ Tracy, California. <br />OCW Scapa. of Alrork: Ms. Cecilia Stoddard. +C IR, as health and safety officer for the work shall <br />provide a tailgate review of the etrtry procedures and confined space entry permit; review site <br />conditions prior to entry; verify compba.,nce with permit requirements; assist the C.L. Bryant project <br />supervisor to ,obtain suitable entry conditions, conduct air monitoring for the cunfined spaces; and <br />ptovidc health grad safety information to Fite perstmael. Ms. St ddwd shall have the atithority to <br />step any entry activities for any reason related to hveaatth and safety_ C.L. Bryant will be responsible <br />for providing the health and safety officer with a compliant site safety plan prior to the start of work <br />by Fluid Containmer)t (Containment Solutions). <br />Fee Schedule and Payment: ,Attached is an OCIH fee schedule which will be used to bill C.L. <br />Bryant on a time (including travel) and .uaatenals basis. Payment on all OCIH invoices will be due <br />45 days from the date submiticd to C.L. Bryant. <br />Approval Signature - Name (Printed) - -- � Tate <br />Recieved Time Jun. 2. -111:200 <br />/r. 'd LEl'OPJ 9991 -M -60Z U04 6661 'Z 'unr <br />
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