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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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436!02,'1999 13:34 7077451477 aCIH PAGE 02 <br />7077451477 <br />On Call 1H Services <br />Ceclla R. SkWdurv, C3H <br />867 Hanlon Way <br />Bcnlc. , CA 9A51p <br />OCM WORK AGRF. MENT FOR <br />C.L. BRYA NT <br />UST Tank Impectio n & Repairrf'racy, California <br />Date of Preparation: June 2, 1999 <br />The following work agreement is submitter! by On Call fl -I Services (00l-1) for C.L. Bry"'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 tank <br />located at the GFT -N -GO Market, 574 West Grant Road, Tracy, California.. <br />OCIH Scope of Work. Ms. Cecilia Stoddard, CIH, as health and safety officer for the work. shall <br />provide a tailgatL review of the entry procedures and confined space entry permit; review site <br />conditions prior to entry, verify compliance with permit requirements; assist the C.L. Bryant project <br />supervisor to obtain suitable entry conditions; conduct air monitori:log for the confined spaces; and <br />provide health and safety infoniustion to site personnel. lids. Stoddard shall have the authority to <br />stop any entity activities for any reason related to heaXtis and safety. C.L. Bryant will be responsible <br />for providing the health and safety officer with a .compliant site safety pian prior to the start of work <br />by Fluid Containment (Contaiimmot 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 naatenals basis. Payment on all. OCIH invoices will be due <br />45 days brow the elate submitted to C. t.,. Bryaaat. <br />Approval. ftmterre Name (Pi inteq) Date <br />Nc i cved Time Jan • 2.-12:26Pw1 <br />S/Z 'd 8001'nN 9991-M -60Z W04 6661 'Z 'unr <br />
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