Laserfiche WebLink
16 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOA+QUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,ILE.H.S. <br /> earl Bgins, n,R.E.H.S. <br /> Director 304 East Weber Avenue, Third Floor <br /> Y" s Al Olsen,R.E.H.S. Stockton, California 2-270$ <br /> 9520Mike Huggins,R.E.H.S.,R.D.I. <br /> ::• Douglas W.Wilson,R.E.H.S. <br /> • r ., �� Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Q{r i=644 Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 4b4-©138 <br /> Mark Barcellos,R.E.H.S. <br /> SITE HEALTH AND SAFETY PLAN <br /> PART I PARTII <br /> GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS <br /> 1. Site Name:LEPRINO FOODS 1. Chemicals Hazards <br /> Address:2401 MACARTHUR TRACY,CA 95376 ❑Carcinogens: <br /> Contact Person:REED AZEVEDO Phone No:(209)833-4266 ❑Corrosives: <br /> Sweeps Number: Dusts: <br /> Proposed Date of investigation/inspection:August 12 2003 ❑Explosives: <br /> Flammables: <br /> 2. Description and brief narrative of inspection activity: ❑Inorganic Gases: <br /> ❑New UST installation. ❑UAR Investigation. Metals: <br /> ❑Tank Closure in Place. ❑Tank/Pipe Repair. Oxidizers: <br /> ❑Tank/Pipe Removal. ❑Re-excavation. ❑PCB's: <br /> ❑Installation of Borings/Monitoring Wells. <br /> 19 Hazardous Waste Inspection ❑Sampling. 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 Age: <br /> ❑Combustible Gas/Oxygen Meter. <br /> Other: <br /> ❑Detector Tubes(Specify). <br /> ❑Photo ionization Detector. <br /> 4. Type of Operation:CHEESE FACTORY <br /> Organic Vapor Analyzer. <br /> ❑Other,specify. <br /> 5. Release History: <br /> If monitoring instruments are not used,rationale or activity/area restrictions: <br /> Evidence of leaks/soil contamination: ®YES ❑NO <br /> Documented Groundwater contamination: ❑YES ❑NO _ <br /> Background and description of any previous investigation or incidence: <br /> 2. Personal Protective Equipment <br /> Level of Protection: ❑A ❑B ❑C ®D <br /> Hard Hat. <br /> 6. Potential Health and Safety <br /> Safety Glasses/goggles. <br /> Physical Concerns:(check all that apply&describe) <br /> ®Steel toed/shank shoes or boots. <br /> ❑Hear or Cold Stress: °F(high ambient temp.) ❑Flame retardant coveralls. <br /> ®Noise Sources: UNKNOWN ®Hearing protection. <br /> ❑Oxygen Deficiency: ❑Tyvek. <br /> ❑Excavation:(falls,trips,slipping,cave-ins): <br /> ❑ Respirator: ❑APR ❑SCBA <br /> ❑Handling and Transfer of a Hazardous Substance:(fire,explosions, A/P cartridge: <br /> etc..): <br /> ❑ ®Safety vest. <br /> Confined space entry:(explosions): <br /> ®Two-way communication. <br /> ElHeavy equipment(physical injury&trauma resulting from moving <br /> equipment): <br /> ❑Other,specify PART IV-PLAN APPROVAL <br /> 7. Anticipated Biological Hazards: Plan Prepared bXf!ZDate: / <br /> ❑Snakes ❑ Insects ❑Rodents El Poisonous Plants . _ <br /> ®'Other/Unknown(specify): Plan Approved by: , J Date: <br /> 8. Narrative(provide all information which could impact Health and Safety, <br /> e.g.,power lines,integrity of dikes,terrain,etc.):UNKNOWN <br /> EH 23081 (12/17/2002) <br />