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SAN JOAQUIN COUNTY <br /> E HEALTHAND SAFETY HEALTH <br /> DEPARTMENT <br /> PLAN <br /> PART II <br /> PART I EVALUATION OF POTENTIAL HAZARDS <br /> GENERAL SITE INFORMATION <br /> 1. SiteName:San Joaquin Cogen,LLC <br /> I. Chemicals Hazards <br /> Address:17200 Murphy Parkway,Lathrop ®Carcinogens: <br /> Contact Person:Donnie Williams Phone No:858-5129_ ®Corrosives: <br /> Sweeps Number: ❑Dusts: <br /> Proposed Date of investigation/inspection:November 2004 ❑Explosives: <br /> E Flarrunables: <br /> 2. Description and brief narrative of inspection activity: E 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 /> ❑Hazardous waste inspection ❑ Sampling PART III <br /> ❑Tiered Permitting inspection REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> 3. Specific Site Information: <br /> Capacity: 1. Monitoring Equipment(note:Monitoring instruments mus[be used for all <br /> Tank <br /> Tank No.: P ty' operations unless appropriate rationale or restrictions are provided) <br /> Tank Content: Tank Age: <br /> ❑Combustible Gas/Oxygen Meter. <br /> Other: ❑Detector Tubes(Specify). <br /> ❑Photo ionization Detector. <br /> 4. Type of Operation:Electric Cogeneration ❑Organic Vapor Analyzer. <br /> ❑Other,specify. <br /> 5. Release History: 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 E D <br /> E Hard Hat. <br /> 6. Potential Health and Safety E Safety Glasses/goggles. <br /> Physical Concerns:(check all that apply&describe) E Steel toed/shank shoes or boots. <br /> ❑Heat or Cold Stress: of(high ambient temp.) ❑Flame retardant coveralls. <br /> ❑Noise Sources: E Hearing protection. <br /> ❑Oxygen Deficiency: ❑Tyvek. <br /> ❑Excavation:(falls,trips,slipping,cave-ins): ❑Respirator: ❑APR ❑ SCBA <br /> ❑Handling and Transfer of a Hazardous Substance:(fire,explosions, A/P cartridge: <br /> etc..): <br /> E Safety vest. <br /> ❑Confined space entry:(explosions): <br /> ❑Heavy equipment(physical injury&trauma resulting from moving ❑Two-way communication. <br /> equipment): <br /> ❑Other,specify PART IV-PLAN APPROVAL <br /> 7. Anticipated Biological Hazards: Plan Prepared by:Ray von Flue Date:11/9/04 <br /> ❑Snakes ❑Insects ❑Rodents ❑Poisonous Plants <br /> ❑Other/Unknown(specify): <br /> ti <br /> 8. Narrative(provide all information which could impact Health and Safety, <br /> Plan Approved by: —Date:11/9/04 <br /> e.g.,power lines,integrity of dikes,terrain,etc.) <br /> EH 23081 (02/19/03) <br />