Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMENT <br /> U N SAN JOAQUIN COUNTY <br /> Donna K.Heran,R.E.H.S. Unit Supervisors <br /> L { Director 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> ` Al Olsen,R.E.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S.,R.D.I. <br /> Program Manager Douglas W.Wilson,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. Telephone: (209)468-3420 Margaret Lagorio,R.E.H.S. <br /> Program Manager Fax: (209) 464=0138 Robert McClellon,R.E.H.S. <br /> SITE HEALTH AND SAFETY PLAN Mark Barcellos,R.E.H.S. <br /> PARTI PARTII <br /> GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS <br /> I. Site Name:AMERICAN TRUCK&TRAILER BODY CO. INC. — I. Chemicals Hazards <br /> Address: 100 W.VALPICO ROAD BUILDING D TRACY CA 95376 ®Carcinogens: <br /> Contact Person:MICHAEL GARNER Phone No:(209)836-8985 <br /> ❑Corrosives: <br /> Sweeps Number: ®Dusts: <br /> Proposed Date of investigation/inspection:August 18,2003 ❑Explosives: <br /> ®Flammables: <br /> 2. Description and brief narrative of inspection activity: El Inorganic Gases: <br /> ❑New UST installation. ElUAR Investigation. <br /> ®Metals: <br /> ElTank Closure in Place. ElTank/Pipe Repair. ❑Oxidizers: <br /> [3Tank/Pipe Removal. ❑Re-excavation. <br /> El Installation of Borings/Monitoring Wells. ❑PCB's: <br /> ®Hazardous Waste Inspection ❑Sampling. <br /> 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 /> Tank Content: Tank Age:. <br /> operations unless appropriate rationale or restrictions are provided) <br /> Other: ❑Combustible Gas/Oxygen Meter. <br /> ❑Detector Tubes(Specify). <br /> 4. Type of Operation:TRUCK&TRAILER REPAIR ❑Photo ionization Detector. <br /> ❑Organic Vapor Analyzer. <br /> 5. Release History: ❑Other,specify. <br /> Evidence of leaks/soil contamination: <br /> ❑YES ❑NO If monitoring instruments are not used,rationale or activity;area restrictions <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 /> 6. Potential Health and Safety ®Hard Hat. <br /> Physical Concerns:(check all that apply&describe) ®Safety Glasses/goggles. <br /> ❑Hear or Cold Stress: °F(high ambient temp.) ®Steel toed/shank shoes or boots. <br /> ®Noise Sources: EOUIPMENT ❑Flame retardant coveralls. <br /> ❑Oxygen Deficiency: ®Hearing protection. <br /> ❑ <br /> El Excavation:(falls,trips,slipping,cave-ins): Tyvek. <br /> ElHandling and Transfer of a Hazardous Substance:(fire,explosions, El Respirator: [:1 APR El SCBA <br /> etc..): A/P cartridge: <br /> ❑Confined space entry:(explosions): ®Safety vest. <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:.45,5�-) gff Date: <br /> ❑Snakes El Insects ❑Rodents ❑Poisonous Plants �J <br /> ❑Other/Unknown(specify): <br /> Plan Approved by: 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 />