Laserfiche WebLink
M � <br /> S,\j-( IOAQL71N COUN Y E`+�ROtv�1I:-T DNLSiON <br /> STIE j�4t I�ri -*0 SAFETY PT-A-L <br /> ?ART II <br /> ?ART i EVALUATION OF POT-" ELAL Y22< S <br /> C`u�iERAI SZIF INFORMAMON <br /> 1. Che=iC3iS Fazaras <br /> 1. Site Name: •"w iG fir'L C I Carcaog� . <br /> 7a S—' Corrosives: <br /> Address- phone No.. CI <br /> Contac_ ?ersoa:� ( 1 Dusts: <br /> Sweeps Number [ jlasives: <br /> or000sed Dare of invest—"an an: W—: <br /> v�L' ymmanies <br /> C I [norganic Cases' <br /> �. Desc=Ddon and bref narrat:^re of�specnaa ac=vicy ��emis_ <br /> ( 1 New U� insmilat:pa C I UAR iavesuganon [j Oudi2e_'s" <br /> C I Tank Closure m ?!ace ( Ie <br /> 'rank/'.),* <br /> an a as C I PC3's: <br /> aaic/Pive Removal C I <br /> [nstallaron of 3ori�s/Maaitaring Wets PART l <br /> REQ -mm pFRSONAL PRO�CTlVE <br /> ;. SoeciEc Site info=aden: <br /> No. EQUP `ii <br /> ,L s� <br /> ?ank Tank Capacry: <br /> FrGL Tank Age' ✓ k• no EnI1lDIIe^-L (nOCe: �llOmLnrmg <br /> T ank Contents- vim— 1. monitor=; -, <br /> Wiens misc be used or all operations <br /> other: <br /> �ioG�l��i _less avvrovrace 3ranaie arzs-.c=ons are <br /> Type a[CDeadca: r Provided) 1ler°= <br /> NombuseDle Gzs/Oxyg Y <br /> 5- Re:ease �-;istor): 'tS C 1 NO C I Detemor lubes (Soecfy)�� <br /> sail cp m='u non: ( I [j Photoioniz=con Derecat <br /> _)oc=e of.Groundwater <br /> coataminacon: ( I v� C I NO <br /> Doc rlentzd Groundwate [j Organic Vav- Araiyze- <br /> Background and deseipcan ac a7 Previous yvesagacpa C 1 Cther, svecrr <br /> or incidence• If aonitoring fats- mens are hoc,,:sed, <br /> recanale or acdvir7/are= reser-- ons: <br /> 5. Pocenrial :Health and Saiecy <br /> P� ca1 Conc_^�: Cc=es at avviy& desc_oe) <br /> -ysi a^- (high ambient rzry-) <br /> [ 11. or Coid Stress: Z po=pool p.ote re E?uivmenr <br /> Noise Source: +' �ikf r_zve! or Protection: CIA C IB <br /> [ ] Oxygen De=cency: a F arr�tl and har. <br /> f"_:cavaron: (fabs, =-Ds siiDPi� cave-ins) ^are_q giasses/go&�e5 <br /> C I Fang and rr=SfL of a raardous Subs=ce: � shoes or boos <br /> tze.t caed/s..aalc <br /> (fire, emiosions, etc) Cl name cetardam:coveralls <br /> [ j Confined Space entry Cesniosions)�— Hearing protec_an <br /> _ <br /> (pityn1 a & aatua resaiffig ck?yu <br /> .envy eQvivmenr si NrY <br /> yam moving auivmerc) (�4G1u�E/Gra l+ (Respirator, crc'e: or SQA <br /> C 1 Orher, specify Safety vest <br /> C I ,O=vray aammLnlcaroa <br /> 7. Anticipated 3ioi�e r�Radens C I Poisonous Plans <br /> C I Snakes C I PART IV <br /> C I Other/Urilciown (specify): pyAN APPROVAL <br /> S. Naradve (Provide all information which could menac'Fealth Pi n p r0 <br /> and <br /> fate / te�ia, ere): zr repared by-- b - <br /> and Safecl, e-g•. ?ower lives, g^r of dLKes, N <br /> Pian Approved by. Dare <br /> ��081 (2/7/92) <br />