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SAi�i IOAQL7N COLZv= ZN- 7f 20M I EN7AI F'=-ILL7H DIVISION <br /> STI= 'rTE rH ARCD SAFE= PLAN <br /> a Z l PART II <br /> GENERAL SMr- WFORMAIION EVAL.IIA'nON OF POTMTIIAL.Fj.AZ S <br /> i. Site dame: rr �. CiemieaLs Hazards <br /> Address: (I Cardnagens' <br /> Concar_?_son DI PboneNo. CICamsives: <br /> Sweeps Number: Jk3 I L 10 9 [ 1 Dusm: <br /> Proposed Date of invesdgadon/tnsoection: MAL), ( I ='Piosives: <br /> C I iammables- <br /> 2. DesClpdOn and 'brief natradve of asnecdon actuary: C I inorganic Cases: <br /> New US rn<ranaroa C I UAR lavestigatiaa C I fie'-as= <br /> C I Tank Cosure in ?lace C I Tankmipe Re?air C 1 Oxidizers: <br /> -;*�Lank/Pipe Remavai C I ;e 'savadaa C 1 PCi's: <br /> C I [nscallation of 3ors,,s/Mcnitarmg Wets <br /> PORT III <br /> 3. Sbecfic Site rrror_nadon /} t3 = /�l i��� ' REQTj= PE_4SONAL PRO ECTIVE <br /> rank No. ) " 3 �' TanlCapadty = EQUIP?L=VL <br /> "ank Con[z^.m: VifJtiic;Po-Tank.fie: <br /> Cmer. (-�L J ' efiv� ins 4 J�7`�� � 1• Monitoring -auip em—r- Caore: 'Aa *roma <br /> rsc�e^ts cis: be used car ail ape adons <br /> ?. Type of Coe3dan ( 7 RO S fii�` �� unless approorare 3danaie or er ctions are <br /> proviced) <br /> S. Reiease ::isror/: C I Combustible Gas/Oxygen Merer <br /> evidence of leaks/soil conraminar:on: 'cS ( I NO C I Detecor Tubes (Soecfy) <br /> Doc_me^red Groundwater corn rminndan: ( I NO C I Photoioniz:don Detecor <br /> 3acc�•ound and descpdan of nay tb-r�evious •mvesdgadoa C I Organic Vapor?.naiyzer <br /> or addence: Sty L 0 � 's"i 1�.. ( I Oust, specify <br /> rf sonic ring actr meats are acc sed, <br /> radanaie or ac mry/area res�:ctions: <br /> 5. Pocenriair_ealrh and Safecy <br /> Physical Cones: (check ail -har appiy& desk-be) <br /> .ear or Coid Stress: °' (ba asient <br /> Voice Sour bac +C 2 Pe_rsonai Procec_&e Equipment <br /> C I Or/gen Deidency: Lave! of Proce^Van: C IA C IB C IO <br /> cavaeon Cfalls, a ps siin ; ) bat�iF <br /> C I .andling and Transfer of a razardous Subsesac C I Safety glasses/gogg'es <br /> (fire, axmicsions, etc) XSteei coed/shark shoes or boom <br /> ( I Confined Soace eaay: (emiosions) ( I eame ceraraanr coveralls <br /> Feavy maysiaL j & anatlg prorecaon <br /> :rom moving equipment) "tc .� a l b �• 9�� C I 777Cti <br /> C I Respiraror, tide: PPR or SCiA <br /> Ik <br /> Orher, spediy AN cr:-dge.- <br /> Safety vest <br /> i. Anticipated 3ioio9"cai Fa=ds: 1N 14 ( I Two-way commuaic dor <br /> ( ] Snakes C I Enacts C I kodeam ( 1 Poisonous Plants <br /> C I Other/Unicaown (spedry): PART N <br /> PL9N APPROVAL ��i q� l 7 <br /> 8. Naradve (provide ail hfannadon wnich could impac:Health PLAN <br /> (`�" / <br /> and Safety, a..-., bower lines, inreY t'f of di.�ces, ce'rmr, ace): Naar Prepared b .ace: <br /> Plan Aooraved br.." Dare <br /> '23081 (2/7/92) <br />