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SCS Engineers 6761 Sierra Court 510/829-0661 <br /> Suite D FAX 510 1829-5493 <br /> Environmental Consultants Dublin, California 94568-2611 <br /> HEALTH AND SAFETY CHECKLIST <br /> General Information: Job Number: 0394015.00 <br /> Job Name: Corral Hollow Sanitary Landfill, San Joquin County, <br /> California <br /> Client Information: Contact: Gabriel Karam <br /> Telephone No. (209) 468-3000 <br /> Emergency Telephone Numbers and/or Nearest Hospital: Tracy Community Memorial Hospital, 1420 North <br /> Addresses: Tracy Blvd, Tracy, California <br /> (See Figure 1 for Hospital Location Map) <br /> Ambulance: 911 <br /> Fire Department: 911 <br /> Police: 911 <br /> Client: (209) 468-3000 <br /> Persons to Be On Site for the Specified Work SCS Personnel: Karl N Barber, Geologist <br /> _ Scope: <br /> Subcontractors: Drilling Contractor to be arranged. <br /> Scope of Work: Monitoring Well Installation. SCS will install a network of six <br /> permanent LFG monitoring wells in soils outside the landfill perimeter. <br /> Well depths range from 35 to 90 ft below grade, depending on ground <br /> water elevations, depths of adjacent refuse, and other factors. Refer to <br /> attached work plan. <br /> Checklist Prior to Beginning Site Work (Y-N-N/A): <br /> — Have you called US Alert at 1 (800) 642-2444 to check for underground/overhead obstructions? <br /> Y Have you obtained clearance for boring locations? _ <br /> — Y Have you gained authorization to access subject parcel? <br /> N Have you or any of your field crew conducted previous site work at this parcel? <br /> What is the depth to groundwater 15-60 feet. <br />