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Dec,29. 2010 10:33AM RUMFX CONSTRUCTION <br />R X <br />GTION CORIRATION <br />467o N. Bendel Ave., Fresno, CA 93722 <br />Ph: (559) 271-33oo/Fax: (559) 277-0055 <br />No. 3363 P. 4 <br />License #872234 (A, B, HAZ, C61/D28) <br />California Certified Small Business #44o68 <br />SITE HEALTH AND SAFETY PLAN <br />Client: Name: <br />Project Number: <br />Site Name: <br />Site Address: <br />Project Manager: <br />Health & Safety Officer: <br />Site Safety Officer: <br />Prepared By: <br />Date Prepared: <br />Effective Period: <br />Section 1: GENERAL INEORMATION <br />California Gas Station <br />Service Call <br />California Gas Station <br />2420 W. Grant Line Rd. <br />Tracy, CA 95377 <br />Phillip Mendrin <br />Phillip Mendrin <br />Phillip Mendrin <br />Kathy Silsby <br />December 20, 2010 <br />(Above Date) through Project Completion <br />EMERGENCY: 911 <br />Hospital Name: Sutter Tracy Community Hospital <br />Hospital Address: 1420 N. Tracy Blvd. <br />Tracy, CA 95376 <br />Hospital Phone: (209) 835-1500 <br />Driving directions and map are attached for reference. <br />The provisions of this Health and Safety Plan (HSP) are site specific and based upon an <br />evaluation by the Health and safety Officer of known and/or suspected site contamination <br />only, and are designed to minimize the health and safety hazards associated with site <br />activities as described in the Scope of Work. If, during the course of site work, new <br />chemical contamination is discovered, or additional site activities not described in the <br />Scope of Work become necessary, all work shall stop pending an evaluation of the new <br />information and appropriate modification of this HSP by the Health and Safety Officer. <br />