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a <br /> HEALTH AND SAFETY PLAN FORM This document is for the exclusive use CAMP DRESSER & McKEE INC. <br /> of CDM and its subcontractors <br /> CDM Health and Safety Program <br /> PROJECT NAME: Brookside Pump Station WORK ASSIGNMENT #: <br /> REGION: WST <br /> JOB SITE ADDRESS: Bounded by Interstate-5 to the east and CLIENT: City of Stockton <br /> Brookside Road and the Calaveras River to the south, in <br /> Stockton , California <br /> PROJECT: 2500-29248-GEOT.TI <br /> CLIENT CONTACT: Amin Kazimi CDM CONTACT: Michael G. Gray <br /> PHONE : 209-937-8322 PHONE : 925-933-2900 <br /> AMENDMENT #: <br /> ( ) AMENDMENT TO EXISTING APPROVED HSP ( X ) DATE EXISTING APPROVED HSP <br /> OBJECTIVES: Summarize below <br /> Advancement of two soil borings, installation of one piezometer and collection of soil and <br /> groundwater samples . <br /> Type: Check as many as applicable <br /> ( X) Active ( ) Landfill ( ) Unknown <br /> ( ) Inactive ( ) Uncontrolled ( ) Military <br /> ( X) Secure ( ) Industrial ( ) Highway <br /> ( ) Unsecure ( ) Recovery ( ) Dept. Yard <br /> ( } Enclosed space { ) Well Field ( ) Other : specify <br /> DESCRIPTIONS AND FEATURES : Summarize below. Include principal operations and unusual features (containers, <br /> buildings, dikes, power line, terrain, etc.) <br /> The Brookside Pump Station is a sewer lift station for the City of Stockton ' s sanitary sewer system. The site <br /> consists of a masonry building in a fenced in compound . The site is bound on the east by Interstate 5. <br /> Brookside Road and the Calaveras River form the south boundary of the site. <br /> SURROUNDING POPULATION : <br /> ( ) Residential ( X ) Industrial ( ) Commercial ( ) Rural ( ) Urban ( } Other <br /> All requirements described in the CDM Health and Safety Assurance Manual for Hazardous Operations are <br /> incorporated into this Health and Safety Plan by reference. <br /> N;1Proj31STOCKTON%Brookside Pump\HASPBrcokside Pump,doc Page 1 of 10 <br />