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HEALTH AND SAFETY PLAN FORM This document is for the exclusive CAMP DRESSER & McKEE INC. <br /> use of CDM and its subcontractors <br /> CDM Health and Safety Plan <br /> HISTORY: Summarize below. In addition to history, include complaints from public, previous agency actions, known <br /> exposures or injuries, etc. <br /> The Brookside Pump Station is owned by the City of Stockton. It is used as a sewer lift station, as part the cities <br /> sanitary sewer system. The south wall of the building which house the lift station is failing due to corrosion of the <br /> reinforcing steel and degradation of the concrete. In order to facilitate the design of a new wall, and temporary shoring <br /> needed during the walls construction, a geotechnical study of the soil and groundwater conditions adjacent to the wall <br /> will be performed. The investigation will consist of the advancement of two soil borings and the installation of one <br /> piezometer. <br /> WASTE TYPES: (X) Liquid (X) Solid ( ) Sludge ( ) Gas ( ) Unknown ( ) Other specify: <br /> WASTE CHARACTERISTICS: Check as many as applicable. WORK ZONES: <br /> While Drilling: The exclusion zone is the area within a <br /> (X) Corrosive ( ) Flammable ( ) Radioactive radius of 1.5 times the mast height. The contamination <br /> (X) Toxic ( ) Volatile ( ) Reactive reduction zone is along the perimeter of the exclusion <br /> { ) Inert { ) Unknown (X) Other specify: zone. All protective equipment will be removed in the <br /> contamination reduction zone. The support zone includes <br /> Potential for biological waste from a past release of field vehicles. <br /> raw sewage <br /> HAZARDS OF CONCERN: PRINCIPAL DISPOSAL METHODS AND PRACTICES: <br /> ( ) Heat Stress attach guidelines (X) Noise On-site soil stockpile for soil cuttings and a. <br /> ( ) Cold Stress attach guidelines (X) Inorganic Chemicals 55-gallon drum for purge and wash water <br /> { ) Explosive/Flammable (X) Organic Chemicals <br /> ( ) Oxygen Deficient ( ) Other specify <br /> ( ) Radiological (X) Heavy Machinery - Drilling rig <br /> (X) Biological (X) Slips, Trips, & Falls <br /> (X) Motorized Traffic <br /> N:\Pr0i3\5T0CKT0N\Brouks1de Pump\HASPBrookside Pump.doc Page 2 of 10 <br />