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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 Program <br /> HAZARDOUS MATERIAL SUMMARY: Waste types identified in bold. <br /> CHEMICALS : SOLIDS : SLUDGES : SOLVENTS: OILS : OTHER: <br /> Amount/Units : Amount/Units: Amount/Units : Amount/Units : Amount/Units: Amount/Units <br /> Acids Fly ash Paint Halogenated Oily <br /> Pigments Solvents Wastes Laboratory <br /> Pickling Asbestos <br /> Liquors Metals Non-Halogenated Gasoline Pharmaceutic <br /> Milling/Mine u _Sludges, Solvents ...al <br /> Caustics Tailings Diesel Oil <br /> POTW Sludge Other Hospital <br /> -r Pesticides,.. r -- =Ferrous.:--_ - <br /> -_..� �s;oec� y: =— =- - �Other..-�-- - ----: : <br /> Smelter Aluminum specify: Radiological <br /> Dyes/Inks <br /> Non-Ferrous Other Other <br /> Cyanides Smelter specify: specify: <br /> Phenols Other Fecal <br /> Halogens specify: Coliforms <br /> Chromium VI <br /> PCBs <br /> Other <br /> spec i fy: <br /> Sodium <br /> Hypochlorite <br /> -Hydrogen Peroxide <br /> OVERALL HAZARD EVALUATION: ( ) High ( ) Medium (X) Low ( ) Unknown (Where tasks have different <br /> hazards, evaluate each . Attach additional sheets if necessary) <br /> JUSTIFICATION: Health risks associated with the possible contaminates in the soil and groundwater will be <br /> minimized bX wearin rotective gloves , clothing, and eye protection and through decontamination procedures. <br /> FIRE/EXPLOSION POTENTIAL: ( ) High ( ) Medium (X) Low ( ) Unknown <br /> BACKGROUND REVIEW: (X) Complete ( ) Incomplete <br /> N:\Proj3\5T0CKT0N\Braokside Pump\HASPBrookside Pump.doc Page S of 10 <br />