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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 /> FIELD ACTIVITIES COVERED UNDER THIS PLAN <br /> TASK DESCRIPTION/SPECIFIC TECHNIQUE-STANDARD <br /> OPERATING PROCEDURES/SITE LOCATION (attach LEVEL OF PROTECTION <br /> additional sheets as necessary) <br /> TYPE PRIMARY CONTINGENCY HAZARD & <br /> SCHEDULE <br /> I. Advancement of two soil borings and Intrusive A B C D Leave Area Low <br /> installation of one piezometer, including the Non-Intrusive Modified <br /> classification and sampling of the soil cuttin s. _April_,, 2001. __ <br /> 2. Purging and sampling the piezometer and Intrusive A B C D Leave Area Low <br /> conducting_a_ falling head permeability_test.n__ __ _ _Non{Intrusi_ve__„Modified,_,--.--.--, <br /> April, 2001 <br /> POTENTIAL PERSONNEL AND RESPONSIBILITIES (include subcontractors) <br /> CDM HEALTH <br /> NAME FIRM/REGION CLEARANCE RESPONSIBILITIES TASK <br /> Michael G. Gray CDM/WST D-S, C-T Geologist 1 <br /> Howard Young CDM/WST D-S, C-T Geologist 1,2 <br /> 1 <br /> Personnel listed on this page with CDM health clearance have been trained in accordance with the requirements of 29 CFR Part 1910.120, <br /> and have net the requirements of the medical monitoring and respiratory protection programs. The medical monitoring programs entails, at <br /> a minimum, an initial, annual, and exit medical examination and the provision for additional examinations based on exposure and at the <br /> request of the employee. The respiratory protection program requires FIT testing and training in the proper selection, use, and <br /> maintenance of respirators. <br /> D-S = Completed 8 hours Supervisor training and has a minimum of 24 hours of field experience in Level D under supervisor-trained <br /> personnel. <br /> C-T = Trained for Level C which includes respiratory training and respirator fit testing within the past year. <br /> C-S = Completed 8 hours Supervisor training and has a minimum of 24 hours of field experience in Level C under supervisor-trained <br /> personnel. <br /> N:\Proj3\5T0CKT0N\9rookside Pump\HASPBrookside Pump.doc Page 4 of 10 <br />