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%./ SITE SAFETY PLAN <br /> 2 j JGQL—K� ( J 1. <br /> Date: � � � Project Number: <br /> SITE DESCRIPTION //�' //// <br /> Client: C I) �- Client contact name/phone number: ��^(Ll1cT✓"' F-z ,"j. <br /> Site Address: �K�� �S!•S" e`rA-I - S5L - 3c-r(Y <br /> Site Use/Conditions: _4lJFr�— �ci 'NA C`, <br /> Area land Use: []Residential []Commercial [ ]Industrial K Agricultural ]Other <br /> Topography: Flat ]Hilly [K Open Excavation [ ]Pa/ved [p�Unpaved [ ]Other <br /> Weather Conditions(see Heat Stress Monitoring)- �F �i r <br /> WORK TO BE PERFORMED: 1�5—,- t V rrt,e� .4 u'L LG_ <br /> SITE CONTROL: <br /> [;,4_A safe perimeter around the Exclusion Zone has been established defined by:K Caution Tape ] Cones [ ] Fencing <br /> [ ] Other <br /> The Contamination Reduction Zone is designated as: �"^ <br /> The Support Zone is designated as: <br /> [ ]Offsite traffic control is required and plan is attached. <br /> [ ]Traffic control contractor is required: Company: <br /> CHEMICAL HAZARD EVALUATION <br /> Suspected or known concentrations of the following compounds are expected at the site: <br /> Compound Free Ambient Soil Water Action level PEL STEL IDLH <br /> Product Air Cow. Cone. Conc. (use for 8- (max for <br /> ft.) l m by TWA 15-min) <br /> Gasoline 50 ppm 300 ppm 500 ppm Not <br /> (PID cstaDDshed <br /> reading) <br /> Benzene 0.5 ppm I ppm 5 ppm 500 <br /> PPM <br /> Ethylbenzene 100 ppm 125 ppm 800 <br /> PPM <br /> Toluene 50 ppm 150 ppm 500 <br /> PPM <br /> Xylenes 100 ppm 150 ppm 900 <br /> (total) <br /> PPM <br /> MTBE 40 ppm Na Nor <br /> estaDTuMd estabiishcd <br /> [] Applicable material safety data sheets(MSDS)or equivalent are attached. <br /> [j Applicable lob Safety Analysis(ISA)forts we attached- Applicable JSAs are identified on page 3. <br /> [] Vapor-phase concentrations may exceed 10%of the lower explosive limit(LEL). <br /> [j <br /> Vaporphaseconcentrations may exceed Cal-OSHA PEL (8-hr time-weighted average) for the following compounds: <br /> 1 <br />