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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT SITE HEALTH AND SAFETY PLAN PART I PART II GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS 1. Site Name:Dietrich Industries,Inc 1. Chemicals Hazards Address:2525 S.Airport Way,Stockton CA ®Carcinogens:waste oil Contact Person:Brody Mautz Phone No:547-9066 ❑Corrosives: Sweeps Number: ❑Dusts: Proposed Date of investigation/inspection: ❑Explosives: ❑Flammables: 2. Description and brief narrative of inspection activity: ❑Inorganic Gases: ❑New UST installation.. ❑UAR Investigation. ❑Metals: ❑Tank Closure in Place.. ❑Tank/Pipe Repair. ❑Oxidizers: ❑Tank/Pipe Removal. ❑Re-excavation. ❑PCB's: ❑Installation of Borings/Monitoring Wells. ®Hazardous waste inspection ❑ Sampling PART III ❑Tiered Permitting inspection 3. Specific Site Information: REQUIRED PERSONAL PROTECTIVE EQUIPMENT Tank No.: Tank Capacity: 1. Monitoring Equipment(note:Monitoring instruments must be used for all Tank Content: Tank Age: operations unless appropriate rationale or restrictions are provided) Other: ❑Combustible Gas/Oxygen Meter. ❑Detector Tubes(Specify). F1 Photo ionization Detector. 4. Type of Operation:Steel Manufactuer ❑Organic Vapor Analyzer. 5. Release History: C3 Other,specify. Evidence of leaks/soil contamination: ❑YES ❑NO If monitoring instruments are not used,rationale or activity/area restrictions: Documented Groundwater contamination: ❑YES ❑NO Background and description of any previous investigation or incidence: 2. Personal Protective Equipment Level of Protection: ❑A ❑B ❑C OD 6. Potential Health and Safety ®Hard Hat. Physical Concems:(check all that apply&describe) ®Safety Glasses/goggles. ❑Heat or Cold Stress: °F(high ambient temp.) ®Steel toed/shank shoes or boots. EJ retardant coveralls. ❑Noise Sources: ®Hearing protection. ED Oxygen Deficiency: ❑ ❑ Excavation:(falls,trips,slipping,cave-ins): Tyvek. C3 Respirator: ❑APR ❑SCB.A E]Handling and Transfer of a Hazardous Substance:(fire,explosions, etc..): A/P cartridge: ❑Confined space entry:(explosions): ®Safety vest. ❑Heavy equipment(physical injury&trauma resulting from moving ❑Two-way communication. equipment): ❑Other,specify PART IV- PLAN APPROVAL 7. Anticipated Biological Hazards: Plan Prepared by:Ray von Flue Date:9/8/09 ❑Snakes ❑Insects ❑Rodents ❑Poisonous Plants ❑Other/Unknown(specify): Plan Approved by: Date: 8. Narrative(provide all information which could impact Health and Safety, e.g.,power lines,integrity of dikes,terrain,etc.) EH 23081(02/19/03)