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HEALTH AND SAFETY PLAN <br /> Site Type- Check as many as applicable <br /> 1 [ x] Active [ ] Service Station [ ] Unknown <br /> [ ] Inactive [ ] Refinery [ ] Retail strip <br /> [ <br /> x] Secure [ ] Landfill [ x ] Private <br /> [ ] Unsecured [ x ] Industrial <br /> 1 [ ] Enclosed Space [ ] Well Field <br /> 1 Surrounding Population <br /> [ ] Residential [ x] Industrial [ x ] Other Commercial <br /> [ ] Rural [ x ] Urban <br /> I <br /> 1 <br /> 1 <br /> 1 <br /> Page 3 of 27 <br /> 1 <br />