Laserfiche WebLink
h� <br /> SITE HAZARD INFORMATION <br /> Please_provide the following information for the site <br /> Owner's Name: Newark Group <br /> Site Address: 800 W.Church Street,Stockton,CA - <br /> Consultant on Site: WEST,Inc. Phone No.(415) 460-6770 <br /> Site Safety Officer: Peter Morris Phone No. (415) 271-0366 <br /> Type Of Facility: Former Printing facility <br /> Anticipated Hazardous Substances—(Attach Additional Sheets if Necessary) <br /> (Please include concentrations below. Note if free product historically on site) <br /> Name Expected Concentrations(ppm) <br /> ❑ Gasoline (List medium i.e.soil,water,air) PEL(ppm) Health Effects <br /> Toluene;13,000(Soil) 200 Irritation,lassitude,dizziness <br /> ❑ Diesel <br /> Toluene;6,800,000(groundwater) 200 Irritation,lassitude,dizziness <br /> ❑ Waste Oil <br /> (See attached hazard form). <br /> i <br /> Toluene <br /> Methane - Methane;171,000ppmv(Soil gas) unconciousness;dizziness. <br /> (See attached hazard form). <br /> Site Safety Meeting Date: Time: <br /> Level of Personal Protection Equipment ❑A ❑B El OD <br /> Personal Protective Equipment: <br /> R=Required A=As Needed,with description of action concentrations) <br /> R A R A <br /> ® ❑ Hard Hat ® ❑ Clothing(Type): <br /> ® ❑ Safety Shoes ❑ ® Respirator(Type):If 100 ppmv toluene sustained in the breathing zone <br /> ® ❑ - Orange Traffic,Vest ❑ ® Cartridge(Type): then,implement engineering controls,i.e.,ventilation. <br /> ❑D ❑ Hearing Protection, X❑ ❑ Gloves(Type): <br /> ® ❑ Safety Eyewear ❑ ❑ Other: / <br /> Site Hazard. Information Provided By: P f z O/71ZlS Phone:( ah0 Z� <br /> c�— / jP�idt <br /> �ilCti l sDate: <br /> Cofnpany name&title ignature <br />