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W- &--:Zia, <br /> I.rELD TNVESTIGA'T'IONTEAM <br /> CLASS III PETROLEUM STTE HEALTH AND SAFETY PLAN <br /> Prior to initiating field activities the Site Safety Offices (SSO) must review the Site Health and Safety <br /> Plan (SHSP) with all members of the field crew. Each member must thea sign and date a copy of the <br /> SHSP indicating they have reviewed and understand all aspects of the SHSP. This signed copy is <br /> returned to the project file upon completion of field activities <br /> SHSP's may be revised,or rewritten for dUerent phases of a l+rsject, if site activities arc distinc',ly <br /> different, if areas of differing hazard are involved, or as information about contaminants and hazards <br /> changes. Chaugiag conditions may justify either tightening or loosening S"riSP restrictions and action <br /> additional inbnnation ge <br /> levels,depending upon the nerated. . <br /> DEL'T'A PROJECT NUMBER 0-91- 83 <br /> SIGNATURES OF REVEEWERSIFIELBCREW' Signature indicates that the signer has reviewed and <br /> understands all segments of the SI ISP. <br /> ta <br /> Signature Date <br /> LOCAL EN ERGENCX TEUPHONE NUMBERS (include area cedes): <br /> �'' Zo9 44 � dost <br /> Aznbulancc r <br /> Hospital Emergency Reom (toy} 461Y 316b or q11 <br /> Poison Control Center <br /> Fim...Department �Zoti g -$272 �r Rll <br /> Airtiort <br /> Iq <br /> E#losives Unit I <br /> Na:e: if you u;� r�`,check to be sure it is activazcd in the site area and determine whether it is <br /> t anced. <br /> `� SFgQ MC/Page t <br />