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FORM HSP-3 <br /> HSI GEOTRANS <br /> LIMITED SCALE SITE <br /> HEALTH AND SAFETY PLAN <br /> 1.0 GENERAL INFORMATION <br /> Site/Location: <br /> 1) SAFEWAY—American Canyon, American Canyon Rd @ Sonoma Hwy, American Canyon, CA <br /> 2) SAFEWAY—Carmichael, 4040 Manzanita Ave., Carmichael, CA <br /> 3) SAFEWAY—Stockton, Country Club Blvd @Fontana Ave., Stockton, CA <br /> 4) SAFEWAY—Fort Bragg, 660 S. Main St.,Fort Bragg, CA <br /> Project#: L84-101 (American), -102 (Carmichael), -103 (Stockton) and—104(Fort Bragg) <br /> Plan Prepared by: Keith Hoofard Date: September 22, 2000 <br /> Hazard Assessment Prepared by: * Jennifer Abrahams Date: September 25,2000 <br /> * I certify that I have assessed the type,risk level and severity of hazards for this project and have selected <br /> appropriate personal protective equipment for site personnel. <br /> Plan Reviewed by: Jennifer Abrahams Date: September 26, 2000 <br /> Activity(s): 1. Mark and notify USA at four sites. <br /> 2. Conduct on-site utility clearance at four sites (four borings per site) <br /> 3. Drill four borings to first groundwater at American Canyon, Stockton and Fort Bragg <br /> using a Geoprobe. Groundwater is expected within 20 feet of ground surface at these <br /> sites. Drill four soil borings to 30 feet at the Carmichael site using a hollow stem auger <br /> rig. Groundwater is anticipated at 80 feet below ground surface in Carmichael. If time <br /> permits, drill a one boring to 50 feet at the Carmichael site. <br /> 4. Abandon all borings by grouting to ground surface with neat cement. <br /> Dates of work: October 2 - 6, 2000 <br /> HSI GeoTrans personnel: SienatAre <br /> Keith Hoofard** <br /> Jennifer Abrahams* <br /> * Safety coordinator/emergency coordinator <br /> ** On-site safety/emergency coordinator and designated First-Aid provider <br /> \\SAC-SRV 1\VOL 1\DATA\PROJECTS\Safeway\L284\4S ites_HASP.doc <br />