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i <br /> EMERGENCY MEDICAL FLITIES <br /> 1 <br /> Cameron Community Hospital <br /> 500 Acacia Drive <br /> Stockton,California <br /> A map to the hospital is attached. <br /> A first aid kit and other emergency equipment are located in the Site Safety Officer's vehicle. <br /> Police Number: 911 Fire Number: 911 <br /> Office Number. (707) 933-2361 Contact Name. Joe Neely <br /> Client Number: (559)645-9306 Contact Name: Karen Petryna <br /> Any injury sustained while working is covered under Worker's Compensation insurance. Any injured <br /> Cambria employee must inform the medical care facility that this is a Worker's Compensation claim and that <br /> our insurance policy is#143146-01. Copies of the doctor's report on the injury must be forwarded to our <br /> insurance carrier at Republic Indemnity Company of America. Cambria employees must notify Cambria's <br /> Human Resources Department and the Company Safety Officer on the same day so that we can properly file <br /> this claim. <br /> Any injured sub-contractor or sub-contractor employee will be covered under their employer's policy. <br /> Emergency medical treatment due to chemical exposure to compounds anticipated to be at the site is <br /> presented on the attached MSDS (or equivalent)forms. <br /> All site workers have read the plan and are familiar with and will abide by its provisions. <br /> Name Signature Date Employer <br /> Site Safety Officer <br /> Field Team Leader <br /> Field Team Member <br /> Field Team Member <br /> Field Team Member <br /> Field Team Member <br /> Visitor <br /> Visitor <br /> Visitor <br /> t <br /> E <br /> 0 <br /> 1376 <br />