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ARCHIVED REPORTS_XR0009463
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545053
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ARCHIVED REPORTS_XR0009463
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Last modified
12/11/2019 11:38:25 AM
Creation date
12/11/2019 10:26:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009463
RECORD_ID
PR0545053
PE
3528
FACILITY_ID
FA0005720
FACILITY_NAME
SMITH CANAL PUMP STATION
STREET_NUMBER
2130
STREET_NAME
FONTANA
STREET_TYPE
DR
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2130 FONTANA DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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+ RESNA <br /> SITE SAFETY PLAN <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> following job: Stockton/Smith Canal <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I <br /> agree to notify the responsible employee of RESNA should any unsafe acts be witnessed by <br /> me while I am on this site. <br /> ,.: - - <br /> PRX1V'r NAME SIGNATI7RE DATE <br /> 1 <br /> -rP <br /> Safety Plan approved by: <br /> Branch Safety Officer Project Manager <br /> i. <br /> PAGE 12 <br />
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