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r 0 <br /> PROJECT SITE SAFETY PLAN <br /> 1 0 GENERAL INFORMATION <br /> Original Site Safety Plan Yes ( X ) No ( ) Revision number <br /> Project number- 1628 01 Project Manager Richard Premztc <br /> Project Name Crystal Creamery - Stockton <br /> Site Name Crystal Creamery <br /> Site Address 404 West Fremont Street <br /> Work Description Drill soil borings and install monitoring wells <br /> Pian prepared by R Premzic Date 2121194 <br /> Work start date 318194 Work hours 0700-1700 <br /> Thomas Brothers coordinates <br /> Client site contact Al Trinidad Telephone # 209-466-8613 <br /> Client office contact Steve Jerkins Telephone # 916-444-7200 <br /> Client Site Safety Officer <br /> Site Safety Officer Michael Watan/Rob Kull <br /> Source/Age of information Recent <br /> Incident/Site Description Spill ( ) Fire ( ) HW Site ( ) <br /> Industrial ( ) Facility ( ) Dniling ( ) Other ( X ), Explain <br /> Investigate hydrocarbon contamination related to former underground storage tank <br /> Physical description of facility (Map indicating exits is attached) <br /> One-story refrigerated warehouse with loading dock <br /> Operational description of facility <br /> Refrigerated warehouse distribution facility for dairy products <br /> Site status Active ( X) Inactive ( ) <br /> Have nearby people been evacuated? Yes ( ) No ( X } <br /> Evacuation distance 150 feet <br />