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Pqurry <br /> ENVIROP ATENTAL HEALTH .&PARTMENT <br /> 3 <br /> SAN JOAQUIN COUNTY <br /> • c9' ..... ''vP• Donna K.Heron R.E.H.S. Program Coordinators <br /> �tFORA 304 East Weber Avenue, Third Floor Carl Bergman,R.E.H.S. <br /> Director Huggins,R.E.H.S.,R.D.I. <br /> Laurie A.Cotulla,R.E.H.S. Stockton, California 95202 Mike Hu <br /> Kasey L. Foley,R.E.H.S. <br /> Assistant Director Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Web: www.sjgov.org/chd Jeff Carruesco,R.E.H.S. <br /> SITE HEALTH&SAFETY PLAN <br /> PART I PART II <br /> GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS <br /> 1. Site Name:Unilever 1. Chemicals Hazards <br /> Address:1400 Waterloo Rd. <br /> ®Carcinogens: <br /> Contact Person:No Sahaaun Phone No:(209)467-2224 E Corrosives: <br /> Sweeps Number: ❑Dusts: <br /> Proposed Date of investigation/inspection:06-23-06 ❑Explosives: <br /> ®Flammables: <br /> 2. Description and brief narrative of inspection activity: ❑Inorganic Gases: <br /> ❑New UST installation.. ❑DAR Investigation. ❑Metals: <br /> ❑Tank Closure in Place.. ❑Tank/Pipe Repair. <br /> ❑Oxidizers: <br /> ❑Tank/Pipe Removal. ❑Re-excavation. ❑PCB's: <br /> ❑Installation of Borings/Monitoring Wells. <br /> E Hazardous waste inspection ❑ Sampling PART III <br /> ❑Tiered Permitting inspection <br /> 3. Specific Site Information: REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Tank No.: Tank Capacity: I. Monitoring Equipment(note:Monitoring instruments must be used for all <br /> Tank Content: Tank Age: operations unless appropriate rationale or restrictions are provided) <br /> Other: El Combustible Gas/Oxygen Meter. <br /> ❑Detector Tubes(Specify). <br /> 4. Type of Operation:Food processing ❑Photo ionization Detector. <br /> ❑Organic Vapor Analyzer. <br /> ❑ <br /> 5. Release History: Other,specify. <br /> Evidence of leaks/soil contamination: El YES [I NO If monitoring instruments are not used,rationale or activity/area restrictions: <br /> Documented Groundwater contamination: []YES ❑NO <br /> Background and description of any previous investigation or incidence: <br /> 2. Personal Protective Equipment <br /> Level of Protection: ❑A ❑B ❑C E D <br /> ®Hard Hat. <br /> 6. Potential Health and Safety <br /> Physical Concerns:(check all that apply&describe) E Safety ed/Glashank hoes. <br /> E Steel toed/shank shoes or boots. <br /> ❑Heat or Cold Stress: °F(high ambient temp.) <br /> El Flame retardant coveralls. <br /> ❑Noise Sources: <br /> E Hearing protection. <br /> ❑Oxygen Deficiency: <br /> ❑Tyvek. <br /> ❑Excavation:(falls,trips,slipping,cave-ins): <br /> ❑Respirator: El APR ❑SCBA <br /> ❑Handling and Transfer of a Hazardous Substance:(fire,explosions, <br /> A/P cartridge: <br /> etc..): <br /> ❑Confined space entry:(explosions): E Safety vest. <br /> ❑Heavy equipment(physical injury&trauma resulting from moving ❑Two-way communication. <br /> equipment): <br /> ❑Other,specify: PART IV-PLAN APPROVAL <br /> 7. Anticipated Biological Hazards: Plan Prepared by: Lod Luces Date: 06-23-06 <br /> ❑Snakes ❑Insects E Rodents ❑Poisonous Plants <br /> ❑Other/Unknown(specify): <br /> Plan Approved by: 6 Date! <br /> S. Narrative(provide all information which could impact Health and Safety, <br /> e.g.,power lines,integrity of dikes,terrain,etc.) <br /> EH 23081 (02/19/03) <br />