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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0526060
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Last modified
1/13/2020 1:35:19 PM
Creation date
1/13/2020 1:34:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0526060
PE
2950
FACILITY_ID
FA0017630
FACILITY_NAME
WICK PROPERTY
STREET_NUMBER
2506
STREET_NAME
MAGGIO
STREET_TYPE
CIR
City
LODI
Zip
95240
APN
06241015
CURRENT_STATUS
01
SITE_LOCATION
2506 MAGGIO CIR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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="Uchinc <br /> Standard Site Safety &Health Plan <br /> Date: Time: Supervisor:Fve Dunn, Staff Geolo6st <br /> SITE DESCRIPTION: Job No. BRN-SC-13353A <br /> Address:2506 Maggio Citicc,Lodi,San Joaquin County,California <br /> Contact: Title: Phone <br /> EMERGENCY CONTACTS: <br /> LODI FD (2.0.9]_333-8735 Admin.. or 911 Emergency National Response Center 800) 424-8802 <br /> CAL OESIEPA(800) 852-7550 <br /> ET Office Contact: Heinz L_u_mrm(909_)7_4.70-273L or(915)217-5853 <br /> Spills/Release Contact: Wes Dewsnup(801)4 ,9-9557 <br /> Medical Emergency Telephone&Location: ).ndi Memorial H.osoiml.975 South.Fairmont Avc.,Lodi,Ca(209)334-3411 <br /> Mircetions to hospital at back of plan <br /> Emergency Contact: Eve Dunn 1 I1 698-091 1 <br /> Emergency Contact: Brett Cox(8010 391-5217 <br /> Fmcrgcncy Rally Location: <br /> PROJECT OVERVIEW <br /> Work Arca:,_,See Fieure 1 and/or Sketch Man_ Project Duration:<8 hours Project Data: <br /> SCOPE OF WORK(Check all that <br /> +�crawly) <br /> _ <br /> Well Drilling WLtll Abandonment q,Dceon Eq.Operation <br /> _Soil Sampling _ Grndwtr Sampling _ Other Sampling >e'Spoils Mgmt <br /> Lab Analysis Othcr(Explain) <br /> ANTICIPATED HAZARDS(check all that apply) Requires S&H Monaear Review <br /> Equipment _�Koise _ Heat _ Cold <br /> Biohazards* _ Flammables" _ Inhalation Hazards* Skin Hazards* n <br /> ` Corrosives* _ Reac[ives"(Type)______,,,,,, }�.Machinery(typP '11/2' <br /> Poor Lighting Kehicle Traffic _ Limited Space Work Area <br /> _ Uneven Work Sarfaces/Stairs Elevated Work Surface <br /> Otber(list Type) <br />
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