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u TC <br /> Appendix 7-4 <br /> Form HS 003 <br /> ENVIRONMENTAL SITE SAFETY PLAN <br /> Important: Please forward one copy of completed document to the reviewer three(3)working days prior to <br /> project start up and maintain a copy on site. Place signed copy in project file. Items marked with <br /> "1910.120..."are required by 29 CFR 1910.120 in the paragraph noted. <br /> A. GENERAL INFORMATION (I 910.120(c)(4)) <br /> Project Name Pilot Project Number 54.75112.0001 <br /> Project Manager Todd Hafner <br /> Print signature <br /> Site or Building Name Pilot <br /> Address 10998 South Harlan Road <br /> City, State&Zip French Camp,CA <br /> Client Contact Name and Phone Number Catherine Adkins <br /> (865) 588-7488 <br /> Fire#: 911 Police#: 911 Ambulance#: 911 <br /> Nearest Hospital Name San Joaquin General Hospital 468-6000 <br /> Address 500 West Hospital Rd.,French Camp <br /> Directions to Hospital Go west on Roth Rd. onto I-5 north to Mathews Rd. Go West under I-5. <br /> Take first right,proceed north to San Joaquin General. <br /> Location of Nearest Phone Cell phone on ATC personnel <br /> (and special dialing instructions if any) <br /> Directions for Emergency Escape If in the field,head towards Roth Rd. If in the storage yard,head <br /> towards the main gate,which is in the south west corner of the <br /> site,along Roth Rd. <br /> (attach diagram if necessary) <br /> Designated Reporting Area East of railroad tracks at eastern site boundary <br /> (after emergency occurrence) <br /> B. SITE DESCRIPTION (1910.120(c)(4)) <br /> Facility History: <br /> The site is primarily undeveloped. Monitoring wells with impacts of TCE and PEC are located at <br /> the southern property boundary. <br /> Type of Hazard Anticipated On Site(i.e.tanks,drums,etc.): <br /> Possible residual pesticides and herbicides in soil. TCE and PCE in groundwater. <br /> Amount of Hazardous Materials Present: <br /> Maximum soil sample concentrations—unknown <br />