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.0 (a L7 , COYJ-1'4=E:4717PZ()?��!�r FSI'?��j t- ..a. . ,+��►: _ <br /> �I.'I??D N �� <br /> STIP Y .�L� Ati1� SAFETY <br /> f� <br /> ?ART I ?:ART B <br /> CzVE'.7hL Siir. 1i4�OR�1AiiON EVAI_DAEON OF Mr-- FZALHAZARDS <br /> Site Aare: G(L S to 1_ clericals Hazards <br /> . ?address: !�9 L W ( -LA-'s E cA C.zr�oges <br /> Contacr P_=cn: 1 W' _ o�oae mo. 530 - CDS C I Czmms=ves- <br /> Sweeos Mur—"be= C I Ouscr- <br /> P-roposed Oare of z*9esc oa/ a oa: 2frnytN�L t�Q =:,iasives: <br /> ��pmr,►anies: <br /> Cess ndoa and brief eve at=- ue oa aC±7t . C I faor an c Cases: <br /> ( I view US T rr oa C I UAR taves^L�oa C I ueais: <br /> C I Tank Cosura i3 ?'ac_ CIT �°ipe 3� air CIG= -'S- <br /> :'arkpipe Re. ovai C I Vie- Q4a oa CI?Q's: <br /> C I Eng ' anion of 3or---s/Mcnitcrrg We''s <br /> ?ART u-I <br /> ;. Soe c Sit_ [n-Far=-ado=171:-= <br /> PWS.^•N11-??�O'I C'ZVE <br /> 'ank -No. :' G-pacty: 10.=-W-40 EQUIP -Yi <br /> T aax -- _Lfl — - <br /> CL':e'': 1. yLonmr�g cQLTIpLZent: (Hare: �rfar=tang <br /> //�� -* . �.e=ts �•st be csed ar aL ope_ oas <br /> Type of Cpe_�r-4c= C.dg �l �iDrd ,s._Less aDprsur-ammdoaaieor-sem-cans are <br /> 7rovi �7 <br /> _. erre : stor/ [ Cmr•OL's-dole Cas/Cx7Tm Met_- <br /> [ ? Ceraror Tomes CSaer•7) <br /> nce_^_c_ or?ems/sou con*-*^;,,aran: �c-C I •--� C'I5o <br /> Doc.=e=ed Csounawat==2arm=i-anon: [ I SS AVO C I ?�'otaiaa;�=oa Oe=.�:'ar <br /> 3acl..Qra=d and des=peon of arty.=-'mous ;-7esd.-`a'�oa (1 C:r-. Vapor?naigz_r <br /> or incidence: [ I <br /> C&-eT sJe.7: <br /> rc�onimr are not se=, <br /> =Moraie or ac=v*tj/area :s==ons: <br /> 5. PoC n- :_ealldl a d Sa&7- <br /> P'hysic_i Caac_^s: (cye!:�c z-a :ajar appiy 3c desc�e) <br /> ( I -eat or Coid S42ss: 07 (hist asoier-r "^p-) _ <br /> Noise Source I- M LgCL" 2 ?_*shoal ?-ote=^'�e =..^apse^= <br /> C I Gsyg°n Deuce=c7: r I i or D-oce^_'oa: [IA C IB <br /> C IC WD <br /> p��cavaz_an: (Pails, s ,sappirL& cave-,;as) [ 'and 'hat <br /> z andlin,, and Ti'3asf�of a H=mr mus Subsl== amaze-'�' �° s <br /> (ire, �piosians, zta) Lz_j caed/shanic shoes or oohs <br /> C I ConLned Soac_ '�j: Cempicsons) [ I ane :e art c°ve'aLs <br /> ieavy _�uinse^t (pisyseoi =jur7 3c zea rPsalaag C I i Her-419a Pro Baa <br /> sos owing e~uipate�) [ 1 T7ve� <br /> C I Esspirator, circa.- ABR_ or SC3A <br /> C I Other, specry — <br /> C I Safely vest <br /> T. <br /> C I T win=gray cII==I='ccoa <br /> [ j Saa.Kes J4 iasecs &I 40de^a C I poisonous?lana <br /> f I Oche_-/Un!mcwn (specty): P aRT N <br /> pT e-N APPROVAL <br /> 3. Carat:re (provide ai? iara=ac=wcic2 coed zaaac`=eaitr ?A" <br /> and Safe_ r 11 �of d=ates, :=air. »rc;: Pea:. prepared mare: <br /> �, e-g-, ?owe_ ..Las lura <br /> Pty soproved by ._ Gat�.� <br />