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SAN. CCDL--Ni`' Eq- /7 Lam+ L ==.�Li': DI�+ZSION <br /> A-N, 47D SAFETY PT <br /> ,T, j ?.ART II <br /> Gr1�p21 Sl iZ INFORMASSON ETAI.,7A�ON OF PQ'=-- AL:- 4Za�DS <br /> _. Site Varve: �� Ge=icsisr'aza*�ds <br /> Address: l�9L W r _ •�� .;d cx cnoge=s:. &f2F.r� _ <br /> Gn�c:?_*saa: 1�iNi�E' Wi�yt,.� ?home No_ 53d - CO¢ (I Grosives: <br /> `T ( I buss: <br /> Sweeps Vus ber: pQ r„fosiv'es: ..4tid_ /%Ne <br /> Proposed Date or�esc�a iz=e mon: /�f�YNAL <br /> ? Despdoa had br'e_ <br /> nom,-ir eat rspe Baa a�'^riry: C I ,=or,7=c Cases: <br /> C New U.-3L r^ i z=oo C I UAR.���aa C I Me=: <br /> Tank C:ost..._ 3 ?ac!! C I -ank/°=pe Repair F I <br /> Taz=:'c/p�pe �e=ooai L I --avazoa C - s: <br /> C 1 rrcwllat:oa of 3or=_.s/moaitorag <br /> Weds <br /> 3. Soe-^c Site L-fc az_on: <br /> ':'.mak No. -aII{G`pac*-l- [O�nx-'�T� E�L''CJ�•NT <br /> -anti Camte=s: r.�--1:_,c __ Lank =' -1� _ <br /> Ot::e-: 1. �tanror�*g :�otret:z= (note: Ka *' ar�g <br /> 0e cse-d for ailove_srons <br /> i Zoe o[Cne_-acoa: ess avlor3or�te=t orale orr'�-c='ons are <br /> �. eiease :^srorj ( Ca=bus-_0ie Gas/Czyge= Met_- <br /> n: <br /> [ I '�-S C< i. i �Cete=or Tabes (Sceci-7) <br /> ride^ce or?ems/m�I _,tea C ' o�caian�=on Oetmr <br /> roc ed Gsoui��'ate-cort*-*-t�,-a�oa: �. i MS <br /> 3a�..,�tu'd a.--d descm-ptoa at as/3re*rious i=vesh.-,=.aa <br /> C i Cr;.a^_ic Vapor Sraiyzr <br /> Otre_ spe��l: <br /> or incce.^..ce: <br /> _oaitor:�:Lg j===".=,,s are =got used, <br /> :a_or_aie or acr*sT/area <br /> b. <br /> ?oca"i-Ai and Safe_'7 <br /> o� !a -?-xr appi• 3c dese�e) <br /> _ysi�i Caac_^�: (c=ep.�. l <br /> C 1 ' ai aspie--r o=-^p.) - <br /> -eat or Gid Sys: � � <br /> noise Source.• t-}Gi►.f H �...•�• 2 ?_-lanai ?-otz�e =.^L�'v�err <br /> C I Os -� J�cetsc7- - - r sof 9rote�oa: (IA C Ia CIC FXID <br /> �,cavat_aa: Com, �s ,siippin%; ca4e-,izs) Gard rtar <br /> f are_ Qi�rs/Q+oga+es <br /> � andlir g and canomer of a 'r a_*^°us Subsraace_• �S <br /> �j coed/s:.aac woes or boos <br /> (ase, eM7siosians, etc) ( 1 coxae :e,-mar coven-Es <br /> L I Condned Soac_ e=7- C iasatss) CI eaxT m[g mmceGaa <br /> _oeZ7 e=xp=ert (pays =I�3c �z�a:esulaa' y <br /> C I Respirator, cce: ?BI or SC3A <br /> alp ==:d;'.- — <br /> C I Other, =e-ry C I Sare-_7 lest <br /> C I <br /> Two-way co==.m;woe <br /> 7. :1nz_cpared 3ioio�� ='a�"ds: T poisonous ?loots <br /> [ 1 Sna.:Kes {.�, iasecs ( fade. C I - paRT N <br /> C I Othe_-/, inictown Cs?edis r): Pl_-A-N:3PP-LCVAL ��//�� <br /> 3. \far� e (Provide aid 'tLorrat:oa whic� cot:id �paG He ?t= ?,-�are_ b �V�y" Care: <br /> KZS <br /> and Safer-7,, a,-­ ?awe: L^__es, iare ^T , <br /> ?rte s.?provec by. k>jW <br /> ?108 L C2/77/92)/9Z) <br />