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28 April 2005 <br /> AGE-NC Project No. 01-0886 <br /> Page 4 of 7 <br /> 7.0. COMMUNICATION PROCEDURES <br /> If hearing is impaired, the following standard hand signals will be used: <br /> Hand gripping throat: Out of air; can not breath <br /> Grip partner's wrist or both hands around waist: Leave area immediately <br /> Hands on top of head: Need assistance <br /> Thumbs up: OK; I am alright; I understand <br /> Thumbs down: No; negative <br /> 8.0. EMERGENCY MEDICAL CARE <br /> St. Joseph's Medical Center, 1800 North California Street, is located approximately 4 miles north- <br /> northwest of the site. A map and directions depicting the route to this facility is attached. <br /> Local ambulance service is available at phone 911. Their response time is 5 minutes. <br /> First-aid equipment is available onsite at the locations: <br /> First-aid kit: Site safety officer's truck/vehicle <br /> Emergency eye wash: Site safety officer's truck/vehicle <br /> Other: Water hose on site <br /> Emergency medical information for substances present: <br /> Exposure systems: Hydrocarbon fuels, gasoline- irritant to eyes, nose, respiration, <br /> may cause light-headed feeling, headache, nausea, staggered <br /> gate, fatigue. <br /> Dust- irritant to eyes, nose, and respiration. <br /> Heat Stress - lack of sweating, pallor, light-headed feeling, <br /> headache, staggered gate, fatigue, delirium. <br /> Advanced GeoEnvironmental,Inc. <br />