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3500 - Local Oversight Program
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PR0545613
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Last modified
4/27/2020 3:39:03 PM
Creation date
4/27/2020 3:33:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545613
PE
3528
FACILITY_ID
FA0005466
FACILITY_NAME
LOPEZ, PAM
STREET_NUMBER
26500
STREET_NAME
NOWELL
STREET_TYPE
RD
City
THORNTON
Zip
95686
CURRENT_STATUS
02
SITE_LOCATION
26500 NOWELL RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Job.No: 9647-0011 <br /> SITE SAFETY PLAN <br /> Job Title: Lopez Property <br /> Job Address: 26500 Nowell Road <br /> Thorton, California <br /> Project Manager: Alan J. Klein Home Phone: (916) 672-1251 <br /> Fugro Office Phone: (916) 782-2110 (Roseville) <br /> Introduction <br /> The purpose of this site safety plan is to establish requirements for protecting the health and <br /> q p 9 <br /> safety of site workers for the above listed project. It contains safety information, instructions, <br /> and procedures. <br /> Organization <br /> The following personnel are designated to carry out the stated job functions pertaining to the <br /> site work. All site personnel have read this safety plan and are familiar with its provisions. <br /> Name Company Signature Date <br /> Site Safety Officer: Alan J. Klein Fugro West, Inc. <br /> Project Team Leader: Alan J. Klein Fugro West, Inc. <br /> Field Team Leader: Steven J. Osborn Fugro West, Inc. <br /> Field Personnel: Gregg Drilling Inc.. Drilling Subcontractor <br /> (print name) <br /> Work was accomplished in accordance with the site safety plan, with the following exceptions: <br /> j <br /> Site Safety Officer: <br /> Date: <br /> (RETURN ORIGINAL COPY TO JOB FILE WITH SIGNATURES) <br />
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