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F E ,f 11L SAN JOA IN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT SITE HEALTH AND SAFETY PLAN PART I PART II GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS 1. Site Name:Kramer's Garage I. Chemicals Hazards Address:2016 S EI Dorado Stockton I 7A 95206 ®Carcinogens: Contact Person:Fred Kramer Phone No:209.466.3813 ®Corrosives: Sweeps Number: ❑Dusts: Proposed Date of investigation/inspec ion April 16,2004 ❑Explosives: ❑Flammables: 2. Description and brief narrative of inspection activity: ❑Inorganic Gases: ❑New UST installation.. ❑IJAR Investigation. ®Metals: ❑Tank Closure in Place.. ❑Tank/Pipe Repair. ❑Oxidizers: ❑Tank/Pipe Removal. ❑Re-excavation. ❑PCB's: ❑Installation of Borings/Monitori Wells. ®Hazardous waste inspection ❑ Sampling PART III 3. Specific Site Information: REQUIRED PERSONAL PROTECTIVE EQUIPMENT Tank No.: Tank Capacity: 1. Monitoring Equipment(note:Monitoring instruments must be used for all Tank Content: ank Age: operations unless appropriate rationale or restrictions are provided) Other: ❑Combustible Gas/Oxygen Meter. ❑Detector Tubes(Specify). 4. Type of Operation:Rack Manufacturc ❑Photo ionization Detector. ❑Organic Vapor Analyzer. 5. Release History: El Other,specify. Evidence of leaks/soil contamination: F-1 YES NO If monitoring instruments are not used,rationale or activity/area restrictions: ❑ Documented Groundwater contamina ion: ❑YES ❑NO Background and description of any p vious investigation or incidence: 2. Personal Protective Equipment Level of Protection: ❑A ❑B ❑C ❑D 6. Potential Health and Safety ❑Hard Hat. Physical Concerns:(check all that apf ly&describe) ❑Safety Glasses/goggles. ❑Heat or Cold Stress:-'F(high ambient temp.) ®Steel toed/shank shoes or boots. ❑Noise Sources: ❑Flame retardant coveralls. ❑Oxygen Deficiency: El Hearing protection. ❑Tyvek. ®Excavation:(falls,trips,slipping, ave-ins): ❑Respirator: El APR ❑SCBA ❑Handling and Transfer of a Hazar ous Substance:(fire,explosions, etc..): A/P cartridge: ❑Confined space entry:(explosions: ❑Safety vest. ❑Heavy equipment(physical injury&trauma resulting from moving ❑Two-way communication. equipment): ❑Other,specify PART IV-PLAN APPROVAL 7. Anticipated Biological Hazards: Plan Prepared by:Dina Abate Date:April 16,2004 ❑Snakes ❑Insects ❑Rode s ❑Poisonous Plants ❑Other/Unknown(specify): Plan Approved by: Date: 8. Narrative(provide all information wh ch could impact Health and Safety, e.g.,power lines,integrity of dikes,t in,etc.) EH 23081(02/19/03)