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JOB NAME: 7-11 #17334 JOB NUMBER: 185750066. .1024 <br /> SITE ADDRESS: 4501 N Pershing Ave START DATE: 5/15/2014 <br /> Stockton,CA DATE PREPARED: 5/12J2014 <br /> PREPARED FOR: Brian Branscum PREPARED BY: Amanda Magee <br /> aa-- SITE VISITATI Nrooid <br /> PORT <br /> Name(s) DWIkw1 Date: 16II4 5 p you call in? Ye No <br /> Arrival Time: "Departure Time: 17 llr�0 lNOQVhO did you call? DR Wle, <br /> Weather Notations: SU CLOUDY RAIN SNOW Temperate 'lo-giD'S F <br /> DRUM INVENTORY <br /> STANTEC'S ENVIRONMENTAL' <br /> QLA -Parge Water 1 7-ELEVEN'S FACILITY: TOTALS: <br /> Sol Locked/Labeled HAZ Total Open Top 5 <br /> Concrete/Debris �. Other ( gyp\1gryQ Total Bung Top <br /> Other © Other ^� <br /> Empty 0 Please take a picture of anythina not clearly labeled <br /> HEALTH AND SAFETY ASSESSMENT <br /> ' h o <br /> CALIBRATION <br /> DESCRIPTION OF ACTIVITIES ONSITE AND NOTES <br /> 'IMO er.{�` K-d reel- -fa I <br /> o$oo— - m wlNa.�;ondl EW P A,-14aAk. <br /> WSCUSS4 Scoot of word. <br /> — NEwf utttj 5" on 5N,1 . Crew L" loca}►.r+ IN�Qtr—k.rt;ft f Jast�L... <br /> rilk Ay 5' b 1 J�t1R .77C' +IM �151� d <br /> New? aw kQC0.TlOf1 "wispa rGm t, d A <br /> '}'4,+noorauru 0.sOti'1w.F�' LDId n.�r-L; ml.er 1000.z70t'► . <br /> 1015_ qID - t-3Ew P citta soup on Mm J-3 4r ot4gr2,A. alrpEMi.A ,C(60 m.4t� <br /> a+oilk ►+� 5-awl. �DI,,,c1<.c�s� yn,,.r� �t� wtv� caG„tn . Crc�11 -11n.w► <br /> &ODUA 25 95z &bc 5 mi 3�, 9w SSC inn xdvr. Crwa *AA broke oA <br /> 1 1 -khe A0 3' 2-5 boa to �IhR.n nth <br /> u�Parnarl�a iMaas� ( ..��rl cL Iwae�6 rpt j2 wo.At� be ksek 4a <br /> cwt ( watt' 1230. <br /> 13op-1 15 - WE0P SGktP ri q o n rnw-5�F15t3j dweA tocAorl -6 5' g 4A ��ttel 4 <br /> Soil rcr�nov4 �wJ bor1l.C. w Vuq% eak OL "PV"'W cold�6L% an toco.�io^ <br /> OW4 tovulfaew ;T+ <br /> l�{15-�5L45 - t Ew? cf&) 514To� SQd_Zlcl t on -b 5tbgs,bae�C�tlle� w�So�l ru+rovc� <br /> a^a 4,(A A- AsQYwIt too-fl,, ' M 1100. <br /> wo6l. <br /> 1100-1$n0 - "gr04L fit. <br /> 17334_2014_05_15_we Iklestruction_wo rkreq uest.xls <br />