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• Pa-e 1 <br /> SITE HEALTH AND SAFETY PLAN <br /> Hultgren—Tillis Engineers (H—TE) <br /> I. GENERAL SITE INFORMATION <br /> Site Name: Rindge Tract <br /> Site Address: along Disappointment Slough at Stations 150 to 250 <br /> Contact Person: Kevin Tillis <br /> Site Identification Number: 463.05 Proposed Date(s) of Site Work: Nov 14-17, 2011 <br /> II. DESCRIPTION OF ACTIVITY <br /> Purpose of Activity Type of Site <br /> ® Geotechnical Soil Borings ❑ Industrial <br /> ❑ Gas extraction well installation ❑ Gas station <br /> ❑ Agricultural well installation ® Other(specify): Levee <br /> ❑ Other(specify): <br /> Provide a brief description of the proposed activities: <br /> 1. H-TE engineer will mark USA with white paint for the location of each soil boring and call <br /> USA. <br /> 2. H-TE engineer and subcontract driller, Taber Consultants, will drill eight 40 to 50-foot soil <br /> borings and collect soil samples at the locations shown on the site plan. <br /> Investigation-derived material disposal: <br /> Soil: soil cuttings will be left near the exploration holes. <br /> Water and Fluids: NA <br /> Other: NA <br /> III. POTENTIAL HEALTH AND SAFETY HAZARDS <br /> Potential Hazards include: <br /> Heavy equipment - physical injury/trauma resulting from moving machinery <br /> Electrical hazards - nearby overhead wires underground utilities <br /> Slippery and/or Bump, Roads <br /> Falls, trips, slips <br /> Mosquitoes <br /> Dust <br /> Noise <br /> HAZARD EVALUATION <br /> Parameter TLV (ppm) IDLH (ppm) LEL (%) skin eyes Health <br /> NA NA NA NA NA <br />