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2900 - Site Mitigation Program
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PR0526059
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COMPLIANCE INFO
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Last modified
5/20/2020 8:35:14 AM
Creation date
5/20/2020 8:31:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526059
PE
2950
FACILITY_ID
FA0017629
FACILITY_NAME
JACKSON PROPERTY
STREET_NUMBER
210
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04304801
CURRENT_STATUS
01
SITE_LOCATION
210 S SACRAMENTO ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
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EHD - Public
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McKrrc <br /> "', ;1 <br /> Standard Site Safety &Health Plan <br /> Date: Time: Supervisor: Eve Dunn, Staff Gepl_ggist <br /> SITE DESCRIPTION: Job No. BRN-SC-13338A <br /> AddreSs:2l0 CQuJI_t.Lech Sa Jot Gln nrv,Ca.l'f rnia. <br /> Contact: Titic: Phonc; <br /> F,NTF,R,GFNCY CONTACTS: <br /> LODI FD (209)333-6735 Admin., or 911 Emergency National Response Center(800) 424-8802 <br /> CAL OES/EPA(800)852-7550 <br /> ET Office Contact: Heinz Lumpp(909)7470-2733 or(915)217-5853 <br /> Spills/Release Contact: Wcs Dewsnup(801)499-9557 <br /> bTcdical Emergency Telephone R:Location: Loth.-cmorial_Hospital,9_75 Soath_Fainmont Aga,Lodi,_Ca,(2�9)334-341 l <br /> *Directions to hoqpital at back orplan <br /> Emergency Contact: Eve Dunn.(801)698-0911. <br /> Emergency Ccmtact: Brett Cox(80.10 381.-5217 <br /> Emergency Rally Location: <br /> PROJECT OVERVIEW <br /> Work.Arca: Sec 1"iuu.rc 1. an_ or Skctch lylay Project Duration:!3 hours Project Date: <br /> SCOPE OF WORK(Check all that apply) <br /> Well Drilling _Wcll Abandonment Eq,Dccon X Eq. Operation. <br /> X Soil Sampling _ Grnd.wtr Sampling Other Sa.m.pling ! Spoils Mgmt <br /> Lab Analysis J .. Othcr(Explain) <br /> ANTICIPATED HAZARDS (check all that apply) " Requires S&HA�anager Review <br /> Equipment >r Noise _ .Heat _ Cold <br /> _ Biohoznrd::* _ Flammablca* _ inhalation Hazards'" _ Skin Hazarcls* <br /> Corrosives* _ Rcactivca*(Type) X Machinery(t:ype) r�' I R� <br /> Poor Lighting k Vehicle Traffic Limited Space Work Area <br /> Uneven Work Surfaces/Stairs Elevated Work Surfacc <br /> Other(list Type) <br />
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