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COMPLIANCE INFO_2006-2009
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2300 - Underground Storage Tank Program
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PR0231866
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COMPLIANCE INFO_2006-2009
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Entry Properties
Last modified
12/15/2020 4:02:36 PM
Creation date
6/3/2020 9:53:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2009
RECORD_ID
PR0231866
PE
2361
FACILITY_ID
FA0003957
FACILITY_NAME
AT&T California - UE020
STREET_NUMBER
124
Direction
W
STREET_NAME
ELM
STREET_TYPE
St
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
124 W Elm St
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231866_124 W ELM_2006-2009.tif
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EHD - Public
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HEALTH & SAFETY 2007 <br /> TAIT ENVIRONMENTAL SYSTEMS <br /> SAFETY COMPLIANCE AGREEMENT <br /> Project Number: <br /> Project Title: <br /> I, (print name), have reviewed the copy of the entire Health and Safety <br /> Plan for the above referenced project. Visitors will also be required to review it. I have read <br /> the plan, understand it, and agree to comply with all of the Health and Safety Requirements. I <br /> understand that I may be prohibited from working on the project for violating any of the <br /> requirements. Visitors will be required to be escorted in the restricted access zone. Visitors <br /> must comply with Tait Environmental Systems escort directions while on-site at all times. <br /> Non-compliance with escort directions will not be tolerated, and violators will be requested to <br /> leave the site immediately. <br /> A physician based on medical examination has approved me to wear a respirator. I have been <br /> trained in the appropriate use, care, and storage of respiratory equipment. I have been <br /> respirator fit tested; and I have my respirator available for use in the field. I further - <br /> understand that this equipment is provided solely for my benefit with the intent to minimize <br /> my exposure to potentially hazardous conditions. In the event of such usage, I agree to <br /> indemnify and hold harmless Tait Environmental Systems and all of its employees from and <br /> against any and all losses, demands, claims, liabilities, lawsuits, damages, costs, and expenses <br /> arising, in any way, from the use of the equipment. <br /> Thank you for your cooperation. <br /> Signature Date <br /> Note: This original signed agreement must be submitted to the Tait Environmental Systems Project <br /> Manager to send to the Health and Safety Manager. <br /> :\M\tes\safety\h&s.h&s <br /> 11/07/2005 revision 5 20 <br />
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