Laserfiche WebLink
y Project 10:_g <br /> �(te Sur?ervtcinn & ResDonsibtlit, i-,,arc <br /> Site (General) Supervisor Site Health and Safety Officer <br /> Name <br /> Si" \f 0z IZ i O rur 1 <br /> Company Title <br /> ITi. J2RfJJJJ 1 Sri 1J <br /> Years With <br /> Com an <br /> Years in <br /> Position <br /> Supervisor's <br /> Name <br /> Supervisor's n- <br /> Title VDNS'f IOrJ ' 1 NS-r NA <br /> Description of 0vvz .E uoe> )Gnct*ioE, N 1pcN,14•yS(Wc�Ti ' S16tJ <br /> On-Site Responsibilities p`t�PL —)TV.4-OVT � A."A <br /> i <br /> On-Site �G�V 1ni�rs...06�E�'T'oYti- <br /> Q 161.F e Tt E^,,00KrrA-;r E, <br /> F)Ntsu E� <br /> C <br /> Description of <br /> Authority On (_,44V a6E.IF Flip NATT N Cw ASF.. 1F S;TES 4. <br /> Site: )S NST ' C-,_-A�LE_ )S Ncr; 'Sq <br /> During Routine <br /> Activities <br /> During .jam C;uAr�L� <br /> Emergencies 11JYq l�q W JTt,IL W I N S 1Z �PLi.V,5�e <br /> 5 A F�� Oc-F tG£.ti- 1►a � ufNta•t s <br /> For <br /> Disciplinary N <br /> �k , S It LV F_G,05L4,. <br /> Actions S+ 1�- %U-MTJZA NfStpspiw( <br /> Attach Copies of Record s/CertlflcateS Demonstrating Compliance With 29 CFR <br /> 1910.120 (MAZWOPER) Training Requirements <br /> Referenoe: Alameda County Requirement 17(a). 29 CFR 1910.120(b)(2) <br />