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Project lo: 1 qq O 000127 <br /> Confined Saace Entry PfOC@dLrac Summary <br /> Confined Space Entries Are Are Not Expected On This Project. Explain: <br /> NO )\t'LU-.) i Ct &,Trjy` Tib N 14- <br /> If Entries Are Expected, Identify: <br /> Testing Equipment: Oxygen Meter(Brand/Model) <br /> Combustible Gas Meter(Brand/Model) <br /> Toxic Gas Monitor(Gas) <br /> (Brand/Model) <br /> Ventilation: Not Required(explain) <br /> Required(method) <br /> Rescue/Retrieval Not Required (explain) <br /> Equipment: <br /> Required(describe equipment) <br /> C <br /> Personal Protective Equipment: <br /> Respirator(type) <br /> Eye Protection(type) <br /> Head Protection(type) <br /> Foot Protection(type) <br /> Coveralls(type) <br /> Other(describe) <br /> How will standby person summon help in emergency? <br /> On-Site Person Responsible For Performing and Documenting Testing: <br /> Onsite Person Trained In Cardio-Pulmonary Resuscitation(CPR): <br /> Attach copy of Company's Confined Space Entry Procedures to this sheet. <br /> Reference: Alameda County Requirements 17(g). 29 CFR 1910.120(b)(4)(1). etCry 1 0 <br />