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Page I <br /> SITE HEALTH AND SAFETY PLAN <br /> Hultgren-Tillis Engineers (H-TE) <br /> I. GENERAL SITE INFORMATION <br /> Site Name: Bouldin Island Levee-Seepage Area <br /> Site Address: Bouldin Island Levee - Stations 653 to 662 <br /> Contact Person: Joseph Heavin ZS- C60T- o 1 c) c.l ` <br /> Site Identification Number: Proposed Date(s) of Site Wo June 27 29, 2011 <br /> II. DESCRIPTION OF ACTIVITY <br /> Purpose of Activity: Type of Site <br /> ® Geotechnical Soil Borings F-1 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 by June 20, 2011(Monday). <br /> 2. H-TE engineer and subcontract driller, Taber Consultants, will drill one eighty (80)-foot and <br /> two twenty (20)-foot soil borings and collect soil samples at the locations shown on the site <br /> plan. <br /> Investigation-derived material disposal: <br /> Soil: soil cuttings may either be removed or spread out 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 Bumpy 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 />