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�7 <br />n <br />F� <br />U <br />n <br />U <br />P <br />F <br />11 <br />i1 <br />l7 <br />LI <br />IL <br />L <br />j <br />Location of Job: CorrA Hollow Landfill, San Joaquin County, Calif. <br />(Unit/Location on Project): <br />Required PPE: <br />S . afety Access/ Location <br />Supervisor of Work: I.C. Isham 925-457-1130 <br />—sdfe Haven: <br />Wind Direction: <br />Evacuation Route: <br />Assembly Point: <br />JSA Prepared By: <br />VRV'I-- \w ell 1) kilf-491- <br />Date: <br />Are other crews in area? <br />Pre -Job Preparation <br />1. Fill out JSA <br />2. Review JSA (EVERYONE) <br />3. Sign JSA (EVERYONE) <br />New: <br />Revised: <br />Job Task <br />(What are You Doing) <br />Audit the Job <br />Audit Time: <br />Landfill Ground Water Sampling. Surface Water Sampling. <br />Potential Hazards <br />Supervisors Comments <br />Slips, trips, falls, machine a hazards, insect and/or animal bites, <br />Contact dermatitis, than in weather conditions... <br />Muddy conditions at the landflil. <br />Recommended Action or Procedure <br />Safety Observer: <br />Refer to the Health and Safe Manual. <br />i Crew Narnepwiatures- <br />