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SAN JOAQUIN COUNTY z ENS_."ONMENTAL HEALTH DEPARTM JT .fill 600 East Main Street Stockton • CA 95202-3029 (209)468-3420 - Fax:(209)464-0138 - Web:www.sigov.org/chd Preliminary Site Assessment Work Plan Checklist PR#: 0527067 SITE LOCATION: 10900 EAST TOKAY COLONY ROAD, LODI APN: 063-190-64 REPORT DATE: FEBRUARY 17,2009 REC'D: MARCH 4,2009 S = Sufficient California Health and Safety Code Section 25400.36 1 = Insufficient S I 1.0 INTRODUCTION & DESCRIPTION OF PROPERTY 1.1 Description of physical location of property, including parcel vicinity location map and site map showing location of ❑ all items on property(i.e., structures, drives, wells, septic systems, large trees, pastures, pools, natural drainage courses, ponds,waterways, etc.) 2.0 CHEMICALS AND METHODS USED SUMMARY [� ❑ 2.0 Summary of information obtained from law enforcement, the EHD, and other sources. [� ❑ 2.1 Discussion of duration of lab operation and number/amount of batches cooked/processed. E( ❑ 2.2 Description of hazardous chemicals known to have been used at the site. Comparison of chemicals on manifest to those used in the site cooking method to ID all potential chemicals. [� ❑ 2.4 Description of the chemicals and equipment used and their locations on the property. [� ❑ 2.5 Description of the location of the cooking areas and chemical storage areas. [� ❑ 2.6 Description of the visual assessment of the severity of contamination (inside and outside structures). ❑ 2.7 Description of all areas suspected of contamination, including adjacent rooms, units, apartments, structures. [� ❑ 2.8 Description of any disposal areas (dumping, burning, venting drain disposal, etc.)at or near the property. d ❑ 2.9 Determination if mercury or lead containing chemicals had been used at the site (lead acetate, mercuric chloride, mercuric nitrate, etc.). 3.0 SAMPLING AREAS ❑ d 3.1 Description of areas to be sampled, including the obvious primary sites and also secondary areas (migration/carry in from high traffic). A location map of sampling sites is recommended. 3.2 Work plan addressed the following areas of potential concern: cooking areas; chemical storage areas; adjacent d ❑ rooms; areas typically accessed for contact by occupants, particularly children; high traffic areas;ventilation systems and associated areas; hard/soft surfaces (walls,floors, ceilings, appliances);waste disposal areas (sinks,floor drains, bathtubs, showers,toilets; septic systems; soil staining areas; drainage areas. ❑ 3.3 Justification provided for areas to be sampled, including areas to be sampled after a proposed remediation. ❑ RJ/ 3.4 Description and justification for areas not being sampled, including those areas proposed for complete removal. 4.0 SAMPLING PROTOCOLS ❑ 1!1/ 4.1 Description of the sampling protocols to be used, including types and methods of sampling, equipment to be used, analytical methods and laboratory to be used. d ❑ 4.2 Description of the number of each sample type to be collected.All sampling methods must be consistent so the results are consistent and comparable. 5.0 REMEDIATION AREAS ❑ 5.1 Description of areas to be remediated in lieu of sampling. ❑ [� 5.2 Description of the specific remediation or removal method to be used for each area. [ ❑ 5.3 Description of how removed materials will be handled, stored, hauled and disposed. 6.0 WORK PLAN SIGNATURE ❑f [� 6.1 Work plan included the notarized signatures of the authorized contractor and a certified industrial hygienist. [v] ❑ 6.2 The remediation firm will utilize staff with the appropriate CCR Title 8 training for the performance of the work. Reviewed By: �� RENS / q)¢(p8 e-341-' 0 Reviewed Date: EHD 25-_-_ Page I of 2 Preliminary Site Assessment Work Plan Checklist L 01/23/2007