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SAN JOAQUIN COUNTY
<br /> .O�
<br /> ?, EN` _ONMENTAL HEALTH DEPARTML.4T
<br /> 600 East Main Street Stockton • CA 95202-3029
<br /> (209)468-3420 • Fax:(209)464-0138 • Web:www.sj,,ov.org/ehd
<br /> ci�oRa�
<br /> Preliminary Site Assessment Work Plan Checklist
<br /> PR#: 0527067
<br /> SITE LOCATION: 10900 EAST TOKAY COLONY ROAD, LODI APN: 063-190-64/65 REPORT DATE: MARCH 20, 2009
<br /> RECD: MARCH 20, 2009
<br /> S = Sufficient California Health and Safety Code Section 25400.36
<br /> I = Insufficient
<br /> S I 1.0 INTRODUCTION & DESCRIPTION OF PROPERTY
<br /> 1.1 Description of physical location of property, including parcel vicinity location map and site map showing location of
<br /> ❑ all items on property (i.e., structures, drives,wells, septic systems, large trees, pastures, pools, natural drainage
<br /> courses, ponds,waterways, etc.)
<br /> 2.0 CHEMICALS AND METHODS USED SUMMARY
<br /> ❑ 2.0 Summary of information obtained from law enforcement, the EHD, and other sources.
<br /> F ❑ 2.1 Discussion of duration of lab operation and number/amount of batches cooked/processed.
<br /> ❑ 2.2 Description of hazardous chemicals known to have been used at the site. Comparison of chemicals on manifest
<br /> to those used in the site cooking method to ID all potential chemicals.
<br /> ❑ 2.4 Description of the chemicals and equipment used and their locations on the property.
<br /> F1 ❑ 2.5 Description of the location of the cooking areas and chemical storage areas.
<br /> ❑ 2.6 Description of the visual assessment of the severity of contamination(inside and outside structures).
<br /> ❑ 2.7 Description of all areas suspected of contamination, including adjacent rooms, units, apartments, structures.
<br /> ❑ 2.8 Description of any disposal areas (dumping, burning, venting drain disposal, etc.)at or near the property.
<br /> d ❑ 2.9 Determination if mercury or lead containing chemicals had been used at the site (lead acetate, mercuric chloride,
<br /> mercuric nitrate, etc.).
<br /> 3.0 SAMPLING AREAS
<br /> ❑ 3.1 Description of areas to be sampled, including the obvious primary sites and also secondary areas (migration/carry
<br /> in from high traffic). A location map of sampling sites is recommended.
<br /> 3.2 Work plan addressed the following areas of potential concern: cooking areas; chemical storage areas; adjacent
<br /> d ❑ rooms; areas typically accessed for contact by occupants, particularly children; high traffic areas; ventilation systems
<br /> and associated areas; hard/soft surfaces (walls,floors, ceilings, appliances);waste disposal areas (sinks,floor drains,
<br /> bathtubs, showers, toilets; septic systems; soil staining areas; drainage areas.
<br /> ❑ 3.3 Justification provided for areas to be sampled, including areas to be sampled after a proposed remediation.
<br /> [•� ❑ 3.4 Description and justification for areas not being sampled, including those areas proposed for complete removal.
<br /> 4.0 SAMPLING PROTOCOLS
<br /> ❑ 4.1 Description of the sampling protocols to be used, including types and methods of sampling, equipment to be
<br /> used, analytical methods and laboratory to be used.
<br /> ❑ 4.2 Description of the number of each sample type to be collected. All sampling methods must be consistent so the
<br /> results are consistent and comparable.
<br /> 5.0 REMEDIATION AREAS
<br /> [� ❑ 5.1 Description of areas to be remediated in lieu of sampling.
<br /> [� ❑ 5.2 Description of the specific remediation or removal method to be used for each area.
<br /> ❑ 5.3 Description of how removed materials will be handled, stored, hauled and disposed.
<br /> 6.0 WORK PLAN SIGNATURE
<br /> ❑ 6.1 Work plan included the notarized signatures of the authorized contractor and a certified industrial hygienist.
<br /> ❑ 6.2 The remediation firm will utilize staff with the appropriate CCR Title 8 training for the performance of the work.
<br /> Reviewed By. = , REHS (209 o�3� 9 Reviewed Date: 3a5/0 9
<br /> EHD 25____ Page 1 of 2 Preliminary Site Assessment Work Plan Checklist L
<br /> 01/23/2007
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