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2900 - Site Mitigation Program
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PR0537637
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Last modified
6/24/2022 8:58:52 AM
Creation date
3/31/2021 1:01:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537637
PE
2960
FACILITY_ID
FA0021678
FACILITY_NAME
LINCOLN CENTER ENVIRONMENTAL REMEDIATION TRUST
STREET_NUMBER
6475
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741079
CURRENT_STATUS
02
SITE_LOCATION
6475 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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TASK HAZARD ANALYSIS (Ver.2,June 2011 <br /> Geosyntec HS Procedures referenced herein are available on Geosyntec s H&S SharePoint site and should be consulted.as appropriate,per project-specific needs.This THA prepared <br /> per HS-106-Accident Prevention Program,HS-204-Task Hazard Analysis,and meets the requirements for a"Site-Specific Health and Safety Plan'per regulations and Geosyntec HS <br /> Procedures referenced herein(see Section B.14.). <br /> PART A - SITE SAFETY PLAN <br /> A.I. PROJECT/TASK INFORMATION <br /> TASK: Driving to/from Site <br /> Project Name: Lincoln Center Project Number/Org: SAC1111/3210 <br /> Project Address: 240 Lincoln Center and 858 Benjamin Holt Drive,Stockton,CA,95207 <br /> Description of Task& A Geosyntec employee will be required to drive to and from Stockton to supervise and conduct <br /> Worksite: field activities. The employee shall obey all traffic laws, practice defensive driving, adhere to <br /> HS-105, and use Smith System safe driving practices. <br /> This task will take place on Site parking lots and on public roadways. <br /> Geosyntec Personnel Name Desktop Office Phone Cell Phone <br /> Site Lead/H&S Officer Laura Foot (916)637-8320 (408)568-9100 <br /> Project Manager Srinivasa Varadhan (916)637-8340 (312)282-8929 <br /> Project Director Scott Forbess (916)637-8329 (530)400-5092 <br /> H&S Coordinator Richard Hodges (916)637-8349 (916)945-1645 <br /> Regional H&S Mngr. Joseph Esseichick (720)509-8906 N/A <br /> -- -. ...__._. ._ _.___.. - - -- — _ _.-- .. . .. .......-._....._.--. <br /> Corp.H&S Director Bob Poll 813-379-4420 813-240-9231 <br /> Client Contact(s): <br /> Subcontractor(s): ❑ Not Applicable ®Applicable,provide contact information below: <br /> Utility Locator-TBD TBD TBD <br /> Penecore Drilling,Inc. (530)661-3600 N/A <br /> ETHICS POINT HOTLINE US&Canada:844-231-3371 Australia:800-551-155 or 800.811.011 <br /> UK:800-89-0011 or 800-89-0011 Ireland:800-222-55288 or 800-500-000 <br /> A.2. EMERGENCY RESPONSE Based on analysis of worksite factors,client/regulatory requirements,availability of emergency services. <br /> Consider all Relevant Risk Factors&Response Procedures(fire%xplosion,medical,chemicals/spills,security,site factors,weather,communications). <br /> EXPLANATORY NOTES,CLARIFICATIONS: <br /> Available Means of Jobsite Emergency ®Verbal ®Cell Phone ❑Land Line ❑2-Way Radio ❑On-site alarm/signal system <br /> Communication/Alerting ❑Other: <br /> To Summon Emergency Services ❑DIAL 911,for external responders ❑Other: <br /> Police,Fire,Ambulance <br /> Other Emergency Contacts,as needed <br /> (such as security,spill responder,utility): <br /> Nearest Emergency Medical Services Hospital Name:Dameron Hospital <br /> Address: 525 West Acacia Street,Stockton,CA,95203 <br /> Phone k:(209)944-5550 Z See Attached Directions <br /> For Non-Emergency Urgent Care M Contact WorkCare,24/7 at:888-449-7787 <br /> ❑Other: <br /> Job-site Evacuation Procedure, N/A <br /> Rally Point,Place of refuge: <br /> Special Emergency Vehicle emergency kit <br /> Equipment/Procedures <br /> IMPORTANT:After initial emergency response actions and incident stabilization,contact appropriate project personnel listed in Part A.I. <br /> A.3. SUMMARY OF WORK STEPS, HAZARDS, CONTROLS Based on PART B,"HAZARD ANALYSIS," and worksite/client/project factors. <br /> Summary/outline of work steps/hazards/controls,with references to applicable Sections in Parts B and C.as applicable: <br /> WORK STEPS HAZARDS CONTROLS <br /> Geosyntec° THA(ver.2)-Task 1 -Driving October 22,2020 <br /> Lincoln Center-SAC1111 Page 1 <br /> consultants <br />
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