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Site Safety and Health Plan Stockton Field Maintenance Shop #24 8020 Airport Way, Stockton, CA 7.3 ANNUAL EXAMINATION Each Star employee who may be potentially exposed to waste materials, or who must wear a respirator for more than 30 days per year, will receive an annual examination consistent with the aforementioned baseline examination. A chest x-ray and electrocardiogram will not necessarily be required during an annual examination, but rather will be determined collectively by the occupational physician, the project Certified Industrial Hygienist, and the project SSHO. 7.4 SPECIAL MEDICAL EXAMINATIONS OR CONSULTATIONS Special medical examinations or consultations will be arranged for all employees exposed to hazardous substances at concentrations above the PEL without adequate protection. This will be done as soon as possible after the overexposure has been determined. Exposures shall be determined utilizing field instruments and personal exposure monitoring. Considering the levels of various contaminants of concern (discussed in Section 3.0 of the SSHP), the associated levels of PPE for site monitoring activities and the extensive sampling for personal exposures we will be conducting, worker protection will be ensured through implementation of the PPE/RPE program. If the PEL is anticipated to be exceeded, as determined by field instrumentation, regardless of the use of PPE/RPE, then Star will evacuate the work area and notify the CA ARNG's contracting officer and PM. Special medical examinations will also be arranged upon notification by the employee that he/she has developed signs or symptoms indicating a possible overexposure to hazardous substances, or if the examining physician determines that more frequent medical examinations are necessary. Non-scheduled medical exams may also be directed at the discretion of the SSHO or the occupational physician. 7.5 EMPLOYEE NOTIFICATION OF MEDICAL EXAMINATION RESULTS The medical consultant at Health Resources (a national medical surveillance program) will review the results of the medical evaluation. If the examination uncovers a serious health problem, the employee is to be contacted and notified in writing by the nurse at Health Resources. Health Resources also recommends that the employee see his/her family doctor. If the condition is more serious Health Resources will notify Star's human resources department. If the health condition is pertaining to the job, Health Resources will conduct follow-up monitoring. 7.6 SITE MEDICAL SERVICES The employee performing the sampling is to be certified in first aid and CPR by the American Red Cross (or equivalent). 7.7 MEDICAL PROVIDERS In the event of an on-site injury requiring emergency medical care or, the following medical centers will be used (Figure 2): 25 Star Resources Corp