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1876
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2900 - Site Mitigation Program
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PR0542421
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COMPLIANCE INFO
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Last modified
6/1/2021 5:17:37 PM
Creation date
6/1/2021 4:29:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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Date Representing Name <br />RECEIVED <br />DEC 05 LU <br />in47 <br />"1-‘ EBI EMPLOYEE and EBI CONTRACTOR ACKNOWLEDGKEWil EN , L lILA LTII <br />RTN1 L INT <br />The designated EBI representative shall be responsible for conducting daily safety meetings and <br />informing all individuals entering the work zone of the contents of this plan and ensuring that <br />each on-site EBI employee and on-site EBI contractor signs the following employee <br />acknowledgment form. By signing this form, individuals are recognizing the hazards present on <br />the site and the policies and procedures required to minimize exposure or adverse affects of <br />these hazards. Signing this form does not relieve EBI contractors from their responsibility for <br />their own health and safety, nor does presentation of this plan to EBI contractors constitute <br />acceptance by EBI of EBI contractor health and safety. <br />I have read the site safety plan, have been orally briefed, and fully understand all of the following <br />aspects of the project: <br />I . Hazards associated with the project <br />Personal protective equipment <br />Emergency procedures/contacts <br />Project team-member responsibilities <br />Work zones and decontamination procedures
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