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Page 1 <br />SITE HEALTH AND SAFETY PLAN <br />Hultgren — Tillis Engineers (H—TE) <br />GENERAL SITE INFORMATION <br />Site Name: Bacon Island (APN 129-05-015) <br />Site Address: 2751 S. Bacon Island Road, Stockton, California <br />Contact Person: Dario Leekam Phone: 805-341-3907 / 925-685-6300 <br />Site Identification Number: 212.16 Proposed Date(s) of Site Work: Jan. 25 to Feb. 2, 2020 <br />DESCRIPTION OF ACTIVITY <br />Purpose of Activity: <br />[E] Geotechnical Soil Borings <br />0 Gas extraction well installation <br />0 Agricultural well installation <br />n Other (specify): <br />Type of Site <br />El Industrial <br />El Gas station <br />[Z] Other (specify): Levee <br />Provide a brief description of the proposed activities: <br />Drill 3 borings to approximately 50 feet deep, collect soil samples, and backfill borings with <br />cement grout. <br />Investigation-derived material disposal: <br />Soil: soil cuttings may either be removed or spread out near the exploration holes. <br />Water and Fluids: NA <br />Other: NA <br />POTENTIAL HEALTH AND SAFETY HAZARDS <br />Potential Hazards include: <br />Heavy equipment - physical injury/trauma resulting from moving machinery <br />Fall hazard — physical injury from falling into an excavation >4' <br />Unshored excavation — physical injury from collapse of sidewalls in an occupied shallow trench <3' <br />Electrical hazards - nearby overhead wires underground utilities <br />Slippery and/or Bumpy Roads <br />Falls, trips, slips <br />Mosquitoes <br />Dust <br />Particulate Matter (PM) from wildfires or other sources <br />Noise <br />Uneven, muddy, terrain <br />HAZARD EVALUATION <br />Parameter TLV (ppm) IDLH (ppm) LEL (%) skin eyes Health <br />NA NA NA NA NA