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HEALTH AND SAFETY PLAN SUMMARY <br />Project Name: <br />Underground Storage Tank Removal <br />20500 Holly Drive <br />Tracy, CA 95304 <br />Health & Safety Plan <br />Project Representatives: <br />• Project Manager: <br />• Superintendent <br />• Foreman <br />Adam Burton <br />Adam Burton <br />Adam Burton <br />• Site Safety Officer: Adam Burton <br />• Consulting Health and Safety Professional <br />Dan Weis <br />Scope: <br />Underground Storage Tank Removal <br />• General survey/non-intrusive activities <br />• Air monitoring <br />• Demolition and Excavation <br />• Soil sampling (Grab) <br />(415)533-0112 <br />(415) 533-0112 <br />(415) 533-0112 <br />(415) 533-0112 <br />(760) 672-6338 <br />Hazard Summary: <br />• Mechanical/ ca(Material Handling/Striking/Struck-by)- <br />Moderate probability <br />• Electrical/ Utility (Above and Below Ground)- Moderate <br />probability <br />• Noise (from heavy equipment) -Moderate probability <br />• Biological- Moderate Probability <br />• Radiological -Not Applicable <br />• Thermal (Heat Stress) -Moderate to High Probability <br />• Chemical (Fuel/Petroleum Hydrocarbons) -Moderate probability <br />Control Summary: <br />• Administrative (Training/Notifications) <br />• Engineering <br />o Localized Ventilation (Inert tank) <br />o Dilution Ventilation (Upwind work) <br />o Wet Methods (Dust Suppression) <br />o Good Housekeeping <br />• PPE (Level D/ Level <br />C, contingency) <br />Emergency Assistance: DIAL 911 <br />COSTERA WASTE &ENVIRONMENTAL, INC. V MAY 4, 2027 <br />