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2900 - Site Mitigation Program
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PR0543551
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COMPLIANCE INFO
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Last modified
6/11/2021 2:36:12 PM
Creation date
6/11/2021 2:02:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0543551
PE
2950
FACILITY_ID
FA0024731
FACILITY_NAME
1021 EAST HAZELTON AVENUE
STREET_NUMBER
1021
Direction
E
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
151280030
CURRENT_STATUS
01
SITE_LOCATION
1021 E HAZELTON AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Site Safety Officers <br />The Site Safety Officer (SSO) is the individual who is capable of identifying existing and predictable hazards in <br />surroundings or working conditions which are unsanitary, hazardous, or dangerous to employees, and who has <br />authorization to take prompt corrective measures to eliminate them. The SSO is designated on a site-by-site basis <br />based on the site conditions, scope-of-work, and the individual's ability to recognize site-specific hazards and take <br />appropriate corrective actions. It is the responsibility of all employees to work in a manner that will prevent injury <br />and exposure to themselves and to other employees. Every employee is responsible for obeying safety rules and <br />regulations, and reporting unsafe conditions or acts to their supervisors. <br />Partner Contacts <br />SSO: Samantha J. Fujita, PG <br />Regional Manager <br />Phone: (310) 615-4500 <br />Responsible Personnel: Joe Derhake <br />Principal Engineer <br />Project Contact Information <br />Responsible Party: NA <br />Alt. SSO: Joe Mangine <br />Project Geologist Contact Person: Nate Maroon <br />Phone: (510) 431-6263 <br /> Phone: (510) 410-1009 <br />Oversight Agency: NA <br />List of Potential Hazardous Materials <br />According to preliminary site information including evaluation of the hazards at the site and Partner's experience, <br />the following potential hazardous materials may be present at the subject property: <br />Total Petroleum Hydrocarbons (TPHs) <br />Volatile organic compounds (VOCs) <br />California Administration Manual (CAM) 17 Metals <br />Please refer to the Chemical Hazards Section for more information related to the above listed materials, including <br />chemical information, potential health effects, and exposure limits. <br />EMERGENCY CONTINGENCY INFORMATION <br />Evacuation Routes and Procedures <br />In case of evacuation, all vehicles/equipment should be turned off and personnel should immediately leave the work <br />area. Personnel should reconnoiter at the specified meeting area located upwind of the affected area, such as the <br />building exterior, site field office, property boundary, or other pre-designated location, where all personnel will be <br />accounted for. <br />IF AN EMERGENCY ARISES, THE DESIGNATED RECONNOITER LOCATION FOR THIS PROJECT <br />IS THE Main Office OF THE SUBJECT PROPERTY. <br />This location is located up-wind of the subject property, but is subject to change if prevailing weather conditions <br />alter typical wind direction. Personnel should not reenter the work area following evacuation until 1.) the condition <br />causing the emergency has been corrected, 2.) all hazards have been assessed, 3.) the HASP has been reviewed, and <br />4.) personnel have been oriented on any changes in the HASP. All emergencies should be promptly reported to the <br />SSO. <br />Partner Site-Specific Health and Safety Plan Page 2 <br />Version 1.02 July 2,2018
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