Laserfiche WebLink
Expected Concentrations (ppm) <br />(List medium — i.e. soil, water, air) PEI_ (ppm) <br />10,000 ug/L water NE <br /> <br />Health Effects <br />irritation of eyes <br /> <br />140 ug/L water <br /> <br />1 ppm headache <br /> <br />180 ug/L water <br /> <br />100 ppm irritation of eyes <br />Site Safety Meeting Date: 1-13D Time: TED <br />Personal Protective Equipment: <br />R = Required A = As Needed, with description of action concentrations) <br />A <br />0 12 Hard Hat o Clothing (Type): <br />El 0 Safety Shoes 0 0 Respirator (Type): <br />El <br />zI <br />0 Orange Traffic Vest 0 0 Cartridge (Type): <br />0 0 Hearing Protection 0 0 Gloves (Type): <br />0 Safety Eyewear Li 0 Other: <br />long sleeves and long pants <br />SITE HAZARD INFORMATION <br />Please provide the following information for the site <br />Owner's Name: Chevron EMC <br />Site Address: 2103 Country Club Blvd., Stockton, CA <br />Consultant on Site: Bryan Sandor Phone No. f916) 889-6801 <br />Site Safety Officer: Bryan Sandor Phone No. ( ) <br />Type of Facility: Former service station (currently a vacant fenced in lot) <br />Anticipated Hazardous Substances - (Attach Additional Sheets if Necessary) <br />(Please include concentrations below. Note if free product historically on site) <br />Name <br />a Gasoline <br />El Diesel <br />. Waste Oil <br />Benzene <br />Ethylbenzene <br />District Use Only <br />Checked Against Reported Contaminants <br />Level of Personal Protection Equipment DA DB Dc OD <br />Site Hazard Information Provided By: Ben Summersett PhOrle:(916) 865 -0927 <br />Print <br />GHD/Scientist <br />--•"-`4111111111111b <br />Date: 05/09/18 <br />Company name & title Signature