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Page 1 <br />SITE HEALTH AND SAFETY PLAN <br />Hultgren β€” Tillis Engineers (Hβ€”TE) <br />GENERAL SITE INFORMATION <br />Site Name: Bouldin Island <br />Site Address: 16701 W. St. Rt. 12, Stockton, California <br />Contact Person: Dario Leekam Phone: 805-341-3907 / 925-685-6300 <br />Site Identification Number: 124.20 Proposed Date(s) of Site Work: Feb. 22 to 26, 2021 <br />DESCRIPTION OF ACTIVITY <br />Purpose of Activity: <br />El Geotechnical Soil Borings <br />Gas extraction well installation <br />0 Agricultural well installation <br />Other (specify): <br />Type of Site <br />Industrial <br />Gas station <br />Other (specify): Levee <br />Provide a brief description of the proposed activities: <br />Drill 9 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 />III. POTENTIAL HEALTH AND SAFETY HAZARDS <br />Potential Hazards include: <br />Heavy equipment - physical injury/trauma resulting from moving machinery <br />Fall hazard β€” physical injury from falling into an excavation >4' <br />Unshored excavation β€” 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