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Safety and Health Plan <br />Sandhu Property Tracy, California <br />September 22, 2021 Terracon Project No. NA217074 <br />ACKNOWLEDGMENT OF INSTRUCTION <br />I understand this project involves the excavation of soils impacted by TPH, VOCs, OCPs, arsenic, <br />and lead. I have read this Safety and Health Plan and have received instructions for safe work <br />practices, personal protective equipment and air monitoring requirements. I further understand <br />that if I encounter unanticipated contamination or site conditions I am to leave the site and <br />immediately notify the Project Manager and Corporate Safety and Health Manager of the <br />conditions observed. <br />PROJECT NAME: Sandhu Property - <br />APNs 209-060-40 and 209-060-60 Central Parkway <br />Tracy, San Joaquin County, California <br />TERRACON JOB #: NA217074 <br />Name (Please Print)Signature Date <br />_____________________________ ________________________________________ <br />_____________________________ ________________________________________ <br />_____________________________ ________________________________________ <br />_____________________________ ________________________________________ <br />_____________________________ ________________________________________ <br />_____________________________ ________________________________________ <br />PERSONAL PROTECTIVE EQUIPMENT UTILIZED: <br />_____LEVEL D _____LEVEL D MOD. ____LEVEL C <br />Safety briefing performed by: ___________________________________ Date:_________ <br />PETROLEUM, METALS, OCP CONTAMINANT(S),:________________ _______________ <br />______________ <br />AIR MONITORING RESULTS (Attach separate page if required.)