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Project Hazard Identification, Risk Assessment and Control (HIRAC) Form 21 7.2 Project Hazard Identification, Risk Assessment and Control (HIRAC) Form Project: Veneitan Square Supplemental Environmental Assessment Location: 4555 N Pershing Avenue, Stockton CA 95207 Date: March – April 2021 Project Manager: Sarah Bortz Site Supervisor: Clayton Blackburn Task Description: Utility locating, CCTV investigation of sewer line, MiHPT investigation, Geoprobe drilling, soil vapor sample collection, passive collection of indoor and outdoor air, management of IDW Required PPE ☒ Hard Hat ☒ Safety Glasses with Side Shields ☒ Safety-Toe Shoes/Boots ☒ Hearing Protection ☒ Reflective Vest ☐ Goggles ☐ Face Shield ☐ Respirator (specify): ☒ Gloves (specify): Abrasion-resistant (e.g., leather) ☐ Gloves (specify): ☒ Gloves (specify): Chemical resistant (e.g., Nitrile) ☐ PPE Clothing (specify) : ☐ PPE Clothing (specify) : ☒ Boots equipped with meta-tarsal protection ☐ Boots equipped with traction devices ☐ Personal Fall Protection System ☐ Personal Flotation Device (PFD) ☐ Knee pads ☐ Hip or Chest Waders ☒ Other (specify): Mask (see below) ☒ Other (specify): Hand sanitizer ☐ Other (specify): ☐ Other (specify): ☐ Other (specify): Any Task-specific PPE needs: Due to the pandemic, current federal guidelines recommend a cloth (non-surgical) mask when in public. Consult federal, state and local guidance on masks. Training needs: ☒Hazwoper ☐Fall Protection ☐Respiratory Protection ☐ MSHA ☐ OSHA 10 or 30-hour ☒Client-specific or Other (specify): Hazardous Waste Training Equipment / Tools Required (e.g., air monitoring equipment, spill kits, Bear Spray, etc.): ☒ Photoionization Detector ☐ 4-Gas Meter ☐ Single-User Air Monitor (H2S, CO, etc.) ☐ Calibration Gas Cylinder ☐ Fire Extinguisher ☒ First Aid Kit ☐ Eye Wash Bottle(s) ☐ Insect Repellant ☐ Animal Repellant (Bear Spray, etc.) ☐ Spill Kit (fuels / acids, etc.) ☐ GPS Devices (Lone Worker) ☐ Satellite Phone ☐ 2-Way Radios ☐ Survival Kit / Equipment ☐ Other (specify): Permits Required for this Task: San Joaquin County Environmental Health Department Site Mitigation Well & Boring Permit Inspection Requirements: Borehole overdrilling, sealing, and abandonment inspection to be performed by San Joaquin County Environmental Health Department. Notification will be made 24 hours in advance of abandonment.