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SR0083445 (2)
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2900 - Site Mitigation Program
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SR0083445 (2)
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Last modified
10/28/2022 4:26:51 PM
Creation date
10/28/2022 4:07:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0083445
PE
2903
FACILITY_ID
FA0026288
FACILITY_NAME
VENETIAN SQUARE
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017001
ENTERED_DATE
3/23/2021 12:00:00 AM
SITE_LOCATION
4555 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Project Hazard Identification, Risk Assessment and Control (HIRAC) Form <br />21 <br />7.2 Project Hazard Identification, Risk Assessment and Control (HIRAC) Form <br />Project: Veneitan Square Supplemental Environmental Assessment <br />Location: 4555 N Pershing Avenue, Stockton CA 95207 Date: March – April 2021 <br />Project Manager: Sarah Bortz Site Supervisor: Clayton Blackburn <br /> <br />Task Description: Utility locating, CCTV investigation of sewer line, MiHPT investigation, Geoprobe drilling, soil vapor sample collection, passive <br />collection of indoor and outdoor air, management of IDW <br />Required PPE ☒ Hard Hat ☒ Safety Glasses with Side Shields ☒ Safety-Toe Shoes/Boots ☒ Hearing Protection ☒ Reflective Vest ☐ Goggles ☐ Face Shield ☐ Respirator (specify): <br />☒ Gloves (specify): Abrasion-resistant <br />(e.g., leather) <br />☐ Gloves (specify): ☒ Gloves (specify): Chemical resistant <br />(e.g., Nitrile) ☐ PPE Clothing (specify) : ☐ PPE Clothing (specify) : <br />☒ Boots equipped with meta-tarsal <br />protection ☐ Boots equipped with traction devices ☐ Personal Fall Protection System <br />☐ Personal Flotation Device (PFD) ☐ Knee pads ☐ Hip or Chest Waders ☒ Other (specify): Mask (see below) <br />☒ Other (specify): Hand sanitizer ☐ Other (specify): ☐ Other (specify): ☐ Other (specify): <br />Any Task-specific PPE needs: Due to the pandemic, current federal guidelines recommend a cloth (non-surgical) mask when in public. Consult federal, state <br />and local guidance on masks. <br />Training needs: ☒Hazwoper ☐Fall Protection ☐Respiratory Protection ☐ MSHA ☐ OSHA 10 or 30-hour ☒Client-specific or Other (specify): <br />Hazardous Waste Training <br />Equipment / Tools Required <br />(e.g., air monitoring equipment, <br />spill kits, Bear Spray, etc.): <br />☒ 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 / <br />Equipment <br />☐ Other (specify): <br />Permits Required for this Task: San Joaquin County Environmental Health Department Site Mitigation Well & Boring Permit <br />Inspection Requirements: Borehole overdrilling, sealing, and abandonment inspection to be performed by San Joaquin County Environmental Health <br />Department. Notification will be made 24 hours in advance of abandonment.
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