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SR0085271 (3)
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SR0085271 (3)
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Entry Properties
Last modified
11/1/2022 10:55:50 AM
Creation date
11/1/2022 10:53:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0085271
PE
2903
FACILITY_ID
FA0027175
FACILITY_NAME
MAJ STOCKTON, LLC
STREET_NUMBER
17
Direction
W
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13730019
ENTERED_DATE
5/13/2022 12:00:00 AM
SITE_LOCATION
17 W WASHINGTON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Health and Safety Plan <br />17 West Washington Street, Stockton, California 95202 <br />461803 <br /> <br /> Page ii <br />Health & Safety Plan (HASP) Review and Approval: <br />By signing below, it is acknowledged that this HASP identifies the activities that are anticipated <br />to be performed in the field. In addition, this HASP identifies the personal protective equipment <br />(PPE) and monitoring instrumentation that may be necessary to be on Site and be available for <br />use. It is also understood that the provisions of this HASP will be updated if there is a change of <br />a task and/or the addition of tasks and will be approved by the individuals listed below or their <br />designee. <br />Ryan Missel <br />Click or tap <br />here to enter <br />text. <br />HASP Preparer Signature Date <br />Neill Butcher <br />Click or tap <br />here to enter <br />text. <br />HASP Reviewer Signature Date <br />Ryan Missel <br />Click or tap <br />here to enter <br />text. <br />Project Manager Signature Date <br />Ryan Missel <br />Click or tap <br />here to enter <br />text. <br />Site Safety Officer Signature Date <br /> <br /> <br />This form MUST be signed prior to starting the on-site work. A hard copy of this form and the <br />HASP will be brought to the site. After completion of the project, the original signed HASP will <br />be retained in the project files.
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