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Health and Safety Plan 17 West Washington Street, Stockton, California 95202 461803 Page 2 4.0 GENERAL SUBSURFACE CLEARANCE REQUIREMENTS If the Tasks presented in Section 1.1 involve subsurface work, the following sections are applicable and must be followed. The Subsurface Clearance (SSC) Form (Table 5) must be completed before Site work commences. This table must be completed in its entirety. Also, all other pertinent requirements that must be met for subsurface work are identified in AEI’s July 2019 SSC Policy (Appendix C) and must be followed. Table 5: Subsurface Clearance (SSC) Subsurface Clearance (SSC) Document the steps that must be followed and justify any exceptions. This table MUST be completed in its entirety. SSC Requirement Yes No NA Comments: Prequalification of Contractor for SSC capability performed ܆܆ տ տ “Designated Person” (e.g., AEI PM) for SSC work assigned տ տ տ Site information reviewed տ տ տ Facility Plans and previous work completed on site by other consultants. Site walkover including the approval of locations by facility personnel and service notifications provided? տ տ տ Underground utilities identified prior to commencement of intrusive activities as reasonably feasible ܆ տ տ Dig Safe must be previously notified and have cleared the site for subsurface work. Dig Safe Notification Date:Click or tap here to enter text. Consider/document “Critical Zones” (i.e., locations of known underground utilities) as reasonably feasible տ տ տ Will all drilling points be manually cleared if unknown hazards exist or slant borings be conducted? տ տ տ