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SITE SPECIFIC HEALTH AND SAFETY PLAN
<br /> PROJECT INFORMATION A meals
<br /> CHEMICAL HAZARDS
<br /> Date(s) of Field Work: 10-22.07 through /2-31-07 Initials Date Cps CHervACAL EXPOSURE LIMITS LEL T ICVOWNor 1¢ALTH HAZARDS
<br /> Project Name: Smcktan Facility Groundwater A.smsement Project Number: B pared u cv EXPECTED
<br /> WVP 10/18/07
<br /> Approved TIONS
<br /> 3/ 290,000
<br /> Client: (/niFirst Comoration Site Phone: 209941-8364 B OSHA ACGIA CONCENTRA
<br /> 127- Tenadaoroe0ame 100/C20MI50 Z/SIW 9.32 upt0600pslksins<il, WE, friction eyes, skim nose. throat
<br /> Site Address: 819 N Hunter Si Rtnckian ® Site Plan Attached 1s-4 (PCE) up to 2.500 µg/L in respiratory system: nausem flush r cm.
<br /> Scope of Work: Sample t' d nm menriforing ugill.v co1l t hvd h dw t l t ll l he groundwater neck; dimness, incoordination:
<br /> wells, and collect x it sundered vans mules- headache, Bros liver d skin nylhema
<br /> Type of Project: ®Environmental ❑Geotechnical; ❑Industrial Process; ❑Other. cr(skmreaoons] )�wodeal [Potential
<br /> LJHAZWOPER Project: Training & Medical Surveillance must conform to 29 CFR 1910.120 & Geoml Guidelines. 79- Triatloroemene 1001C20M1,000 50/S100 8.0 9.45 up to 7.8 µf/kS N soil XSE: Irritation eyes, skin: headache.
<br /> ❑Client Specific Requirements (Attached) 0146 (TCE) up to 1,000 µg(L in visual disturbance, lassitude (weaknass.
<br /> groundwater exhaustion). dimness. o-erm
<br /> KEY CONTACTS d� c rri ire amnyu,msu
<br /> Project Manager. Bill Pinee Phone: 559-892-2905 Cell: 559-790-5555 parathesm liver injury, [potential
<br /> Pr ject H&S Manager: Wr'lliam Arovoniv Phone: 559.892-2913 Celli 559-7901040 occupational c.,rcino ea
<br /> Site H&S Manager. Alex Morrell Phone: 559-892-2945 Cell: 559-312-7099 sun. ms-LL 202YI1.000 200 5.6 9.65 up W 78 µS(L in Nrs . Iritmion eyes, respiratoy
<br /> Client Contact: Tim Cosgrove clo.lack Bader Phone: 978-7724105 Phone: 594 Diabloroethene groundwuter systermcntml nervous system
<br /> 2-DCE I P demenion
<br /> Client's Site Contact: Kiel Penrod a/o Chric Phelose Phone: 209-941-R364 Cell: 109-R15-8714 540- Tell 200/11,000 200 5.6 9.0 up to 14D µg/L in RISE, Irrigator eyes, respiratory
<br /> Corporate Health & Safety Manager: Dan Kuhik.lr., C1H Phone: 510-663-41 /5 Cell: 510-36R-6433 594 Diduoronhme groundwater systerm cenml nervous system
<br /> Other t12-DC darression
<br /> 107. 1.2- 5o/ClOM50 10 6.2 11.05 up to 13 pg/L in RISE; Imitation eyes, wmeal opacity:
<br /> Emergency Medical Facility: Saint lovephs Immediate ('are a-2 Dkhloroelhm a groundwater cenand nervous system depression;
<br /> Address: 3132 Wact March lane (1311CA) trustee, vomiting dermatitis; liver.
<br /> kidney, cardiovascular system damggr.
<br /> Phone Number (general): 209-467-6400 Phone Number (emergency): 2LL Tootentird occupations] virgin en
<br /> ®Emergency Medical Facility Confirmed ®Map to the hospital is attached l
<br /> 67. r Chloroform C50/1500 10 11A2 up to 4.9 µg/L in RISE Irritation eyes. skin: dimness,
<br /> Police: 911 Fire: 911 Paramedic/Ambulance: 911 66-3 greundw er mental dullness, nausea wrtf ion:
<br /> Poison Control Center' R00-222-1222 heouthe. lassitude (weakness,
<br /> csxmuEMERGENCY PROCEDURES botensiyn«cau nt oonm cmrnlnom liege
<br /> mT
<br /> Medical Emergencies 75- Vinyl chloride 1/CS 1 16 9.99 up to 1.3 pa/L in RISE: Lassitude (weakness,
<br /> I. Remove injured or exposed person(s) from immediate danger if possible. 014 groundwater exhaustion); abdominal palx
<br /> 2. Evacuate other on-site personnel to a safe place in an upwind direction until it is safe for work to resume. gastrointestinal bleeding: emerged liver,
<br /> 3. If serious injury m life-threatening condition exists, call 911 - Paramedics, fire department, police Hospital pallor or cyanosis ofexuwmmres; liquid:
<br /> emergency room Clearly describe location, injury and conditions to dispatcher/hospitl. Designate a person to direct bostcandi^oe:e11ponrntid occupational
<br /> ml
<br /> emergency equipment to the injured personals). 71- Benzene IIS54500 0.5/S25 1.2 9.24 up to 24o µg/L in RISE Immune eves, skim nose.
<br /> 4. Provide first aid if necessary. Remove contaminated clothing only if this can be done without endangering the injured 43-2 growdwazn repimtory system: diz.iness; headache,
<br /> person souse sgggered gait: anorexia
<br /> 5. Call the project manager and/or project health and safety officer. lassitude (wedmcss, cxbaumon):
<br /> Pr 1 g Pr J dernw ta; bon wdepression,
<br /> 6. Immediately implement steps to prevent recurrence of the accident. me d occuationm corcino en
<br /> 109- Toluene 20NC3W000 so pp;;-' 1.1 8.82 up m 2.5 µg/L in RISE mustion eyes, nose, lassitude
<br /> Accidents] Release of Hazardous Materials or Wastes 8&3 arowdwola (nemmess, extension), confusion,
<br /> 1. Evacuate all on-site personnel to a safe place in an upwind direction until the PM or PHSO determines that it is safe cuphoriu dizziness, hadame: ddded
<br /> for work to resume. pupils, lacrimation (discharge ofte el
<br /> _. Immediately instruct a designated person to contact the PM or PHSO. anxiety, muscle fatigue. intermix
<br /> 3. Contain spill, if it is possible and it can be done safely. daesmara demgeris: by«, kidney
<br /> amouse
<br /> 4. Initiate cleanup. too. Edrylbmmene 1001130D 10XS125 0.8 8.76 up to 34 pg/L in RISE; urination eyes, skim mucous
<br /> 414 groundwater membrme: headache: dermatitis:
<br /> General Emergencies neurosis more
<br /> In the case of fire, flood, explosion, or other ha o rd, work shall be halted and the local police/ fire department shall be 1330- xylenes loon9oo 1m/Slso 0.9 856 up to 0.9 µp/L in ru= Irritation ryes, skim use, tlnomt
<br /> notified by calling 911. All on-site personnel will be immediately evacuated to a safe place. 20.7 groundsvat<r decimal. excitement drowsinesm
<br /> incoordination. smggering Or; coated
<br /> cu011.d10n anorexim MUM
<br /> Emergency Equipment Onsite I vomcum abdominot men; aerma6u-
<br /> ®First Aid Kit; ®Fire Extinguisher, ❑Eye Wash; ❑Other _ Exposure Limits -Vnot specified, exposure limit 's de PEL or die TLV-TWA Exposure limit provided by a "S" is a Short Ter, Exposure Limm
<br /> by a"C" is the Ceiling Limit, and by N I is Ne N10SH IDLH.
<br /> CAS - Chemical Abstracts Number
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