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Pre -Inspection Health and Safety Assessment Facility Name: Federal Express - TRAC 953 FAM FA0023065 l.ocstiom 5655 Hood Wav, Tracy, CA 95377 Phi#: PR0540345 Business Type: UST Initially Com lei : K. 5aetern Dale' 6/30/2025 Instructlom: FIII out Ihis farm as best as possible before the initial inspection and complete the remainiq information during or after the inspection, Subsequent Ins"ctlom Review facility rile and chemical Inventory information, along with the informaGan on thls form, to becorne familiar with potential hazardous substances andlor conditions at the facility and any control ar precaulionary measwes (hat should be taken prior to conducting the inspection activit , Updatelcomplete form as needed. Sign and date below, Chemical Hazards lab slcal Hazarda 0 Carcinogens: ❑ Oxygen Deficiency: IM Corrosives; 14 Noise, ® Rammables: CM Excavalkm: IM Gases: ❑ Climbing, ❑ Metals: Q lesion: Ll Oxidizers: ® Heavy E ui meat: ❑ PCBs: 09 Heat or Cold Stress' ❑ E lashes= ❑ Other- ther:Bloto s] Ical Haxal'ds Personal Protective E ui ment ❑ Dogs M Hard Hat ❑ CPC - T vek ❑ Snakes Ud Safety Vest ❑ CPC -- Other. 0 insects 0 Protective Boats ❑ APR Respirator 0 Poisonous Plants ® GogglesGasses ❑ SOBA Respirator _ ❑ Other: 01 Hearing Protection ❑ Other. By signing below, I am declaring that I have reviewed the health and safety information for this facility prior to my inspection and that I have performed, and will Perform during the inspection, the following actions: I have reviewed this form and the facility file for information on the business type of operation, compliance history, prior releases and response, and other health and safety related information, _ I have reviewed the properties and hazards associated with the chemicals in the chemical inventory submitted by tha facillt , I have searched out and evaluated information on the properties of the chemicals at the facility, using the internet and other resources, for chemicals I am not familiar with at this time. I have reviewed the facility information with my supervisor if I could root determine the most appropriate health and safety precautions deeded for This facility, I have gained an awareness of the potential hazards at the facilily and have determined the appropriate health and safety precautions needed to perform my inspection. Before beginning the inspection, I will review the facilitys health and safety information and rules with the own e rim anager and wear the aeprap riate personal protective eg u pment. During the inspection, I M11 observe the labeling and condition of hazardous materials containers and canveyances, the posting of placards and warning signage, and the actions of the facility employees and guests to identify any potential unsafe conditions that may arise d uriing the ins ection. Staff Signature Date Staff Signature Date i;1301 z r'7C� rte. � , 3Z) . San Joaquin County Environmental Health Department; 1988 E. Hazellon Avenue; Slocklon, CA 952M, 209-468.3420 Elia48-06.12.213 P;a-lngActim Heakh & S" Assawrat