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Geosyntec <br /> consultants <br /> Geosyntec HSE Procedures referenced herein are available on Geosyntec's HSE SharePoint site TASK HAZARD ANALYSIS <br /> and should be consulted,as appropriate,to ensure requirements are met.This THA has been (ver.4.0,9-8-2023) <br /> prepared per"HSE STD-105,Proiect Safety Management Handbook" <br /> Part A - PROJECT/TASK INFORMATION <br /> Project/Site Name: Rough and Ready Island F Project Number/Org:F WR2501 E <br /> Site Address: Rough and Ready Island, Port of Stockton,California <br /> Task&Worksite Perform well maintenance throughout Rough and Ready Island.Well maintenance activities include repairing and <br /> Description: replacing monitoring well boxes, implementing well protection measures, re-surveying wells,and installing quick <br /> response(QR)codes. Repairing and replacing well boxes will include surface excavations with a jackhammer,as <br /> needed,and installing a new well box at existing well locations.Well protection measures include marking,signage,and <br /> t-posts.Wells will also be re-surveyed by a licensed subcontractor with a horizontal datum based on NAD83 and a <br /> vertical datum based on NAVD88.A OR code including a link to access well information will be attached to specified <br /> monitoring wells. <br /> Geosyntec Personnel: Name Office Phone Cell Phone <br /> Site Safety Lead/Officer Morgan Carlson 510-285-2747 864-354-6248 <br /> TaskTechnical Lead ...Morgan Carlson.................................................................................................................................................510-285-2747...........................864-354-6248....... <br /> Project Manager ....Rosemarie Thomas.........................................................................................................................................510-285-2795 . <br /> ..........................603-533-1917....... <br /> Project Director ...Anju Wicke........................................................................................................................................ 510-285-2703............... ........415-720-3320....... <br /> Local HSE Coordinator ...Jason Gross....................................................................................................................................... 510-285-2745............... . <br /> .......626-321-5954....... <br /> ...................................................................................................................................................................................................................................................................................................... <br /> Regional HSE ManagerMadison McLaughlin 858-674-6559 951-990-2888 <br /> ... ............................................................................................................................................... .............. . <br /> ...... ...... <br /> Corporate HSE Director Bob Poll813-379-4420813-240-9231 <br /> On-Site ® Applicable; provide company name,work task and contact information for each Geosyntec <br /> Subcontractor(s): subcontractor below: <br /> ❑ Not Applicable Penecore Drilling 530-661-3600 <br /> Client,Contact(s): Jason Cashman 209-946-0246 1 209-817-5245 <br /> ETHICS POINT HOTLINE US&Canada:844-231-3371 Australia:800-551-155 or 800.811.011 <br /> UK:800-89-0011 or 800-89-0011 Ireland:800-222-55288 or 800-500-000 <br /> Part 8 - EMERGENCY RESPONSE and FIRST AID <br /> IMPORTANT:After initial emergency response actions and incident stabilization,contact appropriate project staff and/or HSE personnel listed in Part A <br /> Site-Specific Notes,Clarifications:The work area is located behind a TWIC access gate.The work areas are within the larger Port of Stockton(Site),which <br /> includes various commercial/industrial tenants with various operations.Former historical use of the Site varies depending on the area and include but are not <br /> limited to former hazardous material storage areas,landfill areas,and USTs. <br /> Emergency Communication/Alerting ®Verbal ®Cell Phone ❑Land Line ❑2-Way Radio ❑Satellite Phone ❑On-site alarm/signal system <br /> ❑Other: <br /> To Summon Police,Fire,Ambulance ®DIAL 911,for external responders ❑Other: <br /> WorkCare(for non-emergency injuries) 24/7:888-449-7787 <br /> Other Emergency Contacts(such as Port Police—209-937-8271 <br /> security,spill responder,utility-related): <br /> Nearest EMERGENCY ROOM Medical Hospital Name: St.Joseph's Medical Center <br /> Services Address:1800 North Carolina Street,Stockton,CA 95204 <br /> ---------------------------------------------------------------------------------------------------..................................................................................................... <br /> Phone#:209-943-2000 ®See ATTACHMENT A,ROUTE to HOSPITAL <br /> Emergency Evacuation-Route, Safely leave Site/work area and meet at Valero gas station parking lot(1789 West Charter Way,Stockton,California) <br /> Rally/Muster Point,Shelter Location(s) and contact/locate all site workers/field staff. <br /> EMERGENCY and FIRST AID EQUIPMENT required for this work task is listed in PART C.2.—SAFETY EQUIPMENT LIST <br /> Attachment Hospital A:Route to Hospital <br /> Attachment B:Site Map <br /> Geosyntec"' Task/Project Name: Well Maintenance <br /> THA Date: 4/17/2025 Page 1 <br /> consultants <br />