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SITE HEALTH AND SAFETY PLAN <br /> I. PROJECT INFORMATION <br /> Project Number: 5044.000.009 Date: December 30, 2022 <br /> Project Name: MWR-9 Demolition Client: Califia LLC <br /> Contact: Jason Sedore Phone: 925-719-0822 <br /> Site Location: North of 4500 Stewart Road <br /> Site Description: Open property, active construction <br /> Type of Work: <br /> ❑ Soil Borings (geotechnical) ❑ Monitoring Well Installation <br /> ❑ Soil Borings (environmental) ❑ Domestic/Irrigation Well Installation <br /> ❑ Piezometer Installation ❑ Inclinometer Installation <br /> ® Other: <br /> Work Activities: Monitoring Well Destruction <br /> Site Personnel: <br /> Company: Responsibility: <br /> ENGEO Inc. Geotechnical Monitoring <br /> West Coast Exploration Drilling and well demolition <br /> Project Health and Safety Officer: Site Health and Safety Officer: <br /> Jason Sedore Jason Sedore <br /> II. HAZARD EVALUATION <br /> Physical Hazards <br /> ❑ Heat ❑ Explosion/Fire Hazards <br /> ❑ Oxygen ❑ Excavations/Trenches <br /> ® Noise ® Slip, Trip, Fall <br /> ❑ Traffic ❑ Underground Hazards <br /> ® Equipment ® Overhead Hazards <br /> Expected Chemical Hazards <br /> ® Not Applicable <br /> 1 <br />