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SITE HEALTH AND SAFETY PLAN <br /> L GENERAL, SITE INFORMATION <br /> Site Name: Former Vintage Car Wash - Depeartment of General Services, RESD <br /> Site Address: Ol East Mince Street Stockton <br /> Contact Perwn: Steve LuEholm Phone: (916) W8-3300 <br /> Site LD. Number. 803026 Proposed Dmc(s) of Site Work: November 8 - 10. 2000 <br /> II, DESC11IFTIONOFIMSPELTIONACTIVITY <br /> Purpose of Activity Twe of Site: <br /> ❑ Mortimring/extraction well installation ® Radail gas station/former gas station <br /> ❑ Vapor extraction well installation ❑ Petroleum Plant <br /> 0 Soillbonng/geoprobethydropunch O Industrial l <br /> ® other: Sparge.&. Vadose Wens ❑ Other (specify): <br /> Provide brief do cri t of the used activiriesi <br /> Install three air Varga wells and three vadose zone monitonng wells using hollow-stem auger <br /> dnlliug equipment. <br /> I t -d d aleeial di herb <br /> Soil: kale] <br /> Water: drums <br /> Other: <br /> HI. POTENTIAL HEALTH AND SAFETY HAZARDS <br /> Anficipansd tdranicalh arda Check all that apply. <br /> ❑ Heat (higb ambient taupeature) ® Ileavycquipinwd <br /> ❑ Cold ® Physical injury/hamoa resulting from <br /> ® Noise movingmachinery <br /> ❑ Oxygen deplctiodasphyxiation <br /> ❑ Excavation cave-ins ® Cereal construction physical injury/trauma <br /> ® Falls, trips. slipping ❑ Electrical hazards <br /> ❑ Traffic control <br /> ® Overl a al hazards ❑ Other: (specify) <br /> eSACRFP I1Cor.Iwrouhnucfp I omnxUhtNR03 UnMo3P.doc <br />