COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

Pqurgr ENVIROAVIENTAL HEALTI-OEI'ARTMENT El Corrosives: Sweeps Number: ��• Proposed Proposed Date of investigationlinspection:06104/07 • Donna K. Heran, SAN JOAQUIN COUNTY Description and brief narrative of inspection activity: cg R.E.H.S. � Metals: ❑ Tank Closure in Place.. ❑ Tank/Pipe Repair. c f F a R N'P Director Laurie A. Cotulla, R.E.H.S. 600 E. Main Street Program Coordinators Carl Borgman, R.E.H.S. Assistant Director Stockton, California 95202 Mike Huggins, R.E.H.S., R.D.I. PART III Telephone: (209) 468-3420 Kasey L. Foley, R.E.H.S. Fax: (209).464-0138 Margaret Lagorio, R.E.H.S. Robert McClellon, R.E.H.S. Web: www.sjgov.org/ehd Jeff Carruesco, R.E.H.S. PART I GENERAL SITE INFORMATION 1. Site Name: SIMS HUGO NEU SITE HEALTH & SAFETY PLAN PART II EVALUATION OF POTENTIAL HAZARDS Address: IOOfl SOUTH AURORA ST 1. Chemicals Hazards "nogens: Contact Person: Armando Salgado Phone No: 948-4000 El Corrosives: Sweeps Number: ��• Proposed Proposed Date of investigationlinspection:06104/07 ❑ l x es: ® Flammables: Description and brief narrative of inspection activity: ❑ Inorganic Gases: ❑ New USTinstallation.. Cl UAR Investigation. � Metals: ❑ Tank Closure in Place.. ❑ Tank/Pipe Repair. ❑ Oxidizers: ❑ Tank/Pipe Removal. ❑ Re -excavation. ❑ PCB's: ❑ Installation of Borings / Monitoring Wells. ❑ Hazardous waste inspection ❑ Sampling ❑ Tiered Permitting inspection PART III 3. Specific Site Information: Tank No.: Tank Capacity: Tank Content _Tank Age: Other: 4. Type of Operation: METAL SCRAP/APPLIANCE RECYCLER 5. Release History: Evidence of leaks / soil contamination: ❑ YES ❑ NO Documented Groundwater contamination: ❑ YES ❑ NO Background and description of any previous investigation or incidence: 6. Potential Health and Safety Physical Concerns: (check all that apply & describe) ❑ Heat or Cold Stress: °F (high ambient temp.) ❑ Noise Sources: ❑ Oxygen Deficiency: ❑ Excavation: (falls, trips, slipping, cave-ins): ❑ Handling and Transfer of a Hazardous Substance: (fire, explosions, ctc.. ): ❑ Confined space entry: (explosions): Heavy equipment (physical injury & trauma resulting from moving equipment): ❑ Other, specify: Anticipated Biological Hazards: ❑ Snakes ❑ insects ❑ Rodents ❑ Poisonous Plants ❑ Other/Unknown (specify): 8. Narrative (provide all information which could impact Health and Safety, e.g., power lines, integrity of dikes, terrain, etc.) EH 23081 (02/19/03) REQUIRED PERSONAL PROTECTIVE EQUIPMENT I. Monitoring Equipment (note: Monitoring instruments must be used for all operations unless appropriate rationale or restrictions are provided) ❑ Combustible Gas/Oxygen Meter. ❑ Detector Tubes (Specify). ❑ Photo ionization Detector. ❑ Organic Vapor Analyzer. ❑ Other, specify. If monitoring instruments are not used, rationale or activity / area restrictions: 2. Personal Protective Equipment Level of Protection: ❑ A ❑ B ❑ C 0 D ❑ Hard Hat. ® Safety Glasses/goggles. ® Steel toedishank shoes or boots. ❑ Flame retardant coveralls. Hearing protection. ❑ Tyvek. ❑ Respirator: ❑ APR ❑ SCBA A/P cartridge: Safety vest. ❑ Two-way communication. PART IV - PLAN APPROVAL Plan Prepared by:ate: 06/04/07 Plan Approved by: Date: