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ENVIRONMENTAL HEALTHDEPARTMENT <br /> 5°p4uIN''�o <br /> Donna K.Heran,RE.H.S. P SAN JOAQUIN COUNTY Unitsa ervisors <br /> Z <br /> a. Director 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S.,R.D.I. <br /> •.cs 'P• <br /> ProgramManager Douglas W.Wilson,R.E.H.S. <br /> gtrFbR`'� LaurieA omua, .E.H.S. Telephone: (209)468-3420 Margaret Lagorio,R.E.H.S. <br /> Program Manager Fax: (209)464-0138 Robert McClellon,R.E.H.S. <br /> Mark Barcellos,R.E.H.S. <br /> SITE HEALTH AND SAFETY PLAN <br /> PART I PART II <br /> GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS <br /> I. Site Name:American Battery Co I. Chemicals Hazards <br /> Address:2245 W Charter Way.Stockton,CA 95206 ®Carcinogens: <br /> Contact Person:Doug Ramos Phone No:(209)464-7348 ❑Corrosives: <br /> Sweeps Number: ®Dusts: <br /> Proposed Date of investigation/inspection:July 8.2004 ❑Explosives: <br /> ®Flammables: <br /> 2. Description and brief narrative of inspection activity: ❑Inorganic Gases: <br /> ❑New UST installation. ❑UAR Investigation. ®Metals: <br /> ❑Tank Closure in Place. ❑Tank/Pipe Repair. ❑Oxidizers: <br /> ❑Tank/Pipe Removal. ❑Re-excavation. ❑PCB's: <br /> ❑Installation of Borings/Monitoring Wells. <br /> ®Hazardous Waste Inspection ❑Sampling. PART III <br /> 3. Specific Site Information: REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Tank No.: Tank Capacity: I. Monitoring Equipment(note:Monitoring instruments must be used for all <br /> operations unless appropriate rationale or restrictions are provided) <br /> Tank Content: Tank Age: <br /> ❑Combustible Gas/Oxygen Meter. <br /> Other: <br /> ❑Detector Tubes(Specify). <br /> ❑Photo ionization Detector. <br /> 4. Type of Operation:Battery <br /> ❑Organic Vapor Analyzer. <br /> ❑Other,specify. <br /> 5. Release History: If monitoring instruments are not used,rationale or activity/area restrictions: <br /> Evidence of leaks/soil contamination: ❑YES ❑NO <br /> Documented Groundwater contamination: ❑YES ❑NO <br /> Background and description of any previous investigation or incidence: <br /> 2. Personal Protective Equipment <br /> Level of Protection: ❑A ❑B ❑C ND <br /> ®Hard Hat. <br /> 6. Potential Health and Safety <br /> ®Safety Glasses/goggles. <br /> Physical Concerns:(check all that apply&describe) <br /> ®Steel toed/shank shoes or boots. <br /> ❑Hear or Cold Stress: OF(high ambient temp.) ❑Flame retardant coveralls. <br /> ®Noise Sources: EQUIPMENT ®Hearing protection. <br /> ❑Oxygen Deficiency: ❑Tyvek. <br /> ❑Excavation:(falls,trips,slipping,cave-ins): <br /> ❑Respirator: C]APR ❑SCBA <br /> ❑Handling and Transfer of a Hazardous Substance:(fire,explosions, A/P cartridge: <br /> etc..): <br /> Safety vest. <br /> E]Confined space entry:(explosions): <br /> ® <br /> Two-way communication. <br /> El Heavy equipment(physical injury&trauma resulting from moving <br /> ® <br /> equipment): <br /> ❑Other,specify PART IV-PLAN APPROVAL <br /> 7. Anticipated Biological Hazards: Plan Prepared by Date: <br /> ❑Snakes ❑Insects ❑Rodents ❑Poisonous Plants q /) <br /> Cl Other/Unknown(specify): Plan Approved by:��� Date: <br /> 8. Narrative(provide all information which could impact Health and Safety, <br /> e.g.,power lines,integrity of dikes,terrain,etc.):UNKNOWN <br />