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w' <br /> FORM HS-507 <br /> SITE SAFETY PLAN <br /> 1 FIELD INVESTIGATION OF UNOERGROUND FUEL SPILLS, CONCLUDED <br /> b. <br /> HOSFI AL 1I 4FO MAT1ON <br /> Ia3 Name: St. Joseph's Oak Park Hospital <br /> 1800 North California <br /> Address: <br /> i <br /> 'p Route: From the site, go west on Alpine. Turn left onto California <br /> Hospital is on California-- See attached map <br /> AUTHORIZED FIELD PERSONNEL <br /> _lay_Kamine - Simon Bliie tone _ <br /> Gene Kumamoto <br /> rathy 2a an <br /> Eric Masamori <br /> NAME OF sUECONTVACTORS f]atl'_work <br /> ►`` Telephone Number: - <br /> Name: —� <br /> Address: <br /> Authorized Representatives:_ <br /> c:a Telephone Number: <br /> Name: --�— <br /> Address: <br /> Authorized Representative: <br /> .7� tza <br /> APPROVALS <br /> u. Data <br /> Pro nagar <br /> Date <br /> He.tith&Safety Officer <br /> pate <br /> •Sbonature required only for modified plans. <br /> fs <br /> rt <br />