Laserfiche WebLink
Site - Specific Health & Safety Plan <br /> ruso <br /> INFRASTRUCTURE <br /> ZCust;4Q� r nn✓y Job # 42 62- <br /> Customer: . <br /> omer: Date: 2002. <br /> i <br /> Business Type (Industry): lrc h' sp <br /> I. Site Information f II <br /> Address: 30 2 �i a aoa✓%n c� 5 hoc(c ion CA <br /> Contact: Aacj✓e w Wood 5 Title: Phone: C206 -q6(0-0q5/ <br /> II. Emergency Contacts �nj <br /> Regional Foss Office: /d /a r✓?4 cKo Spill/Release Contact: Lll� <br /> Customer Contact: Name: Avid nt w Uoo9 5S Phone: _ W&)- - OY A I <br /> Nearest Medical Center (Emergency)Telephone &Address: LI." <br /> 31-32 W . kkc-,(� L,y e -#(o A Rsz 1 9 -23s-q__ <br /> III. Project Summary SL10- MCV ASG" <br /> Description of Material(s) (Proper shipping name): ]Die-SL LL_ <br /> Is the MSDS readily available? qNo ❑ Yes (If so, please attach) <br /> Scope of Work (Check all that apply): <br /> ❑ Labpacking ❑ Haz. Cat. ❑ Overpacking ❑ Bulking <br /> ❑ Repack' ❑ Sampling [IT& D 13E R <br /> q-Other �ti A V Pill, <br /> Site Hazards (Check all that apply): *- Requires H & S Officer Review <br /> ❑ Corrosive tlFlammable ❑ Sharps ❑ Reactive <br /> Woor Lighting P'Poor Ventilation ❑ Cold ❑ Heat <br /> ❑ Biohazard* Oibxygen Deficient* Confined Space* ❑ Radioactivity* <br /> ❑ Carcinogens* ❑ Explosives* Oise ❑ Electrical <br /> EaOther (list) S �ttL <br />