Laserfiche WebLink
y.s <br /> SAN, JOAQLZN COUNTY EN VIROty? - -4�L, l•� nrvT TON <br /> S== E-L AITR AVD SAFE IY PLa <br /> P.R. 1 PART II <br /> C?_`IER AL 51 L IIvFORMAuON nTALUAMON OF POT N E AL F--AZ.ARDS <br /> i. Site Name: ! L Chemicals Clazards <br /> Addy ss: [] Cm=ogers: <br /> Contac p_-son:-Tc w Phone NL 8[o (I Carrosives: <br /> Sweeps Number -R ]Rt q ��m: <br /> Proposed Date of�vestigaeon/iasperoa 12- ()Q [] x„losi'ves: <br /> [I �!are•rria Hies: <br /> 2. Dese'Pd0r and brief n=ative of ir=ec:ion ae=vay. [ I lnorgaric Cases: <br /> [ 1 New UST r, con [] UA.R Invesrigarion [j Me3!s: <br /> C ] Tank Cost= - Place ( ] Tank/Pipe 3max' ( ] O=idizers: <br /> car k/Pipe removal [ ] 2e—=Cs on (I PCB's: <br /> ( I irst`lation of 3or_gs/Moniraring WeIN <br /> PART III <br /> 3. Soecffc Site L*o:_arion: REQLM2ET P'=RSONAI PROI=CTIVg <br /> Tan- Vo. Tar:¢ Capacity. 3 0o o EQUpMF�7i <br /> 'a_k Cantm Tank Ag siY <br /> Cthe —=r +aKJ OILL" 1. Monitor-- _alli=enC (note: Mor Carl g <br /> �=ents must be used for ai? opez_ors <br /> _ype of Operation: �j L((� Q1�sL S.t� unless aaproprare zronaie orres�cions are <br /> tLe� provide-) <br /> F_sror/: ><Combusr=le Gas/Ozyge_: Mem- <br /> Evidence of leaks/sail cortza,i anion: [ j '—zs N NO [ J De:e:or Tubes (Spec-/) <br /> Doc-.:ne=ed Groundwater contamination: C j '�ES RNO ( I Phocoiori"rion Demc:ar <br /> Back -ound and dese_pcon of any previo�usq,=,ves, anon �y C I Cr—.2mc Vapor? alyce= <br /> or incidence: { -A A,i y � Kit t-rCi L s19�J7/a [ I Other, specify. <br /> If monirog are not _sed <br /> zriomale or ac-iviry/area reser cars: <br /> 5. Poce-meal Health and Safety <br /> Physical Can c-^• ^eco ail thar appy & descpe) <br /> ' eat or ofd Stress a^r (high --hi—t=p.) <br /> Noise Source: h Cc C. K hz<. 2 Personal rmce-ve E^uipme-mt <br /> ( I Oxygen De=cener u wel of Prore=on: [)A' C I$ [ IC XD <br /> K=ccavarion: (`ails, "—,Ds siippir- cave-ins) <br /> Hard bat <br /> [ I ::candling and -ansfer of a Hazardous Substance: afe-ry giasses/gag,es <br /> (1=^-. expiosiors, etc) Steel coed/shank shoes or boors <br /> [ J Con5ned Soace en=7-.. (emiosions) [ ] Flame remrdanr coveralls <br /> r'eaw equip" (paymcal injury& "rat=a resulting earimg procec_on <br /> `rom mavxg ecuipmerr) h a c k 1,Pre— [j Types <br /> ( j Respitamr, Qcie: APR or SC3A <br /> 17 Other, specify A/.D czr=dge: <br /> )[ aiery vest <br /> 7. Anticivartd Biologic--1 Fazards: IVO-), Q [ I Two-way cota--unicarion <br /> ( I Snakes C I insects C ] Rodenm [ I Poisonous Plana <br /> ( I Ocher/UaL-sown (specify): PART IV <br /> PLAN APPROVAL <br /> 8. Nararive (provide ani information which could bmpacr Heakh, <br /> and Safety, e.g., power Ines, ince;sy of diees, tie_- ain, ere): Plan Prepared by. Date: f 1-a- -}O <br /> P!ar.Approved by: Daze: <br /> =M08i (2/7/92) <br />