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ARG�ZsGN <br />ENGINEERING 6809 McComber Street <br />Ca. <br />Sacramento Ca. 95828 <br />1 N C 0 R P O R A T E D (916) 381-1600 FAX 381-1622 <br />SITE SPECIFIC HEALTH AND SAFETY PLAN <br />This form must be completed a minimum of one (1) week prior to the <br />start of work. It is the responsibility of the project manager to <br />complete all items. All project personnel must receive a copy of <br />this form and familiarize themselves with its contents prior to <br />the start of activities. <br />1. Site Name and Address: SCK-RTR Facility <br />Stockton Municipal Airport <br />5000 S. Airport Way <br />Stockton, Ca. <br />2. Site Personnel: <br />Project Manager: Thomas E. Murray <br />Project Superintendent: Mike Fuller <br />Foreman: Undetermined <br />3. Site Description and Background (Attach Site Plan and Area Map) <br />The construction entails the removal of (1) 500 gallon <br />underground storage tanks at FAA RTR Facility located at the <br />Stockton Municipal Airport . <br />4. List of Known Chemical Contaminants: <br />Contaminate Source Medium Anticipated <br />Concentrations <br />Diesel UST Unknown Unknown <br />5. List of Known Physical Hazards (ie. heavy traffic areas, <br />overhead construction areas, work around excavations, work <br />inside buildings, etc.) <br />Hazard Description Location Procedures to <br />Reduce Hazard <br />Excavation Open Hole On -Site Barr./Tape <br />Heavy Equip. Backhoe On -Site Safety Mgt. <br />UST Removal Explosion On -Site Safety Mgt./ LEL <br />