Laserfiche WebLink
0 • <br /> San Joaquin County DIRECTOR <br /> Donna Heran,REHS <br /> Environmental Health Department <br /> l� ASSISTANT DIRECTOR <br /> 600 East Main Street Laurie Cotulla,REHS <br /> Stockton, California 95202-3029 PROGRAM COORDINATORS <br /> Mike Huggins,REHS, RDI <br /> c4 <br /> Website: www.s Ov.Of /ehd Margaret oo,REHS <br /> 4:i F O R�`c Robert McClellClellon, REHS <br /> SITE-9;ax�19N6X0T3 TY PLAN Jeff CaFoley,R RENS,RDI <br /> 2 lf� ' � " Kasey Foley,REHS <br /> PART I PART II <br /> GENERAL SITE INFORMATION �All ,, / EVALUATION OF POTENTIAL HAZARDS <br /> I. Site Name:Carpenter CO �/).(�'� Chemicals Hazards <br /> Address: 17100 S Harlan Rd 'ff Carcinogens: <br /> Contact Person:Denny BryanKrom Wise_Phone No:(209)982-0800 corrosives: <br /> Sweeps Number. Dusts: <br /> Proposed Date of investigation/inspection.- 24009 Explosives: <br /> 3 J�b 1 I l7 ❑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 /> Large Generator <br /> 3. Specific Site Information: PART III <br /> Tank No.: Tank Capacity: REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Tank Content: Tank Age: 1. Monitoring Equipment(note:Monitoring instruments must be used for all <br /> operations unless appropriate rationale or restrictions are provided) <br /> ❑Combustible Gas/Oxygen Meter. <br /> 4. Type of Operation:Polyeuradame production ❑Detector Tubes(Specify). <br /> ❑Photo ionization Detector. <br /> 5. Release History: ,�.55 ❑Organic Vapor Analyzer. <br /> Evidence of leaks/soil contamination: C]YES /Ll NO ❑mar,specify. <br /> Documented Groundwater contamination: [I YES NO <br /> If monitoring instruments are not used,rationale or activity/area restrictions: <br /> � <br /> Background and description of any previous investigation or incidence: <br /> 2. Personal Protective Equipment <br /> Level of Protection: [__1A C]B ❑C [ID <br /> 6. Potential Health and Safety �Hard Hat. <br /> Physical Concerns:(check an that apply&describe) <br /> 1,510 =F gh P Safety Glasses/goggles. <br /> Heat r Cold Stress: (hi ambient tem .) <br /> (Steel toed shank shoes or boots. <br /> jZygen <br /> iseSouroaDeficiency: C]Flame retardant coveralls. <br /> Hearing protection. <br /> ❑Excavation:(falls,trips,slipping,cave-ins): <br /> ❑Handling and Transfer of a Hazardous Substance:(fire,explosios, C]zanE3Respvespir <br /> Respirator: [I APR ElSCBA <br /> etc..): <br /> [3 Confined space entry:(explosions): ,,r,,,,,,ppp A/P cartridge: <br /> y�Heavy equipment(physical injury&trauma resulting from moving Safety vest. <br /> ✓ equipment): Two-way com munication. <br /> ❑Other,specify <br /> PART IV-PLAN APPROVAL <br /> 7. Anticipated Biological Hazards: <br /> ❑Snakes ❑Insects ❑Rodents ❑Poisonous Plants Plan Prepared by: V r •N [e: <br /> ❑Other/Unknown(specify): <br /> Plan Approved by: Date: <br /> 8. Narrative(provide all information which could impact Health and Safety, <br /> e.g.,power lines,integrity of dikes,tamin,etc.) <br /> EH 23081(12/172002) <br />