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1 KLE/NFELOER <br /> BrIgM1[Geopl¢,fllglr[Solutloni. <br /> SITE-SPECIFIC HEALTH AND SAFETY PLAN <br /> Project No./Name Empire Tract/Stockton Water Supply Pipeline Project Date 9-17- <br /> 10 <br /> Client CDM/City of Stockton Address NA <br /> Site Contact Mr. Doug Heard Site Phone No. (209) 993-8392 <br /> Job Location West end of 8 Mile Road on Empire Tract due east of Herman and <br /> Helens Marina, agricultural field <br /> Work Objectives Destruction of six piezometers using a truck mounted drill rip Drill <br /> out casings to depths 16 and 60 feet bps Tremmie grout borings with grout <br /> Key Individuals: Project Manager: Mr. Joe Zilles <br /> Site Health and Safety Site Geologist or Engineer <br /> Prepared by Mr. Doug Heard Reviewer/Approver Mr. Joe Zilles <br /> Hospital/Clinic No emergency hospital services in the immediate area Nearest <br /> Hospital is San Joaquin General Hospital See attached map 500 West Hospital Road <br /> near French Camp Road and 1-5 in Stockton <br /> Phone No. non-emergency (209) 468-6000. <br /> Address: 3500 W. Hospital Rd Stockton. See attached map <br /> Paramedic 911 Fire Dept. 911 Police Dept. 911 <br /> Emergency/Contingency Plans: (1) Personnel injury- cease work and call 911 <br /> (2) Grass fire- cease work and evacuate area call 911 Gather on upwind side of fire <br /> (3) Snake bite- cease work call 911, <br /> In all cases, notify emergency response personnel of your location. CDM safety <br /> numbers are: Trailer 209-365-4620, H&S officer (Joe Leslie) 209-365-4621/Cell:562- <br /> 217-7152, Pipeline contact (Dan Hensley) 209-365-4624 <br /> 15 Minute Eyewash Fire Extinguisher required First Aid Kit required <br /> Site Control Measures: <br /> Access: Work to be performed within agricultural field Site control unlikely due to rural <br /> location. Unauthorized personnel will not be allowed into work areas <br /> Secure Borehole: After drilling out of piezometers they should be backfilled with grout <br /> and capped with soil to prevent a trip or fall hazard. <br /> Driving: Speed while driving in work zone should be restricted to 5 mph <br /> Intranet/health_safety/forms/misc_health_safety/ Revised 11/2006 <br /> Health&Safety Plan <br />