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Page 1 <br /> SITE HEALTH AND SAFETY PLAN <br /> Hultgren—Tillis Engineers (H—TE) <br /> I. GENERAL SITE INFORMATION <br /> Site Name: Bacon Island approx Station 200+00 <br /> Site Address: <br /> Contact Person: Rick Chen Phone: 0:925-685-6300/cell:925-348-3627 <br /> Site Identification Number: 689.02 Proposed Date(s) of Site Work: 09/14-10/20/09 <br /> IL DESCRIPTION OF ACTIVITY <br /> Purpose of Activity: Type of Site <br /> X Geotechnical Soil Boring ❑ Industrial <br /> ❑ Gas extraction well installation ❑ Gas station <br /> ❑ Agricultural well installation X Other(specify): Levee/Slough-River <br /> X Other(specify): Installation of Piezometer <br /> Provide a brief description of the proposed activities: <br /> 1. H-TE engineer will mark USA white paint for the soil boring and call USA. <br /> 2. H-TE engineer and subcontract driller will drill borings 50-60 feet deep and collect soil <br /> samples at the locations shown on the site plan. After borings are completed,H-TE engineer <br /> and subcontract driller will convert 1 soil boring into a monitoring well (piezometer). <br /> Investigation-derived material disposal: <br /> Soil: soil cuttings may either be removed or spread out near the exploration holes. <br /> Water and Fluids: NA <br /> Other: NA <br /> III. POTENTIAL HEALTH AND SAFETY HAZARDS <br /> Potential Hazards include: <br /> Heavy equipment-physical injury/trauma resulting from moving machinery <br /> Electrical hazards -nearby overhead wires underground utilities <br /> Slippery and/or Bumpy Roads <br /> Falls, trips, slips <br /> Mosquitoes <br /> Dust <br /> Noise <br />