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ARCHIVED REPORTS_XR0003168
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545307
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ARCHIVED REPORTS_XR0003168
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Last modified
2/11/2020 9:53:30 PM
Creation date
2/11/2020 9:03:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003168
RECORD_ID
PR0545307
PE
3528
FACILITY_ID
FA0000932
FACILITY_NAME
DOMINO'S #8588
STREET_NUMBER
305
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03319020
CURRENT_STATUS
02
SITE_LOCATION
305 S HUTCHINS ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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SUMMARY - HEALTH AND SAFETY PLAN <br /> i <br /> Project 305 Hutchins Avenue <br /> Project No S8080-06-01 <br /> Project Manager David A Diem <br /> Site Safety Officer To be determined by project manager <br /> Planned Activities Soil boring, groundwater sampling, a soil vapor survey and the <br /> installation of a soil vapor extraction system <br /> Chemical Hazards Petroleum Hydrocarbons <br /> Chemical Hazard of <br /> Principle Concern Benzene <br /> Initial PPE Level D (limited dermal protection.) <br /> Monitoring Ambient air monitoring with OVA <br /> Action Levels Upgrade to Level C (half-face respirators equipped with combination <br /> . organic vapor/dust cartridges) where ambient air measurements with <br /> OVA exceed 5 ppm Stop work and contact project manager/project <br /> safety specialist if ambient air measurements exceed 1,000 ppm <br /> Exclusion Zone Boundary to be established initially at a distance of 25 feet from the <br /> location of field activities The boundary will be modified to a <br /> distance where ambient air measurements with the OVA are detected <br /> at concentrations above background levels or will remain a distance <br /> of 25 feet from the field activities, whichever is further <br /> Emergency Phone 911 <br /> Hospital Lodi Memorial Hospital - 209-334-3411 <br /> Hospital is located at 975 South Fairmont Avenue in Lodi, California <br /> Refer to Vicinity Map, Figure 1 From site, take Hutchins Avenue <br /> south to Vine Street Turn right (west) on Vine to Fairmont Avenue <br /> Turn left (south) on Fairmont Avenue The hospital is on the right <br /> side of the road past Windsor Drive <br /> i� Page 1 <br />
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