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r <br /> �.d SITE SAFETY PLAN INMW <br /> Date: 4111 L1 ct '- Project Number. <br /> A. SITE DESCRIPTION <br /> Client: S-�� �; / Ge, t22-7 <br /> Site Address: —3 L1 I F_ HI c,= 7 e7 G A <br /> Site Use/Conditions: <br /> Area Land Use:W Residential Commercial [ ]Industrial [ ] Agricultural [ ]Other <br /> Topography: PJ Flat [ ]Hilly [ ] Open Excavation PJ Paved [ ] Unpaved [ ]Other <br /> Weather Conditions: <br /> B. WORK TO BE PERFORMED r p ✓� t; r i%N r,� % ...F%a <br /> C. ON SITE CONTROL <br /> A safe perimeter has been established. The boundaries are defined by:[ ] Tape [ ] Coneso fence [ ] Other <br /> The Contamination Reduction Zone is designated as: II-)IAA- `' T).H 1 1 J J�r u F wc'—L"-T—" -its <br /> The Support Zone is designated as: <br /> CHEMICAL HAZARD EVALUATION <br /> Suspected or known concentrations of the following compounds are expected at the site: <br /> Free Product Ambient Air Soil Water <br /> Compound (thickness) Cone. Conc. Cone. TWA IDLH <br /> Gasoline <br /> Diesel <br /> Benzene / <br /> [] Applicable material safety data sheets(MSDS)are attached. <br /> [] Vapor-phase concentrations may exceed 10%of the lower explosive limit(LEL). <br /> [] Vapor-phase concentrations may exceed OSHA PEL or 8-hour TWA for the following compounds: <br /> PHYSICAL HAZARD EVALUATION <br /> [� Underground utilities and or process lines have been identified. An underground line detector survey is[],is not f?(]required. <br /> Personnel are aware of the safety hazards associated with lifting heavy objects,moving machinery and equipment,slipping, <br /> falling and operating or working near electrical equipment. <br /> Q� Confined space entry is[],is not,N required. If required,a confined entry checklist is attached and proper confined space entry <br /> procedures will be followed. <br /> AIR QUALITY MONITORING <br /> Instrument Monitoring Intervals <br /> [ ] PID <br /> [ ] FID <br /> LEL Meter / H11— <br /> '[ ] Colorimetric tubes <br /> Substance Concentration Ranges Pump Strokes <br />