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f <br /> SITE SAFETY PLAN <br /> Date: U Project Number: / — OD 3 2.3 <br /> i <br /> A. SITE DESCRIPTION l <br /> Client: S A <br /> Site Address: 199 7/ ln/o r✓h /1/11T- AAA�e,j,-, <br /> Site Use/Conditions: <br /> Area Land Use: Residential A Commercial [ ]Industrial ] gricultural [ ]Other <br /> Topography: Flat [ ]H_illy[ ] Open Excavation- Paved [ ] Unpaved [ ]Other <br /> Weather Conditions: f <br /> B. WORK TO BE PERFORMED 4 <br /> C. ONSITE CONTROL <br /> A safe perimeter has been established:_ The boundaries are defined by.J ] Tape [ ] Cones`[ ] fence Other <br /> The Contamination Reduction Zone is designated as: rf c �< i fOr S <br /> The Support Zone is designated as: ASem 4I <br /> i <br /> CHEMICAL HAZARD EVALUATION <br /> Suspected or known concentrations of the following compounds are expected at the site <br /> Free Product Ambient Air SoilWater . <br /> Compound (thickness) Cone. Cone. Conc. TWA IDLH <br /> Gasoline <br /> Diesel <br /> Benzene <br /> I <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 /> i <br /> PHYSICAL HAZARD EVALUATION• <br /> i <br /> Underground utilities and or process lines have been identified. An underground line detector survey is[],is not( (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 /> p Confined space entry is[];is not;j 'equired. 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 l 'Al <br /> [ ] Colorimetric tubes <br /> Substance Concentration Ranges Pump Strokes <br /> i <br />