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SAN JOA UIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT SITE HEALTH AND SAFETY PLAN PART I PART II GENERAL SITE INFORMATION EVALUATION OF POTENTIAL HAZARDS I. Site Name:Seans Automotive 1. Chemicals Hazards Address:8423 S El Dorado St.,Frencl Camp ®Carcinogens:used oil,waste absorbent Contact Person:Sean Rogers Phone No:234-2507 ❑Corrosives: Sweeps Number: ❑Dusts: Proposed Date of investigation/inspJRe July 21,2009 ❑Explosives: ®Flammables:drained used fuel filters 2. Description and brief narrative of inon activity: ❑Inorganic Gases: ❑New UST installation.. ❑ Investigation. ❑Metals: ❑Tank Closure in Place.. ❑ /Pipe Repair. ❑Oxidizers: ❑Tank/Pipe Removal. ❑ xcavation. ❑PCB's: ❑Installation of Borings/Monitor inells. ®Hazardous waste inspection ❑ plingPARTIII ❑Tiered Permitting inspection3. Specific Site Information: REQUIRED PERSONAL PROTECTIVE EQUIPMENT Tank No.: Capacity: 1. Monitoring Equipment(note:Monitoring instruments must be used for all Tank Content: Age: operations unless appropriate rationale or restrictions are provided) El Combustible Gas/Oxygen Meter. Other: ❑Detector Tubes(Specify). 4. Type of Operation:Automotive repair ❑Photo ionization Detector. ❑Organic Vapor Analyzer. 5. Release History: ❑Other,specify. Evidence of leaks/soil contamination: ❑YES ❑NO R monitoring instruments are not used,rationale or activity/area restrictions: Documented Groundwater contaminatio : ❑YES ❑NO Background and description of any prev us investigation or incidence: 2. Personal Protective Equipment Level of Protection: ❑A ❑B ❑C OD 6. Potential Health and Safety ®Hard Hat. Physical Concerns:(check all that apply describe) ®Safety Glasses/goggles. ❑Heat or Cold Stress: OF( igh ambient temp.) ®Steel toed/shank shoes or boots. ❑Noise Sources: ❑Flame retardant coveralls. ®Hearing protection. El Oxygen Deficiency: ❑ ❑Excavation:(falls,trips,slipping,cav ins): Tyvek. ❑ ❑Handling and Transfer of a Hazardo Substance:(fire,explosions, Respirator: ❑APR F-1 SCBA etc..): A/P cartridge: ❑Confined space entry:(explosions): ®Safety vest. ❑Heavy equipment(physical injury& uma resulting from moving ❑Two-way communication. equipment): ❑Other,specify PART IV-PLAN APPROVAL 7. Anticipated Biological Hazards: Plan Prepared by:Ray von Flue Date:07/21/09 ❑Snakes ❑Insects ❑ Rodents ❑Poisonous Plants ❑Other/Unknown(specify): Plan Approved by: Date: 8. Narrative(provide all information which uld impact Health and Safety, e.g.,power lines,integrity of dikes,terra' etc.) EH 23081(02/19/03)