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' - SITE HEALTH AND SAFETY PIAN (HASP) <br /> Prepared 6r: Lc a mrad W.O. Number: 03733 - oo7-ooh Dater <br /> Project IdentfIcatlon: San Soacy►n CO tivmaP se"%cies SRO History:Idesotbe bnaM <br /> ppattment/Offioe•���o>Col��1C{� i --,�' � Vc, � <br />' OW NafrwhumoP Sexv I coS A�ncy T ,U <br /> Clem San Toct%u,n County ,- Pro�f c_-t-5 <br /> wbdk{.+option Address. <br /> 14�D so so tte r <br />' StflC.��Of1 i C1'� <br />' Scope of Work: (deaodbe briery) <br /> cLnil w(j 1 mt)n�tonr3 well <br /> 6rk11 one SWI iOarsnq <br /> stampte both ON and Soil, One yaar of 0k fterlj Monitb'nna <br /> ❑ Site visit only site Ks.SP not necessary Ust personnel,here and sign oi.bskw <br /> t <br />' Regulatory Status: <br /> Site regulatory status: 10 Safety Offoer Manual (Requued to be On Site) <br /> CERCLA/SARA RCRA Other federal Agency 5"ed an On kuwd An wRoM WW%VAWV soma"nww sy s„r,ei4 W3PW Wpkmbr b to <br /> 6 US EPA © U5 EPA 13 DOE <br /> IprQr8CL tnaicw wro..eWCh sr.rare P"0@ a•wd.rice rirc•�*�aoaavi*r+e�+•r 00 iarf.� <br /> �Q <br /> to 13 State 13 Lum 13S=Test ❑ <br /> /E`NPL Site MAC ❑ Ad force ❑ Air Etttrss.one ❑ <br /> OSHA ® 10 CFA W ® <br /> ® l,%zWd Commwftabw Pvq•d See MadtrmM-01 ❑ <br /> 13 ilio ❑ tm ® State I ❑ ®. <br /> Review and Approval Documentation: <br /> RevW"d br Date <br /> OSO/RSO/CHS ream Pon" s.�+.wr. <br /> DaM <br /> Other MWO M <br /> ptp 01rebclor/ r 0. CQ S�+m Cti� ✓�-�E, oN.. 2 <br /> I ft*00 Manati r"* sem+ <br /> Hazard Assessment and Equipment Selection <br /> In accocdance with WESTOWs Personal Protective Equipment Program and 29 CFA 1910 1$2 at the site pow 10 personnel b*gonMng work the Sly { <br /> and/or the Site Manager have evaluated conditions and verified that the personal protect v*equFpment selection outlined vnthin this KkV is <br /> ,pp,opnate for the hoards known or expecled to exist. MaW b Satrty OKca*Manu Seebon 2 Personal o Program l,or Gurdarm) <br /> r=SFtSC ASite Manager SGS P h C L1- -�-- Date <br /> kamProrect start date 2_ 12-14q6 This site HASP must be reissued/reapproved tot Amendment dates) BY <br /> End date I 1p any sctvllies Conducted atter 1 <br /> Date �- 3 ` f0 3 <br /> s <br />