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The physician will determine if any person exposed to high levels of hazardous <br />substances is required to undergo a repeat medical examination at or before the conclusion of the <br />project to determine the medical implications of this exposure. If air monitoring results indicate <br />airborne levels above established guidelines, the physician will be notified to review present <br />physicals and determine if levels warrant additional physical examinations. <br />The chemicals at this site can affect specific organ systems producing characteristic <br />health effects. The medical evaluation will focus on the liver, kidney, nervous system, blood <br />systems, lung function, and skin examination. Laboratory testing will include complete blood <br />count and applicable kidney and liver function tests and any other procedures as deemed <br />necessary by the physician. <br />In addition to the physical examination prior to performing fieldwork, onsite employee <br />surveillance is standard Geofon procedure and includes heat stress monitoring and prevention, <br />airborne contaminant monitoring, and hearing conservation measures. <br />4.8 EMERGENCY RESPONSE 1 CONTINGENCY PLAN <br />The Emergency Response and Contingency plan, as developed under the requirements of <br />29 CFR 1910.120 and CCR, Title 8, Section 5192, applies to "onsite emergency responses" only. <br />The Site Safety and Health Plan shall be maintained onsite and workers shall be familiar with the <br />contents to assure an adequate response. Local fire, police, rescue authorities and nearby <br />medical facilities that will be utilized for emergency treatment will be notified of upcoming <br />activities and to assure this plan's compatibility with the local emergency response/contingency <br />plan. <br />Situations may occur, although considered unlikely, that require an emergency response <br />action. Such situations include a sudden release of hazardous vapors or combustible gases <br />19 <br />