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n <br />Site Health and Safety Plan <br />Petroleum Related UST Removal <br />• <br />n <br />i ' i2KOUMUN <br />Project Manager <br />o ® r 4- <br />Identify, locate, and mark utilities and verify tank location. <br />A - <br />Supervisor / Foreman <br />Site Setup. <br />- <br />Traffic Control Coordinator <br />a <br />Excavation / surface removal to expose tank. <br />Site Safety Officer <br />5. <br />w✓., <br />/��S <br />Security Officer <br />A^h <br />a <br />-s - <br />Record keeping <br />LC s, 4- <br />S- !/ <br />Rigging for tank removal. <br />Technical Advisor / Chemist <br />-e roL <br />Tank Removal and inspection. <br />0,"o' <br />Industrial Hygienist <br />GJ; /iaM <br />?rwn� <br />A r <br />Financial Officer <br />AGe <br />Ze w.t, <br />A AFS <br />Technlclansea <br />Contractor <br />a va AG ./fir <br />Alliance Environmental Services <br />Sub -Contractors) <br />W i <br />'44! „�jr.tir►�K�a/ <br />R,„o [=^ <br />D� M`K�`/ <br />fr,*n A Green Co•+s 7�tor `�/o n , Ns r <br />This project involves removal of petroleum related underground storage tanks (UST). The following <br />Scope of Work Is as follows (check all that apply): <br />9 <br />7a-Aaur A d"nee A1,04JCC <br />1. <br />Identify, locate, and mark utilities and verify tank location. <br />@� <br />2. <br />Site Setup. <br />3. <br />Tank inspection and initial testing. <br />4. <br />Excavation / surface removal to expose tank. <br />0/ <br />5. <br />Product / waste removal from tank. 1?a.�os ��✓'<®n <br />9-' <br />6. <br />Tank cleaning. w<,,�44- <br />W" <br />7. <br />Inert tank atmosphere. <br />8. <br />Rigging for tank removal. <br />0.,o-' <br />9. <br />Tank Removal and inspection. <br />0,"o' <br />10. <br />Tank eWft.A��fiPu���p� ®•+-s+*�C <br />A-11. <br />Loading tanks on vehicles. <br />6/ <br />12. <br />Management of containers. <br />-e'''-- <br />13. <br />Soil / ground water sampling. <br />0-" <br />14. <br />Site security. <br />G—' <br />15. <br />Back fill excavation / site restoration/resurface area. <br />0-"*' <br />16. <br />Personnel / Equipment Decontamination. <br />0/ <br />17. <br />Site breakdown. <br />9 <br />7a-Aaur A d"nee A1,04JCC <br />