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November 2010 <br /> Project No. 1001-0343 eNa,Ne°ees'0eoloouTii <br /> ®RNVMONNLNTAL iCtRNTNITt <br /> APPENDIX B <br /> SITE HEALTH AND SAFETY PLAN <br /> Project Title: Limited Soil and Groundwater Assessment Activities at the Kaiser <br /> Permanente Manteca Medical Center, Manteca, San Joaquin County, <br /> California. <br /> Project Address: 1777 West Yosemite Avenue, Manteca, California. <br /> Project Manager: Alan Churchill Cell Phone: (916) 952-5421 <br /> Project Supervisor: Jerome K. Summerlin Cell Phone: (805) 218-0109 <br /> Office Phone: (916) 857-1601 (Sacramento Office) <br /> INTRODUCTION <br /> The purpose of this Site Health and Safety Plan (HSP) is to establish requirements for <br /> protecting the health and safety of site workers for the above-referenced project. The HSP <br /> contains safety information, instructions, and procedures. <br /> ORGANIZATION <br /> The following personnel are designated to carry out the stated job functions pertaining to <br /> the site activities. All site personnel have read this safety plan and are familiar with its provisions. <br /> Name Signature <br /> Site Safety Officer: Alan Churchill <br /> Project Team Leader: Alan Churchill <br /> Field Team Leader: Alan Churchill <br /> Field Personnel: Alan Churchill <br /> Field Personnel: Alan Klein <br /> Driller Operator: <br /> Operator Helper: <br /> Work was accomplished in accordance with the Site Safety Plan, with the following <br /> exceptions: <br /> Site Safety Officer: <br /> Date: <br /> 1 RETURN ORIGINAL COPY TO JOB FILE WITH SIGNATURES <br /> 10.0343.T WP_HSF_asses=eNt <br /> - B - 1 - <br />