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April 2013 <br /> Inc <br /> Project No. 1301-0621 :.Eo° : <br /> � aa6ctennsn <br /> APPENDIX A <br /> SITE HEALTH AND SAFETY PLAN <br /> Project Title: Soil Assessment Activities at Kaiser Permanente Facility, Stockton, San <br /> Joaquin County, California. <br /> Project Address: 7373 West Lane, Stockton, California. <br /> Project Manager: Alan Churchill Cell Phone: (916) 952-5421 <br /> Project Supervisor: Alan Churchill Cell Phone: (916) 952-5421 <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 contains <br /> safety information, instructions, and procedures. <br /> ORGANIZATION <br /> The following personnel are designated to carry out the stated job functions pertaining to the <br /> 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: <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 /> (RETURN ORIGINAL COPY TO JOB FILE WITH SIGNATURES) <br /> 13.0621_.Kaiser Stockton_TWP-HSP_revised <br /> -Al - <br />