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ARCHIVED REPORTS_XR0008842
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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13889
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3500 - Local Oversight Program
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PR0545719
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ARCHIVED REPORTS_XR0008842
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Last modified
11/19/2024 3:45:50 PM
Creation date
6/3/2020 11:29:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008842
RECORD_ID
PR0545719
PE
3528
FACILITY_ID
FA0005335
FACILITY_NAME
CHARLES JACOBS
STREET_NUMBER
13889
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
13889 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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LSauers
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EHD - Public
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• 14 March 2000 <br /> AGE-NC Project No 00-0696 <br /> Page 5 of 6 <br /> Dust Breath fresh air, done respirator <br /> Heat Stress Drink small amounts of water, apply cold compresses,find <br /> shade Obtain emer ency medical help immediately <br /> List of emergency phone numbers <br /> A enc /Facile Phone No Contact <br /> Police 911 --- <br /> Fire 911 --- <br /> 90 ENVIRONMENTAL MONITORING <br /> The following environmental monitoring instruments shall be used on site(cross out if not applicable) at the specified <br /> intervals <br /> Combustible Gas Indicator continuous/hourly/daily/other <br /> Oxygen Monitor continuous/hourly/daily/other <br /> Colonmetric Tubes continuous/hourly/daily/other <br /> PID continuous/hourly/daily/other <br /> Other continuous/hourl /dail /other <br /> All site personnel have read the above plan and are familiar with its provisions <br /> FIELD MEMBERS NAME/AFFILIATION SIGNATURE <br /> SITE SAFETY OFFICER Brian Millman <br /> FIELD TEAM MEMBER Brian Millman <br /> GEOPROBE OPERATOR Tony Cordova <br /> HELPER <br /> Advanced GeoEnvironmental,Inc <br />
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