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dre April 2013 <br />Project No. 1301-0621 associates, Inc. <br />„ ENGINEERS, GEOLOGISTS <br />LJ ENVIRONMENTAL SCIENTISTS <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: <br />Project Manager: <br />Project Supervisor: <br />Office Phone: <br />7373 West Lane, Stockton, California. <br />Alan Churchill <br />Alan Churchill <br />(916) 857-1601 (Sacramento Office) <br />Cell Phone: (916) 952-5421 <br />Cell Phone: (916) 952-5421 <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 />Site Safety Officer: <br />Project Team Leader: <br />Field Team Leader: <br />Field Personnel: <br />Field Personnel: <br />Driller Operator: <br />Operator Helper: <br />Work was <br />exceptions: <br />Name <br />Alan Churchill <br />Alan Churchill <br />Alan Churchill <br />Alan Churchill <br />Alan Klein <br />Signature <br /> <br />accomplished in accordance with the Site Safety Plan, with the following <br />Site Safety Officer: <br />Date: <br />(RETURN ORIGINAL COPY TO JOB FILE WITH SIGNATURES) <br />13 0621 _Kaiser Stockton_TWP-HSP <br />- A1 -