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Combustible Gas Indicator: <br />Oxygen Monitor: <br />Colorimetric Tubes: <br />- <br />OVM or photoionization detector (PID) C • • . • C /other <br />Other: <br />12 July 2019 <br />AGE Project No. 13-2947 <br />Page 5 of 6 <br />AdvancedGeo <br />Environmental 'o -am <br />Dust: Breath fresh air, donn respirator. <br />Heat Stress: Drink small amounts of water, apply cold <br />compresses, and find shade. Obtain emergency medical <br />help immediately. <br />List of emergency phone numbers: <br />Agency/Facility: Phone No.: Contact: <br />Police 911 --- <br />Ambulance 911 --- <br />Fire 911 --- <br />9.0. ENVIRONMENTAL MONITORING <br />The following environmental monitoring instruments shall be used on site (cross out if not <br />applicable) at the specified intervals. <br />An air monitoring data form is attached to this SHSP. <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 <br />FIELD TEAM MEMBER <br />TECHNICIAN/ DRILLER Rob Slagle (Slagle Drilling) <br />HELPER Devin Slagle (Slagle Drilling)