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Safety and Health Plan <br />Tracy Ridge 4 Tracy, California <br />February 28, 2019 a Terracon Project No. NA187052.1 lrerracon <br />ACKNOWLEDGMENT OF INSTRUCTION <br />I understand this project involves the drilling and handling of soils and groundwater potentially <br />impacted by petroleum hydrocarbons, herbicides, pesticides, metals and polycyclic aromatic <br />hydrocarbons (PAHs). I have read this Safety and Health Plan and have received instructions for <br />safe work practices, personal protective equipment and air monitoring requirements. I further <br />understand that if I encounter unanticipated contamination or site conditions I am to leave the site <br />and immediately notify the Project Manager and Corporate Safety and Health Manager of the <br />conditions observed. <br />PROJECT NAME: Tracy Ridge <br />6599 & 6735 West Grant Line Road, Tracy, CA 95304 <br />TERRACON JOB #: NA187052.1 <br />Name (Please Print) Signature Date <br />PERSONAL PROTECTIVE EQUIPMENT UTILIZED: <br />LEVEL D LEVEL D MOD. LEVEL C <br />Safety briefing performed by: Date: <br />PETROLEUM CONTAMINANT(S), PESTICIDES, HERBICICDES, METALS, PAHs: <br />terracon.corn <br />Environmental Facilities <br />[ lrerracon <br />Geotechnical Materials