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SR0084519 (4)
Environmental Health - Public
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SR0084519 (4)
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Last modified
4/21/2022 11:21:20 AM
Creation date
4/21/2022 11:18:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0084519
PE
2903
FACILITY_ID
FA0026863
FACILITY_NAME
1515 FRESNO AVE INDUSTRIAL BUILDING DELVELOPMENT
STREET_NUMBER
1515
Direction
S
STREET_NAME
FRESNO
City
STOCKTON
Zip
95206
APN
16337034
ENTERED_DATE
11/22/2021 12:00:00 AM
SITE_LOCATION
1515 S fresno
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Y <br />Safety and Health Plan <br />1515 Fresno Ave Industrial Building Development Stockton, California <br />November 16, 2021 Terracon Project No. NA215051 <br />ACKNOWLEDGMENT OF INSTRUCTION <br />I understand this project involves drilling and the operation of support vehicles and equipment. I <br />have read this Safety and Health Plan and have received instructions for safe work practices and <br />personal protective equipment. <br />PROJECT NAME: 1515 Fresno Ave Industrial Building Development <br />1515 S Fresno Ave, Stockton, CA <br />TERRACON JOB #: NA215051 <br />Name (Please Print) Signature Date <br />PERSONAL PROTECTIVE EQUIPMENT UTILIZED: <br />LEVEL D LEVEL D MOD. LEVEL C <br />Safety briefing performed by: <br />Date: <br />
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