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<br /> ❑Large containers,potential for spills ❑Elemental mercury ❑Controlled substances,drugs
<br /> ❑Contaminated building surfaces ❑Polyaromatic hydrocarbons(PAHs) ®Other-describe above
<br /> ❑Unexploded ordnance E-1 Potential for flammable vapors
<br /> NOTE:For sites with one or more"high-risk contaminants"(below)designated/recognized as a contaminant of concern,or exceeding an environmental reporting
<br /> threshold, or representing a potential exceedance of an action level or exposure limit,the THA must be reviewed by the H&S Dept.before initiating the work:
<br /> ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
<br /> ❑Asbestos ❑Cadmium ❑Lead
<br /> ❑Arsenic/arsenic compounds ❑Chromium VI(Hexavalent chromium) ❑Methylene chloride
<br /> ❑Benzene(except as trace constituent of petroleum fuel) El Dioxins ❑Polychlorinated biphenyls(PCBs)
<br /> ❑Beryllium ❑Reactives—Cyanides/sulfides(HCN,HzS) ❑Vinyl chloride
<br /> FOR WORK CONSISTING OF CLEANUP OPERATIONS,CORRECTIVE ACTIONS,PRELIMINARY INVESTIGATIONS at an"UNCONTROLLED HAZ.WASTE SITE"
<br /> (per HAZWOPER,29 CFR 1910.120 or equivalent),delineate procedures in"Site-Specific Notes and Clarifications"(or attachments)addressing the
<br /> following,as applicable to the work:
<br /> — Workers attend pre-work orientation on hazards,risks,onsite safety measures,emergency contingencies.
<br /> — Implement site control plan-delineate Exclusion Zone(s),Contaminant Reduction Zone(s),Support Zone(aka EZ,CRZ,SZ).
<br /> Include site map/figure depicting work locations and other relevant site-specific information.
<br /> Site workers in EZ or CRZ to have 40-hour HAZWOPER training,current 8-hour refresher,3 days supervised field experience.
<br /> — Site supervisor(s)required to have 8-hour Supervisor training.
<br /> — Site workers in EZ or CRZ to participate in medical monitoring program,as applicable.
<br /> — Implement site-specific procedures for worker protection via engineering controls,work practices,personal protective equipment(PPE),air
<br /> monitoring,decontamination procedures,spill containment,emergency preparedness and response.
<br /> Conduct air monitoring,as appropriate;see Part E,"Air Monitoring,Worker Exposure Monitoring."
<br /> PPE program:Specify Levels of Protection and specific PPE to be used for applicable tasks;
<br /> o Level D:No respirator,no chemical protective clothing,standard work clothes,basic PPE;(COVID-19 face covers allowed)
<br /> o Modified Level D:No respirator,chemical protective clothing as appropriate;(COVID-19 face covers allowed)
<br /> o Level C:Air-purifying respirator,chemical protective clothing as appropriate;consult with Corp.H&S Dept.required.
<br /> o Level B:Air-supplied respirator,chemical protective clothing/suit as appropriate;consult with Corp.H&S Dept.required.
<br /> o Level A:Fully encapsulating suit,self-contained breathing apparatus(SCBA);Level A prohibited for Geosyntec personnel.
<br /> Geosyntec Procedures:HS-301-HAZWOPER,HS-108-Medical Monitoring Surveillance,HS-111-Air Monitoring,HS-112-Respiratory Protection,
<br /> HS-113-Personal Protective Equipment,HS-114-Safety Training Programs,HS-115-Hazard Communication,HS-405-Drum Sampling,Others as applicable
<br /> ® FOR SITE WITH CHEMICAL CONTAMINANTS OR WASTE BUT NOT REGULATED BY HAZWOPER
<br /> — Workers to be knowledgeable/aware of chemical hazards thru safety training/orientation and availability of hazard information.
<br /> — Implement controls to minimize worker exposure through engineering controls,work practices,PPE,decon,as appropriate.
<br /> — Evaluate worker exposure via air monitoring/sampling,as applicable;see Part E,"Air Monitoring,Worker Exposure Monitoring."
<br /> Geosyntec Procedures: HS-111-Air Monitoring,HS-112-Respiratory Protection,HS-113-Personal Protective Equipment
<br /> HS-114-Safety Training Programs,HS-115-Hazard Communication,Others as applicable
<br /> ® : STORAGE/TRANSPORT OF IDW* ®Describe site-specific procedures above for spill containment,container handling,as applicable.
<br /> Spill/Release Risk: ❑For liquids,provide secondary containment during storage.
<br /> ❑Risk of incidental spill/release ❑Segregate incompatible chemicals during storage.
<br /> El Risk of emergency spill/release ❑Locate emergency gear(eyewash,fire extinguisher,spill kit,safety signage)near storage area,as applicable.
<br /> ❑For incidental spills;spill kit on-site for low-hazard releases(low-flammability/toxicity/quantity/volatility)
<br /> *Investigation-Derived Waste ❑For emergency spills:describe spill/release hazard and response plan/procedure above,and indicate
<br /> Emergency response contact in Part B,"Emergency Response and First Aid."
<br /> ❑DOT/TDG/IATA-Regulated transport:see D.17."Hazmat/Dangerous Goods Shipping/Transportation."
<br /> Geosyntec Procedures: HS-406-Unknown Hazardous Waste Drum Handling
<br /> OFF-SITE MIGRATION OF AIRBORNE ❑Implement controls to minimize hazard migration(dust suppression,covers,foam,etc.).
<br /> CONTAMINANTS ❑Community/perimeter air monitoring to be conducted per perimeter air monitoring plan;see E.3"Fence
<br /> Line/Perimeter Air Monitoring."
<br /> U.]b. RADIATION HAZARDS(Other than Sunlight) ❑ Applicable ® Not Applicable, Not Anticipated
<br /> Site-Specific Notes&Clarifications:
<br /> Ei IONIZING Potential hazard sources may include nuclear density gauges,host-facility X-ray equipment,radioactive contaminants(a,(3,y),
<br /> RADIATION medical or laboratory waste. Describe hazards&safety measures above in Site-Specific Notes&Clarifications. Conduct exposure
<br /> monitoring,as appropriate;see Part E,"Air Monitoring,Worker Exposure Monitoring."
<br /> Geosyntec Procedures: HS-126-Radiation Safety Program,HS-128-Ionizing and Non-Ionizing Radiation
<br /> NON-IONIZING Potential hazard sources may include lasers,UV/IR sources,microwaves&high-frequency radio waves from cell-phone transmitter,
<br /> El RADIATION high-intensity visible light. Describe hazards&safety measures above in Site-Specific Notes&Clarifications. Conduct exposure
<br /> monitoring,as appropriate;see Part E,"Air Monitoring,Worker Exposure Monitoring."
<br /> Geosyntec Procedures: HS-128-Ionizing and Non-Ionizing Radiation
<br /> D.17. HAZMAT/DANGEROUS GOODS SHIPPINGITRANSPORTATION 7 Applicable ® Not Applicable, Not Anticipated
<br /> MODE(S)OF TRANSPORT: El Road El Rail El Air El Sea El Inland Waterway ❑International
<br /> Geosyntec° Project/Task Name:TR0712/GSH OxyChem-Stockton SVP Installation
<br /> THA Date:06/25/2022 Page 13
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