work plan for soil remediation, sampling and analysis plan, site ...

More documents

Recommendations

Info

*c= OH31 Remediation\m Services Corp.ASUUdUYdOIDICForm 0085H & S Dept.2195INJURY/ILLNESSSTATUS REPORTEmployee Social Security No.Home AddressPhoneJob TitleHome DivisionDate of Injury/Illness Description of Injury/IllnessAUTHORIZATIONTO RELEASE INFORMATION.:.‘.I hereby authorize all physicians, hospitals, clinics and all persons to discuss with, and release to OHM Remediation ServicesCorp. and its authorized agents, any information or copies thereof acquired in the course of my examination or treatment forthe injury identified above. This authorization shall not extend to any other medical condition, past or present, unless the sameis causally or historically relevant or related to the injury referred to above.Employee SlgnatureDatePHYSICIAN OR MEDICAL PERSONNEL TO COMPLETE REMAINDER OF FORMWORK STATUS0 l3nptoyw m8y return to worlc with no IImItatIonsPata0 Employee may return to worlc onPatewith llmltatlona Indicated. Thesa mstrlctl0n.a am inl ffecl IJmll or until ReevefuatlonPateonoat.Em~l~mwworN - hours In a work day.0 tnployw Is totslfy Incapacitated at thls tlmrpalent witI be rwvuueted onourDEGREE0 Sedentary Work. Uftlng 10 pounds maximumand occasiomlly liftlng an&or unying such articlesU docket& ledgers, and small tools. Although asodent8ry job la deflned as one which invofveeafttlng, a cerlain amount of welktng JIM standlng isoften necesury in canying out job duties. Jobe are8edontary If walking and standlng are requimd onlyaturtonafly and other sedennuCy criteri8 am met.0 m Work. Uftlng 29 pounds maximum withfrequent liftlng &Or carrying of objects weighingup to 10 pounds. Even though the weight Ilfted maybe only a negligible amount. a job is in this categorywhen it requirea walking or standlng to a significantdegroo or when it involves rittfng most of the timewith a degree of pushing and pulling of arm andlorleg controls.0 mum Work. Uftlng 59 maximum with frequentllftlng andfor carrying of objects weighing up lo 25poun-.0 Heevy Woh Liftlng 199 pounda maximum withfr$tm llttlltt~stior carrying of oblects weighlng.0 Very Heavy Work. Uftlng oblects In ucoss of199 pounds with frequent llftlng and/or canying ofoblocts weighing 59 pounds or more.LIMITATIONS1. lho Employee may:a Standfwalk0 None 0 14hows0 44houn QMltounlhcsit0 14houn q 36houls0 5ahounorlvo0 1-3houn 034hOUf80 s-ahotm2 E%Weerruyuaehmdaforremt~0 SInglo g-ping 0 Puehlng 6 pulling0 Fine manipuletlon3. Employee mey use feet for mpmtltlve movementa8 in operatlng foot controfr0 Yea 0 No4. Employoa is able to:Frequenty Occaslorufly Not all Alla Bend-0 0 0b. squat-o a 0c. Cllmb.,O 0 0DiagnosisTreatmentOther iiPHYSICIAN’S REPORT-. Whom0 Referred to c.om?any physician0 Employee referred/admitted to:AddressPhone:Jate of this ReportPhysician’s NamePhysician’s Signature .PrintAddressPhoneWhit0 - Company COPYCanay - Clime CopyPlnk - &nployee COPY 16406 U.S. Route 224 E. l P.O. Box 551 l Findlay, OH 45839-0551 l (419) 456064DateTime
HEiyY EQ;[JnZ’h~DAILY INSPECTION LOGEquipment Description: .(NamdScdd No./Modd No.)Date Xobilizedzweek Endingrtem Insgecced/I Hoa-/ -Tues./ Oats Zaageczedwed./IThur./WfdshFold I ISeat 3elts I3ack-ua .XlaT -. I I3OClI3ZlkSS I I3; -a -- Sx=tiquisher I IT’-9s I I I3ydzaulics ( leaks) I I I IstetarLzg ?ia I IiaspCZ;rd *tIi I..
Page 1 and 2:
NOHM RemediationServices Corp.WORK
Page 3 and 4:
1.0 INTRODUCTIONThis Work Plan (WP)
Page 5 and 6:
2.0 SITE BACKGROUNDMCB Camp Lejeune
Page 7 and 8:
..;/II'. 1i4\..\1 '*.XCAVATION \.AR
Page 9 and 10:
A I B I CE I PI 0 I H I IPARK I NGA
Page 11 and 12:
OHM RemediationServices Corp. WORK
Page 13 and 14:
5.0 SITE CONTROL PLANSOHM will impl
Page 15 and 16:
L= THE DISTANCE SUCH THAT POINTA AN
Page 17 and 18:
Page 19:
OHMRemediationServices Corp. WORK P
Page 22 and 23:
Page 24 and 25:
Page 26 and 27:
7.0 SITE RESTORATION AND DEMOBILIZA
Page 28 and 29:
9.0 PROJECT SCHEDULEThe project sch
Page 30 and 31:
NOHM RemediationServices Corp.SAMPL
Page 32 and 33:
TABLE OF CONTENTS - CONTINUED6.0 DA
Page 34 and 35:
2.0 PROJECT MANAGEMENT2.1 Project B
Page 36 and 37:
Program ManagerG. Krauter, P.E.Prog
Page 38 and 39:
OHM RemediationServices Corp. SAMPL
Page 40 and 41:
Page 42 and 43:
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
A I 8 I P I 0 I EFI I 6 IH1 IPARKIN
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
4.0 DATA ACQUISITION4.1 Analytical
Page 60 and 61:
OHMRemediationl QC samples are with
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
lWorking order of instruments and e
Page 72 and 73:
8.0 CORRECTIVE ACTIONCorrective act
Page 74 and 75:
Page 76 and 77:
Table A-lSampling SummarySample Typ
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
AppendixBSample LabelCustody SealCh
Page 88 and 89:
3 CHAIN-OF-CUSTODY RECORDOI IM Corp
Page 90 and 91:
IA== B OHM Renmhtionavices Corp\&FC
Page 92 and 93:
BOHM RemediationServices Corp.SITE-
Page 94 and 95:
TABLE OF CONTENTS - CONTINUED6.0 DE
Page 96 and 97:
This Health and Safety Plan (HASP)
Page 98 and 99:
_OHM RemediationServices Corp. HEAL
Page 100 and 101:
OHM RemediationServices Corp. HEALT
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
OHMRemediationconnection between th
Page 116 and 117:
Page 118 and 119:
OHMRemediationTask No. 4: SoilSampl
Page 120 and 121:
Page 122 and 123:
OHM RemediatioaServices Corp. HEALT
Page 124 and 125:
5.0 PROTECTIVE EQUIPMENTThis sectio
Page 126 and 127:
Page 128 and 129:
6.0 DECONTAMINATION PROCEDURESThis
Page 130 and 131:
. . . --..7.0 AIR MONITORINGAir mon
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
OHMRemediationServices Corp. HEALTH
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
ci@- OHM RemediationServices Corp.
Page 152 and 153:
9.0 TRAINING REQUIREMENTSAs a prere
Page 154 and 155:
Page 156 and 157:
HEALTH-AND-SAFETYPLAN CERTlFICATION
Page 158 and 159:
APPENDIX B - OHM HAZARD COMMUNICATI
Page 160 and 161:
8. Know what you are expected to do
Page 162 and 163:
. Methods and observations that may
Page 164 and 165:
msPhysical propertiesAcute/Chronic
Page 166 and 167:
GPI Material Safety Data Sheets Col
Page 168 and 169:
Material Safety Data Sheets Collect
Page 170 and 171:
e5P (518)37%8854Genium Publishing C
Page 172 and 173:
apSix.lion 1. Material Identificati
Page 174 and 175:
Material Safety Data Sheets Collect
Page 176 and 177:
Genium Publishing CorporationMateri
Page 178 and 179:
I, r.___Genium Publishing Corporati
Page 180 and 181:
e.- -- _ - ------ -._-___ --._ ---.
Page 182 and 183:
.UrRPLS= ?UXiURE OF PARAFFIHTC, CTt
Page 184 and 185:
APPxavg a5twfIc vAPUR'C!fE?!XCAL CA
Page 186 and 187:
Fi reNF?A HAZARD RATING ’- Extten
Page 188 and 189:
WITCO MATERIAL SAFETY .O A T A SHEE
Page 190:
. .c . ._. . . .. . . .# . . .. . .
Page 193 and 194: 0.i1 -.-0.’ ,,’. .,‘A .,-“.
Page 195 and 196: IX Fhysial OataSan’ag,de.. ......
Page 197 and 198: -. - _ ___-. ----_-INGEzcizuIi tngu
Page 199 and 200: ---------w.- -- ----F. FWSICAL DATA
Page 201 and 202: ---.
Page 203 and 204: SECTION 5c- HEALTH HAZAROS4lllmsnol
Page 205 and 206: .--‘ AMALIE MULTI-PURPOSE LS GEAR
Page 207 and 208: We believe the statements, technica
Page 209 and 210: (Section III cmtinuei,)ffcsk=sint:
Page 211 and 212: ““. m-. -I a-. -- ---- --- ----
Page 213 and 214: i:.:::;:. ..-., \,’. .No. 68 Calc
Page 215 and 216: HATZ:P~A&,SXFETY DATA SHEET NC?. CO
Page 217 and 218: .w.N/AHAZAROOUS MIXTURES OF OTHER L
Page 219 and 220: .._ s1\1a.lZPage 4CHEMICAL FORMULA:
Page 221 and 222: . .SECTION 6. HEXLTH HAZARD. IfiFOR
Page 223 and 224: AJ 0. 14MSDS No. 324 Isopropyl Alco
Page 225 and 226: No. 14MSDS No. 324 Isopropyl Alcoho
Page 227 and 228: .;, -.-:-..: ..INo.44 Methane 8A9__
Page 229: . Materiaf Safety Data SheetFrom Gc
Page 232 and 233: :.I3 FlRsrBRANDSMaterial Safety Dat
Page 234 and 235: .nFIRSTBRANDSMaterial Safety Data S
Page 236 and 237: .. . DFIRSTBRANIlSMaterial Safety D
Page 238 and 239: Tdeshone:Infomation: (619) 275liu~C
Page 240 and 241: APPENDIXDHEALTH AND SAFETY FORMSAcc
Page 242 and 243: (Use Extra Pageif Needed).--%scribo
Page 246 and 247: IBAR MONTHLY INSbBCTIONCHECRLIBTBAR
Page 248 and 249: alme,-I sowica Corp.COMBUS’ITBLE
Page 250 and 251: DIRECT READING INSTUMENT LOGNAME:PR
Page 252 and 253: j% - -5 mi -omcorpo~Date:DAILY SA.F
Page 254 and 255: . ‘ISCUA MONIIILY INSFECA'ION CIi
Page 256 and 257: SITE SAFETY OFFICERDAILY REPORTDATE
Page 258 and 259: ~.-’ - . .-Pm-.. -d-e..-L ArtEre
Page 260 and 261: ----------t.------------m----------
Page 262 and 263: HAZARD ANALYSISEM 38s i1 Ott 92nLll
show all

work plan for soil remediation, sampling and analysis plan, site ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?