FIELD REPORT REMOVAL OF THE FLAMELESS … OF THE FLAMELESS THERMAL OXIDIZER (FTO) FROM ... A...

FIELDREPORTREMOVALOFTHEFLAMELESSTHERMALOXIDIZER(FTO)

FROMTHEPEMACOTREATMENTPLANT

Date: February 10, 2015

Prepared For: Rose Marie Caraway, MBA, Remedial Project Manager/Environmental ScientistU.S. Environmental Protection Agency 75 Hawthorne Street, SFD 7‐2 San Francisco, California 94105

Prepared By: Max Ramos, E.I.T., Staff Engineer John Wingate, P.E., Project Manager Oneida Total Integrated Enterprises, LLC. 317 E. Main Street Ventura, California 93001

Re: Removal of FTO From Pemaco Treatment Plant

1.0 INTRODUCTIONOneida Total Integrated Enterprises, LLC. (OTIE) prepared this Field Report Amendment for the United States Environmental Protection Agency (U.S. EPA) under contract by the United States Army Corps of Engineers, Contract Number W912PL‐13‐D‐0017, Task Order 0001.

The FTO and ancillary equipment (that operates with the FTO) was removed from the Pemaco treatment plant and transferred to the buyer (Bearing Sea Environmental [BSenv]). The FTO and ancillary equipment were sold by the Government to BSenv via a General Service Administration (GSA) auction.

The major definable phases of work for the FTO removal included: 1) disconnection of existing piping, utility, and controls, 2) removal of the scrubber tower and roof penetration loop, 3) FTO move, 4) re‐piping of the vapor treatment system and controls.

The vapor treatment system (VTS) was necessarily turned off during FTO removal in accordance with the lockout/tagout (LOTO) program set forth by the Accident Prevention Plan (APP) and the Site Safety and Health Plan (SSHP) (OTIE 2014).

The original FTO location within the treatment building is shown on Figure 1‐5 of the Task Order 01 Work Plan (OTIE 2014).

SEMS-RM DOCID # 1163809

Field Report for FTO Removal Pemaco Superfund Site, Maywood, California

1.1. PROJECTCONTACTSThe additional project contacts for the FTO removal work are provided in in the table below. Refer to the project Work Plan for Task Order 01 (Table 1‐1) for the full list of project contacts.

Additional Contacts for FTO Removal

Name Association Phone Email Address

Kevin Wars BSenv (808) 225‐5512 [email protected]

Chris Fish BSenv (832) 980‐3770 [email protected]

Chuck Petit CrainCo (562) 903‐7290 [email protected]

Notes: 1. BSenv = Bearing Sea Environmental 2. CrainCo = CrainCo, Inc.

1.2. PURPOSEANDOBJECTIVESThe purpose of this Field Report is to document the sale and removal of the FTO and ancillary equipment (Table 1) from the Pemaco treatment plant. Also to document the subsequent restoration of the Pemaco treatment plant, vapor treatment system (VTS) piping.

The objectives of this work were to 1) remove the FTO and ancillary equipment from the Pemaco treatment plant and transfer to BSenv, 2) restore the VTS piping after the FTO is removed, and 3) perform all work safely in accordance with the APP and SSHP.

1.3. PURCHASEAGREEMENTThe FTO and ancillary equipment (Table 1) was auctioned by the GSA under Auction #: 91QSCI‐15‐076.

The most recent and successful auction was held from December 11th to December 18th 2014. Several

previous unsuccessful GSA auctions for the same FTO were held beginning in August 2013. The

successful bidder was named as Warren Perkins, General Manager for BSenv (Anchorage, Alaska).

1.4. TECHNICALAPPROACHBSenv is the buyer of the FTO and ancillary equipment via the GSA purchase agreement, and was

responsible for removing all purchased equipment from the Pemaco treatment plant yard. OTIE served

as the facilitator to the FTO and ancillary equipment removal by assuring all equipment was safely

disconnected and placed in the Pemaco treatment plant yard for retrieval. In an effort to decrease

downtime, restoration of the VTS piping commenced as soon as the FTO was disconnected from utilities

and controls, but before it was removed from the plant.

2.0 IMPLEMENTATION

2.1. PRE‐FIELDACTIVITIESOTIE confirmed sale of the FTO to BSenv and received approval from U.S. EPA for shutdown of the VTS.

The VTS was shutdown December 22, 2014 through January 19, 2015 to accommodate FTO removal and

VTS re‐piping. BSenv’s Kevin Wars was onsite for FTO preparation and removal from January 22 to 28,

2015.


2.2. DISCONNECTINGTHEFTOANDRE‐PIPINGTHEVTSProcurement of materials and equipment necessary to safely disconnect the FTO from the VTS and restore vapor piping and controls was performed. Coordination with BSenv’s Kevin Wars, who was onsite January 26th through January 28th 2015, for FTO packaging and removal. The more detailed steps are as follows:

2.2.1. DisconnectionofExistingPiping,Utility,andControls

As‐built drawings for preparation of LOTO plan were reviewed.

LOTO plan was implemented.

Disconnect points for future owner were labeled.

Gas line was disconnected and capped.

Electrical at main junction was disconnected and conductors were removed.

Control at the master control cabinet was disconnected and the control wire was removed.

Water line was disconnected and capped.

Piping connecting the FTO to the VTS at flange connection was removed or cut as necessary for removal in manageable sections.

All circulation piping between the FTO and the fin fan unit was removed, penetrations through the plant with expanding foam were sealed.

Circulation piping attached to the cooling tower on the exterior wall was cut and capped.

Portions of piping were prepped for reuse in re‐piping VTS.

Remaining piping with pressure washer was decontaminated, disposed in dumpster or prepped for inclusion with FTO for BSenv.

2.2.2. RemovaloftheScrubberTowerandRoofPenetrationLoop

Flow sensor to scrubber was removed and packaged for new owner (BSenv).

Flange connection from the regenerative blower to the roof penetration was disassembled and section was removed.

Flange connection on main stack was disassembled.

Screws and bolts connecting the scrubber loop boots to the roof were removed.

Lifting straps were connected to loop from roof and removed (using pry bars and equipment as needed to break caulk seals).

Main stack on FTO was removed and placed in staging area for BSenv.

2.2.3. MovingtheFTOandAncillaryEquipment(frominsidetreatmentplanttooutsidetreatmentplant)

A forklift was used to move the FTO from the treatment plant to its lift location shown in the lift

plan provided by CrainCo in Attachment A.

Front end of FTO (control panel side) was lifted and wheels were installed.

Back end of FTO was lifted to install blocking.

FTO was lifted from back end and removed from treatment plant through access door.

All FTO open penetrations and non NEMA 3 components were sealed with visqueen sheeting.

The ancillary equipment was moved via forklift to a location in the Pemaco yard that allowed

BSenv adequate access for eventual removal offsite via truck.


2.2.4. Re‐PipingoftheVaporTreatmentSystemandControls

Area between oil mist filters and heat exchanger were surveyed (laser level) to define required

elevation for new piping. The new piping run section is shown on the attached Figure.

Piping and support brackets were installed, including new 20ft run for Dpit‐101, from the

influent port on the heat exchanger to the effluent ports on the oil mist filters.

Conduit for dPit‐101, TIT‐101 and PT‐101 was installed to new sensor locations.

2.3. SITERESTORATION Concrete anchors were removed (flush with pad surface).

Non‐essential conduit remaining was cut and capped.

Piping ceiling anchors were removed.

Safety tape from concrete was removed for clearance to the FTO main control panel.

Boot penetration through roof was patched.

2.4. FTOLIFTANDANCILLARYEQUIPMENTLOAD‐OUTBSenv was the buyer of the FTO (via GSA purchase agreement) and was therefore responsible for the

FTO lift (via crane) and for removal of all ancillary equipment via forklift. BSenv subcontracted CrainCo

(crane operators) to prepare the Lift Plan (Attachment A) and perform the FTO lift. CrainCo was the

subcontractor who previously offloaded (via crane) the FTO and had prior experience with this same lift

and site conditions.

CrainCo performed the lift without incident and in accordance with the Lift Plan. The FTO was loaded

onto BSenv’s truck, the load was secured, and then BSenv directed the truck to deliver the FTO to

BSenv’s operations in Texas. All ancillary equipment was similarly loaded onto trucks using a forklift

(with shooting boom) and the equipment hauled offsite by BSenv. A Photolog of the FTO lift and the

ancillary equipment identified on Table 1 is provided in Attachment B.

In conclusion, the FTO and all ancillary equipment, listed in Table 1, were successfully transferred to

BSenv (the new owner via GSA auction) and moved off‐Site.

3.0 HEALTHANDSAFETYAll Site operations adhered to the health and safety policies and procedures previously set forth in the APP and SSHP. The APP/SSHP was amended with the following Activity Hazard Analysis (AHA) for the FTO removal work performed at the Pemaco Site:

AHA 17 ‐ Powered Industrial Truck (Forklift) Material Handling

AHA 18 ‐ Crane Operations and Lifts

AHA’s 17 and 18 are included in Attachment C.

A health and safety tailgate meeting was held at the Site to review and acknowledge the AHAs and to review CrainCo’s Lift Plan (Attachment A) with all members of BSenv and CrainCo’s field crew present. OTIE and USACE facilitated the health and safety tailgate meeting to assure all hazards had been communicated and equipment inspections performed.


Prior to allowing the Lift to occur, Mike Cogan (USACE) reviewed CrainCo’s Lift Plan. Mr. Cogan made comments pertaining to information that needed to be included in the Lift Plan and reviewed by Rick Lainhart (USACE’s field engineer) on the day of the operation. The comments included the following:

1) The cranes latest quadrennial inspection document

2) The operator’s latest medical certification document

3) Who is rigging the lift, show training as a qualified rigger

4) Statement of environmental consideration, including the cease of operations when wind speed is greater than 20 miles per hour

CrainCo responded with the requested details. The final Lift Plan was approved by email (Mike Cogan, USACE) on January 27th, 2015, prior to the lift.

During the field work, OTIE’s designated Site Safety and Health Officer (Brian Hendron) and the USACE’s field engineer (Rick Lainhart) monitored Site health and safety and determined that Site conditions did not require an increased level of personnel protection or alterations of the crane lift. Throughout the entire FTO removal task, no observed health and safety related issues, such as non‐compliance, non‐conformance, or other incidents were documented by the Site Safety and Health Officer, as discussed in detail in the APP/SSHP.

4.0 REFERENCESOneida Total Integrated Enterprises, LLC. (OTIE). 2011. Sampling and Analysis Plan Addendum, Pemaco

Superfund Site, Maywood, California. May.

_____. 2014. Accident Prevention Plan, Long Term Response Action at the Pemaco Superfund Site, Maywood, California. August.

_____. 2014. Site Safety and Health Plan, Long Term Response Action at the Pemaco Superfund Site, Maywood, California. September.

_____. 2014. Work Plan, Long Term Response at the Pemaco Superfund Site, Maywood, California. October.

T N & Associates, Inc. (TN&A). 2007. Draft Sampling and Analysis Plan, (Field Sampling Plan and Quality Assurance Project Plan), Monitoring, Operations and Maintenance for the Pemaco Remedial Action, Pemaco Superfund Site, Maywood, California. October.

Figure

Figure 1 New VTS Piping

Table

Table 1 FTO & Ancillary Equipment


Attachments

Attachment A CrainCo Lift Plan

Attachment B Photo Log for FTO and Ancillary Equipment Removal

Attachment C AHAs

FIGURE

Oil Mist Filters, F-103 & 104

Newly Constructed Piping Run - From Oil Mist Filters to the entrance of the VC Package. Refer to Photos.

Vapor Conditioning PackaQe

Table 1FTO and Ancillary Equipment

Pemaco Superfund Site, Maywood, CA

P&ID Item Description Dims. For ShippingApprox. Weight

(lbs)Material/Schedule

Operating Specifications

"As-Built" Specified Manufacturer Catalog

Other Specifications

F-801 Calcium Filter/Softener 84" L x 37" W x 88" H 500 TYP20 gpm min/<3ppm

CalciumU.S. Filter Duplex KF-2 21"x62"

KFZSDO21FPZVCXUS Filter KF Series Duplex Alternating Softener w/ brine tank, Feed Temp 45-100°F, Feed pressure 30-100 psig, <3ppm Calcium, 77 gpm, 110V.

H-401 Heat Exchanger 94"L x 34"W x 37"H 650Stainless

Steel/Copper coils20 gpm Xchanger, Inc. LC series or equivalent

Temperature in: 165°F, Temperature out: 130°F. Pressure loss: 2.1 psi. Design temperature: -300 to 200°F. Presently Offline.Has a cracked manifold, assumed to be repairable, however, repair cost is estimated to equal the value of the equipment.

FTO-101Flameless Thermal Oxidizer and Scrubber

325.2"L x 99"W x 120"H

8500 FTO - proprietary Per FTO Manual 301 Anguil Model 10 Main unit disconnected to allow transport.

P-901 Metering Pump 26"L x 13"W x 23"H 60 TYP 34 gph @ 1725 rpm MacRoy Pump D7688PE1NIN Used to inject NaOH into FTO cooling water and scrubber to neutralize acid gas.

T-901 Caustic Soda Tank 84" Dia. X 83"H 400Crosslinked Polyethylene Double-wall

1,550 gallonPoly Processing Company SAFE-TANK® Stock Number 42001550

Inner tank - 1,790 gal; Outer tank - 1,954 gal; with 19" bolt manway cover and bolted flange fitting; float type sight gage and restraint system. Associated with FTO, presently offline.

Spare Part FTO Heater Core 81"L x 43"W x 53"H 1000Flameless Burner -

proprietaryPer FTO Manual

ALZETA (Incl. burner segments, gaskets, and fastners)

These are two spare burner cores. Operating cores already installed in FTO.

P-801Water Pressure Boost System for FTO cooling water

24"L x 20"W x 50"H 350 TYP.

Per FTO Manual. 60 PSI. Nominal 60

GPM. Max Head 1005 ft

Goulds Pump Model No. 3SVB-4ST6, Goulds Aquavar VFD , Goulds V15P Tank

Water Pressure Boost System required to meet FTO minimum pressure nozzle specification; 60 psi. Pressure drop associated with calcium filter/softner usually drops line pressure below 60 psi.

CT-201 Cooling Tower 175" Dia. X 186" H 2823

Fiberglass Reinforced

Polyester (FRP). Galv. Steel

650 gpmAQUA-Loop Cooling Tower

MB-300Provided as part of the vapor conditioning package. Presently on Standby.

Pipe #1 13.5" Dia. 91" L 100 Fiberglass -- FTO vapor ducting and conduitDisconnected to allow transportation. Reinstall in accordance with manufacturer's FTO diagrams.

Pipe #2 18.3" Dia. X 90" L 90 Fiberglass -- FTO vapor ducting and conduitDisconnected to allow transportation. Reinstall in accordance with manufacturer's FTO diagrams.

Pipe #3 12" Dia. X 29" L 30 Fiberglass -- FTO vapor ducting and conduitDisconnected to allow transportation. Reinstall in accordance with manufacturer's FTO diagrams.

Pipe #4 12.75" Dia. X 33.5" L 40 CPVC -- FTO vapor ducting and conduitDisconnected to allow transportation. Reinstall in accordance with manufacturer's FTO diagrams.

Pipe #5 18.5" Dia x 35"W x 97"L 120 Fiberglass -- FTO vapor ducting and conduitDisconnected to allow transportation. Reinstall in accordance with manufacturer's FTO diagrams.

Pipe #6 34" Dia. X 121" L 250 Fiberglass -- FTO vapor ducting and conduitDisconnected to allow transportation. Reinstall in accordance with manufacturer's FTO diagrams.

Pipe #7 34" Dia. X 13" L 30 CPVC -- FTO vapor ducting and conduitDisconnected to allow transportation. Reinstall in accordance with manufacturer's FTO diagrams.

Notes: PVC - polyvinyl chloride acfm - actual cubic feet per minute mmHg - millimeters of mercury

AC - alternating current PVDF - polyvinylidene fluoride Btu/h - British thermal units per hour oF - degree Fahrenheit

CPVC - chlorinated polyvinyl chloride SPDT - single pole, double throw cfm - cubic feet per minute ppm - part per million

DC - direct current SS - stainless steel dBA - A-weighted decibels psi - pounds per square inch

ETFE - ethylene tetrafluoroethylene TDH - total dynamic head gph - gallons per hour psig - pounds per square inch gauge

FTO - flameless thermal oxidizer TEFC - totally enclosed, fan-cooled gpm - gallons per minute rpm - revolutions per minute

NPT - national pipe thread TYP - typical hp - horsepower scfm - standard cubic feet per minute

NPTF - national pipe thread, female VC - vapor conditioning in. Hg - inches of mercury V - volt

P&ID - piping and instrumentation diagram in. wc - inches of water column

PLC - programmable logic controller

--

Page 1 of 1

Attachment A

CrainCo Lift Plan Including:

1. CrainCo Lift Evaluation Form

2. Figure of CrainCo Site Layout for Lift

3. FTO Lifting Diagram

4. Crane Lifting Capacity Table

5. Annual Crane Certification

6. Quadrennial Certification

7. J. Rodriguez Certification

8. C. Pozo Certification

9. J. Rodriguez Medical

10. C. Pozo Medical

11. Rigger Certification C. Pozo

12. Record of Lift Plan Correspondence

Lift Evaluation Form Submitted by Crainco, Inc P.O. Box 3008, Whittier, CA 90605

Phone 562 903-7290 Fax 562 903-7292 1. Activity Lifting of FTO

Location Maywood Ca. Date 1/27/15

2. Description of Load Load Weight Max. Weight 8500 lbs.

FTO 8’ X 27’ 8500lbs. Block Weight N/A Spreader Weight N/A

Rigging Weight 1500 Crane actual capacity if needed 42,800 Jib Weight N/A

Jib Ball Weight 295 Hoist Line Weight N/A Total Load 10,295 lbs.

3. Crane Manufacturer Link-Belt Max Boom Length

80’ Main boom

Model No. 86100 Serial No. N3K3-3474 Maximum Load Radius 45’ On Outriggers Y Corresponding Boom Angle

53.0 degrees On Tires N

Lift Will Be X On Boom On Jib Over Side

X Over Rear

Rated Capacity 28,300 LBS Capacity Margin = (Total Load ÷ Rated Capacity) x 100 = 36.3%

4. Are There Under Ground Hazards? Yes X No underground hazards

Soil Conditions Dirt Will Blocking or Crane Mats be Used? x Yes No Wood Mats

Are there Fire or Explosive Hazards within reach? Yes x No

Has Permit Been Obtained? Yes No X N/A Prepared by Chuck Pettit Date 1/23/15 Operator Juan Rodriguez NCCCO License

# 080640285R

FTO

TRUCK

100 ton crane

45’ swing radius

8

D

C

0

B

A

8

•

108 MINIMUM

0 0 0 0 0

•

C!!I

SOUTH END ELEVATION

0

7

120 to 180"

95

(8) 1/2" BOLTS PER CASTER

1YP 2 PLACES

7

I \

\

15' MAX

6 5

PLAN VIEW

THIS END IS MARGINALLY HEAVIER

EAST SIDE ELEVATION

4

--

3 2

/ /PROTECT MOTOR / FROM CHON DAMAGE

120·

RIG CHAIN INSIDE BELT GUARD AND PROTECT MOTOR FROM CHAIN

1

/~ ''<"' SHIPPED

\

NORTH END ELEVATION

' '

TO BACKSIDE /

OF CHANNEL __________ _J I \

I

TOTAL UNIT WEIGHT: 8500# \ -......_-_-_'----::::,,------'-

OPTION #1 CASTER INSTALLATION

6 5

' / ' ,, ......._ __ _........ OPTION #2

CASTER INSTALLATION

4

' ANGUL ENYIIONHENTAL SYSTEMS, INC. HLWAUKEE, WISCONSIN

TIil£ DRA""8ND.

HODEL 10 FLAMELESS THERMAL OXIDIZER W. SCRUBBER

LFTING DIAGRAM

12584-900

DRAW DA1! tumNR Jl'W 18JAND'I

REV.

I .----r---r------.-----~~------:===----=-------+==-----~~L_____Jil

11!'1 1Y DA1! awa ''f m= 1 I ;

DlmD DA1! PEHACO SUPERFUMJ SITE US ARMY CORP OF ENG - DA1E HAYWOOD CA

WTIIRAW DA1E SGIIIIE

3 2 WTPI.OFIY DA1E 1

D

C

B

A

/

Rated Lifting Capacities In Pounds

I.J.Jt .. .. UJ _.m ............... m 38.0ft

C

Load Radius

{ft) ,2i 360'

9 69.5

10 68.0

12 64.5 ........ _ ·-- .. - .... -···--····---··--···"'"'""' ·····-·

15 59.0

20

25 49.5

37.5 3o - · 1·a·:s· 35

40

45

50

... - ···-- ~~----- ----·· .. ·-·-·· ........ ... / .. ___ ··-·-···· 60 :

Mir..Bm,

Ang./Cap.

Load Radius

{ft)

12

15

20

25

30

35 ... --· -~ -· -

4-0

45

50

55

0.0

{31.0)

a: 0

79.5

77.5

74.0

70.0

66.0

62.0

57.5

53.0

48.0

42 .5

80.0 ft

360°

23,900

20,300 ,

60 36.5 17,500

65 29.0 15,100 -............... - - ···--· -- ~ .......... , _____ -- ---·······-·· ...., ________ _ 70 19.0 13.200

75

80

85

90

95

a: 0

74.0

71.5

Full

SO.Oft 60.0 ft

-,( 0

4 360°

77.0

75.0

79.0

77.5 ··- ...... ·-·-·-····· ··-- ··-··-··· ----·-····--···- ·-······-···············-·-.. ········· 68.0

61.0

54.0 ··--·····-.. -····-··· 46.0

36.5

24.0

40,900

32,500

72. 0

67.0

61.5

55.5

49.0

42.0 33,800

75.0

71.0

66.5

61.5

56.5

51.5 .......................... ... --3-3.s ·-····- ···-·2·?~a60 ··· · ··-·-· 45.5 .... ·-· j 34.200

28,200

23,700

20,200

17,300

0.0

(43.0)

0

58.5

54.5

50.0

45.5

40.0

90.0tt

360"

28.300

23,900 -·-····-- ·-····-····-·

20,400

17,500

15,200

21 .5

0.0

(53.0)

a: 0

62.5

59.0

55.5

51.5

47.5

23,300 39.0

100.0ft

350•

27,900

31.0

20.0

0.0

(63.0)

a: 0

23,500 65.0 ........... ·-····-······-

20,000 62.0

11 5.8 ft

360''

27,400

23.000 ··············-·-···-······--·-

19,500

17,200

14,900

58 .5 16,700

55.5 14,400 -····· ........ _ . .... -------- ~-.......... ---····---···· - ---------··-·····-

34.5

27.5

18.0

- --··-------··· .. --.. 13,300

11,700

10,200

43.0 12,900 52.0 12,600

38.0 11,400 48.5

33.0 ! 9,900 45.0 -·········-· .. ····-···-l ---· -·-··-·- ...................... _ ..

26.5 I 8,700 41 .0

17.0 7,600

10,900

9.500 -- ······-···-···-.......... _.

8 ,300

7,200

6,200

36.5

31 .5 -----······,. ...... -· ~---· ..... . .... "··--···- ·-- ·------. ---· ... -··- ·-- --··--------·······-······-- -·---· . . ... ·-··~·--· - ·-·- --· . --··--···"-. --····· ·······-··----··· 100

105

Min.Bm.

Ang./Cap. o.o 'i,/ffR1~ }\:;

(73.0) 0.0 :~···: 0 :9;4,f),9 \J~~- 0.0 7 ,000

(83.0) (93.0)

( ) Radius For Minimum Boom Angle Capacities (Shown In Parenthesis) Are In Feet.

HTC-86100 77 of 244

26.0

'18.0

0 .0

(108.8)

5,400

4,600

4,100

N3P0312

CHUCK

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CHUCK

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CHUCK

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CHUCK

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RA E CER IF SE VICES, Inc. PLATE V

DEPARTMENT OF INDUSTRIAL RELATIONS DJVJSJON OF OCCUPA TJONAL SAFETY ANO HEALTH (DOSH)

CERT!FlCATION OR UNIT TEST AND/OR EXAMINATION OF CRANE AND DERR.ICKS USED FOR LIFTING SERVICE

(DOSH FORM CCAU 55. 11-0-93)

1. Owner: CRAINCO CRANE SERVICE, INCORPORATED 2. Owner's Address: 10702 Painter Avenue Santa Fe Springs, California 3 Device (check one): Crane: X Derrick: Other:

Location: (a) Remains at Work Site: (b) Changes Work Site: X --- (c) On Barge:

90670

-l. Description: Hydraulic Truck Crane Rated Capacity: _lO_O_T_on _ ___________ _ 5. Manufacturer: Link-Belt Model No: HTC 86-100 Serial No: N3K3-3474 6. Owner's Identification (if any): 68 License Plate No: 7AIX994 ------- ----7 Service at Time of Survey: Lifting: X Other (describe): 8. Boom at Time of Survey: Length: 38' -140' Type: Telescopic Jib: 35' -58' 9. I est Loads Applied, Including Functional (partial) Test Loads:

Boom Radius

22' Angle

68° Proof Load

10,500 LBS Rated Load

Partial Load

Outriggers (Yes/No)

NIA

Description of Proof Loads: Annual Inspection I Operational Test

Rear

NIA

Boom Direction Front

NIA Side

NIA

1 O.' Basis for Assigned Load Ratings: _M_a_n_u_f_ac_t_u_r_er_s_S_.p_e_c_ifi_1c_a_ti_o_n_s _ _ ___ __________ _ 11. The examination shall cover the points listed on the reverse as applicable. 12. Remarks and I or limitations imposed: None. - ------------ ------------I ce11ify that on the 25111 Day of April, 2014 The above described device was tested and examined by the undersigned; that said test and examination met with the requirements of the Division of Occupational Safety and Health (DOSH), that any deficiencies affecting the safe operation of the crane have been conected prior to the issuance of this ce11ificate. A copy of such certificate attesting to Annual or Quadrennial certification shall be maintained in the crane or at the work site at all times.

Cert ificating Agency: Crane Certification Services, Inc. rhis Certificate is: (X) ANNUAL {) QUADRENNIAL

Crane Inspector: David R. Ennis Quad Attached: ( ) YES (X) No

Next Annual Due: 04 '2"'·'2 11 5 Last Quadrennial Done: 0413012013 By: CA No: CA-268 Authorized Signature: DOSH License No: CA-268

Print \Jame: David R. E1mis Expires: 09/07/2014 -------- - Category: M, T, B&G Title: Surveyor Date: 04/2S/2014 Next Quad Due: ------ 11 -l/.\ 01201 7 Certification No: 14-19564 Issue Date: 04/25/2014 Mailed to DOSH: 05/02/2014 --- - -----ee Su,1 L ...

(866 7CRA-.JE•(71tt)484 7675

RAE E T Fr' SER\11CES PLATE V

DEPARTMENT OF INDUSTRIAL RELATIONS DIVJSION OF OCCUPATIONAL SAFETY AND HEALTH (DOSH)

CERTrFICA TlON OR UNIT TEST ANO/OR EXAMINATION OF CRAJ\iE AND DERRICKS USED FOR LIFTING SERVICE

(DOSH FORM CCAU 55. 11-0-93)

1. Owner: CRAINCO CRANE SERVICE, INCORPORATED

C

2. Owner·s Address: 10702 Painter Avenue Santa Fe Springs, California 3. De\1ce (check one): Crane: X De1Tick: Other:

Location: (t1) Remains at Work Site: (b) Changes Work Site: X - -- (c) On Barge:

90670

4. Description: Hydraulic Truck Mount Rated Capacity: _J_O_O_T_ o_n ____________ _ 5. Manufacturer: Link-Belt Model No: HTC 86-100 SeriaJ No: N3K3-3474 ---------6. Owner's Identification (if any): 68 License Plate No: N/A -----------7. Service at Time of Survey: Lifting: X Other (describe): 8. Boom at Time of Smvey: Length: 38' - 140' Type: Telescopic Jib: 35' -58' 9. Test Loads Applied, Including Functional (partial) Test Loads:

Boom Radius Angle Proof Load Rated Load

50' 65.5° 30,600 LBS 27,900 LBS 100' 26.5° 8,700 LBS 7,900 LBS

Jib Test: 80' 65.5° 8,700 LBS 7,900 LBS

Description of Proof Loads: Live Load/ Known Weight

Outriggers (Yes/No)

Yes Yes

Yes

Rear

Yes Yes

Yes

Boom Direction Front Side

Yes Yes Yes Yes

No Yes

10. Basis for t\ssigned Load Ratings: _M_ a_n_u_f_ac_t_u_re_r_s_S_.p_e_c_ifi.._, c_a_ti_o_n_s _ _ _ ___ _________ _ 11 . The examination shall cover the points listed on the reverse as applicable. 12 Remarks and / or limitations imposed: None. ------------- -------------l certify that on the 301

h Day of April, 2013 The above described device was tested and examined by the undersigned: that said test and examination met with the requirements of the Division of Occupational Safety and Health (DOSH), that any deficiencies affecting the safe operation of the crane have been corrected prior to the issuance of this ce11ificate. A copy of such ce11ificate attesting Lo Annual or Quadrennial c~11ification shall be maintained in the crane or at the work site at all times.

Certificating Agency· Crane Certification Services, Inc. This Certificaie is: (X) ANNUAL (X) Q UADRENNIAL

Crane Inspector: David Copher Quad Attached: (X) YES ( ) No

Next Annual Due: U_. .:II :111.; Last Quadrennial Done: 04/30/2013 By: CA No: CA-268 Autho1ized Si6nature: DOSII License No: CA-268

Print Name: David Coeher Expires: 09/07/2014 Category: M, T.B&G Title: Surveyor Date: 04/30/2013 Next Quad Due: 0-&/311/2111 7 Certification No: 13-18346 Issue Date: 04/30/20 13 Mailed to DOSH: 05/03/2013

10

NCCCO CERTIFIED Operator Certification # : 080640285R Certification Designations: TLL

Issued to: JUAN RODRIGUEZ

National Commission for the Certification of Crane Operators

This card is not proof of certification. To verify a person's credentials, visit*

http://anr.nccer.org/ov and enter the number on the front of this card.

22528

RL, A Public Service Agency 111111111111

For Clinic Use Only: 051 Date Submitted: .. Je_/ I Cf JI C(

Clertc#: b - w - MEDICAL EXAMINATION REPORT FOR COMMERCIAL DRIVER FITNESS DETERMINATION

1. DRIVER INFORMATION Driver completes this section. PRINT IN CAPITAL LETIERS - USING BLACK OR DARK BLUE INK.

LAST NAME FIRST DRIVER LICENSE NUMBER

p O '2C) c I+ r J..J c l-( r L!..i (_ A f?. ( 6 .S J) 3 7 {oOB I + ;;i !/s £a 'RD

STATE ZIP WORK TELEPHONE NUMBER HOME TELEPHONE NUMBER a 92~0 ( ) ()<i;() 3 (?-S tt ~s SECURITY NUMBER LICENSE CLASS STATE OF ISSUE

-33 7tJ:.ti ~ DB De L D New certification ~ertification D Follow up

BIRTHDATE AGE SEX

HBkcf_ os-02> 9 7-1 3 S ErM OF

PLEASE READ THE "INSTRUCTIONS TO THE DRIVER" BEFORE ANSWERING. MARK ONE OF THE DRIVING TYPES BELOW

[d NyNon-Excepted Interstate El Excepted Interstate (Not available in California) I...J-1;fA Non-Excepted Intrastate EA Excepted Intrastate (Not available in California) ~ECISJ)NE OF THE BOXES BELOW ~ m tK2J. submitting this medical examination report to obtain a certificate to operate a School Bus, School Pupil Activity Bus, Youth Bus,

General Public Paratransit Vehicle, or Farm Labor Vehicle.

D LAM submitting this medical examination report to apply for or retain a certificate to operate a School Bus, School Pupil Activity Bus, Youth Bus, General Public Paratransit Vehicle, or Farm Labor Vehicle.

PLEASE READ THE FOLLOWING INFORMATION If you indicated you have submitted this medical examination report for one or more of the certificates listed above, your medical examination MlJ..S.I be performed by a Physician Assistant, Advanced Practice Registered Nurse, Doctor of Medicine (MD), Doctor of Osteopathy (DO), or a Doctor of Chiropractic (Chiropractor) listed on the most current National Registry of Certified Medical Examiners. Your medical examination report and medical certificate MlJ..S.I be signed by the physician who performed the examination. If your medical examination report does not indicate your medical examination was performed by an MD, DO, Physician Assistant, Advanced Practice Registered Nurse or a Chiropractor listed on the most current National Registry of Certified Medical Examiners; OMV will not process your certificate application or accept your medical examination report, and your medical examination report will be returned to you.

2. HEALTH HISTORY Driver completes this section, but medical examiner is encouraged to discuss with driver.

Yes No Yes~~

D b! ~llness or injury in last 5 years D L1'" Shortness of breath D !.,;f'ijead/Brain injuries, disorders or illnesses D D1'.ung disease, emphysema, asthma, D L.rseizures, epilepsy _ 9l(onic bronchitis

D medication D !..f l:S,idney disease, dialysis D 13"Eye · orders or impaired vision (except D ~r disease

rective lenses) D l.:J Digestive problems D ~ ~disorders, loss of hearing or balance 00 Diabetes or elevated blood sugar D l...:::t'Heart disease or heart attack, other ,!.Q!)lr.olled by:

cardiovascular condition bJ giet--0--medication l.d""pills

D c:Jiieart surgery (valve replacement/ D insulin ____,bypass, angioplasty, pacemaker) D C2t"Nervous or psychiatric disorders,

D ~ High blood pressure e.g., severe depression [:;}-medication Q medication--------

0 [3' Muscular disease D ff Loss of, or altered consciousness

Yes~

D 61 ~g. dizziness D lJsieep disorders, pauses in breathing

while asleep, daytime sleepiness, loud ~ §P'lring

D ~SJJ:oke or paralysis D l...d'f.1issing or impaired hand, arm, foot, leg,

~ JiP9er, toe D [.1" ~al injury or disease D !.J'gu=onic low back pain 0 LJ'~lar, frequent alcohol use 0 Ld-1'Jarcotic or habit forming drug use

f penalty perjury under the laws of the State of California that the foregoing is true and correct. rate, false or missing information may invalidate the examination and my Medical Examiner's

DATE

~ U? I 1 ),{) I Page 1 of 4

MEDICAL EXAMINER COMPLETES SECTIONS 3 THROUGH 8

QUALIFIED NOT Check each item in appropriate box to show"Qualified"or"Not Qualified': Explain any special findinfjs or tes~ QUALIFIED results NOT in an acceptable tolerance range. .

3. VISION Numerical readings must be provided

Standard: At least 20/40 acuity (Snellen) in each eye with or without correction. At least 70 degrees peripheral in horizontal meridian measured in each eye. The use of corrective lenses should be noted on the Medical Examiner's Certificate.

INSTRUCTIONS: When other than the Snellen chart is used, give test results in Snellen-comparable values. In recording distance vision, use 20 feet as normal. Report visual acuity as a ratio with 20 as numerator and the smallest type read at 20 feet as denominator. If the applicant wears corrective lenses, these should be worn while

0 D acuity is being tested. If the driver habitually wears contact lenses, or intends to do so while driving, sufficient evidence of aood tolerance and adaotation to their use must be obvious. Monocular drivers are not aualified.

Numerical readings must be provided. Applicant can recognize and distinguish among ACUITY UNCORRECTED CORRECTED HORIZONTAL AELD OF VISION traffic control signals and devices show~ standard

Right Eye 20/ 4'l-) 20/ RightEye ~ 0 red, green and amber colors?........... es C No

Left Eye 20/ ~ .;- 20/ Left Eye g-u 0 Applicant meets visual aciey requirement only when wearing: ................... Corrective Lenses

Both Eyes 20/ 1.S- 20/ Monocular Vision (one eye blind): ...... C Yes l'ii!No Complete next line only if vision testing is done by an ophthalmologist or optometrist DATE OF EXAMINATION (IF APPLICABLE) NAME OF OPHTHALMOLOGIST OR OPTOMETRIST (PRINT)

TELEPHONE NO. LICENSE NO./STATE OF ISSUE SIGNATURE

X

4. HEARING Numerical readings must be provided.

Standard: a) Must first perceive forced whispered voice ~ 5 ft., with or without hearing aid, or b)average hearing loss in better ear 5 40 dB.

LJ D D Check if hearing aid used for tests. D Check if hearing aid required to meet standard.

INSTRUCTIONS: To convert audiometric test results from ISO to ANSI, - 14 dB from ISO for 500 Hz, - 10dB for 1,000 Hz, - 8.5 dB for 2,000 Hz. To average, add the readings for 3 frequencies tested and divide by 3.

Numerical readinas must be recorded. RIGHT EAR LEFT EAR

RIGHT EAR LEFT EAR 500 Hz 11000 Hz 2000 Hz 500Hz ltooo Hz 2000 Hz

a) Record distance from b) If audiometer is used, individual at which forced record hearing loss in whispered voice can first [> )-r=-r, l> '.)'FT. decibels. (acc. to ANSI

AVERAGE AVERAGE be heard. 224.5-1951)

5. BLOOD PRESSURE/PULSE RATE Numerical readings must be recorded. Medical Examiner should take at least two readings to confirm BP.

BLOOD PRESSURE READING HYPERTENSION EXPIRATION DATE RECERTIFICATION

SYSTfi. I Dl~OLI"

CATEGORY FOR CERTIFICATE

139/89 or lower with no NIA 2 years Every 2 years history of Stage 1-3 Driver qualified hypertension currently

:/,,, requiring medication

/ 140-159/90-99 Stage 1 1 year 1 year if 140/90 or less. One-time certificate for 3 months if 141-159/91-99.

PULSE RATE 160-179/100-109 Stage 2 One-time certificate 1 year from date of

~Regular D Irregular for 3 months exam if 140/90 or

less RECORD PULSE RATE: 180/110 or higher Stage 3 NIA Driver not 6 months from date of

q~ qualified exam if 140/90 or less

6. LABORATORY AND OTHER TEST FINDINGS Numerical readings must be recorded.

Urinalysis is required. Protein, blood or sugar in the urine may URINE SPECIMEN

D ,.,,,,-:- be an indication for further testing to rule out any underlying s/~~ IPA/RI 81/R'J SU~ I medical problem. A. -

OTHER TESTING (DESCRIBE AND RECORD) / / /

Page 2 of 4 DL 51 (REV. 1/2014) WWW

NAME,") /

l.. 0...,-,f t,5 ' (c.. 7. PHYSICAL EXAMINATION

LBS

The presence of a certain condition may not necessarily disqualify a driver, particularly if the condition is controlled adequately, is not likely to worsen or is readi ly amenable to treatment. Even if a condition does not disqualify a driver, the medical examiner may consider deferring the driver temporarily. Also, the driver should be advised to take the necessary steps to correct the condition as soon as possible, particularly if the condition, if neglected, could result in more serious illness that might affect driving.

Check YES if there are any abnormalities. Check NO if the body system is normal. Discuss any YES answers in detail in the space below, and indicate whether it would affect the driver's ability to operate a commercial motor vehicle safely. Enter applicable item number before each comment. If organic disease is present, note that it has been compensated for. Check each item in appropriate box to show "Qualified" or "Not Qualified~

As you complete items 1 - 12 below, you will find some items that have no clearly defined measures to indicate a driver is "qualified" or "not qualified': For such items, please check "qualified" if the driver's condition appears within normal limits.

Any abnormalities present? See Instructions To The Medical Examiner for guidance.

QUALIFIED NOT

BODY SYSTEM CHECK FOR: YES* NO QUALIFIED

,,--- 1. General Marked overweight, tremor, signs of alcoholism, problem drinking, or Appearance drug abuse.

_/ 2. Eyes Pupillary equality, reaction to light, accommodation, ocular motility,

ocular muscle imbalance, extraocular movement, nystagmus, exophthalmos, strabismus uncorrected by corrective lenses, retinopathy, cataracts, aphakia, glaucoma, macular degeneration.

/ 3. Ears Middle ear disease, occlusion of external canal, perforated eardrums. / 7 ~ 4. Mouth and Throat Irremediable deformities likely to interfere with breathing or swallowing.

~

r 5. Heart Murmurs, extra sounds, enlarged heart, pacemaker.

/ 6. Lungs and chest, Abnormal chest wall expansion, abnormal respiratory rate, abnormal / not including breath sounds including wheezes or alveolar rales, impaired respiratory breast examination function, dyspnea, cyanosis. Abnormal findings on physical exam may

require further testing such as pulmonary tests and/or x-ray of chest.

/ 7. Abdomen and Enlarged liver, enlarged spleen, masses, bruits, hernia, significant Viscera abdominal Viscera wall muscle weakness.

/ 8. Vascular system Abnormal pulse and amplitude, carotid or arterial bruits, varicose veins. /

/ 9. Genito-urinary Hernias. system.

10. Extremities - Limb Loss or impairment of leg, toot, toe, arm, hand, finger. Perceptible limp, impaired. Driver deformities, atrophy, weakness, paralysis, clubbing, edema, hypotonia.

/ may be subject Insufficient grasp and prehension in upper limb to maintain steering wheel to SPE certificate grip. Insufficient mobility and strength in lower limb to operate pedals if otherwise properly. qualified.

/ 11. Spine, other Previous surgery, deformities, limitation of motion, tenderness. musculoskeletal

/

/ 12. Neurological Impaired equilibrium, coordination or speech pattern ; paresthesia asymmetric deep tendon reflexes, sensory or positional abnormalities, / abnormal patellar and Babinski's reflexes, ataxia.

'COMMENTS

DL S1 (REV. 1/2014) WWW Page 3 of 4

8. PHYSICIAN, CHIROPRACTOR, PHYSICIAN ASSISTANT, OR ADVANCED PRACTICE REGISTERED NURSE COMPLETES THIS SECTION

DATE OF EXJM/ ( U- 1'1 I

DRIVER'S IDENTITY VERIFIED BY:

[lit:briver License No: / \ 5 / (..ex;;? 7 D Other Photo ID (Specify ID used):

Medical Examiners Comments on Health History (The medical examiner must review and discuss with the driver any "yes" answers and potential hazards of medications, including over-the-counter medications, while driving.) If the driver has previously been diagnosed with Stage 1, Stage 2, or Stage 3 hypertension and continues to require medication for treatmMnt of h P,ertension, please indicate here and follow instructions Jor reduced term of medical certifica\e. J ~ I /f) f-{

0 P 1-, /s e,._ ~ ~ .... c"h,,-_s re;._~ /C6'- 'r->1~ ~1-e..1 '"' LO

WJ~ c,vup, r

PHYSICIAN NOTE: A Doctor of Medicine (MD), Doctor of Osteopathy (DO), Physician Assistant, Advanced Practice Registered Nurse, or a Doctor of Chiropractic (DC) listed on the most current National Registry of Certified Medical Examiners can perform a medical examination for persons submitting a medical examination report to operate one or more of the following: School Bus, School Pupil Activity Bus, Youth Bus, General Public Paratransit Vehicle, or Farm Labor Vehicle.

Note certification status here. See Instructions to the Medical Examiner for guidance. I certify under penalty of perjury under the laws of the State of California that I am licensed, certified, and/or registered, in accordance with applicable State laws and regulations to perform physical examinations, that I have examined the driver named above in accordance with the Motor Carrier Safety Regulations (49 CFR 391.41-391.49) and with knowledge of the driving duties, I find this person: (CHECK ALL THAT APPLY) D Meets standards in 49 CFR 391.41; qualifies for 2 year medical certificate effective (must insert

date) _ _ I __ I __ and which will expire (must insert date) __ I __ I __ . D Does not meet standards

D May qualify for California restricted COL if solely unqualified based on 49 CFR 391.41(b)1 ,2,10,or11. • J J

Df-Meets standards, but periodic evaluation required due to br.;; lohf'-'..S = -----,=------==---. Driver qualified only for: D 3 months D 6 months [5g) 1 year D Other -..-~.-.--~~----Medical certifite effes (mU§~rt date) XI H I l.!1._ and will expire (must insert date) I I "J..5_.

D Temporarily disqualified due to (condition or medication):---------Return to medical examiner's office for follow up on --------- --

ONLY QUALIFIED WHEN: D Wearing corrective lenses D Wearing hearing aid

CHECK THE BOXES BELOW ONLY WHEN THE DRIVER PRESENTS ONE OF THE DOCUMENTS LISTED, A COPY OF WHICH MUST BE ATIACHED TO THIS REPORT.

D Accompanied by a waiver/exemption. Driver must present exemption at time of certification. (must attach copy)

§ Accompanied by a Skill Performance Evaluation (SPE) Certificate (must attach copy) Driving within an exempt intracity zone (not applicable in California) Qualified by operation of 49 CFR 391.64 (must attach copy of waiver/exemption)

A completed examination form is on file in my office. MEDICAL EXAMINER'S NAME (PRINT)

Gary Wall, DC

TITLED P_bysician ~ Chiropractor D Physician Assistant 0 M.D. 0 D.0.

D Advanced Practice Re istered Nurse

ADDRESS

4045 E. Guasti Rd. Suite 215 Ontario, CA 91761 STATE MEDICAL LICENSE OR CERTIFICATE NUMBER ISSUE STATE

DC 13704 CA MEDICAL LICENSE/CERTIFICATE ISSUE DATE

RE------

NATIONAL REGISTRY NUMBER

33913 12235 MEDICAL LICENSE/CERTIFICATE EXPIRATION DATE

06/30/2014 TELEPHONE NUMBER

(909 ) 937-3254 If driver ee standards, complete a Medical Examiner's Certificate according to 49 CFR 391.43(h).

carry certificate when operating a commercial vehicle as specified in federal regulation.)

Page 4 of 4

PLACE DOCTOR'S OFFICE STAMP IN THIS SPACE OR

ATTACH OFFICE LETTERHEAD

Real Occupational Testing Services 4045 E Guasti Rd # 215

Ontario, CA 91761 (909) 937-3254

DMV COMPLETES THIS SECTION

HOOTRS

D Forward for further review

UPDATED BY (TECH #) DATE UPDATED

OATtr:ro JUN 1 9 201 4 s 1'.\ DL 51 (REV. 112014) WWW

0 .. -u"-J COn"ttfin lta.ttf 0 WU""& llcorto111d

04-iwltlllo u-latndty,- (OCFR 391.61)

0 1«ompuitd by •·-------••ivn/otapt.ioa 0 •tt0•P••wd lily • Sidi hrtonataN En..._Ma Ctrtifkace {SPE) O ~uffr...t by .,,.,.,io. or 49 CFR 391.64

n e l•fonnatio• I b vt pt"OVldcd ttp.rdUl'I tllis plr,yslal uuaiudoe II h'H ••d complete. A tomp~ t.u•t .. riM ,o,.. will uy atbda.ant taMdlfs •r ftadiop coaplttdy Hd conut?y. lDd I, o• file I• my offlr:e.

TELEPHONE DATE

909 937-3254 •o"°' ...... 0 Advai.ced Pnttb N•rM 0 Otllw r..cct_,

STATE

cQuid:Che-ck!/rew asp

Eilt: ,Edit Y:lt:W F}voritt:s Ioots t!t:lp

X Go glc • l--'1 Search ... ~ Shart: I Mort: » Sign In 1', ...

• ~ http--www.mountalncran .. , £i! Suggt:stt:d Sitt:S • [I Ge t more Add-ons • t9J • &'J • Cl ,ii • f agt: • ~ft:ty • T2ols • 8 • »

Date 3/ 23/ 2012

Online Verification for

Carlos Pozo

Card Number: 9616657

Assessment Assessment Details

Result Rigger Fundamentals PASSED

<!'{100% •

1

John Wingate

From: Cogan, Michael P SPL <[email protected]>Sent: Tuesday, January 27, 2015 2:58 PMTo: John Wingate; Lainhart, Richard S SPLCc: Brian Hendron; Fukushige, Thad T SPL; Caraway, Rosemarie; Tang, Chay C SPL; Mark

Wanek; Opperman, Janice SPL; [email protected]; Max Ramos; Jacques Marcillac

Subject: Re: [EXTERNAL] Part 2 - Lift plan for Pemaco FTO (UNCLASSIFIED)

Excellent, thank you. Sent from my BlackBerry 10 smartphone. Original Message From: John Wingate Sent: Tuesday, January 27, 2015 10:28 AM To: Cogan, Michael P SPL; Lainhart, Richard S SPL Cc: Brian Hendron; Fukushige, Thad T SPL; Caraway, Rosemarie; Tang, Chay C SPL; Mark Wanek; Opperman, Janice SPL; [email protected]; Max Ramos; Jacques Marcillac Subject: [EXTERNAL] Part 2 ‐ Lift plan for Pemaco FTO (UNCLASSIFIED) Hi Mike, Forwarding on behalf of BSenv and field crew at Pemaco, indicating your requested items #1 ‐4 have been met: Attached are documents to supplement documents #1‐6 forward yesterday: #7 is Quadrennial, #8 and #9, Operator and Rigger medical. #10 Rigger Cert for C. Pozo (checked training online) USACE is onsite monitoring environmental conditions. Presently no wind, no rain, no movement in trees. Crane safety meeting was held this morning and crews are preparing the Site for the lift. Photo attached is FTO outside the Treatment Bldg., on standby for lift. Please let me know if you have any further concerns or questions, Regards, John Wingate, P.E. Oneida Total Integrated Enterprises (OTIE) 805.585.6389 direct 805.585.2111 fax www.otie.com ‐‐‐‐‐Original Message‐‐‐‐‐ From: Cogan, Michael P SPL [mailto:[email protected]] Sent: Monday, January 26, 2015 6:20 PM To: Lainhart, Richard S SPL; John Wingate

2

Cc: Brian Hendron; Fukushige, Thad T SPL; Caraway, Rosemarie; Tang, Chay C SPL; Mark Wanek; Opperman, Janice SPL; [email protected] Subject: RE: Lift plan for Pemaco FTO (UNCLASSIFIED) Classification: UNCLASSIFIED Caveats: NONE I have reviewed your lifting documentation. The lift may proceed, the information is acceptable, recommend code C. The following will need to be checked by Mr. Lainhart on the day of the lift to be in compliance with section 16 of EM 385‐1‐1. All this info should be in the operator's book inside the cab. 1. The cranes latest quadrennial inspection document. 2. The operator's latest medical certification document. 3. Who is rigging the lift, show training as a qualified rigger. 4. Also there is no statement of Environmental Considerations (Section 16 I.) that lift operations should cease when the wind speed is > 20 mph. Make sure there is a measurement of the wind speed and that if the wind exceeds 20 mph, the lift stops and the operator discusses if the lift should safely proceed with the team. ‐‐‐‐‐Original Message‐‐‐‐‐ From: John Wingate [mailto:[email protected]] Sent: Monday, January 26, 2015 11:37 AM To: Lainhart, Richard S SPL; Cogan, Michael P SPL Cc: Brian Hendron; Fukushige, Thad T SPL; Caraway, Rosemarie; Tang, Chay C SPL; Mark Wanek; Opperman, Janice SPL; [email protected] Subject: [EXTERNAL] Lift plan for Pemaco FTO (UNCLASSIFIED) Hi Mike and Rick, I am following up from my email below. On behalf of Bearing Sea Environmental (BSenv) and CrainCo, I am forwarding CrainCo's Lift Plan (documents 1‐6) for your review. Please let me know if I can provide additional info. We are hoping for a response from you today. I will call to follow‐up. Regards, John Wingate, P.E. Oneida Total Integrated Enterprises (OTIE) 805.585.6389 direct 805.585.2111 fax www.otie.com ‐‐‐‐‐Original Message‐‐‐‐‐ From: John Wingate Sent: Thursday, January 22, 2015 2:35 PM To: 'Lainhart, Richard S SPL'; Cogan, Michael P SPL Cc: Brian Hendron; Fukushige, Thad T SPL; Caraway, Rosemarie; Tang, Chay C SPL; Mark Wanek; Janice Opperman ([email protected]); [email protected] Subject: RE: Lift plan for Pemaco FTO (UNCLASSIFIED) Rick, Thanks for kicking this off. Hi Mike,

3

Attached for your records are the FTO Lifting Diagram and the Site Layout Plan (showing anticipated crane location and receiving truck). The FTO weighs 8500 lbs and as Rick said, the same crane company (CraineCo out of Whittier CA) who installed it will be performing the lift to remove it. As soon as CrainCo provides a Lift Plan, we will forward it to you and Rick for review. A quick role clarification: please note that Bearing Sea Environmental (BSenv) is the buyer of the FTO (via GSA purchase agreement) and is therefore responsible for subcontracting CraineCo to perform the lift. OTIE is facilitating the lift by providing the attached information, preparing the FTO for the lift (by dismantling certain components and making it available outside the building), and coordinating Site access. BSenv has tasked CrainCo to provide the Lift Plan, and OTIE will forward for review as soon as it is available, probably Friday or Monday Am at the latest. Please don't hesitate to call with any questions, Thanks, John Wingate, P.E. Oneida Total Integrated Enterprises (OTIE) 805.585.6389 direct 805.585.2111 fax www.otie.com ‐‐‐‐‐Original Message‐‐‐‐‐ From: Lainhart, Richard S SPL [mailto:[email protected]] Sent: Thursday, January 22, 2015 1:55 PM To: Cogan, Michael P SPL Cc: Brian Hendron; John Wingate; Fukushige, Thad T SPL; Caraway, Rosemarie; Tang, Chay C SPL Subject: Lift plan for Pemaco (UNCLASSIFIED) Classification: UNCLASSIFIED Caveats: NONE Mike OTIE is trying to get the lift plan together for the removal of the FTO and it may be sent out tomorrow so this is just a heads up...but it is with the same crane company and the lift is the same, only thing different is crane to load placement and this lift will be without boom changes, just a pick swing and set...this should take place next week...Tuesday or Wednesday...Thank for your help...I've add Brian's name as he is OTIE onsite rep...and a few others... Richard S. Lainhart Civil Engineering Tech Technical/Environmental Support Branch (TESB) Construction Division 645 N. Durfee Ave, Bldg 17 So El Monte, Ca 91733 (951) 316‐0430 Cell "Be excellent to each other and to your ship".... Classification: UNCLASSIFIED

4

Caveats: NONE Classification: UNCLASSIFIED Caveats: NONE

Attachment B

Photo Log for FTO and Ancillary Equipment Removal

of 20

Photo 1: FTO‐101 Outside Treatment Building

of 20

Photo 2: FTO‐101 Removed from Treatment Facility

of 20

Photo 3: FTO‐101 Placed on Truck (Front View)

of 20

Photo 4: FTO‐101 placed on Truck (Side View)

of 20

Photo 5: F‐801 Calcium Filter and Softener

of 20

Photo 6: H‐401 Heat Exchanger (side view)

of 20

Photo 7: H‐401 Heat Exchanger (Front View)

of 20

Photo 8: P‐901 Metering Pump

of 20

Photo 9: T‐901 Caustic Soda Tank

of 20

Photo 10: Spare Parts FTO Heater Cores

of 20

Photo 11: P‐801 Water Pressure Boost System for FTO cooling water

of 20

Photo 12: CT‐201 Cooling Tower

of 20

Photo 13: CT‐201 Cooling Tower Removal

of 20

Photo 14: CT‐201 Cooling Tower Bottom Section

of 20

Photo 15: Pipe #1 (FTO Sampling Port)

of 20

Photo 16: Pipe #2 (Scrubber Tower Duct)

of 20

Photo 17: Pipe #’s 3, and 4 (Barometeric Damper and Y‐Joint)

of 20

Photo 18: Pipe #5 (Scrubber Tower Loop)

of 20

Photo 19: Pipe #6 (Scrubber Tower)

of 20

Photo 20: Pipe 7 (FTO Blower Flange)

Attachment C

AHAs

AHA 17 – Material Handling Using Powered Industrial Truck

1 | P a g e

Activity Hazard Analysis (AHA) Activity/Work Task: Material Handling Using Powered Industrial

Truck (PIT) Overall Risk Assessment Code (RAC) (Use highest code) M

Project Location: Pemaco Superfund Site Risk Assessment Code (RAC) Matrix

Contract Number: W912PL-13-D-0017; CTO#0002 Severity

Probability

Date Prepared: 19 December 2014 Frequent Likely Occasional Seldom Unlikely

Prepared by (Name/Title): Mark Wanek Catastrophic E E H H M

Critical E H H M L

Reviewed by (Name/Title): Lik-See Chung, CSP Marginal H M M L L

Negligible M L L L L Notes: (Field Notes, Review Comments, etc.)

Step 1: Review each “Hazard” with identified safety “Controls” and determine RAC (See above)

“Probability” is the likelihood to cause an incident, near miss, or accident and identified as: Frequent, Likely, Occasional, Seldom or Unlikely. RAC Chart “Severity” is the outcome/degree if an incident, near miss, or accident did occur and identified as: Catastrophic, Critical, Marginal, or Negligible

E = Extremely High Risk H = High Risk

Step 2: Identify the RAC (Probability/Severity) as E, H, M, or L for each “Hazard” on AHA. Annotate the overall highest RAC at the top of AHA.

M = Moderate Risk L = Low Risk

Job Steps Hazards Controls RAC

Arrival to Site, and Driving Equipment on Site

Being Unfamiliar with Site Oneida Total Integrated Enterprises (OTIE) will provide a tailgate meeting for all personnel prior to entering the site and review work tasks for that day.

L

Vehicular Safety Hazards

The work area is located in a controlled area. Therefore, an OTIE escort MUST be present at all times when the workers are moving onto and around the site with vehicles and equipment.

M


2 | P a g e


Vehicular Safety Hazards

In all other traffic areas on NBVC, obey traffic signs and signals. Jumping stoplights and signs is a major cause of accidents. Stop at red lights and stop signs. Always slow down and look both ways before you go, even if the light is green or you are allowed to turn right on red. Pay attention to other traffic signs, including notices to yield, or construction or road hazards ahead.

M

Do not overload a vehicle. Overloading can make tires overheat and blow out. An overloaded vehicle can block the driver's rear and side vision. In addition, if you put too many people in a vehicle, there will not be enough safety belts to go around.

L

Pre-Operation Safety Check Untrained Operator

Ensure the PIT operator has certified training on the design, controls, operation and safety mechanisms of the PIT.

Training on the PIT stability and the proper way to transport, load, and stack on the lift is essential prior to work.

Equipment will be inspected before each shift and documented.

Ensure back-up alarm, emergency stops, and other safety guards are in working condition prior to use

All PITs must have the rated capacity posted on the vehicle so as to be clearly visible to the operator.

M

Pre-Operation Safety Check Inspect rigging before use and as necessary during its use to ensure that it is safe

Remove defective rigging from service Do not wrap hoist rope around the load Restrict the area around the running lines to protect

workers from injury from broken lines

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Setting Up Work Site Tipping Hazards

Inspect and clear the travel pathways for the PIT for obstacles, hidden subsurface void spaces, or open holes that could cause the PIT to tip over.

Load ratings of the equipment and the load shall be known before attempting the lift.

Load ratings must not be exceeded. Identify inclines, grades, railroad tracks, wet or slippery

surfaces, or other potential hazards that warrant extra caution during the transport.

M

Setting Up Work Site Struck-by/against moving PIT or Load

Establish “safe work zones” around all equipment. Ground personnel and operators will be familiar with

appropriate hand signals in the work area. All personnel in the area where equipment is operating will

wear high visibility vests and hard hat. Backing up a vehicle with obstructed view, around ground personnel, near above-ground utilities, drop-offs, low light conditions, or other hazard will require the use of a spotter.

An overhead guard shall be used as protection against falling objects

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Securing the load

Injuries to hands: Pinch points Lacerations Puncture wounds

Wear leather work gloves when handling rigging, moving forks, and securing the load L

Mounting-Dismounting the Vehicle Slips-trips-falls

Check shoes for grease before entering the vehicle Use careful footing when mounting and dismounting the

vehicle. Pull or lower body out of cab – do not jump! Wear appropriate footwear – Steel-stoed boots with steel

shanks, non-skid soles. Use a spotter to help watch for obstacles, void spaces or

open holes in the floor Never carry passengers. Fasten seat belt

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Transporting the load

Damage to the material Load falling off PIT Workers struck by load or PIT

The PIT shall be operated at a speed that will permit it to be brought to a stop in a safe manner.

Spread forks as wide as possible for transporting the load. Tilt the mast slightly back in preparation for travelling Proceed slowly Ensure that at least 2/3 the length of the forks are

supporting the load

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Transporting the load Collisions with objects or other

equipment Tipping the vehicle

Stay alert Wear gloves to protect hands Ensure the load does not obstruct the view of the operator Use a spotter to warn others to stay out of the path of the

PIT and load Use a spotter to help watch for obstacles, void spaces or

open holes in the floor Avoid reversing If necessary, use a tag line to prevent load from swinging. Do not turn sharply

M

Transporting the load Worker crushed by the vehicle or load during tipover

If the vehicle tips, NEVER JUMP FROM THE VEHICLE! Stay in the vehicle Keep seat belt fastened Hold on tight to steering wheel Brace feet Lean forward and away from impact

M

Parking the vehicle Unintentional movement of load or vehicle

Forks and load should be fully lowered to the ground Neutralize controls Shut off power Set parking brake Chock wheels

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Equipment to be Used Training Requirements/Competent or Qualified Personnel

name(s) Inspection Requirements

1. Appropriate PPE for selection operation, at minimum –

a. Long Sleeve Shirt b. Long Legged Pants c. Sturdy Work Boots d. Safety Glasses e. Hard Hat, when required f. Eye wash g. Safety Vest, when required

2. Designated Site vehicles will be equipped with the minimum -

a. Map and Directions to site medical facility b. Project Emergency Contact Telephone Listing c. Serviceable First Aid Kit d. Serviceable A:BC rated 2.5lb or larger fire extinguisher

3. Other vehicles designated as personnel conveyance will be equipped with –

a. Map and Directions to site medical facility b. Project Emergency Contact telephone listing 4. Communications a. Project supplied or personal Cellular Phone 5. Hand and power tools 6. Powered Industrial Truck 7. Leather gloves - if using tools, handling material and/or pulling wire 8. Rigging

Competent / Qualified Person:

1 SSHO: Brian Hendron

2 SSHO Alternates: John Wingate, Mark Wanek

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4

5

Training:

Employees will sign the individual activity hazard analysis briefing record (below). The SSHO will attach it to the Daily Safety Record for review.

Visitors will report to the SHSO who will give a short safety and health orientation and will be required to sign the SSHP Compliance Agreement.

The SSHO will attach the completed compliance agreements to the project record.

The SSHO will determine if the visitor can access the site based on verification of 40 training or if the visitor(s) will need to be escorted by a 40-hour trained individual onsite.

All applicable on-site personnel will be current in OSHA training in accordance with 29 CFR 1910.120 (HAZWOPER), and be enrolled in a medical monitoring program with a current occupational physical with physician’s certificate in accordance with 29 CFR 1910.120(f). Additional training (such as construction safety, first aid/CPR, bloodborne pathogens, respiratory protection, confined space entry, etc.) will be provided as applicable.

Personnel will be trained in the safe use of required equipment and in the required PPE.

Certification training for PIT equipment operators. All assigned employees are required to familiarize themselves with the contents of this AHA before starting a work activity.

• Inspect PPE and applicator prior to use to ensure they are in good condition and ready to use.

• Inspect PIT and rigging daily; check for wear and tear.

• Check prior to every use. If tools are not in good condition they should be tagged and not used.

• Documentation of tools/equipment inspection before use


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Involved Personnel:

John Wingate, OTIE Project Manager Brian Hendron, OTIE SSHO Mark Wanek, Alternate OTIE SSHO Lik-See Chung, CSP, OTIE SHM Subcontractor(s): TBA

Analyzed/ Approved By: Position Or Title Signature

Brian Hendron Site Safety and Health Officer

Lik-See Chung, CSP OTIE SHM

Briefing Record

Print Name Signature Date Print Name Signature Date

AHA 18 – Crane Operations/Lifts

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Activity Hazard Analysis (AHA) Activity/Work Task: Crane Operations/Lifts Overall Risk Assessment Code (RAC) (Use highest code) M

Project Location: Pemaco Superfund Site Risk Assessment Code (RAC) Matrix

Contract Number: W912PL-13-D-0017, CTO#0002 Severity

Probability

Date Prepared: 19 Dec 2014 Frequent Likely Occasional Seldom Unlikely

Prepared by (Name/Title): Mark Wanek Catastrophic E E H H M

Critical E H H M L

Reviewed by (Name/Title): Lik-See Chung, CSP Marginal H M M L L

Negligible M L L L L Notes: (Field Notes, Review Comments, etc.)

Step 1: Review each “Hazard” with identified safety “Controls” and determine RAC (See above)

“Probability” is the likelihood to cause an incident, near miss, or accident and identified as: Frequent, Likely, Occasional, Seldom or Unlikely. RAC Chart “Severity” is the outcome/degree if an incident, near miss, or accident did occur and identified as: Catastrophic, Critical, Marginal, or Negligible

E = Extremely High Risk H = High Risk

Step 2: Identify the RAC (Probability/Severity) as E, H, M, or L for each “Hazard” on AHA. Annotate the overall highest RAC at the top of AHA.

M = Moderate Risk L = Low Risk


Crane Operations - General General Lifts

Complete appropriate Safe Work Permit

Inform local operations of any remote operations of activities.

Verify crane operator training.

Sufficiently skilled employees to complete tasks.

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General Activities/Set-up Slip, trip, fall

Watch for uneven surfaces. Wear steel-toed boots.

Work areas will be visually inspected and pre-existing slip, trip, and fall hazards will be marked, barricaded, or eliminated as feasible.

Work areas will be kept neat and orderly

Proper illumination is expected – no work after day light hours

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Perform inspection of heavy equipment and load handling equipment (LHE).

Ensure inspection checklist is completed

Do spot check of fire extinguishers and emergency shutdown switches

Ensure that drivers/passengers use appropriate hand holds while embarking /disembarking from equipment

Ensure operation manual is on equipment

Equipment is not maintained or in good condition (example, emergency stop buttons aren't working)

Ensure that the equipment and all associated equipment are inspected by a competent person (CP) and that the equipment is in safe operating condition

Slings used in conjunction with LHE for hoisting and horizontally moving loads shall be visually inspected by a CP each day or shift when in use.

Fire extinguishers present and inspected within one month.

Tag and remove from service faulty or unsafe equipment.

Verify that emergency shutdown systems (at least two) are clearly marked, and all site workers know locations

Verify that shutdown systems work properly when trip wires are pulled or pushed

Operator’s manual must be available and reviewed prior to operation

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Crane Operations – Set-Up/Positioning/Preparation

Pedestrians Crane overturning

due to unstable ground conditions

Personnel being crushed by outriggers

Dropping counterweights

Falls from height while positioning and loading counterweights

Work area will be properly delineated so pedestrians cannot enter work zone.

Swing radius will be barricaded to prevent entry of personnel and equipment.

Personnel on hand to warn others of crane movement in area.

Inspect ground surface where crane and outriggers are to be placed for void spaces or other potential instabilities prior to set up. Outriggers must be positioned on a plates or mats, and placed on a flat surface.

Crane to be located within the radius for the load being lifted. Load must be fully visible by operator at all times during the lift.

The operator must verify that the position of the outriggers is correct in accordance with the manufacturer's procedures before beginning operations. Outriggers should be fully extended.

Traffic control in place if necessary.

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Vehicle must be level to vertical and horizontal planes. Once crane is elevated and level, perform trial run to review tail swing and outrigger.

Level D PPE

Inspect rigging before each use.

Ensure proper rigging selection; size and strength.

Use acceptable rigging practices.

Crane Operations – Set-Up/Positioning/Preparation

Traffic

Other equipment

Buildings

Overhead and Underground utilities

Lift Radius

Unstable ground conditions

Use spotter when positioning crane

Check and confirm exclusion zones

Barricades, caution tape, warning signs

Work area will be properly delineated so pedestrians cannot enter work zone.

Swing radius will be barricaded to prevent entry of personnel and equipment (See attached Crane Layout Plan).

Personnel on hand to warn others of crane movement in area.

Inspect ground surface where crane and outriggers are to be placed for void spaces or other potential instabilities prior to set up. Outriggers must be positioned on a plates or mats, and placed on a flat surface.

Crane to be located within the radius for the load being lifted. Load must be fully visible by operator at all times during the lift.

The operator must verify that the position of the outriggers is correct

in accordance with the manufacturer's procedures before beginning operations. Outriggers should be fully extended.

Traffic control in place if necessary.

Once crane is elevated and level, perform trial run to review tail swing and outrigger.

Wear Level D PPE

Ensure operator knows the load to be lifted

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Crane Set Up – Equipment/Rigging Materials Inspection

Tears in Slings

Cracks in chains, shackles, rings and hooks

Dropping of load due to faulty lifting gear or faulty attachment points

Check slings for rips and tears and remove from service if faults are found

Check chains, shackles, hooks and rings for cracks, corrosion, wear, cracks, mechanism faults, etc and remove from service if faults are found

Lifting gear / equipment inspected

M

Locate Crane in Lifting Position On Site – Set Outriggers

Crane overturning due to unstable ground conditions

Personnel being crushed by outriggers

Outriggers must be positioned on flat and level surface, using timber or suitable material for pads to evenly distribute the load to the ground

Crane to be located within the radius for the loads being lifted (See

attached Crane Layout Plan)

Where space permits, outriggers shall always be fully extended

Where space is limited, crane should be configured to maximum capacity – this may require the use of reduced outriggers or on rubber; when permitted by the manufacturer

Outriggers shall always be extended to manufacturers procedures and specifications, including the requirement to fit manual pins

All outriggers-jacks should be utilized at all time (i.e. Front jack)

Generally Standard Safe Working Load capacity charts are based on all outriggers fully extended and set with wheels clear of ground.

Outrigger Packing –

Additional packing should always be utilized under outrigger floats (exceptions may include engineered setups where other means of distributing loads are adopted)

Commonly used (steel fabricated or otherwise) Outrigger Mats should carry design information and be subject to periodic inspection

When timber packing is utilized, it should be in a ‘pigsty’packing arrangement.

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Preparing Load for Lift

Crush points when releasing ratchet straps (if unloading from truck)

Pinch points

Deviation from established procedures

Ratchet strap to be secured in a location that can be released from ground level

Make certain hands and fingers are clear of ratchet strap pinch points (Rigger’s Gloves)

PPE – Rigger’s Gloves, Steel Cap Boots, Safety Glasses, Hard Hat, Long Sleeve-High Visibility Shirt and Vest, Long Pants

M

Crane Operations – Performing the Lift

Strains and fingers being damaged by lifting gear.

Wear Rigger’s Gloves when handling lifting equipment.

Keep hands and body parts away from crush areas and pinch points.

NEVER stand beneath a load!

M


Load falling from lift

Rigging equipment to be inspected prior to lift and have current inspection tag

All slings and lifting equipment to be free from damage

Slings to be appropriately positioned to prevent slippage

M


Lifted object striking other plant, equipment, personnel, materials, etc

Riggers and crane operator to plan lifts and path of item

Riggers to carefully control lifted item with taglines

No unnecessary personnel in lift area

Correct radio procedure or hand signals to be used. Communications directions by dogman only

Do not conduct lifts in high winds

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Tipping hazards

A durable and legible load chart shall be fixed at a location visible to the operator while seated at the control station

The load may not exceed 75% of the capacity of the crane for the entire range of the lift.

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Crane Operations – Severe Weather

High winds could destabilize crane. Boom of crane could act as a conductor during a thunderstorm

Check weather conditions and forecasts to determine if conditions are acceptable for use of rig and crane. Do not operate the equipment if winds exceed manufacturer’s recommended tolerances. Verify this factor and notify all workers in the daily tailgate safety meeting.

A 30 minute stand-down period is required after weather events such as thunderstorms.

M

Crane Operations Noise Wear ear plugs or ear muffs during all operations where noise levels

exceed 85 dB. This includes all personnel, subcontractors, and any visitors that are on site.

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Crane Operations Working around Heavy Equipment

High-visibility vests shall be worn by all workers

Listen for backup alarms, and be aware of heavy equipment backing up in the vicinity

Ground crew should avoid blind spots of the heavy equipment. Eye contact and hand signals should be made with the equipment operator when moving into and through the work area utilized by heavy equipment.

M

Placing Load in Final Position

Crushed limbs, hands, feet from falling load

Pinch Points and Crush Zones

Exclusion zone under load and path of lift

PPE - Wear Level D, including Riggers' Gloves

Keep hands and fingers clear of placement area

M

Crane Operations - Demobilizing

Trip Hazards

Crush and pinch injuries

Equipment damage

Counterweights coming off the back of the truck

Overhead power lines

Collision while exiting

All tools and equipment should be properly packed away.

Ensure counterweights are stacked on rubber mats and correctly tied down during demobilization.

Guide counterweights onto the truck tray with tag lines.

Crane boom should be in the lowered position while traveling.

Communication with other vehicles and people while leaving site.

Observe road rules and take into consideration drivers that do not

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site understand the nature of cranes and trucks.

All Tasks

Sunshine (UV radiation) Have sunscreen available for ultraviolet protection. Have plenty of cool

drinking water available to guard against dehydration (at least enough for each person on site to drink 1 gallon per hour).

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Heat Stress

Follow the heat / cold stress procedures referenced in section 3.3 of the SSHP

Adjust level of PPE dependent on air temperature, solar radiation and level of physical work.

Provide fluids (1 quart/person/hour) and rest breaks during site activities and while wearing impermeable protective clothing.

Only personnel whom are already acclimated to the area climate will be utilized on site.

Monitor for signs and symptoms of heat stroke.

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Biological Hazards (rodents, ticks, bees, mosquitoes,

snakes, etc).

Personnel will be aware of potential exposure to biological hazards.

Wear appropriate clothing (hat, long-sleeve shirt, long pants, gloves, boots etc.) and insect repellant.

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Equipment to be Used Training Requirements/Competent or Qualified Personnel

name(s) Inspection Requirements

1. Appropriate PPE for selection operation, at minimum –

a. Long Sleeve Shirt b. Long Legged Pants c. Sturdy Work Boots d. Safety Glasses (when handling substrate mix) e. Hard Hat, when required f. Eye wash g. Safety Vest, when required

2. Designated Site vehicles will be equipped with the minimum -

a. Map and Directions to site medical facility b. Project Emergency Contact Telephone Listing c. Serviceable First Aid Kit d. Serviceable A:BC rated 2.5lb or larger fire extinguisher

3. Other vehicles designated as personnel conveyance will be equipped with –

a. Map and Directions to site medical facility b. Project Emergency Contact telephone listing 4. Communications a. Project supplied or personal Cellular Phone 5. Hand and power tools 6. Crane 7.Support vehicles, pickup trucks 8.PPE - Modified Level D

Competent / Qualified Person:

1 SSHO: Brian Hendron

2 SSHO Alternates: John Wingate, Mark Wanek

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4

Training:

Employees will sign the individual activity hazard analysis briefing record (below). The SSHO will attach it to the Daily Safety Record for review.

Visitors will report to the SHSO who will give a short safety and health orientation and will be required to sign the SSHP Compliance Agreement.

The SSHO will attach the completed compliance agreements to the project record.

The SSHO will determine if the visitor can access the site based on verification of 40 training or if the visitor(s) will need to be escorted by a 40-hour trained individual onsite.

All applicable on-site personnel will be current in OSHA training in accordance with 29 CFR 1910.120 (HAZWOPER), and be enrolled in a medical monitoring program with a current occupational physical with physician’s certificate in accordance with 29 CFR 1910.120(f). Additional training (such as construction safety, first aid/CPR, bloodborne pathogens, respiratory protection, confined space entry, etc.) will be provided as applicable.

Personnel will be trained in the safe use of required equipment and in the required PPE.

Hand and power tool training for affected personnel

All personnel are required to have valid DOT drivers licenses

Certification training for crane and hoisting equipment operators. All assigned employees are required to familiarize themselves with the contents of this AHA before starting a work activity.

• Daily inspection of Crane and hoisting equipment by competent person(s) prior to lift

• Inspect PPE prior to use to ensure it is in good condition and ready to use.

• Inspect truck daily; check for wear and tear.

• Check prior to every use. If tools are not in good condition they should be tagged and not used.

• Documentation of tools/equipment inspection before use


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Involved Personnel:

John Wingate, OTIE Project Manager Brian Hendron, OTIE SSHO Mark Wanek, OTIE Alternate SSHO Lik-See Chung, CSP, OTIE SHM CIH Subcontractor(s): To Be Determined

Analyzed/ Approved By: Position Or Title Signature

Brian Hendron Site Safety and Health Officer

Lik-See Chung, CSP, OTIE SHM

Briefing Record

Print Name Signature Date Print Name Signature Date

FIELD REPORT REMOVAL OF THE FLAMELESS … OF THE FLAMELESS THERMAL OXIDIZER (FTO) FROM ... A...

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