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TO105SS13SS15_IRAWP

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					       United States Air Force
       15th Airlift Wing
       Environmental Restoration Program



                   Final


Interim Remedial Action Work Plan
                for
       Sites SS13 and SS15

         Hickam Air Force Base
             Oahu, Hawaii




          Contract F41624-01-D-8545
               Task Order 105

              January 2005
       United States Air Force
       15th Airlift Wing
       Environmental Restoration Program




       Executive Summary


                   Final


Interim Remedial Action Work Plan
                for
       Sites SS13 and SS15

         Hickam Air Force Base
             Oahu, Hawaii




          Contract F41624-01-D-8545
               Task Order 105

              January 2005
                               Executive Summary
                           Interim Remedial Action Work Plan
                                                  For
                                      Sites SS13 and SS15

The Air Force is remediating two sites at Hickam Air Force Base (AFB) that are contaminated with
petroleum hydrocarbons. Site SS13 is located at the John Rogers Tank Farm and Site SS15 is located
at the Par 3 Golf Course. In both cases, the sources of the contamination are believed to be leaks from
underground fuel dispensing pipelines. The projects are managed by the 15th Airlift Wing (15 AW) Civil
Engineer Squadron/Environmental Restoration Element (15 CES/CEVR) at Hickam AFB and the Air
Force Center for Environmental
Excellence (AFCEE). This Work Plan
describes the additional interim remedial
action (IRA) work to be performed under
the current project.

Project Setting
Site SS13 is an 18-acre parcel of land
located in the southeast part of Hickam
AFB. The area was formerly a tank
farm used to store and dispense fuels
and other petroleum products to the
AFB. Fuel-related contaminants are
present in soil and groundwater,
although no free product is currently observed to be present.
Site SS15 is a 25-acre parcel of land located in the north central part of the Base. The site is located
within and adjacent to the Par 3 Golf Course, south of Kuntz Avenue. Petroleum contaminants,
including free product fuel, are present in soil and groundwater at the site. The fuel is now slowly
dissolving and releasing contaminants at the site.

Project Background
The continued remediation of Site SS13 and Site SS15 is part of an ongoing IRA that was authorized
by an Action Memorandum (AM) dated May 31, 2002. The investigations that preceded the AM are
summarized in two reports:
    1. Engineering Evaluation/Cost Analysis for Implementing Non-Time-Critical IRA at Site SS13
       (CH2M HILL, October 26, 2001a)
    2. Engineering Evaluation/Cost Analysis for Implementing Non-Time-Critical IRA at Site SS15
       (CH2M HILL, October 26, 2001b).



                                                                                                   S-1
How Is the Contamination Being Addressed?
The primary goals of the IRA at both sites are to verify that contaminants are not migrating offsite at
concentrations that exceed state or federal water quality standards and to mitigate potential threats to
human health and the environment posed by potential exposure to contaminants in soil and
groundwater.
The Engineering Evaluation/Cost Analysis (EE/CA) for SS13 recommended that institutional
controls (ICs) be established to prevent potential human exposure to the residual fuel contamination.
The ICs will be supported by long-term monitoring (LTM) of groundwater quality.
The first step of the IRA was conducted in Spring 2003 and included abandoning several concrete
vaults and beginning the groundwater LTM program. Two rounds of semiannual groundwater
monitoring (SGM) have been completed for the site.
The EE/CA for Site SS15 recommended that available free petroleum product be removed from the site
and that a Monitored Natural Attenuation (MNA) program be implemented. To optimize free product
recovery, the extent of free-phase petroleum at the site will be monitored monthly. The MNA program
consists of sampling groundwater and analyzing for specific geochemical parameters that indicate
whether dissolved phase petroleum hydrocarbons are being naturally reduced in concentration and
mass. The MNA program will be conducted semi-annually to improve the speed of data collection.
The IRA activities completed to date at Site SS15 include further delineation of petroleum
contamination, free product removal testing, and two rounds of annual groundwater sampling.

What’s the Next Step?
The Air Force will continue implementing the IRAs at both sites. IRA activities to be conducted under
this project, and covered by this Work Plan, include continued groundwater monitoring at both sites.
The groundwater monitoring frequency will be increased from annual to semi-annual to better evaluate
site conditions, and subsequent preparation of semi-annual groundwater monitoring (SGM) reports.
The SGM reports will present the results of the groundwater sampling and monitoring and will evaluate
changes in the concentrations or distribution of petroleum contaminants. This will include ongoing
assessments of the capacity of SS13 to support MNA. In addition, a multi-phase extraction (MPX)
system will be operated at Site SS15 in an attempt to remove any free petroleum product found floating
upon the groundwater at the site.

How Do You Stay Informed?
This Work Plan has been sent to regulatory agencies for review. If you would like to receive copies of
future documents related to this or other Hickam AFB restoration projects, please contact:
Mr. Todd Lanning,
Chief, Environmental Restoration Element
15 CES/CEVR
75 H Street, Bldg. 1204
Hickam AFB, HI 96853-5233

Phone: (808) 449-1584, extension 223
Fax: (808) 448-0247
Email: Todd.Lanning@hickam.af.mil.


S-1
                United States Air Force
                15th Airlift Wing
                Environmental Restoration Program



                              Final


Interim Remedial Action Work Plan
                for
       Sites SS13 and SS15

                  Hickam Air Force Base
                      Oahu, Hawaii

Prepared for:   Air Force Center for Environmental Excellence
                Environmental Services Office
                Installation Worldwide--Pacific Division (AFCEE/IWP)
                Brooks City-Base, Texas 78235-5328
                                 and
                15 CES/CEVR, Hickam Air Force Base, Oahu, Hawaii
Prepared by:    CH2M HILL, Honolulu, Hawaii




                    Contract F41624-01-D-8545
                         Task Order 105

                         January 2005
                                                                     INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                              AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                        JANUARY, 2005




                                                             Contents
Executive Summary .............................................................................................................................i
Abbreviations and Acronyms ............................................................................................................ iii

1.0 Introduction .............................................................................................................................. 1-1
       1.1  Project Background........................................................................................................ 1-1
       1.2  Site Descriptions............................................................................................................. 1-2
           1.2.1 Site SS13 ............................................................................................................... 1-2
           1.2.2 Site SS15 ............................................................................................................... 1-2
       1.3 Work Plan Organization ............................................................................................... 1-3
2.0 Project Objectives and Scope .................................................................................................. 2-1
       2.1      Site SS13........................................................................................................................... 2-1
       2.2      Site SS15........................................................................................................................... 2-1
       2.3      Data Quality Objectives (DQOs).................................................................................. 2-2
3.0 Project Tasks............................................................................................................................. 3-1
       3.1     Pre-Construction Activities .......................................................................................... 3-1
       3.2     Field and Construction Activities................................................................................ 3-1
              3.2.1 Site SS13 ............................................................................................................... 3-1
              3.2.2 Site SS15 ............................................................................................................... 3-3
       3.3     Laboratory Analyses...................................................................................................... 3-5
       3.4     Waste Management ....................................................................................................... 3-5
       3.5     Sample Management and Data Validation ................................................................ 3-6
       3.6     Reporting......................................................................................................................... 3-6
4.0 Project Organization ................................................................................................................ 4-1
       4.1      Program and Project Management Staff..................................................................... 4-1
       4.2      Project Subcontractors................................................................................................... 4-1
5.0 Project Schedule ....................................................................................................................... 5-1

6.0 References.................................................................................................................................. 6-1




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                                                                  i
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




Figures
1-1    Site Location
1-2    Site Map for Site SS13, John Rodgers Tank Farm
1-3    Site Map for Site SS15, Par 3 Golf Course

3-1    LTM Well Locations at Site SS13
3-2    Phytoremediation Maintenance Area at Site SS13
3-3    Proposed Waste Storage Area Facility Location at Site SS13
3-4    Proposed Soil Boring Locations at Site SS15
3-5    Process Flow Diagram for Portable Multiphase Extraction System
3-6    MNA Well Locations at Site SS15

4-1    Project Organizational Chart

5-1    Project Schedule


Tables
3-1    Analytical Methods and Requirements for Container Type, Preservation Techniques,
       Sample Volumes, and Holding Time

4-1    Subcontractors for Interim Remedial Actions at Sites SS13 and SS15

Appendices
A      Field Sampling Plan
B      Project-Specific Quality Assurance Project Plan
C      Waste Management Plan
D      Health and Safety Plan
E      Construction Quality Plan




ii                                                                  TO105_FINALIRA WORK PLAN _2005-01.DOC
                                               INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                        AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                  JANUARY, 2005




                       Abbreviations and Acronyms
15 AW                       15th Airlift Wing
15 CES/CEVC                 15th Airlift Wing Civil Engineering Squadron, Environmental
                            Compliance Element
15 CES/CEVR                 15th Airlift Wing Civil Engineer Squadron, Environmental
                            Restoration Element

AFB                         Air Force Base
AFCEE                       Air Force Center for Environmental Excellence
AFCEE/ERD                   Air Force Center for Environmental Excellence, Environmental
                            Services Office, Environmental Restoration Division
AFCEE/IWPH                  Air Force Center for Environmental Excellence, Environmental
                            Services Office, Installation Worldwide Pacific Division
AFF                         Air Force Form
AM                          Action Memorandum
ASL                         Applied Sciences Laboratory
AWQC                        ambient water quality criterion/criteria
AVGAS                       aviation gasoline

BES                         Brewer Environmental Services

CQP                         Construction Quality Plan

DERP                        Defense Environmental Restoration Program
DLNR                        Department of Land and Natural Resources
DPS                         direct push system
DQO                         data quality objective
DRE                         destruction removal efficiency

EAL                         Environmental Action Level
EE/CA                       Engineering Evaluation/Cost Analysis
EPA                         U.S. Environmental Protection Agency
ESA                         Endangered Species Act

FAA                         Federal Aviation Administration
FSP                         Field Sampling Plan

HDOH                        State of Hawaii Department of Health
HSP                         Health and Safety Plan

IC                          institutional control
ICE                         internal combustion engine
IDW                         investigation-derived waste


TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                         iii
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




IRA                          Interim Remedial Action
IRP                          Installation Restoration Program
IWFSP                        Installation-Wide Field Sampling Plan
IWQAPP                       Installation-Wide Quality Assurance Project Plan

JP                           jet propulsion fuel
JRTF                         John Rodgers Tank Farm

kW                           kilowatt

LNAPL                        light non-aqueous-phase liquid
LRP                          liquid ring vacuum pump
LTM                          long-term monitoring

MNA                          Monitored Natural Attenuation
MPX                          multi-phase extraction
msl                          mean sea level

NFRAP                        No Further Response Action Planned
NHPA                         National Historic Preservation Act

O&M                          operation and maintenance
OHM                          OHM Remediation Services
OWS                          oil-water separator

PA/SI                        Preliminary Assessment/Site Inspection
PAH                          polynuclear aromatic hydrocarbon
PPE                          personnel protective equipment

QA                           quality assurance
QAPP                         Quality Assurance Project Plan
QC                           quality control

RFP                          request for proposal
RPM                          Remedial Project Manager
RSI                          Remediation Service International

SAP                          Sampling and Analysis Plan
SFS                          Security Forces Squadron
SHPO                         State Historic Preservation Office
SOP                          standard operating procedure

TO                           task order
TPH                          total petroleum hydrocarbons
TPH-DRO                      total petroleum hydrocarbons as diesel-range organics


iv                                                                    TO105_FINALIRA WORK PLAN _2005-01.DOC
                                                INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                         AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                   JANUARY, 2005




TPH-GRO                     total petroleum hydrocarbons as gasoline-range organics

USAF                        United States Air Force
UST                         underground storage tank
USFWS                       U.S. Fish and Wildlife Service

VOC                         volatile organic compound

WMP                         Waste Management Plan
WQS                         water quality standards




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                          v
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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vi                                                                      TO105_FINALIRA WORK PLAN _2005-01.DOC
                                              INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                       AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                 JANUARY, 2005




                                        1.0 Introduction
This Work Plan has been prepared to support Non-Time-Critical Interim Remedial Actions
(IRAs) for Site SS13, the former John Rodgers Tank Farm (JRTF) and Site SS15, the Par 3 Golf
Course. Both sites are located at Hickam Air Force Base (AFB) and are shown in Figure 1-1.
The Work Plan has been prepared in accordance with CH2M HILL’s prime contract with the
Air Force Center for Environmental Excellence (AFCEE), No. F41624-01-D-8545,
Task Order (TO) 105. This Work Plan represents a continuation of IRA efforts previously
completed under TO 23. The work is being conducted in support of the Defense
Environmental Restoration Program (DERP), formerly known as the Installation Restoration
Program (IRP), which is administered by the 15th Airlift Wing (15 AW), Civil Engineer
Squadron/Environmental Restoration Element (15 CES/CEVR) located at Hickam AFB,
Oahu, Hawaii. CH2M HILL Constructors, Inc., on behalf of the Air Force, will conduct the
IRAs at Site SS13 and Site SS15.
The Work Plan incorporates a Field Sampling Plan (FSP), a Quality Assurance Project
Plan (QAPP), a Waste Management Plan (WMP), a Health and Safety Plan (HSP), and a
Construction Quality Plan (CQP). The FSP and QAPP together constitute the Sampling and
Analysis Plan (SAP). The supplemental plans are presented as Appendices A through E.


1.1 Project Background
Various environmental investigations and remedial activities have been conducted at both
sites and were described in the original IRA Work Plan for SS13 and Site SS15 (CH2M HILL,
February 17, 2003).
The previous environmental investigations at SS13 include the following:
         •    Preliminary assessment/site inspection (PA/SI) (EA, November 1996)

         •    Passive soil gas survey (Brewer Environmental Services [BES], August 28, 1998)

         •    Site characterization (BES, February 9, 2001a)

         •    Phytoremediation demonstration (CH2M HILL, May 2003)

         •    IRA at the former Kuntz pipeline (CH2M HILL, July 10, 2001)

         •    Engineering evaluation/cost analysis (EE/CA) (CH2M HILL, October 26, 2001a)

         •    Initial IRA activities (CH2M HILL, February 20, 2004; CH2M HILL, July 7, 2004b;
              CH2M HILL, August 17, 2004).
The previous environmental investigations at Site SS15 include the following:

         •    PA/SI (EA, November 1996)



TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                       1-1
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




         •    Passive soil gas survey (BES, August 28, 1998)

         •    Site characterization (BES, February 9, 2001b)

         •    EE/CA (CH2M HILL, October 26, 2001b)

         •    Initial IRA (CH2M HILL, July 7, 2004a).


1.2 Site Descriptions
1.2.1 Site SS13
Site SS13 occupies approximately 18 acres and is bordered by Manuwai Canal and
Worchester Drive to the west, a portion of the Federal Aviation Administration (FAA)
Control Tower facility to the northeast, runways and taxiways of the Honolulu International
Airport to the southeast, and the Reef Runway Lagoon and Mamala Bay to the south
(Figure 1-2). The site occupies approximately 18 acres and is covered with a mixture of bare
coralline soils and dry coastal scrub-shrub forest dominated by kiawe, grasses, and
herbaceous plants (EA, November 1996). The site is relatively flat, with an elevation of
approximately 10 feet above mean sea level (msl).
The site was initially identified in November 1970, when free petroleum product was
discovered in drainage ditches adjacent to the site. Results of a subsequent investigation
indicated that the released fuel consisted of a mixture of aviation gasoline (AVGAS) and jet
propulsion fuel (JP) Type 4 (JP-4), consistent with the fuel used at the tank farm. Subsequent
remedial efforts included removal of leaky underground fuel lines and decommissioning of
the tank farms and majority of fuel storage systems, including removal of free product.
Reportedly, free product recovery occurred between 1971 and 1977 and between 1986 and
1987. The volume of product recovered between 1971 and 1977 was not documented;
however, approximately 6,500 gallons of product were recovered between 1986 and 1987.

1.2.2     Site SS15
Site SS15 occupies approximately 25 acres. A 9-hole Par 3 Golf Course comprises much of
the site and is administered by the U.S. Air Force (USAF) military services. The site
includes approximately 20 acres of groomed lawns, greens, tees, palm trees, and
ornamental shrubs. The site extends approximately 300 feet west of Engine Test Road and
includes wash racks, fuel hydrants, and other petroleum, oil, and lubricant (POL) support
facilities. The east boundary of Site SS15 is approximately 400 feet west of
McClelland Street. Site SS15 is bound to the north by Kuntz Avenue and to the south by
Moffett Street. The site location is shown in Figure 1-3. The site is relatively flat, with an
elevation approximately 10 feet above msl. In addition to annual rainfall, the Par 3 Golf
Course is irrigated daily.
The site was initially identified in the 1970s when a petroleum hydrocarbon plume was
identified at the site as part of a basewide investigation of fuel releases (Ernest K. Hirata &
Associates, Inc., April 5, 1983). Several environmental investigations, including product


1-2                                                                 TO105_FINALIRA WORK PLAN _2005-01.DOC
                                                INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                         AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                   JANUARY, 2005




recovery and a bioventing pilot test, have been conducted at Site SS15 since the 1970s.
The investigations focused on the confirmed or expected releases from the pipelines.
Currently the pipelines supply JP-8 to other Base storage areas. Historically, the pipelines
supplied JP-4 and possibly aviation gasoline. An active skimming system (which has since
been dismantled) recovered approximately 5,400 gallons of product between 1986 and 1988.
A multi-phase extraction (MPX) system is currently operating in an attempt to recover free
product and treat dissolved-phase hydrocarbon constituents from groundwater at the site.


1.3 Work Plan Organization
Following Section 1, this Work Plan is organized as follows:

         •    Section 2 describes the project objectives and scope of work

         •    Section 3 lists the project tasks for both sites under this task order

         •    Section 4 presents the project organization
         •    Section 5 provides the project schedule

         •    Section 6 lists the references.
The following documents are incorporated into this Work Plan by reference:
1. Installation-Wide Field Sampling Plan for Multiple Projects at 15 AW Installations in Hawaii,
   Version 3.0 (IWFSP) (CH2M HILL, July 12, 2002). This document, developed from the
   AFCEE Model FSP, presents the standard operating procedures and protocols for site
   characterization and sample collection and analysis at 15 AW installations in Hawaii.
2. Installation-Wide Quality Assurance Project Plan for Multiple Projects at 15 AW Installations
   in Hawaii, Version 2.0 (IWQAPP) (CH2M HILL, November 19, 2002). This document,
   together with the AFCEE Model QAPP Version 3.1 (AFCEE, August 2001), establishes
   the quality assurance/quality control (QA/QC) protocols and procedures that govern
   sampling and analytical activities for projects at 15 AW installations.
3. Waste Management Plan, Hickam Air Force Base, Underground Storage Tank Verification,
   Removal, Soil Excavation, and Transportation (OHM Remediation Services [OHM], October
   1997). In conjunction with the Waste Management Plan, this document will be used to
   guide the management of wastes generated during the IRA field activities.
Unless otherwise noted in the FSP (Appendix A) and the QAPP (Appendix B ), all field staff,
contractors, and subcontractors will be expected to comply with the procedures specified in
the IWFSP and the IWQAPP to maintain the uniformity of project data.




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                         1-3
                                                                         O   MPLEX
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      ENTRANCE                                                                                                                 RUNWAY 8L                    INTERNATIONAL
       CHANNEL                                                                                                                                                  AIRPORT


                                                                                                                                     Manuwai Canal

                        MAMALA BAY                           Kumumauu Canal

                                                                                                                  Site SS13
                                                                                                          (John Rodgers Tank Farm)
                                                                   HICKAM HARBOR

                                                                                                        AHUA LAGOON




                                                                                                   ±
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                                     Pearl Harbor
                                                                                                       Legend:
                                    Naval Complex
               Barbers Point
                                    HICKAM AIR                Honolulu                                            Approximate Hickam AFB Boundary
                                    FORCE BASE

                                                                                                                  Approximate Project Site Area
 0     2.5      5              10         15             20
                                                           Miles



                                                                                                                                               Figure 1-1
                                                                                                                                               Site Location
                                                                                                                                               IRA AT SITES SS13 AND SITE SS15, HICKAM AFB
                                         @
                                         A MW-15




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                                                                                                                                       ´
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                                      Site SS13 Boundary

                                      Building
                                                                                                                  0                      150                                     300

                =                     Location of Valve Pits
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                @
                A                     Monitoring Well Location                                                        Figure 1-2
                                                                                                                      Site Map for Site SS13,
                                                                                                                      John Rodgers Tank Farm
                                                                                                                      IRA AT SITES SS13 AND SS15, HICKAM AFB
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                                   D                   D      D
                                                                  D




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                                                                       AMW-17      @
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                                                                             @@
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                                                                                                                                                          D             DD       D




                                                                                                                                                                                                                       ´
 Legend:
             Building

             Vehicle Parking Area
             Slab Area
             SS15 Site Boundary                                                                                                                                                          0                             200                                  400
                                                                                                                                                                                                                                                              Feet
             Main Fuel Line (active)
             Fuel Line (abandoned)
     !
     8
     !       Water System Manhole No. 531
                                                                                                                                                                                             Figure 1-3
     !
     8
     !       Communication System Manhole No. 191                                                                                                                                            Site Map for Site SS15,
     @
     A       Monitoring Well Location                                                                                                                                                        Par 3 Golf Course
                                                                                                                                                                                             IRA AT SITES SS13 AND SS15, HICKAM AFB
                                              INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                       AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                 JANUARY, 2005




                  2.0 Project Objectives and Scope
The project objectives under this Work Plan are consistent with those set forth in the 2003
Work Plan for IRAs at Site SS13 and Site SS15 (CH2M HILL, February 17, 2003) and reflect
the decisions described in the Action Memorandum (AM) for both sites, as well as decisions
made during subsequent project meetings between the Air Force and State of Hawaii
Department of Health (HDOH) representatives.
It should be noted that in the future the IRAs will consider the recently issued HDOH
Environmental Action Levels (EALs) when evaluating site conditions. The EALs are set
forth in a document entitled Screening for Environmental Concerns at Sites with Contaminated
Soil and Groundwater (HDOH, Interim Draft, December 2003). The EALs replace the
previously used HDOH Tier 1 Screening Levels for chemical concentrations in soil and
groundwater.


2.1 Site SS13
The objective of the ongoing IRA at Site SS13 is to:

         •    ensure that concentrations of petroleum hydrocarbons above applicable HDOH
              EALs are not migrating offsite via groundwater potentially discharging from the
              former JRTF to the nearby Manuwai Canal.
The current project scope of work includes the following key tasks:

         •    collecting semi-annual groundwater samples as part of the ongoing
              long-term monitoring (LTM) of groundwater quality

         •    operating and maintaining the phytoremediation trial plot at JRTF

         •    constructing a covered, concrete pad at JRTF to stage investigation-derived waste
              streams.


2.2 Site SS15
The objectives of the ongoing IRA at Site SS15 are as follows:
         •    to delineate the extent of free petroleum product in groundwater

         •    to remove free product from the site to the extent practicable

         •    to ensure that concentrations of petroleum hydrocarbons above applicable
              HDOH EALs are not migrating offsite via groundwater discharging to the
              Kumumauu Canal.
The current project scope of work includes the following key tasks:



TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                       2-1
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




         •    advancing six direct push system (DPS) borings and installing six temporary
              wells to evaluate the extent of known free petroleum product at MW-06 and a
              nearby utility manhole

         •    advancing five DPS borings near a former underground storage tank (UST)
              located at Building 2118 to evaluate the potential presence of petroleum
              hydrocarbons (if petroleum hydrocarbons are detected above EALs, additional
              DPS borings may be required to delineate the extent of the contamination; the
              need for further delineation will be assessed in conjunction with the Air Force
              and HDOH)

         •    Optimizing performance of the MPX system at the site

         •    Collecting semi-annual groundwater samples as part of the ongoing Monitored
              Natural Attenuation (MNA) program.


2.3 Data Quality Objectives (DQOs)
The primary objective of the continuing IRA work at both Site SS13 and Site SS15 is to
evaluate whether petroleum hydrocarbons are present in groundwater at concentrations
exceeding applicable HDOH EALs. Accordingly, the IRA data should be of sufficient quality
and quantity to allow comparison with the applicable screening criteria. The end use of the
groundwater monitoring data at Site SS13 and Site SS15 will be to evaluate whether
contaminated groundwater is present at the sites, and whether it is potentially migrating to
the surface waters of the adjacent Manuwai and Kumumauu canals.




2-2                                                                 TO105_FINALIRA WORK PLAN _2005-01.DOC
                                              INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                       AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                 JANUARY, 2005




                                        3.0 Project Tasks
This section describes the tasks to be performed during the additional IRA activities under
this project. The tasks are consistent with the scope and objectives described in Section 2.


3.1 Pre-Construction Activities
Several activities will take place before the initiation of field activities. These include
coordinating site access, obtaining clearances and required permits, and acquiring
subcontractors and materials.

All work will be coordinated with 15 CES/CEVR and other Air Force personnel as required.
Site access and site security will be coordinated with the Base security forces and other
applicable Base personnel. At Site SS13, the contractor will coordinate work with FAA
personnel at the Honolulu International Airport Control Tower. At Site SS15, the contractor
will coordinate work with Par 3 Golf Course personnel, Building 2125 personnel, and
15 Security Forces Squadron (SFS) personnel.

Clearances and permits will be obtained for the field activities. Prior to construction,
CH2M HILL will coordinate with the cultural and natural resource planners at the Base to
determine whether formal notification to representatives of the Department of Land and
Natural Resources (DLNR) and the U.S. Fish and Wildlife Service (USFWS) is required to
comply with Section 106 of the National Historic Preservation Act (NHPA) and Section 7 of
the Endangered Species Act (ESA), respectively. The cultural and natural resource planners
will review previous site use and current site conditions to determine whether formal
consultation is required. If necessary, CH2M HILL will procure a subcontractor to prepare
the coordination letter with the State Historic Preservation Office (SHPO).

A work clearance for intrusive sampling (Air Force Form [AFF]-103) will be obtained from
the Office of the Base Civil Engineer at Hickam AFB. Locating existing underground
utilities is required by the various utility shops and will be coordinated before any intrusive
work is performed. All known utilities located within or near areas of intrusive fieldwork
will be identified. This will be accomplished by reviewing utility maps and consulting with
the various utility shops and private utility providers at Hickam AFB.


3.2 Field and Construction Activities
3.2.1 Site SS13
Fieldwork to support the IRA selected for Site SS13 includes semi-annual groundwater
monitoring (SGM), continued operation and maintenance (O&M) for the trial
phytoremediation plot, and construction of a waste storage facility.


TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                       3-1
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




3.2.1.1 Groundwater Monitoring
According to the AM, LTM of groundwater will be performed to verify that contaminants
are not migrating offsite at concentrations that exceed the state or federal water quality
standards at Site SS13 (CH2M HILL, May 31, 2002a). The selection of monitoring well
locations are based on a review of the existing data and are designed to provide appropriate
spatial coverage of the site. The wells will be sampled semi-annually for up to 5 years,
although monitoring may be terminated sooner if contaminant concentrations are found to
be below applicable EALs for two consecutive sampling rounds.
Consistent with the results of the May 2004 groundwater monitoring, 13 wells will be
sampled as part of the SGM program at SS13: MW-01, MW-02, MW-05, MW-09, MW-10,
MW-12, MW-14, MW-15, MW-16, MW-17, MW-19, MW-21, and MW-22. The well locations
are shown in Figure 3-1. It is expected that SGM will take place in Spring and Fall, 2005.
Groundwater samples will be analyzed for volatile organic compounds (VOCs) and metals,
including lead, copper, mercury, and silver. The groundwater sampling will be performed
in accordance with the project-specific SAP (see Appendices A and B for details).
The need to continue groundwater monitoring will be reevaluated after two years of SGM.
If groundwater monitoring results indicate that there are no unacceptable risks to site
receptors, then a No Further Response Action Planned (NFRAP) decision document will be
prepared. Should future SGM results indicate that hydrocarbon constituents are at
concentrations above the EALs, additional response actions may be necessary.
3.2.1.2 Phytoremediation Operation and Maintenance
The phytoremediation pilot study is not part of the IRA at Site SS13. However, because this
technology has the potential to remediate petroleum-contaminated soil at the site, the
Air Force has determined to support the phytoremediation study further by facilitating
additional operation and maintenance of the trial plot.
This task involves continued operation and maintenance of the demonstration
phytoremediation plot at Site SS13 (see Figure 3-2). Specific tasks include the following:

         •    operating and maintaining the irrigation system, including checking for leaks
              and making repairs as necessary, and adjusting the irrigation schedule on the
              automatic controller

         •    adding fertilizer via the irrigation system to maintain vigorous plant growth, as
              necessary

         •    assessing overall plant health by examining plant structure, leaves, and roots to
              determine whether irrigation is adequate and checking for obvious signs of
              disease or pests (discolored areas, white flies, etc.)

         •    cutting back competing vegetation, as necessary.




3-2                                                                 TO105_FINALIRA WORK PLAN _2005-01.DOC
                                           INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                    AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                              JANUARY, 2005




3.2.1.3 Waste Storage Area Construction
This task includes the construction of a waste storage area within the former JRTF, pending
approval by the Hickam Facilities Siting Board. The proposed location of the waste storage
area is shown in Figure 3-3.
Because the JRTF is used by the Base as a staging area for investigation-derived waste and
other related equipment, construction of a secure, covered storage facility will improve
management of future investigation-derived waste streams. More importantly, protecting
drums from the weather via a covered facility will minimize potentially adverse site impacts
caused by releases from stored wastes generated at Hickam AFB.
The waste storage area will be built to contain both hazardous and nonhazardous waste
generated by various 15 CES/CEV contractors. The facility will be designed for forklift
access and storage of 55-gallon drums, palletized wastes, and other storage containers.
Government-owned remediation equipment will also be stored at the facility.
The waste storage facility will be approximately 60 feet long by 40 feet wide by 14 feet high.
A paved area up to 20 feet wide will be built around the perimeter of the structure. Design
drawings for the waste storage area and surrounding area are included in Appendix E.

3.2.2 Site SS15
Fieldwork to support the IRA at Site SS15 includes additional free petroleum product (light
non-aqueous-phase liquid or LNAPL) delineation at two areas; refurbishment of an existing
MPX system for free-phase (LNAPL) and dissolved phase petroleum recovery; operation
and maintenance of the MPX system as necessary; and SGM.
3.2.2.1 LNAPL Delineation
Five DPS borings will be installed near the location of a former UST at Building 2118 to
evaluate soil and groundwater for petroleum compounds. The UST reportedly stored
diesel; however gasoline-range hydrocarbons have also been detected at this location in the
past. The proposed DPS locations are shown in Figure 3-4.
One soil sample will be collected from each borehole near the location of the former UST at
Building 2118. The soil samples will be collected from the capillary fringe zone within one
foot of the water table. The soil samples will be analyzed for total petroleum hydrocarbons
as gasoline range organics (TPH-GRO), total petroleum hydrocarbons as diesel range
organics (TPH-DRO), VOCs, and polynuclear aromatic hydrocarbons (PAHs).
A 1-inch-diameter temporary microwell will be installed at each DPS location, and a
groundwater sample will be collected from each temporary well. The groundwater samples
will be analyzed for the same suite of analytes as the soil samples.
In addition, six DPS holes will be advanced at MW-06 and a nearby utility manhole to
evaluate the extent of free petroleum product in these areas. The proposed DPS locations
are shown in Figure 3-4. A 1-inch-diameter temporary microwell will be installed at each
DPS location to evaluate the presence of free petroleum product. Soil and groundwater
samples will not be collected from these locations.



TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                    3-3
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




3.2.2.2 Mobile MPX System Refurbishment and Operations
According to the AM for Site SS15, the residual free petroleum product, consisting mainly of
JP-4, will be recovered to the greatest extent practicable (CH2M HILL, May 31, 2002b).
The May 2004 groundwater monitoring at Site SS15 indicated that free product was present
only at one well, MW-06. The apparent thickness of LNAPL at MW-06 was 1.6 feet. An
LNAPL pumpdown recovery test suggested that a maximum recovery rate of 6 gallons per
day could be obtained for this well (CH2M HILL, July 7, 2004b).
The mobile MPX system has operated at other sites at the Base and has proven to be
effective at recovering localized pockets of free product. The system is currently available
for use at well MW-06 at Site SS15. Accordingly, a portable MPX system has been designed
that incorporates much of the available MPX equipment. Figure 3-5 shows the process flow
diagram for the MPX system and identifies the locations for sample collection of effluent,
including groundwater, vapors, and recovered free product.
The portable MPX system can be easily transported and combined in various configurations.
The system components include the following:
         •    an Internal Combustion Engine (ICE) for the vacuum source and vapor treatment

         •    an MPX system trailer containing two air/liquid separators with integral pumps,
              a liquid ring vacuum pump (LRP), an oil-water separator (OWS), a fuel
              equalization tank with integral pump, and a water equalization tank with
              integral pump

         •    other ancillary equipment such as a minimum 25-kilowatt (kW)-rated generator,
              a mobile propane storage tank, a mobile fuel storage tank, and a temporary
              water storage tank.
Given the expected limited volume of LNAPL at the site and slow hydraulic recharge rate,
fuel recovery using the MPX system may be inconsistent . It is therefore expected that
periodic O&M will be needed to optimize fuel recovery and efficiency.
MPX system O&M will include the following:

         •    extraction well maintenance

         •    periodic well gauging at selected wells within and near the LNAPL plume

         •    extraction and recycling of LNAPL

         •    treatment of extracted vapor and contaminated groundwater from the site

         •    collection of process data to demonstrate mass removal of jet fuel and treatment
              destruction removal efficiency (DRE) of vapor and groundwater (see Tables A-5
              through A-8 of the FSP in Appendix A).
MPX system performance monitoring criteria have been established to evaluate the system’s
ability to meet the IRA project objectives. The performance criteria are described in the FSP
(Appendix A) and QAPP (Appendix B).


3-4                                                                 TO105_FINALIRA WORK PLAN _2005-01.DOC
                                           INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                    AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                              JANUARY, 2005




3.2.2.3 Groundwater Monitoring
According to the AM, groundwater monitoring will be performed to verify that
contaminants are not migrating offsite at concentrations that exceed state or federal water
quality standards. The monitoring also will include the measurement of certain
geochemical parameters to evaluate the potential of the site to support the natural
attenuation of residual petroleum constituents in groundwater (CH2M HILL,
March 12, 2002).
The selected monitoring well locations are based on a review of the existing data and are
designed to provide appropriate spatial coverage of the site. As agreed with HDOH
representatives, the wells will be sampled semi-annually for up to 5 years. The increased
monitoring frequency will improve data collection and permit earlier evaluation of
contaminant distribution and subsequent risk management decisions for the site.
Consistent with the results of the May 2004 groundwater monitoring, 18 wells will be
sampled as part of the SGM program at SS15: MW-01 through MW-07, MW-09, MW-10,
MW-12 through MW-16, MW-18, MW-20, MW-21, and MW-22. The well locations are
shown in Figure 3-6. It is expected that SGM will take place in Spring and Fall, 2005.
The groundwater samples will be analyzed for VOCs, TPH-GRO, TPH-DRO and the
following MNA parameters: alkalinity, methane, carbon dioxide, nitrate, dissolved ferrous
iron, dissolved manganese, sulfate, and sulfide. Field parameters, including dissolved
oxygen, pH, conductivity, salinity, oxidation reduction potential, temperature, and
turbidity, will be measured at the time of sample collection.
The need to continue groundwater monitoring will be reevaluated after two years of SGM.
If groundwater monitoring results indicate that LNAPL is no longer present and there are
no unacceptable risks to site receptors, then a No Further Response Action Planned
(NFRAP) decision document will be prepared. Should future rounds of groundwater
monitoring indicate that hydrocarbon constituents are at concentrations above the EALs,
additional response actions may be necessary.


3.3 Laboratory Analyses
CH2M HILL has contracted with CH2M HILL Applied Sciences Laboratory (ASL) in
Corvallis, Oregon, for analysis of soil, groundwater, and vapor samples. Details regarding
the selected laboratory analytical methods and reporting requirements are included in the
FSP (Appendix A) and the QAPP (Appendix B).


3.4 Waste Management
The waste management program for this project is presented in the project-specific WMP
that is provided as Appendix C to the Work Plan. The WMP will be amended, as necessary,




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                    3-5
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




if unexpected conditions arise. For example, the WMP will apply a different best
management practice in the case of an unanticipated waste type or changing waste volumes.
Investigation-derived waste (IDW) generated during the field activities will consist of soil,
water, recovered petroleum product, MPX system wastes, disposable personnel protective
equipment (PPE) and field sampling equipment, and miscellaneous construction and
demolition debris.

The waste management process incorporates the USAF’s waste segregation, minimization,
and management preferences as set forth in Waste Management Plan Guidelines for 15th Airlift
Wing Contractors (USAF, 1998)1. Waste management options in order of preference are
reuse, recycling, treatment, and disposal. For uncontaminated wastes, on-Base waste
management options are preferred over off-Base options.



3.5 Sample Management and Data Validation
A summary of the proposed analytical program is presented in the Project-Specific
FSP (Appendix A). Sample management and data validation will be performed in general
accordance with CH2M HILL standard procedures as provided in the IWQAPP.
Project-specific data issues are discussed in the Project-Specific QAPP (Appendix B).

Data validation for the analytical data generated during the project will be performed by an
environmental chemist. Analytical data will be evaluated against the five standard QAPP
criteria: precision, accuracy, representativeness, completeness, and comparability.
Analytical data that do not meet the criteria will be qualified accordingly. A data quality
assessment will be included in the IRA reports.


3.6 Reporting
The following reports will be prepared for Site SS13 to document the results of the
groundwater monitoring and the construction of the waste storage facility:

            •    SGM Reports for Spring 2005 and Fall 2005

            •    Waste Storage Facility Plans and Drawings: the construction of the facility will be
                 documented through the development of as-built drawings, site photos, and
                 other field reports.

            •    Facility Operations and Maintenance Manual, including standard operating
                 procedures (SOPs) for handling, storage, and management of hazardous
                 materials and wastes within the facility.



1     This document is currently being updated. The most recent version of the guideline will be used on this project.



3-6                                                                                       TO105_FINALIRA WORK PLAN _2005-01.DOC
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                      AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                JANUARY, 2005




The following reports will be prepared for Site SS15 to document the results of the
groundwater monitoring and the performance of the MPX system:

         •    SGM Reports for Spring 2005 and Fall 2005 (the reports will include an
              evaluation of the occurrence and distribution of LNAPL at SS15)

         •    MPX System Operations Reports: the results of MPX system performance,
              including summarized and tabulated system runtime, fuel, groundwater, vapor
              removal, and DRE, will be provided.




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                      3-7
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




 TABLE 3-1
 Requirements for Container Types, Preservation Techniques, Sample Volumes, and Holding Times
 Interim remedial actions at Sites SS13 and SS15

                                                                              Minimum
                                                                               Sample
                           Analytical                                         Volume or            Maximum
                                                        a
          Name              Method          Container         Preservation     Weight             Holding Time
                                                             o
 Alkalinity              E310.1            P, G             4C               100 mL          14 days
                                                             o                                              -   -    -
 Common anions           SW9056            P, G             4C               100 mL          28 days for Br , F , Cl ,
                                                                                                     -2
 (sulfate, nitrate)                                                                          and SO4 ; 48 hours for
                                                                                                 -      -          -3
                                                                                             NO3 , NO2 and PO4
                                                             o
 Metals (copper,         SW6010B           P                4 C, HNO3 to     500 mL          180 days
 lead, manganese                                            pH < 2
 and iron)
                                                             o
 Mercury                 SW7470A           P                4 C, HNO3 to     500 mL          28 days
                                                            pH < 2
                                                             o
 Silver                  SW7761            P                4 C, HNO3 to     500 mL          180 days
                                                            pH < 2
                                                             o
 Nitrate-Nitrite as      E353.3            P                4 C, H2SO4 to    1L              28 days
 Nitrogen                                                   pH < 2

                                                             o
 Sulfide                 SW9030            P                4 C, ZnAc and    500 mL          7 days
                                                            NaOH

 Sp. Conductance         SW9050            P, G             None required    N/A             Field Measurement

 Temperature             E170.1            P, G             None required    N/A             Field Measurement

 Dissolved oxygen        E360.1            G                None required    500 mL          Field Measurement

 Turbidity               E180.1            P, G             None required    N/A             Field Measurement
                                                                    o
 Volatile organic        SW8260B           Water: G,        Water: 4 C       3 x 40 mL or    7 days (water); 7 days
 compounds (VOCs)                          Teflon-lined                      3 Encore        if not preserved by acid
                                           septum VOA       Soil: Frozen     Samplers        (soil); 14 days if frozen
                                           vials,                                            and preserved by the
                                                                                             lab within 48 hours
                                           Soil: Encore
                                           samplers
                                                             o
 Methane, Ethane,        RSK-175           G, Teflon-       4C               3 x 40 mL       28 days
 Ethene and Carbon                         lined cap
 dioxide




3-8                                                                          TO105_FINALIRA WORK PLAN _2005-01.DOC
                                                       INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                          JANUARY, 2005




 TABLE 3-1
 Requirements for Container Types, Preservation Techniques, Sample Volumes, and Holding Times
 Interim remedial actions at Sites SS13 and SS15

                                                                                  Minimum
                                                                                   Sample
                           Analytical                                             Volume or             Maximum
                                                       a
          Name              Method         Container         Preservation          Weight              Holding Time
                                                             o
 Diesel Range             SW8015B          Water: 1-liter   4C                   Water: 1 liter   Water: 7 days until
 Organics                                  amber glass                                            extraction and 40 days
                                           with Teflon-                                           after extraction
                                           lined lids
                                                                                 Soil: 1x 8       Soil: 14 days extraction
                                           Soil: G,                              ounces           and 40 days after
                                           Teflon-lined                                           extraction to analysis
                                           cap, T


                                                             o
 Gasoline Range           SW8015B          Water: G,        4 C, HCl to          Water:           Water: 14 days
 Organics                                  Teflon-lined     pH < 2               3 x 40 mL
                                           septum VOA                                             Soil: 14 days
                                           vials

                                           Soil: G, with                         Soil: 3 x 60
                                           Teflon-lined                          mL or 125 mL
                                           lids


                                                             o
 Polynuclear              SW8270C          Water: 1-liter   4C                   Water: 2 x 1-    Water: 7 days until
 Aromatic                 SIM              amber glass                           liter            extraction and 40 days
 Hydrocarbons                              with PTFE-                                             after extraction
                                           lined lids                            Soil: 1x 8
                                                                                 ounces           Soil: 14 days extraction
                                           Soil: G,                                               and 40 days after
                                           Teflon-lined                                           extraction to analysis
                                           cap, T
 a
     P = polyethylene (P); G= glass; T = brass sleeves in the sample barrel, sometimes called California brass.




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                                3-9
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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3-10                                                                    TO105_FINALIRA WORK PLAN _2005-01.DOC
                          @
                          A MW-15




                                                                                                                      FAA BUILDING




                                                                                        Valve Pit 33A
                                                                                                                                                             N
                                                                                                                                                         O
                                                                                                                                                      TI
                                   @
                                   A MW-19              @
                                                        AMW-20
                                                                                   =      Valve Pit 33B
                                                                                                                                               DI
                                                                                                                                                 R EC
                                                                             @
                                                                             A MW-16=                                                      W
                                                                                                                                       O
                                                                                                                                     FL
                                                                                                                                ER
                                                                                                                           AT
                                                                                                                         DW
                                                                                                                      UN
                                                                                                                 RO
      WORCHESTER AVE.




                                                                                                                G

                         @
                         A MW-10                                     @
                                                                     AMW-07
                                                    @
                                                    AMW-18

                                                                                    @
                                                                                    A MW-22
                                                                                                                         Valve Pit 34

                                                                                                              =
                                    @
                                    AMW-04                                                @
                                                                                          AMW-21
                                                             BUILDING 3190
                                                                                                                  @
                                                                                                                  A MW-14


                                                   @
                                                   AMW-03                                @
                                                                                         AMW-13
                         @
                         A MW-17



                                                                                                                                 W
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                                                                  @
                                                                  A MW-02

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                                                                                                            @
                                                                                                            A MW-12

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                                         @
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                                                                                                                                               ST
                                                                                                                                                 ER
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                                                                                          @
                                                                                          AMW-11

                                                                                                                                                        E.
                                                            @
                                                            AMW-08       @
                                                                         A MW-09
                              @
                              A MW-05
                                                                                                   @
                                                                                                   A MW-01




                                                                                                                      ´
Legend:
                        Site SS13 Boundary
                        Building

  =                     Location of Valve Pits                                                     0                    150                              300
                                                                                                                                                           Feet

  @
  A                     Monitoring Well Location

  @
  A                     LTM Well Location
                                                                                               Figure 3-1
                                                                                               LTM Well Locations at Site SS13
                                                                                               IRA AT SITES SITE SS13 AND SS15, HICKAM AFB
                                          @
                                          A MW-15




                                                                                                                                             FAA BUILDING




                                                                                                          Valve Pit 33A

                                                                                                 =          Valve Pit 33B
MANUWAI CANAL




                                                  @
                                                  A MW-19             @
                                                                      AMW-20               @
                                                                                           A MW-16=
                    WORCHESTER AVE.




                                         @
                                         A MW-10                                   @
                                                                                   AMW-07
                                                                  @
                                                                  AMW-18
                                                                                                    @
                                                                                                    A MW-22
                                                                                                                                                   Valve Pit 34

                                                                                                                                  =
                                                   @
                                                   AMW-04                                                    @
                                                                                                             AMW-21
                                                                           BUILDING 3190
                                                                                                                                         @
                                                                                                                                         A MW-14


                                                                 @
                                                                 AMW-03                                     @
                                                                                                            AMW-13
                                          @
                                          A MW-17




                                                                                                                                                                W
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                                                                                                                                                                        CH
                                                                                                                              @
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                                                                                                                                                                           ES
                                                           @
                                                           AMW-06


                                                                                                                                                                                 TE
                                                                                                                                                                                  R
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                                                                                                                                                                                      AV
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                                                                                                                                                                                        .
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                                                                                        @
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                                                 @
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                                                                              Source: 2001 Aerial Photo, Hickam Geobase



                                                                                                                                                  ´
Legend:
                                      Site SS13 Boundary

                                      Building
                                                                                                                    0                         150                                     300
                                                                                                                                                                                        Feet
                =                     Location of Valve Pits

                @
                A                     Monitoring Well Location
                                                                                                                 Figure 3-2
                                      Phytoremediation Area                                                      Phytoremediation Maintenance
                                                                                                                 Area at Site SS13
                                                                                                                 IRA AT SITES SS13 AND SS15, HICKAM AFB
                                          @
                                          AMW-15




                                                                                                                                 FAA BUILDING




                                                                                                      Valve Pit 33A
                                                                                                                                                                                       N
                                                                                                                                                                              T   IO

                                                  @                   @
                                                                      AMW20
                                                                                                 =      Valve Pit 33B                                                      EC
MANUWAI CANAL




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                                         @
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                                                                  @
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                                                                                                  @
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                                                                                                      MW21
                                                                                                                            =
                                                   @
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                                                                                                        A
                                                                           BUILDING 3190
                                                                                                                                @
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                                                                 @
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                                          @
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                                                                          @
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                                                                                        AMW-09
                                                 @
                                                 AMW-05
                                                                                                                  @
                                                                                                                  AMW-01




                                                                                                                                ´
Legend:
                                      Site SS13 Boundary
                                      Building
                                                                                                              0                  150                                        300

                =                     Location of Valve Pits                                                                                                                  Feet


                @
                A                     Monitoring Well Location
                                                                                                               Figure 3-3
                                      Proposed Waste Storage Area Facility Location
                                                                                                               Proposed Waste Storage Area
                                                                                                               Facility Location at Site SS13
                                                                                                               IRA AT SITES SS13 AND SS15, HICKAM AFB
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                                                                                                                            MW-10

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                      Area                                                                                            MW-01

                                                                                                                                                                                                                                                     0   20   40   80
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                                                                                                                                                              2105
                                                                                                                                                                                                                                                 0       10   20    40
                                                                                                                          WL001(SS11)                         0                             150                       300                                             Feet
                                                                                                                                                                                                                        Feet   Detail Map B

        Legend:

                    Building                                                   Main Fuel Line (active)                                    Monitoring Well Location

                                                                               Fuel Line (abandoned)
                    Vehicle Parking Area                                                                                                  Wells Selected for Recovery

                    Slab Area                                                  Water System Manhole No. 531
                                                                                                                                          Proposed DPS Sampling Locations

                    SS15 Site Boundary                                         Communication System Manhole No. 191

File Path: \\nala\proj\AFCEE_Hickam\170647TO23ENRAC\GIS Figures\MXD\TO105_WP\Fig3-4_SS15_BoringLoc.mxd, Date: November 09, 2004 11:46:04 AM
                                                                                                                                              Ancillary Loads
                                                                             Exhaust                                                          (Lights, Tools,
                                                              Knockout                                          Generator
                                                                Tank                                                                                etc.)
                                                               (water
                                                                trap)

                                                                                      Vapor
                                                                                    Treatment
                                                                                       Unit
                                                                                      (ICE)




                                                         Liquid Ring
                                                            Pump
                                                         (used only
                                          Air/Liquid
                                                         when high
                                          Separator
                                                           vacuum                                                           Product Storage
                                       (designated for
                                                          needed)        Emulsion               Oil/Water
                                       ground water or                                                                                                 Fuel
                                                                          Tank                  Separator
                                            mixed                                                                                                    Recycling
                                        groundwater/
                                          product)


                                                                                                                            Water Storage


Extraction
  Well
                                          Air/Liquid
                                          Separator
                                       (designated for
                                          product)


LEGEND

             Vapor Flows

             Fluid Flows
                                                                                                                                                     Injection
             Mixed Fluid/Vapor Flows
                                                                                                                                                       Well
                                                                                                Figure 3-5
                                                                                                Process Flow Diagram for Portable Multiphase
                                                                                                Extraction System
                                                                                                Site SS15, Hickam AFB
                                                                                                                             D
                                                                                                                     D




                                                                                                                                 D
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                      Area
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                                         D




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Legend:




                                                                                                                                                                                                                      ´
              Building                                          !
                                                                8
                                                                !                       Water System Manhole No. 531
                                                                                        Communication System
              Vehicle Parking Area                              !
                                                                8
                                                                !
                                                                                        Manhole No. 191

              Slab Area
                                                                A                       Monitoring Well Location                                                                      0                               200                                  400
                                                                                                                                                                                                                                                             Feet
              SS15 Site Boundary
                                                                                        Monitored Natural Attenuation
              Main Fuel Line (active)                           A                       (MNA) Well Locations

              Fuel Line (abandoned)
                                                                                                                                                                                 Figure 3-6
                                                                                                                                                                                 MNA Well Locations for Site SS15
                                                                                                                                                                                 IRA AT SITES SS13 AND SS15, HICKAM AFB
                                            INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                     AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                               JANUARY, 2005




                             4.0 Project Organization
Figure 4-1 presents the key project staff, organizational structure, and subcontractors for this
project. A brief description of key staff follows.



4.1 Program and Project Management Staff
Jody Murata is the Remedial Project Manager (RPM) and Base Point of Contact for this IRA
project. Ms. Murata is responsible for oversight of technical and logistical aspects of the
project and will coordinate the IRA activities with other Air Force branches, regulatory
agencies, and community stakeholders to ensure that concerns and issues related to the
various involved parties are addressed.
Robert Chang is the AFCEE Restoration Project Manager and Contracting Officer’s
Technical Representative. Mr. Chang is responsible for technical and contractual aspects of
this TO and serves as a liaison between CH2M HILL and the AFCEE Contracting Officer.
Dennis Peters is the CH2M HILL AFCEE Hickam program coordinator and is responsible
for the oversight of all CH2M HILL Hawaii projects performed for Hickam AFB. Mr. Peters
is located in CH2M HILL’s Honolulu office.
Peter Barrett is the CH2M HILL project manager for this project. Mr. Barrett will be
responsible for managing project activities and ensuring that the project objectives are met.
He also may be directly involved in overseeing the field investigation and will participate in
the technical aspects of the project. Mr. Barrett is located in CH2M HILL’s Honolulu office.
Gary Hickman is the primary CH2M HILL technical reviewer. His responsibilities include
providing technical support for fieldwork and deliverables prepared for the project.
Mr. Hickman is located in CH2M HILL’s Corvallis, Oregon, office.


4.2 Project Subcontractors
Subcontractors required for the execution of this work are summarized in Table 4-1. The
subcontractors in Table 4-1 were tentatively selected from bidders who responded to
requests for proposals (RFP) and who submitted competitive cost proposals. The scope of
work provided in each request for proposal was developed prior to final TO negotiations
with AFCEE. After this Work Plan is approved, CH2M HILL will evaluate the necessity for
each service and request new bids if the scope of work changes substantially from the scope
given in the RFP.




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                     4-1
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




TABLE 4-1
Subcontractors for Interim remedial actions at Site SS13 and Site SS15

              Services                              Subcontractor                         Contact

Laboratory analysis of soil,             Applied Sciences Laboratory         Kathy McKinley: (541) 752-4271
groundwater, and vapor samples

DPS at SS15                              TBD                                 TBD

Construction of waste storage area       TBD                                 TBD

MPX system fabrication and               M. Nakai Repair Service, Ltd.       Scott Nakai: (808) 841-7581
refurbishment

MPX equipment maintenance and            M. Nakai Repair Service, Ltd. &     Scott Nakai: (808) 841-7581
repair                                   Remediation Service International
                                         (RSI)                               Steve Archabal: (800) 368-8685

Fuel reclamation/disposal                TBD                                 TBD




4-2                                                                          TO105_FINALIRA WORK PLAN _2005-01.DOC
fig4-1_proj_orgchart.vsd




                                                                          Robert Chang/AFCEE IWPH
                                                                        AFCEE Restoration Project Manager



                                  Jody Murata
                                 15 CES/CEVR
                             Remedial Project Manager                                                                      Mark Rigatti/CH2M HILL
                                                                                                                          ENRAC Program Manager
                                                                                                                          Dennis Peters/CH2M HILL
                                Jocelyn Tamashiro                                                                      AFCEE Hawaii Program Coordinator
                           Booz Allen Hamilton Corporation
                               AFCEE GEITA Support




                               Theresa Rojas/CH2M HILL                                                                       Tom Natsch/CH2M HILL
                                    QA/QC Manager                           Peter Barrett/CH2M HILL                         Health and Safety Manager
                                                                                 Project Manager




                             Doug Scott/CH2M HILL
                               Chemistry QA/QC




                                                                                  Subcontractors

                                                                            Valley Well Drilling Hawaii
                                                                                     HSA Driller
                                                                           M. Nakai Repair Service, Ltd.
                                                                       MPX System Refurbishment Contractor
                               Columbia Analytical Services (CAS)                                                    Michael Reynolds/CH2M HILL
                                                                    (Mechanical Pipe Installation/General Support)
                               Applied Sciences Laboratory (ASL)                                                         Construction Manager
                                                                                 To Be Determined
                                     Analytical Laboratories
                                                                                   Land Surveyor
                                                                        Pacific Commercial Services (PCS)
                                                                          Fuel Reuse/Waste Management
                                                                              IWR Technologies, Inc.
                                                                          MPX System Technical Support



                                                                                                                                        Figure 4-1
                                                                                                                                        Project Organization Chart
                                                                                                                                        IRA at Sites SS13 and SS15
                                                                                                                                        HICKAM AFB, OAHU, HI
                                           INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                    AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                              JANUARY, 2005




                                 5.0 Project Schedule
The proposed schedule for this project is presented in Figure 5-1, which indicates the time
frames for major activities and deliverables. Adherence to this schedule will depend on
conditions encountered in the field and adherence to government and project stakeholder
review periods.




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                    5-1
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




                                   This page was intentionally left blank.




5-2                                                                   TO105_FINALIRA WORK PLAN _2005-01.DOC C
ID   Task Name                                                       Start          Finish                            2003                                            2004                                            2005                                            200
                                                                                                  Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan
1    Project Startup                                              Thu 06/05/03    Tue 01/25/05


2        Draft Work Plan Submittal                                Thu 06/05/03     Fri 12/24/04


3        Government Review                                         Fri 01/07/05    Fri 01/14/05


4        Final Work Plan                                          Mon 01/17/05    Tue 01/25/05                                                                                                                           01/17


5    Pre-Construction                                             Thu 01/20/05     Fri 02/18/05


6        Permitting/Subcontracor Selection                        Thu 01/20/05     Fri 02/18/05


7    SS13 Field Work                                              Tue 01/25/05     Fri 12/30/05


8        Semi-Annual Groundwater Monitoring (SGM) (Spring 2005)   Mon 02/21/05     Fri 03/04/05


9        Phytoremediation O&M                                     Tue 01/25/05     Fri 11/04/05


10       Waste Storage Area Construction (To Be Determined)       Mon 05/09/05     Fri 07/01/05


11       SGM (Fall 2005)                                          Mon 08/15/05     Fri 08/26/05


12       Waste Management                                         Mon 02/21/05     Fri 12/30/05


13   SS15 Fieldwork                                               Tue 01/25/05     Fri 12/30/05


14       SGM (Spring 2005)                                        Mon 03/21/05     Fri 04/01/05


15       MPX System O&M                                           Tue 01/25/05     Fri 11/04/05


16       SGM (Fall 2005)                                          Mon 09/05/05    Wed 09/21/05


17       Waste Management                                         Mon 03/21/05     Fri 12/30/05


18   Reporting                                                    Mon 04/18/05     Fri 12/02/05


19       SGM Reporting                                            Mon 04/18/05     Fri 11/25/05


20       MPX System Report (LNAPL Removal Reporting)              Mon 10/03/05     Fri 12/02/05


21       Waste Storage Area Facility Reporting/As-Builts          Mon 07/04/05     Fri 08/12/05




                                                                                                                                Page 1 of 2                                                                                                                      Figure 5-1
                                                                                                                                                                                                                                                   Project Schedule
                                                                                                                                                                                                                 IRA WORK PLAN FOR SITE SS13 AND SITE SS15, HICKAM AFB
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                      AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                JANUARY, 2005




                                        6.0 References
Brewer Environmental Services (BES). February 9, 2001a. Final Site Characterization Report,
    Site SS13, Hickam Air Force Base, Oahu, Hawaii. Prepared for the U.S. Army Corps of
    Engineers Honolulu Engineer District, Fort Shafter; and the 15 CES/CEVR, Hickam
    AFB.
Brewer Environmental Services (BES). February 9, 2001b. Final Site Characterization Report,
    Site SS15, Hickam Air Force Base, Oahu, Hawaii. Prepared for the U.S. Army Corps of
    Engineers Honolulu Engineer District, Fort Shafter; and the 15 CES/CEVR, Hickam
    AFB.
Brewer Environmental Services (BES). August 28, 1998. Passive-Soil Gas Survey, Subsurface
    Plume Monitoring and Long-Term Maintenance and Long-Term Operation of Monitoring and
    Recovery Wells. Prepared for the U.S. Army Corps of Engineers Honolulu Engineer
    District, Fort Shafter; and the 15 CES/CEVR, Hickam AFB.
CH2M HILL. August 17, 2004. Draft Groundwater Monitoring Report for Site SS13 (Former
   John Rodgers Tank Farm), May 2004, Hickam Air Force Base, Oahu, Hawaii. Prepared for
   15 CES/CEVR, Hickam AFB, and for the Air Force Center for Environmental
   Excellence, Environmental Services Office, Environmental Restoration Division
   (AFCEE/ERD), Hickam AFB, Hawaii.
CH2M HILL. July 7, 2004a. Final Groundwater Monitoring Report for Site SS13 (Former John
   Rodgers Tank Farm), Hickam Air Force Base, Oahu, Hawaii. Prepared for 15 CES/CEVR,
   Hickam AFB, and for the Air Force Center for Environmental Excellence,
   Environmental Services Office, Installation Worldwide Pacific Division,
   Hawaii(AFCEE/IWPH), Hickam AFB, Hawaii.
CH2M HILL. July 7, 2004b. Final LNAPL Delineation and MNA Monitoring Report for Interim
   Removal Action at Site SS15 (Par 3 Golf Course), Hickam Air Force Base, Oahu, Hawaii.
   Prepared for 15 CES/CEVR, Hickam AFB, and for AFCEE/IWPH, Hickam AFB,
   Hawaii.
CH2M HILL. February 20, 2004. Final Interim Removal Action Report Site Characterization and
   Utility Abandonment at Site SS13 (Former John Rodgers Tank Farm), Hickam Air Force Base,
   Oahu, Hawaii. Prepared for 15 CES/CEVR, Hickam AFB, and for AFCEE/ERD,
   Hickam AFB, Hawaii.
CH2M HILL. May 2003. Final Report: Agriculturally-Based Bioremediation of
   Petroleum-Contaminated Soils and Shallow Groundwater in Pacific Island Ecosystems.
   Prepared for U.S. Army Corps of Engineers, U.S. Army Engineer Research and
   Development Center, Fort Shafter and for 15 CES/CEVR, Hickam AFB.
CH2M HILL. February 17, 2003. Final Work Plan for Interim Removal Actions at Sites SS13
   (Former John Rodgers Tank Farm) and SS15 (Par 3 Golf Course), Hickam Air Force Base,



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INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
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JANUARY, 2005




      Oahu, Hawaii. Prepared for 15 CES/CEVR, Hickam AFB, and for AFCEE/ERD,
      Hickam AFB, Hawaii.
CH2M HILL. November 19, 2002. Installation-Wide Quality Assurance Project Plan for
   Multiple Projects at 15 AW Installations in Hawaii. Prepared for 15 CES/CEVR,
   Hickam AFB, and for AFCEE/ERD, Brooks City-Base, Texas.
CH2M HILL. July 12, 2002. Installation-Wide Field Sampling Plan for Multiple Projects at
   15 AW Installations in Hawaii. Prepared for 15 CES/CEVR, Hickam AFB, and for
   AFCEE/ERD, Brooks City-Base, Texas.
CH2M HILL. May 31, 2002a. Final Action Memorandum for Site SS13 (The John Rodgers Tank
   Farm), Hickam Air Force Base, Oahu, Hawaii. Prepared for AFCEE/ERD,
   Brooks City-Base, Texas, and for 15 CES/CEVR, Hickam AFB, Honolulu, Hawaii.
CH2M HILL. May 31, 2002b. Final Action Memorandum for Site SS15 (The Par 3 Golf Course),
   Hickam Air Force Base, Oahu, Hawaii. Prepared for AFCEE/ERD, Brooks City-Base,
   Texas, and for 15 CES/CEVR, Hickam AFB, Honolulu, Hawaii.
CH2MHILL. March 12, 2002. Technical Memorandum, Limited Groundwater Sampling/Natural
   Attenuation Assessment at Sites SS13 and Site SS15Site SS15, Hickam Air Force Base, Oahu,
   Hawaii. Prepared for AFCEE/ERD, Brooks City-Base, Texas, and for 15 CES/CEVR,
   Hickam AFB, Honolulu, Hawaii.
CH2M HILL. October 26, 2001a. Final Engineering Evaluation/Cost Analysis for Implementing
   Non-Time-Critical Interim Removal Action at Site SS13, Hickam Air Force Base, Oahu,
   Hawaii. Prepared for AFCEE/ERD, Brooks City-Base, Texas, and for 15 CES/CEVR,
   Hickam AFB, Honolulu, Hawaii.
CH2M HILL. October 26, 2001b. Engineering Evaluation/Cost Analysis for Implementing Non-
   Time-Critical Interim Removal Action at Site SS15, Hickam Air Force Base, Oahu, Hawaii.
   Prepared for AFCEE/ERD, Brooks City-Base, Texas, and for 15 CES/CEVR,
   Hickam AFB, Honolulu, Hawaii.
CH2M HILL. July 10, 2001. Closure Report and Decision Document to Support No Further
   Response Action Planned (NFRAP), Category IV, for Site ST26 (The Kuntz Pipeline)
   (Site ST26 NFRAP). Prepared for AFCEE/ERD, Brooks City-Base, Texas, and for
   15 CES/CEVR, Hickam AFB, Honolulu, Hawaii.
EA Engineering, Science, and Technology. November 1996. Draft Preliminary
    Assessment/Site Inspection Report, Hickam Air Force Base.
EA Engineering, Science, and Technology. June 1994. Interim Site Characterizations Building
    2183, Par 3 Golf Course, and Pearl City POL Pipeline Leak.
Ernest K. Hirata & Associates, Inc. April 5, 1983. Subsurface Fuel Detection Investigation,
    Hickam Air Force Base, Honolulu, Hawai`i, O`ahu. Project HIC 82-9247, W.O. 83-936 (RTP
    Number F646058400021, Attachment 3). Prepared for the PACAF Contracting Center
    and the 15th ABW/LGC.



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OHM Remediation Services Corp. March 1998. Final Comprehensive Historical Review of
  Underground POL Systems on Hickam Air Force Base and Fort Kamehameha. Prepared for
  AFCEE/ERD, Brooks City-Base; and the 15th Airlift Wing Civil Engineering
  Squadron/Environmental Compliance Element (15 CES/CEVC), Hickam AFB.
OHM Remediation Services Corp. October 1997. Waste Management Plan, Hickam Air Force
  Base, Underground Storage Tank Verification, Removal, Soil Excavation, and Transportation.
State of Hawaii. Department of Health. Environmental Management Division. June 1996
     and subsequent policy updates. Risk-Based Corrective Action and Decision Making at Sites
     with Contaminated Soil and Groundwater. Prepared by Roger D. Brewer. Honolulu: State
     of Hawaii Department of Health.
U.S. Department of the Air Force. HQ AFCEE. Technical Services Quality Assurance
     Program. August 2001. “Quality Assurance Project Plan, Version 3.1” (AFCEE QAPP,
     Version 3.1). Appendix C in Guidance for Contract Deliverables (GCD). Brooks Air Force
     Base, Texas: AFCEE. [Online:] http://www.afcee.brooks.af.mil/er/qfw.htm
     (November 13, 2001).
U.S. Department of the Air Force, 15 AW, Hickam AFB. March 1998. Waste Management
     Plan Guidelines for 15th Airlift Wing Contractors.
U.S Environmental Protection Agency (EPA). August 1997. Rules of Thumb for Superfund
    Remedy Selection. EPA/540-R-97-013, OSWER 9355.0-69, PB97-963301.




TO105_FINALIRA WORK PLAN _2005-01.DOC                                                                    6-3
DRAFT WORK PLAN: INTERIM REMOVAL ACTIONS
AT SITE SS13 (FORMER JOHN RODGERS TANK FARM) AND SITE SS15 (PAR 3 GOLF COURSE)
HICKAM AFB, OAHU, HAWAII
AFCEE CONTRACT F41624-01-D-8545, TASK ORDER 105
DECEMBER 21, 2004




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6-4                                                                          TO105_HIC_SS13.15_WP_DRAFT_2004-12-21.DOC
United States Air Force
15th Airlift Wing
Environmental Restoration Program




     Appendix A

   Field Sampling Plan




   Contract F41624-01-D-8545
        Task Order 105

       January 2005
                                                                                      APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
                                                                      INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                                AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                          JANUARY, 2005




                                                             Contents
Abbreviations and Acronyms.........................................................................................................iii

1.0 Introduction .................................................................................................................................1
       1.1      Project Background............................................................................................................1
       1.2      IRA Objectives and Scope.................................................................................................2
                1.2.1 Site SS13..................................................................................................................2
                1.2.2 Site SS15..................................................................................................................2
2.0 Field Methods..............................................................................................................................5
       2.1      Site SS13...............................................................................................................................5
                2.1.1 Construction of Waste Storage Area ..................................................................5
                2.1.2 Phytoremediation Operation and Maintenance...............................................5
                2.1.3 Groundwater Sampling .......................................................................................6
       2.2      Site SS15...............................................................................................................................6
                2.2.1 LNAPL Delineation ..............................................................................................6
                2.2.2 Optimizing MPX Recovery System Performance ............................................8
                2.2.3 MNA Sampling Program...................................................................................10
       2.3      Surveying ..........................................................................................................................10
       2.4      Waste Sampling................................................................................................................11
                2.4.1 Soil Sampling.......................................................................................................11
                2.4.2 MPX Sludge Sampling .......................................................................................11
                2.4.3 MPX Fuel Sampling............................................................................................11
       2.5      Quality Control Sampling...............................................................................................11
                2.5.1 Groundwater QC Sampling ..............................................................................12
                2.5.2 MPX System QC Sampling................................................................................12
                2.5.3 Waste QC Sampling............................................................................................13
3.0 References ..................................................................................................................................15

Figures
A-1     Groundwater Monitoring Well Locations at Site SS13
A-2     Proposed DPS Soil Boring Locations at SS15
A-3     MPX System Process and Instrumentation Diagram
A-4     Groundwater Monitoring Well Locations at Site SS15

Tables
A-1 IRA Field Activities and Corresponding Sections in the Installation-wide Field
    Sampling Plan
A-2 Analytical Methods and Requirements for Container Types, Preservation Techniques,
    Sample Volumes, and Holding Times



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JANUARY, 2005




A-3    Groundwater Analytical Program for Site SS13 and Site SS15
A-4    Soil and Groundwater Analytical Program for LNAPL Delineation at Site SS15
A-5    Summary of MPX System Monitoring Program
A-6    Summary of Belowground Treatment System Monitoring Program
A-7    Sampling and Analytical Program for Process Water from MPX System
A-8    Sampling and Analytical Program for Vapor from MPX System
A-9    Sampling and Analytical Requirements for Waste Samples

Attachments
1      MPX System Data Logs
2      TO-12/TO-14/SM2720C - Integrated Sampling Method
3      Well Gauging Form
4      Pump Down and Recovery Testing Form
5      Groundwater Sampling Form




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                       Abbreviations and Acronyms
15 AW                      15th Airlift Wing
15 CES/CEVR                15th Airlift Wing Civil Engineer Squadron, Environmental Restoration
                           Element

AFB                        Air Force Base
AFCEE                      Air Force Center for Environmental Excellence

BTU                        British Thermal Units

CGI                        combustible gas indicators

DPS                        direct push system
DQO                        data quality objective

FID                        flame ionization detectors
FSP                        Field Sampling Plan

HDOH                       Hawaii Department of Health
HSP                        Health and Safety Plan

IC                         institutional control
ICE                        internal combustion engine
IRA                        Interim Removal Action
IRAO                       Interim Removal Action Objective
IRP                        Installation Restoration Program
IWFSP                      Installation-Wide Field Sampling Plan
IWQAPP                     Installation-Wide Quality Assurance Project Plan

JP-4                       jet propulsion fuel grade 4
JRTF                       John Rodgers Tank Farm

Lb                         pound
LNAPL                      light non-aqueous-phase liquid
LTM                        long term monitoring

MNA                        Monitored Natural Attenuation
MPX                        multi-phase extraction
MS                         matrix spike
MSD                        matrix spike duplicate

NMOC                       non-methane organic carbon


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JANUARY, 2005




O&M                        operation and maintenance

PAH                        polynuclear aromatic hydrocarbon
PID                        photoionization detectors
POL                        petroleum, oil, and lubricant
ppm                        parts per million

QA                         quality assurance
QAPP                       Quality Assurance Program Plan
QC                         quality control

SAP                        Sampling and Analysis Plan
SVOC                       semivolatile organic compound

TCLP                       Toxicity Characteristic Leaching Procedure
TO                         Task Order
TPH                        total petroleum hydrocarbons
TPH-GRO                    Total Petroleum Hydrocarbons - Gasoline Range Organics
TPH-DRO                    Total Petroleum Hydrocarbons - Diesel Range Organics

UST                        underground storage tank

VOC                        volatile organic compound

WMP                        Waste Management Plan




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                                                                       AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                 JANUARY, 2005




                                      1.0 Introduction
This Field Sampling Plan (FSP) describes the field investigation activities planned for the
ongoing Non-Time-Critical Interim Removal Action (IRA) at Sites SS13 and SS15 at
Hickam Air Force Base (AFB), Oahu, Hawaii. The FSP and the Quality Assurance Program
Plan (QAPP) provided as Appendix B form the Sampling and Analysis Plan (SAP) for the
project. The project is being conducted in support of Installation Restoration Program (IRP)
activities managed by the 15th Airlift Wing (15 AW) Civil Engineer Squadron,
Environmental Restoration Element (15 CES/CEVR) located at Hickam AFB. The work is
being performed through the Air Force Center for Environmental Excellence (AFCEE) under
Contract F41624-01-D-8545, Task Order (TO) 105.
Except where specified in the FSP, field sampling will be conducted in accordance with the
Installation-Wide Field Sampling Plan (IWFSP) (CH2M HILL, July 12, 2002). The IWFSP
describes the standard operating procedures and protocols for field activities and
operations, including monitoring well installation, environmental sampling, sample
handling and custody, and field quality assurance/quality control (QA/QC) procedures.
Table A-1 lists the field activities and corresponding references in the IWFSP. Table A-2
identifies the analytical methods and requirements for container types, preservation
techniques, sample volumes, and holding times for applicable laboratory analytical methods
referenced throughout the SAP.
Similarly, field measurements and laboratory analyses will be conducted in accordance with
the Installation-Wide Quality Assurance Project Plan (IWQAPP) (CH2M HILL,
November 19, 2002).

Various forms to be used for field sampling are provided in Attachments 1 through 4.
Wastes generated during field activities will be minimized to the extent possible and
handled in accordance with the Waste Management Plan (WMP) (see Appendix C).
In addition, field activities will be conducted in accordance with the site-specific Health and
Safety Plan (HSP) (see Appendix D).


1.1 Project Background
An IRA is being conducted at Sites SS13 and SS15. The primary goals of the IRAs at both
sites are to ensure that contaminants are not migrating offsite at concentrations above the
State or Federal water quality standards, and to mitigate potential threats to human health
and the environment posed at the two sites by potential exposure to residual petroleum
contaminants in soil and groundwater.
The IRA for Site SS13 involves establishing institutional controls (ICs) at the site to prevent
potential human exposure to the residual fuel contamination (CH2M HILL, May 31, 2002a).
ICs will be implemented to limit access to the subsurface to prevent potential human
exposure to the residual fuel contamination. The ICs will be supported by long-term



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JANUARY, 2005




monitoring (LTM) of groundwater quality. A semi-annual groundwater monitoring (SGM)
program will be established for SS13.
The IRA for Site SS15 consists of removing available free product from the site in
conjunction with establishing a Monitored Natural Attenuation (MNA) program for
groundwater (CH2M HILL, May 31, 2002b). As part of the free product recovery, the extent
of petroleum contaminants at the site will continue to be delineated as necessary.
The IRA work initially authorized for Site SS13 under a previous project (TO 23) included
additional site characterization of the former fuel dispensing stand and one round of
semi-annual groundwater monitoring (CH2M HILL, February 17, 2003). At Site SS15, light
non-aqueous phase liquid (LNAPL) delineation and removal and one round of MNA
sampling were authorized (CH2M HILL, February 17, 2003). As with SS13, a SGM program
will be used to evaluate the ability of Site SS15 to support natural attenuation of petroleum
hydrocarbons.
Additional IRA work at both sites is being performed under TO 105. The additional work
includes construction of a waste staging area and continued operation and maintenance of
the phytoremediation demonstration plot at Site SS13; additional LNAPL delineation and
recovery at Site SS15; and groundwater monitoring at both sites for a period of one year.
The project objectives and scope are described in Section 1.2.


1.2 IRA Objectives and Scope
1.2.1 Site SS13
The objective of the ongoing IRA at Site SS13 is to:

          •   ensure that concentrations of petroleum hydrocarbons above applicable HDOH
              EALs are not migrating offsite via groundwater potentially discharging from the
              former JRTF to the nearby Manuwai Canal.
          The current project scope of work includes the following key tasks:

          •   collecting semi-annual groundwater samples as part of the ongoing
              long-term monitoring (LTM) of groundwater quality

          •   operating and maintaining the phytoremediation trial plot at JRTF

          •   constructing a covered, concrete pad at JRTF to stage investigation-derived waste
              streams.

1.2.2 Site SS15
The objectives of the ongoing IRA at Site SS15 are as follows:

      •   to delineate the extent of free petroleum product in groundwater
      •   to remove free product from the site to the extent practicable




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    •    to ensure that concentrations of petroleum hydrocarbons above applicable HDOH
         EALs are not migrating offsite via groundwater discharging to the Kumumauu
         Canal.
    The current project scope of work includes the following key tasks:

    •    advancing six direct push system (DPS) borings and installing six temporary wells to
         evaluate the extent of known free petroleum product at MW-06 and a nearby utility
         manhole

    •    advancing five DPS borings near a former underground storage tank (UST) located
         at Building 2118 to evaluate the potential presence of petroleum hydrocarbons (if
         petroleum hydrocarbons are detected above EALs, additional DPS borings may be
         required to delineate the extent of the contamination; the need for further delineation
         will be assessed in conjunction with the Air Force and HDOH)

    •    Optimizing performance of the MPX system at the site

    •    Collecting semi-annual groundwater samples as part of the ongoing Monitored
         Natural Attenuation (MNA) program.




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                                                                 APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
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                                                                           AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                     JANUARY, 2005




                                    2.0 Field Methods
Field methodologies for this project will follow those presented in the Installation-Wide Field
Sampling Plan for Multiple Projects at 15 ABW Installation in Hawaii, Version 3.0 (CH2M HILL,
July 12, 2002), unless otherwise specified.

2.1 Site SS13
Field tasks at Site SS13 include construction of the waste storage facility, continued
operation and maintenance (O&M) for the phytoremediation site, and continued
groundwater monitoring for one year. The following methodologies will be used to
perform these tasks.
2.1.1 Construction of Waste Storage Area
A covered facility will be constructed within the Former John Rodgers Tank Farm (JRTF).
The facility will be used as a staging area for IRP-generated waste and for equipment
storage. Specifically, the waste storage facility will be used to contain hazardous and
non-hazardous waste generated by various 15 CES/CEV contractors and to store the
55-gallon drums, palletized wastes, carboys, and other storage containers. In addition,
government-owned remediation equipment will be stored at the facility to protect the
equipment from the weather. However, before construction can begin, the location of the
waste storage area must be approved by the Hickam AFB facility siting board.

The waste storage facility will be approximately 60 feet long by 40 feet wide by 14 feet high.
A paved area up to 20 feet wide will be built around the perimeter of the structure. Design
drawings for the Waste Storage Area and surrounding area are included in Appendix E, the
Construction Quality Plan.

2.1.2 Phytoremediation Operation and Maintenance
A phytoremediation demonstration project is being conducted as part of the
Agriculture-Based Remediation Program managed by the U.S. Army Corps of Engineers on
approximately one area of Site SS13(CH2M HILL, May 2003). The primary objective of the
project is to demonstrate plant-based remediation (phytoremediation) of soils contaminated
with petroleum hydrocarbon compounds in Pacific Island ecosystems. The pilot study
began in February 2003.

The phytoremediation pilot study is not part of the IRA at Site SS13. However, because this
technology has potential to remediate petroleum-contaminated soil at the site, the USAF has
determined to further support the study by facilitating additional operation and
maintenance of the trial plot. Specific tasks authorized under TO 105 include:
         •    operating and maintaining the irrigation system

         •    applying fertilizer if necessary


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         •    evaluating the performance of the tree system

         •    inspecting the plots and cutting back competing vegetation if necessary

This task is expected to last approximately nine months.

2.1.3 Groundwater Sampling
Thirteen monitoring wells at Site SS13 will be sampled as part of the second semiannual
groundwater monitoring program. The 13 wells comprise MW-01, MW-02, MW-05, MW-09,
MW-10, MW-12, MW-14, MW-15, MW-16, MW-17, MW-19, MW-21, and MW-22.
The groundwater monitoring well locations are shown in Figure A-1. The sampling and
analytical requirements for the LTM program are summarized in Table A-3.

Groundwater samples will be analyzed for volatile organic compounds (VOCs), TPH-GRO,
TPH-DRO, and four dissolved metals: lead, copper, mercury, and silver. Samples for VOC
analyses will be collected first with a disposable bailer, or inertial pump. Based on
experience from previous groundwater sampling events at the Base, VOC samples will not
be preserved with hydrochloric acid because the acid may react with the groundwater
sample and cause the formation of bubbles. Samples to be collected for dissolved metals
analyses will be field-filtered using 0.45-micron filters and placed into bottles with nitric
acid preservative.

During well purging and following sample collection, general field parameters will be
measured including depth to water, purge rate, dissolved oxygen, pH, conductivity, salinity,
oxidation-reduction potential, temperature, and turbidity.


2.2 Site SS15
2.2.1 LNAPL Delineation
Five DPS holes will be advanced near the location of a former UST at Building 2118 to
evaluate soil and groundwater for petroleum compounds. The UST reportedly stored
diesel; however gasoline-range hydrocarbons have also been detected at this location in the
past. The DPS locations shown in Figure A-2.
One soil sample will be collected from each DPS location at the former UST at Building 2118.
The soil sample will be collected from the capillary fringe zone within one foot of the water
table. The soil samples will be analyzed for total petroleum hydrocarbons -gasoline range
organics (TPH-GRO), total petroleum hydrocarbons - diesel range organics (TPH-DRO),
VOCs, and polynuclear aromatic hydrocarbons (PAHs). A 1-inch-diameter temporary
microwell will be installed in each DPS boring, and a groundwater sample will be collected
from each temporary well. The groundwater samples will be analyzed for the same suite of
analytes as the soil samples.
In addition, six DPS holes will be advanced near MW-06 and a utility manhole to evaluate
the extent of free petroleum product in these areas. Proposed soil boring locations are


A-6                                                                 TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC
                                                               APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
                                               INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                         AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                   JANUARY, 2005




shown in Figure 3-4. A 1-inch-diameter temporary microwell will be installed in each of the
six DPS borings to indicate the presence of free petroleum product. Soil or groundwater
samples will not be collected from these locations because the purpose of the DPS
investigation at MW-06 is to delineate the extent of LNAPL.

2.2.1.1 DPS Soil Sampling

The subsurface soil samples will be collected using the Strataprobe® DPS method described
in Section 6.2.3 of the IWFSP. If the DPS method is unsuccessful, subsurface soil samples
may be obtained using a standard split-spoon sampler driven from a HSA rig (as described
in IWFSP Section 6.2.1).

Soil profiles in each boring will be logged continuously for soil texture, color, stiffness,
moisture content, and observable hydrocarbon impacts. The continuous soil cores will be
field-screened for evidence of petroleum hydrocarbons. Field screening will consist of
photoionization detector (PID) measurements and field observations.

Based on the subsurface conditions, the total depths of the boreholes shall not exceed 25 feet.
The soil borings will be terminated at a depth of either seven feet below the water table or
where the refusal is encountered to ensure that temporary wells be installed in a manner
consistent with the previous and existing site wells.

One soil sample will be collected from each of the five boreholes near the UST 2118. The soil
samples will be collected from the capillary fringe zone within one foot of the water table.
The soil samples will be analyzed for TPH-GRO, TPH- DRO, VOCs, and PAHs. Soil
samples will not be collected from the boreholes near well MW-06 and the utility manhole
for laboratory analysis because the purpose of the investigation at MW-06 is to delineate the
extent of free product. Table A-4 summarizes the analytical program of soil sampling as
part of the LNAPL delineation at Site SS15.

2.2.1.2 Temporary Well Installation (LNAPL Delineation)

A one-inch-diameter temporary well will be installed in each DPS soil boring, in accordance
with the methods specified in Section 6.2.3 of the IWFSP. Following well installation, the
temporary wells will be allowed to come to equilibrium over a 24-hour to 48-hour period.
Once equilibrium has been established, an oil-water interface probe will be used to record
the depth-to-liquid and check for the presence of LNAPL at each well.

2.2.1.3 Temporary Well Sampling
Groundwater samples will be collected from each of the five temporary wells near UST
2118. The samples will be analyzed for TPH-GRO, TPH-DRO, VOCs, and PAHs. The
temporary wells near MW-06 and the utility manhole will not be sampled for laboratory
analysis because the purpose of the investigation at MW-06 is to delineate the extent of free
product. Table A-4 summarizes the analytical program of groundwater sampling as part of
the LNAPL delineation at Site SS15.



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JANUARY, 2005




Prior to sample collection, the temporary wells will be purged using the micropurging
techniques described in Section 6.3.1.2 of the IWFSP. Small positive-displacement pumps
(such as bladder pumps or variable flow submersibles), peristaltic pumps, or inertial pumps
(such as Waterra® pumps) will be used for micropurging and sampling. If peristaltic pumps
are used, disposable bailers or an inertial pump will be used to collect samples to be
analyzed for VOC analyses. New tubing will be used at each well location to prevent cross
contamination.
During well purging and following sample collection, general field parameters will be
measured including depth to water, purge rate, dissolved oxygen, pH, conductivity, salinity,
oxidation-reduction potential, temperature, and turbidity.

2.2.2 Optimizing MPX Recovery System Performance
MPX system performance monitoring will be conducted to demonstrate that performance
objectives are being met and that unit processes are performing as specified. This section
describes the monitoring program as it is currently envisioned.
In general, the monitoring program will include sample collection from select process
monitoring points representative of influent and effluent fuel, groundwater, and vapor
process streams. Table A-5 summarizes the monitoring program for the aboveground
component of the MPX system. Table A-6 summarizes the monitoring program for the
belowground component of the MPX system, which refers to the extraction and monitoring
wells. The headings in the tables are defined as follows:

         •    Data Description. General categorizations of the data type for purposes of
              organizing the monitoring program.
         •    Location. Specifies the point at which the data or sample will be collected.

         •    Method. Specifies the data collection method, whether the data are being
              gathered via automated or manual instrumentation (field screening data), or
              offsite laboratory analytical method.

         •    Monitoring Type. Specifies whether data collection is automatic or manual.

         •    Frequency. Indicates the anticipated frequency of data collection.

         •    Data Quality Objective. Indicates whether data are considered field screening
              data or offsite laboratory definitive data, and indicates applicability of the data
              quality objectives (DQOs) and a QAPP.

         •    Data Use. Summarizes the primary intended use(s) of each data source.
              Figure A-3 is a process and instrumentation diagram that identifies the
              individual equipment components corresponding to sampling locations
              referenced in the text and tables.




A-8                                                                 TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC
                                                             APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                       AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                 JANUARY, 2005




Criteria for evaluating MPX system performance have been established to evaluate its ability
to meet the IRA project objectives, as outlined in the Action Memorandum for Site SS15
(CH2M HILL, 2002d). The performance criteria include:

         •    Estimates of Mass Removal of JP-4 Fuel (Jet Fuel). Mass removal rates will be
              calculated from cumulative estimates of recovered free product, fuel vapors from
              the vadose zone, and dissolved-phase JP-4 fuel constituents treated and removed
              from groundwater.

         •    Recovered Free Product. The recovered free product will be collected in an
              aboveground storage tank. The recovered free product will be reused later. The
              volume of the recovered product volume will be monitored and documented.

         •    Free Product Plume Monitoring. LNAPL thickness will be measured in existing
              wells across the site. LNAPL thickness in groundwater should decrease over
              time.

2.2.2.1 Recovered Fuel Volume Estimate

The relative recovery ratio of fuel to water will be estimated by visually examining the
liquid in the clear flexible hose connected to the recovery manifold. The total volume of
recovered fuel will be determined by measuring contents in fuel storage containers.

It is anticipated that a limited volume of fuel will be recovered from Site SS15. The
recovered fuel will be temporarily stored in 55-gallon drums placed on secondary
containment spill-control pallets. The fuel will be sampled periodically and analyzed for
fuel fingerprinting if the free product appears to be significantly different from previously
characterized. Recovered product will be collected by vacuum truck and transported to
either a location on-Base to provide fuel for an electric generator or one off-Base to be
reused.

2.2.2.2 Process Water Sampling
To assess the removal efficiency of the oil-water separator of the MPX system, influent and
effluent process water will be sampled and analyzed for VOCs. The influent samples will be
collected from the Air Liquid Separator (ALS1-T01 at sample valve S12) and the effluent
samples will be collected at the water equalization tank (T04 at sample valve S13) before re-
infiltration to the ground.
Table A-7 lists the type and number of process water samples to be collected from the MPX
system.

2.2.2.3 Vapor Sampling

To evaluate the removal efficiency of hydrocarbon vapors of the MPX system, influent and
effluent (i.e., emission) vapor samples will be collected from the inlet and outlet of the
internal combustion engine (ICE) oxidizer. The vapor samples will be analyzed for VOCs,
non-methane organic carbon (NMOC), and fixed gases: carbon dioxide, carbon monoxide,


TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC                                                                 A-9
APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




hydrogen, methane, nitrogen, and oxygen. The number of samples to be collected and the
associated analyses are provided in Table A-8.

The ICE is capable of estimating influent and effluent concentrations of TPH real-time.
Because the ICE operates at a relatively constant air/fuel ratio and throughput
(approximately 1 million BTUs/hour), the relative contribution of the well gas is estimated
by subtracting the contribution of propane and combustion air. The estimated vapor
concentration of the well gas is expressed in terms of hexane-equivalent units. Because the
BTU content of hexane (~19,386 BTU/lb) and jet fuel (~18,700 BTU/lb) are similar, the
accuracy is expected to be within an order of magnitude.

In addition to the real-time estimates at the ICE, field instruments such as emission gas
monitors, PIDs, flame ionization detectors (FID), and combustible gas indicators (CGI) may
be used to collect real-time data. SUMMA canisters equipped with flow control regulators
will be used to allow sample collection over a minimum 2-hour period. The SUMMA
canisters and flow regulators allows vapor sample collection from the inlet to the ICE (at
sample valve S14) and at the ICE emission stack (at sample valve S16 and/or sample valve
S17).

2.2.3 MNA Sampling Program
This project covers one round of annual groundwater sampling at Site SS15. The last round
of groundwater sampling was completed in May 2004. The following 18 monitoring wells
were sampled: MW-01 through MW-18 (except MW-08, MW-11 and MW-17) and MW-20
through MW-22. Figure A-4 shows the monitoring well locations at the site. The next round
of MNA groundwater sampling at Site SS15 is scheduled for Spring/Summer 2005.
The samples will be analyzed for VOCs and the following MNA parameters: alkalinity,
methane, nitrate, dissolved ferrous iron, dissolved manganese, sulfate, and sulfide.
The sampling and analytical requirements for the MNA program are summarized in
Table A-3. Field parameters, including dissolved oxygen, pH, conductivity, salinity,
oxidation reduction potential, temperature, and turbidity, will be measured at the time of
sample collection.


2.3 Surveying
Locations of the DPS borings at Site SS15 will be surveyed by a certified land surveyor as the
distance in feet from a reference location that is tied to the UTM N4 WGS84 Coordinate
System. The surveys will be third order. An XY-coordinate system will be used to identify
locations. The X-coordinate will be the East-West axis; the Y-coordinate will be the
North-South axis. The reference location is the origin.

All surveyed locations will be reported using the UTM N4 WGS84 coordinate system.
Required precision for temporary well locations is plus or minus three feet.




A-10                                                                TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC
                                                             APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                       AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                 JANUARY, 2005




2.4 Waste Sampling
Samples will be collected to characterize waste soil and other process wastes such as
oil-water separator sludge and fuel. Table A-9 lists the sampling and analytical requirement
for various wastes.

2.4.1 Soil Sampling
Samples of suspected petroleum-contaminated soil will be collected from drummed soil.
The soil samples will be analyzed for TPH-GRO, TPH-DRO, VOCs, and PAHs. If offsite
disposal or recycling is required, additional analyses including ignitability, corrosivity, free
liquid, toxicity characteristic leaching procedures (TCLP)-VOCs, TCLP-semivolatile organic
compounds (SVOCs), and TCLP-metals may be performed.

2.4.2 MPX Sludge Sampling
Sampling will be required to characterize sludge resulting from the MPX system operation
(if generated). The volume of sludge to be generated will be minimized in accordance with
the Waste Management Plan included as Appendix C to the Work Plan. Following
implementation of waste minimization techniques (for example, filtering to remove
water/liquid), samples will be obtained directly from the sludge.

The sludge (if generated) will be analyzed for TPH-GRO, TPH-DRO, and PAHs. If offsite
disposal or recycling is required, additional analyses including ignitability, corrosivity, free
liquid, TCLP-VOCs, TCLP-SVOCs, and TCLP-metals may be performed.

2.4.3 MPX Fuel Sampling
A Chlor-D-Tect 1000 field test kit will be used to test for the presence of chlorinated
compounds. Chlor-D-Tect 1000 uses USEPA SW846 Method 9077 and provides rapid test
results. Fuel containing less than 1,000 parts per million (ppm) chlorinated compounds may
be blended and reused. Fuel containing more than 1,000 ppm chlorinated compounds may
require additional characterization prior to reuse or disposal. If disposal of the product is to
be off Hickam AFB, additional analysis may be required to meet disposal facility
requirements.

The recovered fuel will be fuel fingerprinted using Method SW8015M if it appears to be
significantly different from fuel that has been observed at Site SS15 in the past.


2.5 Quality Control Sampling
The QC requirements for sample collection are consistent with those described in
Section 6.13 of the IWFSP (CH2M HILL, 2002). In addition to the QC sampling
requirements identified in this section, the project-specific QAPP (see Appendix B) and/or
the IWQAPP specify the QC requirements, including reporting limits, accuracy and




TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC                                                                A-11
APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




precision acceptance criteria, specific method requirements, corrective action, and
data-flagging criteria for each laboratory method.

2.5.1 Groundwater QC Sampling
The QC samples to be collected during the groundwater sampling activities include field
duplicates, trip blanks, and matrix spike/matrix spike duplicate (MS/MSD) samples. The
purposes of these QC samples are discussed in Section 6.13 of the IWFSP (CH2M HILL,
2002). Because disposal equipment will be used, no equipment rinsate blank will be
collected. The frequency of collection for each QC sample type will be as follows:

         •    Field duplicates will be collected at a frequency of 10 percent of the field samples
              for each sampling event.

         •    One trip blank will be provided for each cooler containing samples for VOC
              analyses. The field team will minimize the number of coolers used to ship
              samples for VOC analysis such that the number of trip blanks is also minimized.

         •    MS/MSD samples will be provided at a frequency of 5 percent for VOCs and
              dissolved metals. No MS/MSD samples are required for the MNA parameters.

2.5.2 MPX System QC Sampling
The QC samples for the MPX system include field duplicates and trip blank samples.

2.5.2.1 Process Water QC Sampling
The frequency of collection for process water QC sample types will be as follows:

         •    Field duplicates will be collected at a frequency of 10 percent of the total number
              of field samples to be collected.

         •    One trip blank will be provided for each cooler containing samples for VOC
              analyses. The field team will minimize the number of coolers used to ship
              samples for VOC analysis such that the number of trip blanks is also minimized.

The process water QC samples are listed in Table A-7. The analytical method requirements
are provide in the QAPP (see Appendix B).

2.5.2.2 Process Vapor QC Sampling

The frequency of collection for process vapor QC sample types will be as follows:
         •    Field duplicates will be collected at a frequency of 10 percent for the total number
              of field samples to be collected. Duplicate vapor samples will be collected by
              setting up a split sampling apparatus at the sample collection point to allow
              simultaneous collection of the normal vapor sample along with the duplicate
              sample.



A-12                                                                TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC
                                                             APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                       AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                 JANUARY, 2005




         •    No trip blank will be required for vapor sampling.
The vapor QC samples are listed in Table A-8.

2.5.3 Waste QC Sampling
No additional QC samples are anticipated to be required for soil and sludge.




TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC                                                                A-13
APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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A-14                                                                TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC
                                                             APPENDIX A: PROJECT-SPECIFIC FIELD SAMPLING PLAN
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                       AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                 JANUARY, 2005




                                        3.0 References
CH2M HILL. July 7, 2004a. Final Groundwater Monitoring Report for Site SS13 (Former John
   Rodgers Tank Farm), Hickam Air Force Base, Oahu, Hawaii. Prepared for 15 CES/CEVR,
   Hickam AFB, and for the Air Force Center for Environmental Excellence,
   Environmental Services Office, Installation Worldwide Pacific Division, Hawaii
   (AFCEE/IWPH), Hickam AFB, Hawaii.
CH2M HILL. July 7, 2004b. Final LNAPL Delineation and MNA Monitoring Report for Interim
   Removal Action at Site SS15 (Par 3 Golf Course), Hickam Air Force Base, Oahu, Hawaii.
   Prepared for 15 CES/CEVR, Hickam AFB, and for AFCEE/IWPH, Hickam AFB,
   Hawaii.
CH2M HILL. February 20, 2004. Final Interim Removal Action Report Site Characterization and
   Utility Abandonment at Sites SS13 (Former John Rodgers Tank Farm), Hickam Air Force Base,
   Oahu, Hawaii. Prepared for 15 CES/CEVR, Hickam AFB, and for the Air Force Center
   for Environmental Excellence, Environmental Services Office, Environmental
   Restoration Division (AFCEE/ERD), Hickam AFB, Hawaii.
CH2M HILL. May 2003. Final Report Agriculturally-Based Bioremediation of
   Petroleum-Contaminated Soils and Shallow Groundwater in Pacific Island Ecosystems.
   Prepared for U.S. Army Corps of Engineers, U.S. Army Engineer Research and
   Development Center, Fort Shafter and the 15 CES/CEVR, Hickam AFB.
CH2M HILL. February 17, 2003. Final Work Plan for Interim Removal Actions at Sites SS13
   (Former John Rodgers Tank Farm) and SS15 (Par 3 Golf Course), Hickam Air Force Base,
   Oahu, Hawaii. Prepared for 15 CES/CEVR, Hickam AFB, and for AFCEE/ERD, Hickam
   AFB, Hawaii.
CH2M HILL. November 19, 2002. Installation-Wide Quality Assurance Project Plan for Multiple
   Projects at 15 ABW Installations in Hawaii. Prepared for 15 CES/CEVR, Hickam AFB, and
   for AFCEE/ERD, Brooks City-Base, Texas.
CH2M HILL. July 12, 2002. Installation-Wide Field Sampling Plan for Multiple Projects at
   15 ABW Installations in Hawaii. Prepared for 15 CES/CEVR, Hickam AFB, and for
   AFCEE/ERD, Brooks City-Base, Texas.
CH2M HILL. May 31, 2002a. Final Action Memorandum for Site SS13 (The John Rodgers Tank
   Farm), Hickam Air Force Base, Oahu, Hawaii. Prepared for AFCEE/ERD, Brooks City-
   Base, Texas, and for 15 CES/CEVR, Hickam AFB, Honolulu, Hawaii.
CH2M HILL. May 31, 2002b. Final Action Memorandum for Site SS15 (The Par 3 Golf Course),
   Hickam Air Force Base, Oahu, Hawaii. Prepared for AFCEE/ERD, Brooks City-Base,
   Texas, and for 15 CES/CEVR, Hickam AFB, Honolulu, Hawaii.




TO105_FINALIRA WORK PLAN _APPA_2005-01.DOC                                                                A-15
                                           MW-15




                                                                                                                                             FAA BUILDING




                                                                                                             Valve Pit 33A
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MANUWAI CANAL




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                                                                                             MW-09                                                                                       E.
                                                 MW-05                       MW-08
                                                                                                                             MW-01




            Legend:
                                      Site SS13 Boundary
                                      Building
                                                                                                                         0                        150                                    300
                                      Location of Valve Pits                                                                                                                               Feet


                                      Monitoring Well Location

                                      LTM Well Location




            File Path: \\nala\proj\AFCEE_Hickam\170647TO23ENRAC\GIS Figures\MXD\TO105_WP\FigA-1.mxd, Date: November 09, 2004 10:56:53 AM
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                                                             Engine Test Road
                                                                                                                                          MW-11                                                                                                 MW-06
                                                                                                                              MW-10

                      Former                                                               MW-08                MW-09
                     Washrack                                                                                                                MW-02
                       Area                                                                                             MW-01

                                                                                                                                                                                                                                                       0   20   40   80
                                        MW-07                                                      GT-K4
                                                                                                                                                                                                                                 Detail Map A                          Feet


                                                                                                                            MW-12




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                                                                                          GT-K5




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                                     UST 2118               MW-17                               GT-K3                                                          MW-21




                                                                                                                                                                                    WA
                                  See Detail                                            GT-K2




                                                                                                                                                                                        TE
                                  Map B                                                 GT-K1




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                                      2125
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                                                                                                                                                                                                                                                   0       10   20    40
                                                                                                                            WL001(SS11)                         0                             150                       300                                             Feet
                                                                                                                                                                                                                          Feet   Detail Map B

         Legend:

                      Building                                                   Main Fuel Line (active)                                    Monitoring Well Location

                                                                                 Fuel Line (abandoned)
                      Vehicle Parking Area                                                                                                  Wells Selected for Recovery

                      Slab Area                                                  Water System Manhole No. 531
                                                                                                                                            Proposed DPS Sampling Locations

                      SS15 Site Boundary                                         Communication System Manhole No. 191

File Path: \\nala\proj\AFCEE_Hickam\170647TO23ENRAC\GIS Figures\MXD\TO105_WP\FigA-2.mxd, Date: November 09, 2004 2:49:34 PM
Fig A-3
MPX System Process and
Instrumentation Diagram
IRA AT SITES SITE SS13 AND SS15, HICKAM AFB
                                                                                                                                                                                                                                                          1649

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                                                                                                                                                      Kuntz Ave.                                                                 2102
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                                                                                                                                                                                            Engine Test Road
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                                                                                                                                                           Area
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                                                                                                                                                                                                                                                                        WL001(SS11)




                                                                                                                                 Legend:
                                                                                                                                           Building                                    Fence

                                                                                                                                           Vehicle parking area                        Water system manhole No. 531
                                                                                                                                                                                       Communication system
                                                                                                                                           Slab area
                                                                                                                                                                                       manhole No. 191
                                                                                                                                                                                                                                                     0                   100          200                    400
                                                                                                                                           SS15 site boundary                          Monitoring well location                                                                                                   Feet
                                                                                                                                           Main fuel line (active)
                                                                                                                                                                                       Monitored Natural Attenuation
                                                                                                                                           Fuel line (abandoned)                       (MNA) Well Locations




                                                                                                                                                                                                                                          IRA AT SITES SS13 AND SS15, HICKAM AFB
TABLE A-1
Field Activities and Corresponding Sections in the Installation-Wide Field Sampling Plan
IRAs at Sites SS13 and SS15
                                                                                                                 IWFSP
IRA Field Activity                                                                                              Section(1)
Borehole drilling                                                                                                  5.5
Monitoring well construction and development                                                                     5.6, 5.7
MPX System Refurbishment                                                                                           N/A
MPX System Operation and Maintenance                                                                               N/A
Surveying                                                                                                         5.12
Equipment Decontamination                                                                                         5.13
Waste Handling                                                                                                    5.14
Waste Soil Sampling                                                                                              6.1, 6.2
Groundwater sampling                                                                                               6.3
Sample handling                                                                                                   6.11
Sample custody                                                                                                    6.12
Field quality control samples                                                                                     6.13
Parameters for field measurements                                                                                  7.1
Field measurement equipment calibration and quality control                                                        7.2
Field measurement equipment maintenance and decontamination                                                        7.3
Field monitoring measurements                                                                                      7.4
Recordkeeping                                                                                                       8

(1)
      Refers to CH2M HILL. July 12, 2002, Installation Wide Field Sampling Plan (IWFSP), Version 3.0.
      Prepared for AFCEE and 15 CES/CEVR.

N/A = Not applicable; there is no corresponding IWFSP section




                                                                                                  Page 1 of 1
TABLE A-2
Requirements for Container Types, Preservation Techniques, Sample Volumes, and Holding Times
Interim Removal Actions at Sites SS13 and SS15
                                                                            Minimum
                                                                            Sample
                                                                                 d
                      Analytical                                           Volume or            Maximum
                                                a                   b,c            e
         Name          Method      Container         Preservation           Weight             Holding Time
                                                     o
Alkalinity           E310.1        P, G             4C                    100 mL           14 days
                                                     o                                                    -   -     -
Common anions        SW9056        P, G             4C                    100 mL           28 days for Br , F , Cl ,
                                                                                                   -2
(sulfate, nitrate)                                                                         and SO4 ; 48 hours for
                                                                                               -      -          -3
                                                                                           NO3 , NO2 and PO4
                                                     o
Metals (copper,      SW6010B       P                4 C, HNO3 to          500 mL           180 days
lead, manganese                                     pH < 2
and iron)
                                                     o
Mercury              SW7470A       P                4 C, HNO3 to          500 mL           28 days
                                                    pH < 2
                                                     o
Silver               SW7761        P                4 C, HNO3 to          500 mL           180 days
                                                    pH < 2
                                                     o
Nitrate-Nitrite as   E353.3        P                4 C, H2SO4 to         1L               28 days
Nitrogen                                            pH < 2

                                                     o
Sulfide              SW9030        P                4 C, ZnAc and         500 mL           7 days
                                                    NaOH

Sp. conductance      SW9050        P, G             None required         N/A              Field Measurement

Temperature          E170.1        P, G             None required         N/A              Field Measurement

Dissolved oxygen     E360.1        G                None required         500 mL           Field Measurement

Turbidity            E180.1        P, G             None required         N/A              Field Measurement
                                                              o
Volatile organic     SW8260B       Water:           Water: 4 C            3 x 40 mL        7 days (water);
compounds (VOCs)                                                          (water);         14 days if frozen and
                                   G, Teflon-                                              preserved by the lab
                                   lined septum                           3 Encore         within 48 hours (soil)
                                   VOA vials,       Soil: Frozen (dry     Samplers
                                                    ice)                  (soil)
                                   Soil:

                                   Encore
                                   samplers
                                                     o
Methane, Ethane,     RSK-175       G, Teflon-       4C                    3 x 40 mL        28 days
Ethene and Carbon                  lined cap
dioxide
                                                              o
Total petroleum      SW8015B       G, Teflon-       Water: 4 C            2 x 40 mL        7 days (water);
hydrocarbons                       lined                                  (water)          14 days if frozen and
(TPH)—Gasoline                     septum, T        Soil: Frozen (dry                      preserved by the lab
Range Organics                                      ice)                  3 x Encore or    within 48 hours (soil)
                                                                          field preserve
                                                                          (soil)




                                                PAGE 1 OF 2
TABLE A-2
Requirements for Container Types, Preservation Techniques, Sample Volumes, and Holding Times
Interim Removal Actions at Sites SS13 and SS15
                                                                               Minimum
                                                                               Sample
                                                                                    d
                        Analytical                                            Volume or             Maximum
                                                   a                   b,c            e
      Name               Method         Container       Preservation           Weight              Holding Time
                                                         o
TPH—Diesel            SW8015B          G, Teflon-      4C                    1 liter (water)   14 days extraction and
Range Organics                         lined cap, T                                            40 days after
                                                                             8 ounces          extraction to analysis
                                                                             (soil)
                                                         o
Polynuclear           SW8270C          G, Teflon-      4C                    1 liter (water)   7 days until extraction
Aromatic              SIM              lined cap, T                                            and 40 days after
Hydrocarbons                                                                 8 ounces          extraction (water);
                                                                             (soil)            14 days until extraction
                                                                                               and 40 days after
                                                                                               extraction (soil)
a
  P = polyethylene (P); G= glass; T = brass sleeves in the sample barrel, sometimes called California brass.
b
  No pH adjustment for soil.
c
  Preservation with 0.008 percent Na2S2O3 is only required when residual chlorine is present.
d
  For water.
e
  For soil and sediments.
    TABLE A-3
    Groundwater Analytical Program
    IRAs at Sites SS13 and SS15, Hickam AFB
                                                                              VOCs and Metals                                    MNA Paramters
                                                                     Lead &                                               Methane     Nitrate,   Manganese
                                                   VOCs              Copper       Mercury         Silver    Alkalinity    and CO2     Sulfate     and Iron    Sulfide
                           EPA Analytical Method (SW8260B)         (SW6010B)     (SW7470A)      (SW7761)   (EPA 310.1)   (RSK 175)   (SW9056)    (SW6010B)   (SW9030)
SS13 (semi-annual sampling for up to 5 years)
Field Samples                                            13              13          13            13          --           --          --           --         --
Field Duplicates                                         2               2           2             2           --           --          --           --         --
Equipment Blanks                                         --              --          --            --          --           --          --           --         --
MS                                                       1               1           1             1           --           --          --           --         --
MSD                                                      1               1           1             1           --           --          --           --         --
Trip Blanks                                              3               --          --            --          --           --          --           --         --
# of Samples                                             20              17          17            17          0            0           0            0          0
SS15 (MNA, annual sampling for 6 years, and final sampling at Year 10)
Field Samples                                            18              --          --            --          18           18          18          18          18
Field Duplicates                                         2               --          --            --           2            2           2           2           2
Equipment Blanks                                         --              --          --            --          --           --          --          --          --
MS                                                       1               --          --            --           0            0           0           0           0
MSD                                                      1               --          --            --           0            0           0           0           0
Trip Blanks                                              3               --          --            --          --           --          --          --          --
# of Samples                                             25              0           0             0           20           20          20          20          20

Note:
MS- Matrix spike
MSD - Matrix spike duplicate
TABLE A-4
Soil and Groundwater Analytical Program for LNAPL Delineation at SS15
IRAs at Site SS15, Hickam AFB

                                               TPH-GRO                  TPH-DRO          VOCs               PAHs
Analytical Method
                                           (Method SW8015B)       (Method SW8015B)   (Method 8260B)   (Method 8270CSIM)
Soil Sampling
Field Samples                                      5                       5               5                 5
Field Duplicates                                   1                       1               1                 1
Equipment Blanks                                   --                      --              --                --
MS                                                 1                       1               1                 1
MSD                                                1                       1               1                 1
Trip Blanks                                        --                      --              --                --
# of Samples                                       8                       8               8                 8
Groundwater Sampling
Field Samples                                      5                       5               5                 5
Field Duplicates                                   1                       1               1                 1
Equipment Blanks                                   --                      --              --                --
MS                                                 1                       1               1                 1
MSD                                                1                       1               1                 1
Trip Blanks                                        1                       0               1                 --
# of Samples                                       9                       8               9                 8

Note:
MS- Matrix spike
MSD - Matrix spike duplicate
TABLE A-5
Summary of MPX System Monitoring Program
IRA at SS15
                                                                                         Monitoring
      Data Description                   Location                       Method                                    Frequency         Data Quality Objective                           Data Use
                                                                                           Type
                                                                 Hour Meter; note in                    Daily, or as conditions                                Monitor system run-time for maintenance program and
MPX System Operating Hours PLC Panel                                                   Automatic                                   Field data
                                                                 operations log                         change                                                 mass removal calculations
                                                                 Gauge; note in                         Weekly, or as conditions                               Monitor propane consumption for mass removal
Propane Consumption        Propane AST Gauge                                           Manual                                      Field data
                                                                 operations log                         change                                                 calculations and to capture costs
                                                                 Gauge; note in
Generator Fuel             Fuel gauge                                                  Manual           Periodic                   Field data                  Monitor system consumption to capture costs
                                                                 operations log
                                                                 Gauge; note in                         Daily, or as conditions                                Document system operating conditions; utilize for
                           Individual extraction wells                                 Manual                                      Field data; +/- 0.1 in Hg
                                                                 operations log                         change                                                 system control
                                                                 Gauge; note in                         Hourly, or as conditions                               Document system operating conditions; utilize for
Vacuum                     ICE inlet                                                   Continuous                                  Field data; +/- 0.1 in Hg
                                                                 operations log                         change                                                 system control
                                                                 Gauge; note in                         Hourly, or as conditions                               Document system operating conditions; utilize for
                           LRP inlet (PMP08)                                           Automatic                                   Field data; +/- 0.1 in Hg
                                                                 operations log                         change                                                 system control

                                                                 Thermocouple Signal;                   Hourly, or as conditions                               Document system operating conditions; utilize for
                           ICE Pre-Catalytic Converter                                  Automatic                                  Field data; +/- 20 deg F
                                                                 note in operations log                 change                                                 system control
Temperature
                                                                 Thermocouple Signal;                   Hourly, or as conditions                               Document system operating conditions; utilize for
                           ICE Post-Catalytic Converter                                 Automatic                                  Field data; +/- 20 deg F
                                                                 note in operations log                 change                                                 system control and mass removal calculations

                                                                 Pitot tube; note in                                                                           Document system operating conditions; utilize for
                           Individual extraction wells                                 Manual           As conditions change       Field data; +/- 20 acfm
                                                                 operations log                                                                                system control and mass removal calculations

                                                                 Mass flow meter;
                                                                                                                                                               Document system operating conditions; utilize for
Vapor Flow Rate            ICE inlet                             Rotameter; Data       Automatic        Continuous                 Field data; +/- 20 acfm
                                                                                                                                                               system control and mass removal calculations
                                                                 Logger
                                                                 Mass flow meter;
                                                                                                                                                               Document system operating conditions; utilize for
                           LRP outlet (PMP08)                    Rotameter; Data       Automatic        Continuous                 Field data; +/- 20 acfm
                                                                                                                                                               system control and mass removal calculations
                                                                 Logger

                                                                                                                                                               Document system operating conditions; utilize for
                           Individual extraction wells           EPA Method 8260B      Laboratory       Periodic; as needed        Laboratory data
                                                                                                                                                               system control and mass removal calculations
TPH/VOC (BTEX)
                           Air Liquid Separator Inlet (ALS1 at                                                                                                 Document system operating conditions; utilize for
Concentration in Process                                         EPA Method 8260B      Laboratory       Periodic; monthly          Laboratory data
                           S12)                                                                                                                                system control and mass removal calculations
Water

                           Water Holding Tank Outlet (T04 at                                                                                                   Document system operating conditions; utilize for
                                                                 EPA Method 8260B      Laboratory       Periodic; as needed        Laboratory data
                           S13)                                                                                                                                system control and mass removal calculations

                                                                                    Handheld
                                                                 FID/OVA/CGI; SUMMA
                           Individual extraction wells                              Instrument/Labo     Periodic; as needed        Laboratory and field data   Utilize for mass removal calculations
                                                                 canister
TPH/VOC                                                                             ratory
(BTEX)/methane/CO2/O2                                                               Handheld
                                                                 FID/OVA/CGI; SUMMA
Concentration in Vapor     ICE Inlet (at S14)                                       Instrument/Labo     Periodic; as needed        Laboratory and field data   Utilize for mass removal calculations
                                                                 canister
                                                                                    ratory
                           ICE inlet                             Calculated         ICE                 Continuous                 Field data                  Utilize for mass removal calculations
                                                                 Well Gauging; MPX                                                                             Utilize for mass removal calculations and individual
                           Individual extraction wells                              Manual              Periodic; as needed        Laboratory and field data
LNAPL Recovery                                                   System Recovery                                                                               well performance evaluation
                           Product Storage (T05)                 Dip Tape           Manual              Periodic; monthly          Laboratory and field data   Utilize for mass removal calculations




                                                                                                    Page 1 of 1
TABLE A-6
Summary of Belowground Montoring Program
IRA at Site SS15


   Data Description                     Location                           Method                        Frequency       Data Quality Objective               Data Use

Vacuum                At well head of extraction wells              Measure with         Three times a day for the    Field data; +/- 0.1 inch Hg    Determine optimal vacuum
                                                                    magnehelic gauges in first week followed by daily                                and flow rates for wells.
                                                                    field.               measurement in the second
                                                                                         week; and as needed for
                                                                                         troubleshooting thereafter
                                                                                         and anytime there is an
                                                                                         operational adjustment that
                                                                                         could affect vacuum.




Groundwater level     Monitoring wells (within plume, upgradient,   Gauge water level         Periodic                 Field data; +/- 0.01 inch Hg Observe effect of system
                      downgradient, cross-gradient)                 monthly during system                                                           operations and re-infiltration
                                                                    operations with                                                                 on groundwater levels.
                                                                    interface probe in field.


MNA Sampling          Designated MNA wells                          Laboratory analysis    Annually Monitoring         Laboratory and field data     Document dissolved-phase
                                                                    (Method 8260 & MNA                                                               VOC concentrations over
                                                                    parameters) and field                                                            time and support MNA
                                                                    monitoring for general                                                           assessment.
                                                                    water quality
                                                                    parameters.

LNAPL Recovery        At well head of extraction wells;             Gauge fuel storage       After recovery event      Field data                    Measure well performance.
                      Alternatively, LNAPL recovery will be         tank with interface
                      measured at the MPX system by extracting      probe in field.
                      from a single extraction well.




                                                                                  Page 1 of 1
TABLE A-7
Sampling and Analytical Program for MPX System Process Water
IRA at Site SS15


      Location ID                 Sample ID                        QC Type                Number of Samples



Influent1
SS15-ALS1               SS15-ALS1-mmddyy                              N                             4
           2
Effluent
SS15-T04                SS15-T04-mmddyy                               N                             4

QC Samples3
SS15-ALS1               SS15-ALS101-mmddyy                           FD                             1
SS15-T04                SS15-T0401-mmddyy                            FD                             1
NA                      SS15-TBmmddyy                                TB                             4

# of Samples                                                                                        14

Notes:
The process water samples will be analyzed for VOCs using Method SW8260B.

FD - field duplicate (at a minimum frequency of 10% of normal samples)
N - normal environmental sample
TB - trip blank (one to be included in each cooler, or a maximum of two per day)
VOCs - volatile organic compounds
NA - not applicable

1
    Influent samples will primarily be collected from the sample port at the air-liquid separator (ALS1 at S12),
2
    Effluent samples will be collected from the sample port after the water equalization tank (T04 at S13)
3
    Field duplicate samples will correspond to the appropriate sample location, e.g., if sample is collected from ALS1 then field duplicate will be ALS101.




                                                                          Page 1 of 1
TABLE A-8
Sampling and Analytical Program for MPX System Vapor
IRA at Site SS15
                                                                                            Analytical Methods
                                                              QC                                Non-methane
      Location ID                    Sample ID                                          1
                                                                                                                 Fixed Gases
                                                             Type        VOCs (TO-14)          organic carbon
                                                                                                                  SM2720C3
                                                                                              (NMOC) (TO-12)2
Influent
SS15-ICE-Influent         SS15-ICE-Influent-mmddyy             N              4                      4                4
QC Samples
SS15-ICE-Influent         SS15-ICE-Influent1-mmddyy           FD              1                      1                1

Effluent
SS15-ICE-Effluent         SS15-ICE-Effluent-mmddyy             N              4                      4                4
QC Samples
SS15-ICE-Effluent         SS15-ICE-Effluent1-mmddyy           FD              1                      1                1

# of Samples                                                                  10                     10              10

Notes:

FD = field duplicate (at a minimum frequency of 10% of normal samples)
N = normal environmental sample

1. VOC (TO-14) analysis shall be performed on up to two samples per sampling event

2. NMOC (TO-12) analysis shall be performed on up to two samples per sampling event
   event per month for 2 years.
3. Fixed Gases include carbon dioxide, carbon monoxide, hydrogen, methane, nitrogen, and oxygen.




                                                        Page 1 of 1
TABLE A-9
Sampling and Analytical Requirements for Waste
IRA at Site SS15

                                                                                                             Analytical Methods
                                                                                                                  Corrosivity by
                                           VOCs      SW8015M      PAHs       TPH-GRO   TPH-DRO      Ignitability        pH         Free Liquid    TCLP-VOCs     TCLP-SVOC      TCLP-Metals
Sample Type                               SW8260               SW80270CSIM   SW8015M   SW8015M     SW1010/1030       SW9045B        SW9095       SW1311/8260   SW1311/SW8270   SW1311/6010
Solid Waste
Waste-sludge                                                        2           2         2             2               2              2              2              2              2
Waste-soil/residual filtered sediment         2                     2           2         2             2               2              2              2              2              2
Solid Waste Totals                            2                     4           4         4             4               4              4              4              4              4



Liquid Waste
             1
Fuel samples                                               2

Liquid Waste Totals                                        2

Notes:
1. Fuel samples will be fuel finger-printed per SW8015M.




                                                                                              Page 1 of 1
             Attachment 1
MPX System Data Logsheets
ICE Operational Data
DATE
TIME
Propane AST Level (% full)
WELL NO.
ENGINE NO.                     EN-1   EN-2   EN-1   EN-2   EN-1   EN-2   EN-1   EN-2   EN-1   EN-2
START TIME
FINISH TIME

ENGINE PARAMETERS              EN-1   EN-2   EN-1   EN-2   EN-1   EN-2   EN-1   EN-2   EN-1   EN-2
TIME
RPM
Dilution Air V. Position
Dilution Air V. Flow
Fuel V. Position
Fuel V. Flow
Well V. Position
Well V. Flow
Engine Vacuum
Well Vacuum
Btu's/Hr (Well Gas)
PPMV (Well Gas)
Oil PSI
Coolant Temp.
Battery Voltage
Pre-Cat Temp
Post-Cat Temp
O2 Set Point
Engine Hours
NOTES:




Att1_ICE_Operating_Log_Sheet.xls
ICE Operational Data
DATE
TIME
Propane AST Level (% full)
WELL NO.
ENGINE NO.                     EN-1   EN-2   EN-1   EN-2   EN-1   EN-2   EN-1   EN-2   EN-1   EN-2
START TIME
FINISH TIME

ENGINE PARAMETERS              EN-1   EN-2   EN-1   EN-2   EN-1   EN-2   EN-1   EN-2   EN-1   EN-2
TIME
RPM
Dilution Air V. Position
Dilution Air V. Flow
Fuel V. Position
Fuel V. Flow
Well V. Position
Well V. Flow
Engine Vacuum
Well Vacuum
Btu's/Hr (Well Gas)
PPMV (Well Gas)
Oil PSI
Coolant Temp.
Battery Voltage
Pre-Cat Temp
Post-Cat Temp
O2 Set Point
Engine Hours
NOTES:




Att1_ICE_Operating_Log_Sheet.xls
                                      Attachment 2
TO-12/TO-14/SM2720C (canister) Integrated Sampling
                                            Method
                TO-12/TO-14 (Canister) Integrated Sampling Method
1   Scope and Application
        1.1     This sampling method describes the procedure for collecting volatile organic compounds in
                indoor/ambient air, source emissions, or process gases.
2   Summary of Method
        2.1     A sample of air or gas is withdrawn from the sample location into a precleaned and evacuated
                canister by virtue of a stainless steel or Teflon transfer line and pre-set flow controller. Sample
                collection can be integrated over time by adjusting the flow controller. Sample periods as short as 10
                minutes to as long as 24 hours can be achieved based on the size of canister used and the sampling
                rate selected.
3   Interferences
        3.1     Care should be used when sampling sources that are above ambient temperature and moisture
                content. The potential loss of analytes through condensation and adherence to the canister wall,
                particularly constituents that are water-soluble and have boiling points above 100° C, can negatively
                bias the reported results. Analyte interaction with other reactive gas constituents may create by-
                products and loss of parent analyte concentration over time.
4   Apparatus and Materials
        4.1     Canister, summa polished, precleaned, and evacuated
        4.2     Flow controller, precleaned, and set at desired sampling rate
        4.3     Sample transfer line, precleaned, stainless steel or Teflon, with the appropriate fittings for leak-free
                connection of the flow controller to the source
        4.4     Shipping container, suitable for protection and canister during shipping.
        4.5     Wrenches and screw driver, various sizes as needed for connecting fittings and making adjustment
                to the flow controller
        4.6     Bubble flow meter or equivalent, used in the adjustment of the flow controller
        4.7     Negative Pressure Gauge, either installed on the canister or used externally to check canister
                pressure.


5   Procedure
        5.1     Inspect the canister for damage. Do not use a canister that has visible damage. Verify that the
                vacuum pressure of the canister is equal to that indicated on the laboratory’s evacuation tag. Do not
                use a canister that has leaked.
        5.2     Verify that the flow controller is set at the desired sampling rate. If not pre-set, see the appropriate
                SOP for flow controller adjustment.
        5.3     Remove the protective cap from the value on the canister.
        5.4     Connect the flow controller to the canister. The flow controller fitting denoted “LP” or “OUT” is
                connected to the canister. Tighten the fitting as to leak free but do not over tighten.
        5.5     Connect the sample transfer line to the flow controller fitting denoted “HP” or “IN.” Tighten the
                fitting as to be leak free but do not over tighten. The canister sampler is now ready for connection to
                the source as shown in Figure 1. If the canister is not immediately used seal-off the open end of the
                sample transfer line.
        5.6     Connect the transfer line to the source using a suitable fitting or interface.
        5.7     In the field log record the canister ID, initial vacuum, desired flowrate, barometric pressure, and all
                information pertinent source information.
        5.8     To begin sampling slowly open the canister valve at least one full turn or more.
        5.9     For canisters with built in pressure gauges, monitor the vacuum pressure change several times
                during the course of the selected sample period to ensure the canister is being filled.
        5.10    At the end of the sample period close the canister valve finger tight, and record the final pressure.
        5.11    Remove the sample transfer line and flow controller and replace the protective cap on the canister
                valve fitting.


                    APPLIED SCIENCES LABORATORY
         5.12   If the flow controller is going to be used for more than one sample collection or on different sources,
                be sure to purge it between uses. To do this, attach the flow controller to a vacuum source and draw
                clean air or sample gas through it for several minutes before attaching it to the canister.
         5.13   Fill out all appropriate documentation (chain of custody, sample tags) and return canisters and all
                equipment to the laboratory in the shipping containers provided.
         5.14   When packing the canisters for shipment, verify that the valve caps are snug (1/4 turn past finger
                tight), and use sufficient packing to prevent the valves from rubbing against any hard surfaces.
         5.15   Please do not place sticky labels or tape on any surface of the canister!
6   Quality Control
         6.1    Canister supplied by the laboratory must follow the performance criteria and quality assurance
                prescribe in US EPA Method TO-14 for canister cleaning, certification of cleanliness, and leak
                checking. Standard operating procedures are required.
         6.2    Flow controllers supplied by the laboratory must follow the performance criteria and quality
                assurance prescribed in US EPA Method TO-14 for flow controller cleaning and adjustment.
                Standard operating procedures are required.



                                              FIGURE 1
                  Assembled Canister Sampler for Integrated Sample Collection




Return to:
CH2M HILL
         Applied Sciences Laboratory—Sample Receiving
         2300 NW Walnut Boulevard
         Corvallis, OR 97330-3538
                If you have any questions, please call Customer Services at (541) 758-0235, ext. 3120.




                   APPLIED SCIENCES LABORATORY
      Attachment 3
Well Gauging Form
Project Name: TO23-IRA at Site SS15

                                                        Well Gauging Log
                                                                              Product
                                      Well Diam.    DTP           DTW                  Groundwater
    Well ID        Date       Time                                           Thickness               Comments
                                       (inches)  (feet btoc)   (feet btoc)              Elevation
                                                                               (feet)




                                                           Att3_Well Gauging.xls                           Page 1
                       Attachment 4
Pump Down and Recovery Testing Form
                                                      Product Pump-Down and Recovery Testing Log

Client:       AFCEE                           Well Number:
Project:                                      Well Diameter (in.):
Project No:                                   Pumpdown Method:
Date:                                         Total Product Removed (gal):
Start Time:                                   Initial Depth to Product (ft btoc):
End Time:                                     Initial Depth to Water (ft btoc):
     Time               Elapsed    Product            DTP                 DTW
              Minutes                                                               Comments
   (24 HRS)              Time     Thickness        (ft btoc)            (ft btoc)
              Attachment 5
Groundwater Sampling Form
                                                                                 AFCEE Groundwater
                                                   Sample Log                     Development Log                    Purge Log
Project:                        IRAs at Site SS13 and SS15                                  Site:
Project No:                                                                                 Well ID:

Field Crew:                                                                                 Date:                                                                                      LOGDATE



Screen Interval (ft):                                 to                      BEGDEPTH      Climatic Conditions:         sunny         cloudy        rainy
Well Diameter (in.)                                                                         Purge Method:               peristaltic       bailer     waterra          submersible
PID reading (ppm):                                                                          Pump placement (ft):
Water Level Indicator:                Oil/Water Probe (INRFC)                 MEASMETH      Pump Rate (gal/min):         #DIV/0!
                                      Probe (PROBE)             Tape (TAPE)                 Length of Saturated
Total Well Depth (ft):                                                        SOUNDING      Zone (ft):                            0
Depth to Water (ft):                                                          STATDEPTH     Pore Volume (gal):              0.00
               Liquid in Well        WATER (W)        LNAPL (L)               DRY/FTCODE

                                     DNAPL (D)        DRY (Y)
Depth to Product (ft.):         ND
                                                                                      Field Parameters


               Depth to          Purge Rate        Gallons                                                            Turbidity
  Time         Water (ft.)         (gpm)          Removed           pH           Temp (C)   Cond. (mS/cm) ORP (mV)     (N.T.U.)       Salinity (%) D.O. (mg/L)              Comments
              Start Pump




                                                                  Sample, Development, or Purge Water Information
Color
Odor

Turbidity
Laboratory Analysis
                                     VOCs SW8260B               TOC SW9060                     Diss Methane RSK175   Nitrate E300.0                Metals SW6010/7000
                                                                                                                                                    Field Filtered?   Y      N
                                                                                                                                                                    X
                                     Sulfate SW9056             Sulfide SW9056                 Alkalinity SW318.2    Nitrite E353                  Lead SW7421
                                                                                                                                                    Field Filtered?     Y    N

                                     Other


Sample ID                                                                                                               Total No. of Bottles


Sample Date/Time
Notes



Analytical Laboratory            CAS                                                                                     Transported via             Hand             Overnight     FEDEX


Signature/Sampler:

Capacity of Casing (gal/linear feet): 1"-0.041; 2"-0.16; 4"-0.65; 6"-1.47; 8"-2.61; 10"-4.08
 United States Air Force
 15th Airlift Wing
 Environmental Restoration Program




      Appendix B

Quality Assurance Project Plan




     Contract F41624-01-D-8545
          Task Order 105

         January 2005
                                                                       APPENDIX B: PROJECT-SPECIFIC QUALITY ASSURANCE PROJECT PLAN
                                                                    INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                              AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                       JANUARY, 2005




                                                            Contents
1.0 Project-Specific Quality Assurance Project Plan ...............................................................1
       1.1      Soil Analytical Method Requirements ............................................................................1
       1.2      Groundwater Analytical Method Requirements...........................................................1
       1.3      Process Water Analytical Method Requirements..........................................................2
       1.4      Vapor Analytical Method Requirements........................................................................2
       1.5      Waste Analytical Method Requirements........................................................................3
       1.6      Comparison of Project Action Levels to Reporting Limits and Method Detection
                Limits 3
       1.7      Project-Specific QAPP Variances .....................................................................................3
2.0 References ....................................................................................................................................4

Tables
B-1       Comparison of AFCEE Reporting Limits to Preliminary Remediation Goals for Soil
B-2       Comparison of AFCEE Reporting Limits to Groundwater Action Levels
B-3       Quality Control Acceptance Criteria and Reporting Limits for Non-Methane Organic
          Carbon by EPA Method TO-12
B-4       Quality Control Acceptance Criteria and Reporting Limits for Volatile Organic
          Compounds by EPA Method TO-14
B-5       Quality Control Acceptance Criteria and Reporting Limits for Fixed Gases by Method
          SM2720C
B-6       Hawaii Department of Health Class 1 and 2 Soil Backfill Criteria Levels




TO105_FINALIRA WORK PLAN_APPB_2005-01.DOC                                                                                                        B-i
APPENDIX B: PROJECT-SPECIFIC QUALITY ASSURANCE PROJECT PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




                                   This page was intentionally left blank.




B-ii                                                                TO105_FINALIRA WORK PLAN_APPB_2005-01.DOC
                                               APPENDIX B: PROJECT-SPECIFIC QUALITY ASSURANCE PROJECT PLAN
                                            INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                      AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                               JANUARY, 2005




             1.0 Project-Specific Quality Assurance
                          Project Plan
This Quality Assurance Project Plan (QAPP), combined with the Field Sampling Plan (FSP) in
Appendix A, forms the Sampling and Analysis Plan (SAP) for the Interim Removal Actions
at Site SS13 (Former John Rodgers Tank Farm) and Site SS15 (Par 3 Golf Course).
This project is being conducted in support of Installation Restoration Program (IRP)
activities managed by the 15th Airlift Wing (15 AW) Civil Engineer Squadron,
Environmental Restoration Element (15 CES/CEVR) located at Hickam Air Force Base.
The Installation-Wide Quality Assurance Project Plan (IWQAPP) (CH2M HILL,
November 19, 2002), together with the Air Force Center for Environmental Excellence (AFCEE)
Model QAPP, Version 3.1 (AFCEE Model QAPP) (AFCEE, 2001), establishes the quality
assurance/quality control (QA/QC) protocols and procedures that govern the sampling and
analytical activities for projects at 15 AW installations. Unless otherwise noted below, all
field staff and subcontractors will be expected to comply with the procedures specified in
the IWQAPP.



1.1 Soil Analytical Method Requirements
Soil samples will be collected as described in the FSP and analyzed for the following;
         •    Total petroleum hydrocarbons-diesel range organics (TPH-DRO) by Method
              SW8015B

         •    Total petroleum hydrocarbons-gasoline range organics (TPH-GRO) by Method
              SW8015B
         •    Volatile organic compounds (VOCs) by Method SW8260B

         •    Polynuclear aromatic hydrocarbons (PAHs) by Method SW8270C SIM

A summary of the reporting limits, method detection limits, and screening criteria for these
methods is presented in Table B-1.



1.2 Groundwater Analytical Method Requirements
Groundwater samples will be collected as described in the FSP and analyzed for the
following;




TO105_FINALIRA WORK PLAN_APPB_2005-01.DOC                                                                 B-1
APPENDIX B: PROJECT-SPECIFIC QUALITY ASSURANCE PROJECT PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




         •    TPH-DRO by Method SW8015B

         •    TPH-GRO by Method SW8015B

         •    VOCs by Method SW8260B

         •    PAHs by Method SW8270C SIM

         •    Dissolved metals (copper, lead, manganese and iron) by Method SW6010B
         •    Mercury by Method SW7470A

         •    Silver by Method SW7761

         •    Alkalinity by Method EPA 310.1

         •    Methane, ethane, ethene and carbon dioxide by Method RSK-175

         •    Nitrate-Nitrite as Nitrogen by Method E353.3

         •    Sulfide by Method SW9030

         •    Sulfate by Method SW9056

The reporting limits, method detection limits, and screening criteria for Methods SW8260B,
SW8270C SIM, SW6010B, SW7470A, and SW7761 are summarized in Table B-2. All other
methods/analytes will be used to monitor for natural attenuation activities and have no
specific screening objectives. Reporting limits will be consistent with the IWQAPP.



1.3 Process Water Analytical Method Requirements
Process water samples will be collected as described in the FSP and analyzed for VOCs by
Method SW8260B. The reporting limits, method detection limits, and screening criteria for
this method are consistent with those for groundwater samples as shown in Table B-2.



1.4 Vapor Analytical Method Requirements
Vapor samples will be collected as described in the FSP and analyzed for non-methane
organic carbon (NMOC) by Method TO-12, VOCs by Method TO-14, and fixed gases by
Method SM2720. A summary of the reporting limits and method detection limits for each
method are presented in Tables B-3, B-4, and B-5, respectively. There are no screening
criteria that apply to vapor sample results.




B-2                                                                 TO105_FINALIRA WORK PLAN_APPB_2005-01.DOC
                                               APPENDIX B: PROJECT-SPECIFIC QUALITY ASSURANCE PROJECT PLAN
                                            INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                      AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                               JANUARY, 2005




1.5 Waste Analytical Method Requirements
Waste samples will be collected from excess soil and sludge. The samples will be analyzed
for target analytes to meet the requirements of the Hawaii Department of Health (HDOH)
Class 1 and Class 2 Soil Backfill Criteria, as shown in Table B-6. Sludge analytical results
will be compared to the corresponding used oil recycling criteria of 1,000 mg/kg for total
halogens (see Table B-6).


1.6 Comparison of Project Action Levels to Reporting
Limits and Method Detection Limits
In accordance with the IWQAPP, analytical laboratories for this project will be required to
meet the reporting limits and other quality control requirements specified in the IWQAPP.
The various action levels that have been considered in this evaluation are shown in
Tables B-1 through B-6, and have been selected based on the Data Quality Objectives
presented in Appendix A.
Project specific actions levels will be met when samples are analyzed neat (undiluted).
In the case of matrix interference requiring dilution, reporting limits may be greater than
project-specific action levels. Evaluating non-detect concentrations of analytes with method
detection limits greater than the project-specific action level based on other chemical-specific
factors (potential use at the site, mobility, toxicity) may also need to be considered.



1.7        Project-Specific QAPP Variances
The following variances from the IWQAPP will be required to meet project objectives.
Matrix spike and matrix spike duplicates (MS/MSD) will not be collected for monitored
natural attenuation (MNA) parameters, multi-phase extraction (MPX) process water and
vapor samples.
Analytical methods for fixed gases (Method SM2720) and TO-12 (Method NMOC) are not
included in the IWQAPP. Tables B-2 and B-4 define the data quality objectives and the data
evaluation criteria to be used for these methods.




TO105_FINALIRA WORK PLAN_APPB_2005-01.DOC                                                                 B-3
APPENDIX B: PROJECT-SPECIFIC QUALITY ASSURANCE PROJECT PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




                                         2.0 References
Air Force Center for Environmental Excellence (AFCEE). May 2001. AFCEE Model Quality
     Assurance Project Plan, Version 3.1 (AFCEE Model QAPP). Brooks Air Force Base, Texas.
CH2M HILL. November 19, 2002. Installation-Wide Quality Assurance Project Plan for Multiple
   Projects at 15 ABW Installations in Hawaii, Version 2.0 (IWQAPP). Prepared for the Air
   Force Center for Environmental Excellence, Environmental Services Office,
   Environmental Restoration Division (AFCEE/ERD), Brooks Air Force Base, Texas, and
   for 15th Air Base Wing CES/CEVR, Hickam Air Force Base, Honolulu, Hawaii.
U.S. Environmental Protection Agency (EPA). 2000. Guidance for the Data Quality
     Objectives Process. Washington, D.C. U.S. Environmental Protection Agency.
     Publication No. EPA QA/G-4.




B-4                                                                 TO105_FINALIRA WORK PLAN_APPB_2005-01.DOC
TABLE B-1
Comparison of AFCEE Reporting Limits to Soil Action Levels
IRA at Sites SS13 and SS15, Hickam AFB


                                                                                                                                            Does RL                       Does MDL
                                                                                    PRGs       HDOH      Most Stringent                Exceed Action         Estimated Exceed Action
Method             Constituent                          CAS            Units    Industrial     Tier 1     Action Level            RL          Level?              MDL         Level?
SW8015B            GASOLINE                             GASOLINE       mg/kg            --     2,000              2,000            5             NO                  2           NO
SW8015B            DIESEL                               DIESEL         mg/kg            --     5,000              5,000           10             NO                  5           NO
SW8260B            BENZENE                              71-43-2        mg/kg          1.3        1.7               1.31       0.0020             NO              0.001           NO
SW8260B            ETHYLBENZENE                         100-41-4       mg/kg           20        0.5               0.50       0.0050             NO             0.0025           NO
SW8260B            TOLUENE                              108-88-3       mg/kg          520         34                 34       0.0050             NO             0.0025           NO
SW8260B            M,P-XYLENE                           1330-20-7      mg/kg          420         23                 23       0.0050             NO             0.0025           NO
SW8260B            O-XYLENE                             95-47-6        mg/kg          420         23                 23       0.0050             NO             0.0025           NO
SW8270C SIM        ACENAPHTHENE                         83-32-9        mg/kg       29,219         18                 18         0.20             NO                0.1           NO
SW8270C SIM        ANTHRACENE                           120-12-7       mg/kg      100,000                      100,000          0.10             NO               0.05           NO
SW8270C SIM        BENZO(A)ANTHRACENE                   56-55-3        mg/kg          2.1                          2.11        0.010             NO              0.005           NO
SW8270C SIM        BENZO(A)PYRENE                       50-32-8        mg/kg         0.21           1             0.211        0.015             NO             0.0075           NO
SW8270C SIM        BENZO(B)FLUORANTHENE                 205-99-2       mg/kg          2.1                          2.11        0.010             NO              0.005           NO
SW8270C SIM        BENZO(K)FLUORANTHENE                 207-08-9       mg/kg           21                          21.1        0.010             NO              0.005           NO
SW8270C SIM        CHRYSENE                             218-01-9       mg/kg          211                           211         0.10             NO               0.05           NO
SW8270C SIM        DIBENZO(A,H)ANTHRACENE               53-70-3        mg/kg         0.21                         0.211        0.010             NO              0.005           NO
SW8270C SIM        FLUORANTHENE                         206-44-0       mg/kg       22,000          11                11         0.10             NO               0.05           NO
SW8270C SIM        FLUORENE                             86-73-7        mg/kg       26,281                        26,281         0.20             NO                0.1           NO
SW8270C SIM        INDENO (1,2,3-CD) PYRENE             193-39-5       mg/kg          2.1                          2.11        0.030             NO              0.015           NO
SW8270C SIM        NAPHTHALENE                          91-20-3        mg/kg          188          41                41         0.20             NO                0.1           NO
SW8270C SIM        PYRENE                               129-00-0       mg/kg       29,126                        29,126         0.10             NO               0.05           NO

Notes: Only target analytes with screening criteria available are presented

MDL = method detection limit
mg/kg = milligrams per kilograms
RL = reporting limit       RLs achieved are the best possible based on sample variables.
ug/kg = micrograms per kilogram

U.S. EPA Region IX preliminary remediation goals (PRGs), industrial (October 2002).
State of Hawaii Department of Health (HDOH) Tier 1 Action Levels for rainfall less than or equal to 200 cm per year, drinking water source not threatened.
TABLE B-2
Comparison of AFCEE Reporting Limits to Groundwater Action Levels
IRA at Sites SS13 and SS15, Hickam AFB

                                                                                       1
                                                                                        Most                                                    Does RL
                                                                                   Stringent                                               Exceed Action                    Does MDL Exceed
Method               Constituent                            CAS         Units   Action Level    Action Level Source                    RL         Level? Estimated MDL          Action Level?
SW6010B              COPPER                                 7440-50-8   mg/L          0.0029    HDOH WQS Chronic                    0.010           YES         0.00109                   NO
SW6010B              IRON                                   7439-89-6   mg/L               --   NA                                   0.20                             0.1
SW7421               LEAD                                   7439-92-1   mg/L          0.0056    HDOH Tier 1                         0.005            NO          0.0025                  NO
SW6010B              MANGANESE                              7439-96-5   mg/L               --   NA                                  0.010                          0.005
SW7470A              MERCURY                                7439-97-6   mg/L       0.000025     HDOH WQS Chronic                    0.001           YES       0.000025                   NO
SW7761               SILVER                                 7440-22-4   mg/L          0.0019    Saltwater CMC                       0.010           YES         0.00019                  NO
SW8015 (MOD)         DIESEL                                 DIESEL      mg/L               --   NA                                     1.0                            0.5
SW8260B              1,1,1,2-TETRACHLOROETHANE              630-20-6    ug/L               --   NA                                   0.50                           0.25
SW8260B              1,1,1-TCA                              71-55-6     ug/L           6,000    HDOH Tier 1                            1.0           NO               0.5                NO
SW8260B              1,1,2,2-TETRACHLOROETHANE              79-34-5     ug/L           3,000    HDOH WQS Acute                       0.50            NO             0.25                 NO
SW8260B              1,1,2-TCA                              79-00-5     ug/L               --   NA                                     1.0                            0.5
SW8260B              1,1-DCA                                75-34-3     ug/L               --   NA                                     1.0                            0.5
SW8260B              1,1-DCE                                75-35-4     ug/L           3,900    HDOH Tier 1                            1.0           NO               0.5                NO
SW8260B              1,1-DICHLOROPROPENE                    563-58-6    ug/L             790    Saltwater CMC LOEL                     1.0           NO               0.5                NO
SW8260B              1,2,3-TRICHLOROBENZENE                 87-61-6     ug/L             129    Saltwater CCC LOEL                     1.0           NO               0.5                NO
SW8260B              1,2,3-TRICHLOROPROPANE                 96-18-4     ug/L               --   NA                                     1.0                            0.5
SW8260B              1,2,4-TRICHLOROBENZENE                 120-82-1    ug/L             129    Saltwater CCC LOEL                     1.0           NO               0.5                NO
SW8260B              1,2,4-TRIMETHYLBENZENE                 95-63-6     ug/L               --   NA                                     1.0                            0.5
SW8260B              1,2-DCA                                107-06-2    ug/L          38,000    HDOH WQS Acute                       0.50            NO             0.25                 NO
SW8260B              1,2-DCB                                95-50-1     ug/L             129    Saltwater CCC LOEL                     1.0           NO               0.5                NO
SW8260B              1,2-DIBROMO-3-CHLOROPROPANE            96-12-8     ug/L               --   NA                                     2.0                              1
SW8260B              1,2-DIBROMOETHANE (EDB)                106-93-4    ug/L               --   NA                                     1.0                            0.5
SW8260B              1,2-DICHLOROPROPANE                    78-87-5     ug/L           3,040    Saltwater CCC LOEL                     1.0           NO               0.5                NO
SW8260B              1,3,5-TRIMETHYLBENZENE                 108-67-8    ug/L               --   NA                                     1.0                            0.5
SW8260B              1,3-DCB                                541-73-1    ug/L             129    Saltwater CCC LOEL                     1.0           NO               0.5                NO
SW8260B              1,3-DICHLOROPROPANE                    142-28-9    ug/L           3,040    Saltwater CCC LOEL                   0.40            NO               0.2                NO
SW8260B              1,4-DCB                                106-46-7    ug/L             129    Saltwater CCC LOEL                   0.50            NO             0.25                 NO
SW8260B              1-CHLOROHEXANE                         544-10-5    ug/L               --   NA                                     1.0                            0.5
SW8260B              2,2-DICHLOROPROPANE                    594-20-7    ug/L           3,040    Saltwater CCC LOEL                     1.0           NO               0.5                NO
SW8260B              2-CHLOROTOLUENE                        95-49-8     ug/L               --   NA                                     1.0                            0.5
SW8260B              4-CHLOROTOLUENE                        106-43-4    ug/L               --   NA                                     1.0                            0.5
SW8260B              ACETONE                                67-64-1     ug/L               --   NA                                      10                              5
SW8260B              BENZENE                                71-43-2     ug/L             700    Saltwater CCC LOEL                   0.40            NO               0.2                NO
SW8260B              BROMOBENZENE                           108-86-1    ug/L               --   NA                                     1.0                            0.5
SW8260B              BROMOCHLOROMETHANE                     74-97-5     ug/L           6,400    Saltwater CCC LOEL                     1.0           NO               0.5                NO
SW8260B              BROMODICHLOROMETHANE                   75-27-4     ug/L           6,400    Saltwater CCC LOEL                   0.50            NO             0.25                 NO
SW8260B              BROMOFORM                              75-25-2     ug/L           6,400    Saltwater CCC LOEL                     1.0           NO               0.5                NO
SW8260B              BROMOMETHANE                           74-83-9     ug/L           6,400    Saltwater CCC LOEL                     3.0           NO               1.5                NO
SW8260B              CARBON TETRACHLORIDE                   56-23-5     ug/L          12,000    HDOH Tier 1                            1.0           NO               0.5                NO
SW8260B              CHLOROBENZENE                          108-90-7    ug/L             129    Saltwater CCC LOEL, exclude MCL-b    0.50            NO             0.25                 NO
SW8260B              CHLOROETHANE                           75-00-3     ug/L               --   NA                                     1.0                            0.5

09/02/2004 4:47 PM                                                                      Page 1 of 3
TABLE B-2
Comparison of AFCEE Reporting Limits to Groundwater Action Levels
IRA at Sites SS13 and SS15, Hickam AFB

                                                                                        1
                                                                                         Most                                                         Does RL
                                                                                    Stringent                                                    Exceed Action                    Does MDL Exceed
Method               Constituent                            CAS          Units   Action Level     Action Level Source                       RL          Level? Estimated MDL          Action Level?
SW8260B              CHLOROFORM                             67-66-3      ug/L           6,400     Saltwater CCC LOEL                      0.30             NO             0.15                  NO
SW8260B              CHLOROMETHANE                          74-87-3      ug/L           6,400     Saltwater CCC LOEL                       1.0             NO               0.5                 NO
SW8260B              CIS-1,2-DCE                            156-59-2     ug/L        224,000      Saltwater CMC LOEL                       1.0             NO               0.5                 NO
SW8260B              CIS-1,3-DICHLOROPROPENE                10061-01-5   ug/L                --   NA                                      0.50                            0.25
SW8260B              DIBROMOCHLOROMETHANE                   124-48-1     ug/L           6,400     Saltwater CCC LOEL                      0.50             NO             0.25                 NO
SW8260B              DIBROMOMETHANE                         74-95-3      ug/L           6,400     Saltwater CCC LOEL                       1.0             NO               0.5                NO
SW8260B              DICHLORODIFLUOROMETHANE                75-71-8      ug/L           6,400     Saltwater CCC LOEL                       1.0             NO               0.5                NO
SW8260B              ETHYLBENZENE                           100-41-4     ug/L               30    Saltwater CMC LOEL                       1.0             NO               0.5                NO
SW8260B              HEXACHLOROBUTADIENE                    87-68-3      ug/L               11    HDOH WQS Acute                          0.60             NO               0.3                NO
SW8260B              ISOPROPYLBENZENE                       98-82-8      ug/L                --   NA                                       1.0                              0.5
SW8260B              M,P-XYLENE                             1330-20-7    ug/L                --   NA                                       2.0                                1
SW8260B              MEK (2-BUTANONE)                       78-93-3      ug/L                --   NA                                        10                                5
SW8260B              METHYL T-BUTYL ETHER (MTBE)            1634-04-4    ug/L                --   NA                                       5.0                              2.5
SW8260B              METHYLENE CHLORIDE                     75-09-2      ug/L           6,400     Saltwater CCC LOEL, exclude MCL-b        1.0             NO               0.5                NO
SW8260B              MIBK (METHYL ISOBUTYL KETONE)          108-10-1     ug/L                --   NA                                        10                                5
SW8260B              NAPHTHALENE                            91-20-3      ug/L             770     HDOH Tier 1                              1.0             NO               0.5                NO
SW8260B              N-BUTYLBENZENE                         104-51-8     ug/L                --   NA                                       1.0                              0.5
SW8260B              N-PROPYLBENZENE                        103-65-1     ug/L                --   NA                                       1.0                              0.5
SW8260B              O-XYLENE                               95-47-6      ug/L                --   MCL-Based HDOH excluded                  1.0                              0.5
SW8260B              P-ISOPROPYLTOLUENE                     99-87-6      ug/L                --   NA                                       1.0                              0.5
SW8260B              SEC-BUTYLBENZENE                       135-98-8     ug/L                --   NA                                       1.0                              0.5
SW8260B              STYRENE                                100-42-5     ug/L                --   NA                                       1.0                              0.5
SW8260B              TCE                                    79-01-6      ug/L             700     HDOH WQS Acute                           1.0             NO               0.5                NO
SW8260B              TERT-BUTYLBENZENE                      98-06-6      ug/L                --   NA                                       1.0                              0.5
SW8260B              TETRACHLOROETHENE                      127-18-4     ug/L             145     HDOH WQS Chronic                         1.0             NO               0.5                NO
SW8260B              TOLUENE                                108-88-3     ug/L           2,100     HDOH WQS Acute                           1.0             NO               0.5                NO
SW8260B              TRANS-1,2-DCE                          156-60-5     ug/L        224,000      Saltwater CMC LOEL                       1.0             NO               0.5                NO
SW8260B              TRANS-1,3-DICHLOROPROPENE              10061-02-6   ug/L             260     HDOH WQS Chronic                         1.0             NO               0.5                NO
SW8260B              TRICHLOROFLUOROMETHANE                 75-69-4      ug/L           6,400     Saltwater CCC LOEL                       1.0             NO               0.5                NO
SW8260B              VINYL CHLORIDE                         75-01-4      ug/L                --   MCL-Based HDOH excluded                  1.0                              0.5
SW8270C SIM          Acenaphthene                           83-32-9      MG/L             0.32    HDOH WQS Acute                         0.002             NO            0.001                 NO
SW8270C SIM          Acenaphthylene                         208-96-8     MG/L              0.3    Saltwater CMC LOEL                     0.002             NO            0.001                 NO
SW8270C SIM          Anthracene                             120-12-7     MG/L              0.3    Saltwater CMC LOEL                     0.002             NO            0.001                 NO
SW8270C SIM          Benzo (a) anthracene                   56-55-3      MG/L              0.3    Saltwater CMC LOEL                  0.00002              NO         0.00001                  NO
SW8270C SIM          Benzo (a) pyrene                       50-32-8      MG/L              0.3    Saltwater CMC LOEL                  0.00004              NO         0.00002                  NO
SW8270C SIM          Benzo (b) fluoranthene                 205-99-2     MG/L              0.3    Saltwater CMC LOEL                   0.0004              NO          0.0002                  NO
SW8270C SIM          Benzo (g,h,i) perylene                 191-24-2     MG/L              0.3    Saltwater CMC LOEL                     0.001             NO          0.0005                  NO
SW8270C SIM          Benzo (k) fluoranthene                 207-08-9     MG/L              0.3    Saltwater CMC LOEL                   0.0004              NO          0.0002                  NO
SW8270C SIM          Chrysene                               218-01-9     MG/L              0.3    Saltwater CMC LOEL                     0.001             NO          0.0005                  NO
SW8270C SIM          Dibenzo (a,h) anthracene               53-70-3      MG/L              0.3    Saltwater CMC LOEL                    0.000              NO          0.0002                  NO
SW8270C SIM          Fluoranthene                           206-44-0     MG/L           0.013     HDOH WQS Acute                        0.002              NO            0.001                 NO

09/02/2004 4:47 PM                                                                        Page 2 of 3
TABLE B-2
Comparison of AFCEE Reporting Limits to Groundwater Action Levels
IRA at Sites SS13 and SS15, Hickam AFB

                                                                                                    1
                                                                                                     Most                                                             Does RL
                                                                                                Stringent                                                        Exceed Action                       Does MDL Exceed
Method                Constituent                               CAS              Units       Action Level     Action Level Source                           RL          Level? Estimated MDL             Action Level?
SW8270C SIM           Fluorene                                  86-73-7          MG/L                  0.3    Saltwater CMC LOEL                         0.004             NO           0.002                      NO
SW8270C SIM           Indeno (1,2,3-c,d) pyrene                 193-39-5         MG/L                  0.3    Saltwater CMC LOEL                        0.0004             NO          0.0002                      NO
SW8270C SIM           Naphthalene                               91-20-3          MG/L                 0.77    HDOH Tier 1                                0.002             NO           0.001                      NO
SW8270C SIM           Phenanthrene                              85-01-8          MG/L              0.0046     Saltwater CCC prop                         0.002             NO           0.001                      NO
SW8270C SIM           Pyrene                                    129-00-0         MG/L                  0.3    Saltwater CMC LOEL                         0.002             NO           0.001                      NO


Notes:
                                                                             1
                      = RL or MDL exceeds most stringent criteria                Action levels (marine chronic ambient water quality criteria [AWQC]) are defined here as the most stringent of:

CCC = Criterion Continuous Concentration                                      -- HDOH Tier 1 action levels;
CMC = Criterion Maximum Concentration                                         -- Hawaii State Water Quality Standards (Hawaii Administrative Record [HAR] 11-54, April 2000);
HDOH = Hawaii Department of Health                                            -- National Recommended Water Quality Criteria (64 Federal Register [FR] 68357-68364, December 10, 1998);
LOEL = Lowest Observed Effects Level                                          -- or criteria based on lowest observed effects levels (LOELs) or proposed criteria for the protection of aquatic organisms.
MDL = method detection limit
mg/L = milligrams per liter                                     ug/L = micrograms per liter
RL = reporting limit                                            WQS = Water Quality Standard




09/02/2004 4:47 PM                                                                                    Page 3 of 3
TABLE B-3
Quality Control Acceptance Criteria for Total NMOC by EPA Method TO-12
IRA at Site SS15
                                                                                                          TO-12
                                                                                                   RL- Air =0.1 ppmvC
                                                                                                Accuracy (%R) = 80-120%
                                                                                                Precision Air (RPD) = 20%

                                            SS11 South/AMC Ramp Area, Site SS11

                                                             Minimum                                   Acceptance                                   Corrective                                    Flagging
                 QC Check                                   Frequency                                    Criteria                                    Action a                                     Criteria b
Five-point initial calibration for all      Initial calibration prior to sample analysis Least squares regression r >= 0.995        Correct problem then repeat initial           Apply R to all results for specific
analytes                                                                                                                            calibration                                   analyte(s) for all samples associated with
                                                                                                                                                                                  the calibration
Second Source calibration verification      Once per initial calibration               Analyzed result within 70-130% of the true   Correct problem then repeat initial           Apply R to all results for specific
                                                                                       value concentration                          calibration                                   analyte(s) for all samples associated with
                                                                                                                                                                                  the calibration
Calibration verification                    Daily, before sample analysis and every    Analyzed result within 80-120% of the true   Correct problem then repeat initial           Apply R to all results for specific
                                            12 hours of analysis time                  value concentration                          calibration                                   analyte(s) for all samples associated with
                                                                                                                                                                                  the calibration verification
Method blank                                One per analytical batch                   < RL                                         Correct the problem then reprep and           Apply B to all results for the specific
                                                                                                                                    analyze method blank and all samples          analyte in all samples in the associated
                                                                                                                                    processed with the contaminated blank         analytical batch


Lab duplicate                               Once per day or per 20 samples             RPD<20                                       Project chemist will evaluate results for     Apply B to all results for the specific
                                                                                                                                    possible source of variability; notify data   analyte in all samples in the associated
                                                                                                                                    users.                                        analytical batch

a
    All corrective actions associated with AFCEE project work shall be documented, and all records shall be maintained by the laboratory.
b
    Flagging criteria are applied when acceptance criteria were not met and corrective action was not successful or corrective action was not performed.
c
    If equipment blank is submitted to the laboratory blind, the corrective action is not applicable.




                                                                                                        Page 1 of 1
TABLE B-4
Quality Control Acceptance Criteria for VOCs by EPA Method TO-14
IRA at Site SS15

     Formal Name                                Common             CAS    Accuracy   Precision Reporting Limits *
                                                 Name            Number      (%R)     (%RPD)     ppbv       mg/l
 1   Benzene                                                      71-43-2   75-127      £20       123         0.4
 2   Bromomethane                             Methyl Bromide      74-83-9   75-125      £20       2.0       0.008
 3   Trichloromethane                          Chloroform         67-66-3   75-125      £20        60         0.3
 4   Chloromethane                            Methyl Chloride     74-87-3   75-125      £20       2.0       0.004
 5   cis-1,2-Dichloroethylene                                    156-59-2   75-125      £20       2.0       0.004
 6   1,1-Dichloroethane                                           74-34-3   75-125      £20       2.0       0.012
 7   1,2-Dichloroethane                                          107-06-2   75-125      £20       146         0.6
 8   1,1-Dichloroethene                         1,1,1-DCE         75-35-4   75-125      £20       2.0       0.008
 9   1,2-Dichloropropane                                          78-87-5   75-125      £20       2.0        0.01
10   Chloroethane                             Ethyl Chloride      75-00-3   75-125      £20       2.0       0.006
11   Trichlorofluoromethane                     Freon 11          75-69-4   75-125      £20       2.0       0.012
12   Trichlorotrifluoroethane                   Freon 113         76-13-1   75-125      £20       2.0       0.016
13   1,2-Dichloro-1,1,2,2-tetrafluoroethane     Freon 114         76-14-2   75-125      £20       2.0       0.016
14   Dichlorodifluoromethane                    Freon 12          75-71-8   75-125      £20       2.0        0.01
15   Dichloromethane                              Me Cl           75-09-2   75-125      £20       2.0       0.008
16   Methylbenzene                               Toluene         108-88-3   75-125      £20       2.0       0.008
17   1,1,2-Trichloroethane                                        79-00-5   75-125      £20       2.0       0.012
18   Chloroethylene                            Vinyl Chloride     75-01-4   75-125      £20       2.0       0.006
19   Tetrachloromethane                         Carbon Tet        56-23-5   72-125      £20       328         2.1
20   Chlorobenzene                            Phenyl Chloride    108-90-7   75-125      £20       2.0        0.01
21   cis-1,3-Dichloropropene                                      79-01-6   75-125      £20       2.0        0.01
22   1,2-Dibromoethane                                           106-93-4   74-125      £20        77         0.6
23   1,2-Dichlorobenzene                                          95-50-1   75-125      £20       2.0       0.012
24   1,3-Dichlorobenzene                                         541-73-1   75-125      £20       2.0       0.012
25   1,4-Dichlorobenzene                                         106-46-7   75-125      £20       2.0       0.012
26   Ethylbenzene                                                100-41-4   75-125      £20       2.0       0.008
27   Hexachloro-1,3-butadiene                                     87-68-3   75-125      £20       2.0       0.022
28   Styrene                                  Vinyl Benzene      100-42-5   75-135      £20        92         0.4
29   1,1,2,2-Tetrachloroethane                                    79-34-5   75-125      £20       2.0       0.014
30   Tetrachloroethylene                                         127-18-4   75-125      £20       2.0       0.014
31   trans-1,3-Dichloropropene                                  10061-02-6 75-125       £20       2.0        0.01
32   1,1,1-Trichloroethane                      1,1,1-TCA         71-55-6   75-125      £20       144         0.8
33   Trichloroethylene                                            79-01-6   75-125      £20       183         1.0
34   1,2,4-Trichlorobenzene                                      120-82-1   75-125      £20       2.0       0.016
35   1,2,4-Trimethylbenzene                                       95-63-6   75-125      £20       2.0        0.01
36   1,3,5-Trimethylbenzene                                      108-67-8   75-125      £20       2.0        0.01
37   m,p-Xylene                                                             75-125      £20      362.0      0.018
38   1,2-Dimethylbenzene                         o-Xylene         95-47-6   75-137      £20       249         1.1
39                                                                          75-125      £20




                                                      Page 1 of 1
Table B-5
Quality Control Acceptance Criteria for Fixed Gases by Method SM2720C
IRA at Site SS15                                          Fixed Gases
                                                         RL- Air =0.5 %
                                                     Accuracy (%R) = 80-120
                                                    Precision Air (RPD) = ±20

                                  Minimum                  Acceptance                    Corrective                                       Flagging
        QC Check                 Frequency                   Criteria                     Action a                                        Criteria b
Five-point initial        Initial calibration prior to Least squares           Correct problem then repeat       Apply R to all results for specific analyte(s) for all
calibration for all       sample analysis              regression r >= 0.995   initial calibration               samples associated with the calibration
analytes
Second Source            Once per initial            Analyzed result within    Correct problem then repeat       Apply R to all results for specific analyte(s) for all
calibration verification calibration                 70-130% of the true       initial calibration               samples associated with the calibration
                                                     value concentration
Calibration verification Daily, before sample        Analyzed result within    Correct problem then repeat       Apply R to all results for specific analyte(s) for all
                         analysis and every 12       80-120% of the true       initial calibration               samples associated with the calibration verification
                         hours of analysis time      value concentration
Method blank              One per analytical batch < RL                        Correct the problem then          Apply B to all results for the specific analyte in all
                                                                               reprep and analyze method         samples in the associated analytical batch
                                                                               blank and all samples
                                                                               processed with the
                                                                               contaminated blank
Laboratory control        1 per analytical batch     80-120% recovery          1) If the preparative LCS         For specific analyte in all samples in the associated
sample (LCS)                                                                   recovers high outside the         analytical batch:               if the LCS %R > UCL,
                                                                               acceptance criteria and the       apply J to all positive results
                                                                               analyte is ND, flag the LCS
                                                                               results and write a QCER.

                                                                               2) If the LCS fails the        if the LCS %R < LCL, apply J to all positive results,
                                                                               acceptance criteria reanalysis apply R to all non-detects
                                                                               will be necessary if samples
                                                                               are still within holding time
                                                                               and enough sample volume; if
                                                                               decision for possible
                                                                               resampling
Field duplicate           Once per day or per 20     RPD<20                    Project chemist will evaluate     Apply B to all results for the specific analyte in all
                          samples                                              results for possible source of    samples in the associated analytical batch
                                                                               variability; notify data users.


a
    All corrective actions associated with AFCEE project work shall be documented, and all records shall be maintained by the laboratory.
b
    Flagging criteria are applied when acceptance criteria were not met and corrective action was not successful or corrective action was not performed.
c
    If equipment blank is submitted to the laboratory blind, the corrective action is not applicable.
TABLE B-6
Hawaii Department of Health Class 1 and 2 Soil Backfill Criteria Levels
IRA at Sites SS13 and SS15

                                                                               HDOH          HDOH
                                                                               Class 1       Class 2
                                                                               Backfill      Backfill
Chemical Analyte                                                   Units      Criteria(1)   Criteria(2)

BTEX(3)
   Benzene                                                        mg/kg          0.05           1.7
   Ethylbenzene                                                   mg/kg          0.50           0.5
   Toluene                                                        mg/kg          16.0          34.0
   Xylene                                                         mg/kg          23.0          23.0

PAHs
   Benzo(a)pyrene                                                 mg/kg           1.0
   Acenaphthalene                                                 mg/kg           1.0
   Fluoranthene                                                   mg/kg          11.0
   Naphthalene                                                    mg/kg          41.0

TPH
   TPH-Diesel (C12-C24)                                           mg/kg          <25          <200

Used Oil Recycling
   Total Organic Halides                                          mg/kg         1000          1000

Notes:
(1)
  - Any use
(2)
   Regulatory levels are intended for use for areas with rainfall of <200 cm/year. Class 2 treated soil may be
used as backfill at treatment site, fill in commerical or industrial areas, cover in permitted landfills, road sub-
grade or other construction fill.
(3)
      Additional analytical parameters may be added if there is compelling evidence of
      other contaminants detected in other site media (e.g., process water, vapor)

Source: State of Hawaii Department of Health (HDOH). October 1997.
       Draft Technical Guidance Manual for the Implementation of the State Contingency Plan.




                                                           Page 1 of 1
United States Air Force
15th Airlift Wing
Environmental Restoration Program




     Appendix C

 Waste Management Plan




   Contract F41624-01-D-8545
        Task Order 105

       January 2005
                                                                                              APPENDIX C: WASTE MANAGEMENT PLAN
                                                                   INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                            AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                      JANUARY, 2005




                                                          Contents
1.0 Introduction .............................................................................................................................C-1

2.0 Waste Disposal........................................................................................................................C-3
       2.1     Soil Disposal ...................................................................................................................C-3
               2.1.1 Clean Soil............................................................................................................C-3
               2.1.2 Contaminated Soil ............................................................................................C-3
       2.2     Water Disposal ...............................................................................................................C-4
       2.3     Free Product Disposal ...................................................................................................C-4
       2.4     MPX System Waste Disposal........................................................................................C-5
       2.5     PPE and Disposable Sampling Equipment Disposal ................................................C-5
       2.6     Construction and Demolition Debris ..........................................................................C-6
3.0 Determination of Regulatory Status ...................................................................................C-7

4.0 On-Base and Off-Base Handling and Disposal Options ................................................C-9




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                                                                               APPENDIX C: WASTE MANAGEMENT PLAN
                                                    INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                             AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                       JANUARY, 2005




                                      1.0 Introduction
This appendix describes the project Waste Management Plan (WMP). The WMP will be
amended, as necessary, if unexpected conditions arise. For example, the WMP will apply a
different best management practice in the case of an unanticipated waste type or changing
waste volumes.
Several types of wastes are expected to be generated during project activities:
         1) Soil
         2) Water
         3) Recovered product
         4) Multi-phase extraction (MPX) system wastes
         5) Personal protective equipment (PPE) and disposable sampling equipment
         6) Construction and demolition debris
The waste management process for this project incorporates the U.S. Air Force (USAF)’s
waste segregation, minimization, and management preferences as set forth in Waste
Management Plan Guidelines for 15th Air Base Wing Contractors (USAF, 1998)1.
Waste management options in order of preference are reuse, recycling, treatment and
disposal. For uncontaminated wastes, on-Base waste management options are preferred
over off-Base options.
This WMP also addresses specific best management practices for the anticipated volumes of
waste to be generated.




1 This document is currently being updated. The most recent version of this guidance will be utilized on this
project.



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APPENDIX C: WASTE MANAGEMENT PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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                                                                       APPENDIX C: WASTE MANAGEMENT PLAN
                                            INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                     AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                               JANUARY, 2005




                                  2.0 Waste Disposal
The following sections summarize the wastes anticipated for the project and the proposed
plans for onsite storage, treatment, and disposal.



2.1 Soil Disposal
Potentially contaminated and uncontaminated soil will be generated during excavations for
the waste storage facility at Site SS13 and during the installation of direct push system (DPS)
soil borings at Site SS15. The soil will be placed in 55-gallon drums, directly loaded into
dump trucks, or temporarily staged on plastic sheeting. Soil that is staged in stockpiles at
the sites will be covered at the end of each day to prevent contaminant migration and/or
infiltration of stormwater.

2.1.1 Clean Soil
Soil that does not have oil stain, odor or other evidence of contamination will be segregated
from contaminated soil and sampled for potential reuse.

2.1.2 Contaminated Soil
Contaminated soils include soil with evidence of contamination, soil that is determined to be
contaminated through laboratory analytical results, and soil cuttings. The contaminated
soils will be transported to the John Rodgers Tank Farm (JRTF) soil treatment cells for land
farming.
Land farming will continue for approximately two months to allow time for bioremediation
to reduce contaminant levels to below the Hawaii Department of Health (HDOH) Class 1 or
2 backfill soil criteria. The soil will be tilled after approximately one month to allow for
additional aeration. Land farming will be conducted in a way that is consistent with the
Final Waste Management Plan prepared by OHM Remediation Services (OHM)
(August 1997) in support of the Underground Storage Tank Verification and Removal
Project, and the HDOH Technical Guidance Manual for Implementation of the State Contingency
Plan.
Composite soil samples will be collected after land farming is completed, in accordance with
the Project-specific Field Sampling Plan (FSP) and QAPP. The samples will be analyzed for
volatile organic compounds (VOCs), total recoverable petroleum hydrocarbons (TRPHs),
polynuclear aromatic hydrocarbons (PAHs), total petroleum hydrocarbon (TPH)-gasoline
ranged organics (GRO), TPH-diesel range organics (DRO), ignitability, corrosivity, and free
liquid.
The results will be compared to the corresponding HDOH Class 1 and Class 2 soil criteria,
as shown in Table B-4 of Appendix B, the Supplemental Quality Assurance Project Plan



TO105_FINALIRA WORK PLAN_APPC_2005-01.DOC                                                                C-3
APPENDIX C: WASTE MANAGEMENT PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




(QAPP). Soil that meets the HDOH Class 1 backfill soil criteria can be reused at
Hickam AFB without restriction. Soil that meets the HDOH Class 2 backfill soil criteria may
be removed from the treatment cells and used as excavation backfill at other industrial sites
at Hickam AFB. Please see a discussion on the regulatory status determination in
Section 2.0.
It is anticipated that all soil can be reused at Hickam AFB. However, if the land farming is
deemed infeasible or cost-prohibitive because of the volume of soil to be generated or the
identified contaminants, or if soil cannot be reused on Base, the soil will be disposed of at an
appropriate off-Base facility. If offsite disposal or recycling is required, additional analyses
including toxicity characteristic leaching procedures (TCLP)-VOCs, TCLP-semi-volatile
organic compounds (SVOCs), and TCLP-metals may be required.



2.2 Water Disposal
Water is expected to be generated during well purging, mobile MPX system operations and
maintenance (e.g., contaminated groundwater recovery/treatment, cleaning aboveground
storage tanks, and equipment decontamination). The preferred disposal option for purged
groundwater will be treatment and reinfiltration. Water that cannot be reinfiltrated to the
site after treatment will be temporarily staged in 55-gallon steel drums or in a portable
aboveground storage tank prior to onsite or offsite disposal.
The influent and effluent water will be tested periodically before it is reinfiltrated to the site
ground. The testing will be performed initially upon system startup and then
approximately once a month. Water from the site may also be added to the
petroleum-contaminated soil land farmed at the JRTF. The addition of the water will serve
as both dust control and treatment enhancement by increasing moisture and promoting
bacterial growth. The water will be applied in limited quantities such that the soil is not
entirely saturated and no runoff or infiltration through the liner occurs.
Water derived from the mobile MPX system tank cleaning includes wastewater from the air
liquid separators, oil-water separator (OWS), fuel equalization (EQ) aboveground storage
tank (AST), and water EQ AST. Wastewater from the OWS will be filtered to remove heavy
solids to the extent that is practicable. The filtered wastewater will be reprocessed through
the MPX system. Alternatively, water that contains a significant volume of solids or sludge
may be contained in the HDOH-approved steel drums or collected by vacuum truck for
off-site disposal at an on-island oily water recycling facility.



2.3 Free Product Disposal
Fuel product recovered from the site will be collected and temporarily stored in 55-gallon
drums stored on spill pallets or in a portable AST located within the MPX system staging
area. The recovered fuel product will be collected by a vacuum truck and transported to an
on-Base location to provide fuel for an electric generator or off-Base to be reused.


C-4                                                                 TO105_FINALIRA WORK PLAN_APPC_2005-01.DOC
                                                                       APPENDIX C: WASTE MANAGEMENT PLAN
                                            INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                     AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                               JANUARY, 2005




Free product requiring fuel characterization will be stored onsite or at a secured on-Base
facility in accordance with applicable laws and regulations until final disposition is
determined and offsite transport is arranged.



2.4 MPX System Waste Disposal
MPX System. Process equipment will likely include wellhead caps/seals, vapor/product
hoses, and conveyance piping between the extraction wells and the aboveground
component of the MPX system. Although process equipment will be resistant to fuels and
corrosion, some items could require periodic replacement. Examples of items that may need
to be replaced include vapor/product hoses, fittings/couplers, and seals. These materials
will be decontaminated prior to disposal as general construction debris.
Vapor Treatment System. Vapor treatment equipment will likely include vapor
demisters/filters, seals, spark plugs, used oil, and miscellaneous parts that could fail during
operation. These materials will be decontaminated prior to disposal as municipal waste.
Liquid Treatment System. Liquid treatment equipment will likely include oil-water
separator filters/media, and tank seals. Spent media that can be decontaminated will be
disposed of as municipal waste. Spent media that cannot be decontaminated will likely be
recycled/disposed through a subcontracted waste handler. Filtered residues and solids that
remain after evaporation will be managed as soil and be characterized as necessary prior to
their reuse on Base. Filtered residues will be analyzed for constituents listed in Table A-7 of
the FSP (Appendix A).
Documentation such as a bill of lading, weigh tickets, receipts, waste manifests, and
certificates of disposal will be used to show that the wastes have been properly transported,
treated, and/or disposed of.



2.5 PPE and Disposable Sampling Equipment Disposal
Used PPE and spent disposable sampling equipment generated during field activities will
consist of the following: gloves (nitrile or otherwise), chemical-resistant coveralls (Tyvek®
or otherwise), groundwater filters, plastic bailers, downhole tubing, plastic buckets, plastic
sheeting, spent absorbent pads/rags, and 55-gallon steel drums. These materials will be
generated in small quantities during the field and construction activities. Management of
the waste depends on the type and condition of the equipment after its use.
Unstained equipment will be disposed of as municipal solid waste at the time of generation.
This is expected to be the primary management process for PPE and disposable sampling
equipment.
Stained gloves, coveralls, groundwater filters, plastic bailers, and tubing will be wiped
down with absorbent pads or will be decontaminated and disposed of as municipal trash.



TO105_FINALIRA WORK PLAN_APPC_2005-01.DOC                                                                C-5
APPENDIX C: WASTE MANAGEMENT PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




Absorbent pads will be combined and treated with petroleum-contaminated soil. Plastic
buckets and 55-gallon drums will be reused to the maximum practicable extent. Buckets
and 55-gallon drums that cannot be reused will be decontaminated either by pressure
washing with Liquinox detergent and water or by steam cleaning. The decontaminated
buckets will be disposed of as municipal trash and the 55-gallon steel drums will be recycled
at an on-island metal recycler.



2.6 Construction and Demolition Debris
The construction and demolition debris, including asphalt, concrete and wooden forms, will
be placed in temporary stockpiles prior to disposal by a subcontractor. Asphalt and
concrete will be segregated and recycled to the maximum practicable extent.




C-6                                                                 TO105_FINALIRA WORK PLAN_APPC_2005-01.DOC
                                                                        APPENDIX C: WASTE MANAGEMENT PLAN
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                      AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                JANUARY, 2005




          3.0 Determination of Regulatory Status
Three tools will be used to determine the regulatory status of waste management:
         1) Review of past site use practices for potential listed hazardous waste
         2) Process knowledge
         3) Testing for hazardous waste characteristics
Hazardous waste characteristics include ignitability, corrosivity, reactivity and toxicity.
Reviews of the site history and the previous site characterizations indicate that wastes from
Sites SS13 and SS15 are characterized as non-hazardous.
According to the HDOH Technical Guidance Manual, the agency prefers onsite waste
treatment and reuse to disposal of non-treated soil. Because the entire area within
Hickam AFB is considered onsite, treatment of the waste at the JRTF land farm cell is
appropriate and consistent with the regulatory preference.
In addition, the HDOH Technical Guidance Manual for Implementation of the Hawaii State
Contingency Plan (HDOH, October 1997 and subsequent policy updates) indicates that soil
with concentrations below Class 1 and 2 backfill criteria (see Table B-4 in Appendix B) can
be “disposed of by backfill at a site after treatment, fill in a commercial or industrial area,
cover in permitted landfills, road subgrade or other road construction area.”




TO105_FINALIRA WORK PLAN_APPC_2005-01.DOC                                                                 C-7
APPENDIX C: WASTE MANAGEMENT PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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                                                                       APPENDIX C: WASTE MANAGEMENT PLAN
                                            INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                     AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                               JANUARY, 2005




         4.0 On-Base and Off-Base Handling and
                   Disposal Options
On-Base handling and disposal options are preferred as discussed in Section 3.0.
Waste requiring off-Base disposal may consist of excess uncontaminated or treated soil and
water generated from tank cleaning activities that cannot be filtered and reprocessed.
Any waste that cannot be treated onsite will be transported off-Base and disposed of at an
on-Island facility. Additional laboratory analyses may be required prior to off-Base
disposal.




TO105_FINALIRA WORK PLAN_APPC_2005-01.DOC                                                                C-9
APPENDIX C: WASTE MANAGEMENT PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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C-10                                                                TO105_FINALIRA WORK PLAN_APPC_2005-01.DOC
United States Air Force
15th Airlift Wing
Environmental Restoration Program




     Appendix D

  Health and Safety Plan




   Contract F41624-01-D-8545
        Task Order 105

       January 2005
                                                                       APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                       INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                          JANUARY, 2005




                          Health and Safety Plan Overview
This Health and Safety Plan (HSP) will be kept on the site during field activities and will be reviewed as
necessary. The plan will be amended or revised as project activities or conditions change or when
supplemental information becomes available. The plan adopts, by reference, the Standards of Practice
(SOPs) in the I&E Health, Safety, Environmental Protection Program Manual (CH2M HILL, January 2004),
as appropriate. In addition, this plan adopts procedures in the project Work Plan. The Site Safety
Coordinator (SSC) is to be familiar with these SOPs and the contents of this plan. CH2M HILL’s
personnel and subcontractors must sign Attachment 1.



Project Information and Description
PROJECT NO: 281154
CLIENT: Air Force Center for Environmental Excellence (AFCEE)
PROJECT/SITE NAME: Task Order 105, Interim Remedial Action at Sites SS13 and SS15
SITE ADDRESS: Hickam AFB Hawaii

CH2M HILL PROJECT MANAGER: Stacey Whitten
CH2M HILL OFFICE: Honolulu HI
DATE HEALTH AND SAFETY PLAN PREPARED: April 28, 2004
DATE(S) OF SITE WORK: May - August 2004


Site Background and Setting
Hickam AFB is located on the south side of the island of Oahu, Hawaii, in the City and County of
Honolulu. The 2,520-acre Base is located on the leeward side of the Koolau Range. The Base is bordered
on the east by the Honolulu International Airport (HIA), on the west by the Pearl Harbor Channel, on
the south by the Pacific Ocean (Mamala Bay), and on the north by the Pearl Harbor Naval Complex.
Site SS13, the former JRTF, is located in the southeastern portion of Hickam AFB adjacent to Worcester
Avenue and the Manuwai Canal. Site SS15 is located in the north-central section of Hickam AFB and
overlaps with portions of the Par 3 Golf Course. Both spill sites have undergone various environmental
investigations and remedial activities.
Site SS13, formerly known as petroleum, oil, and lubricants (POL) Area 6, or the JRTF, is located in the
southeastern portion of Hickam AFB generally between Manuwai Canal to the west, Worchester Drive
and a portion of the Federal Aviation Administration (FAA) Control Tower facility to the northeast,
runways and taxiways of the Honolulu International Airport to the southeast, and the Reef Runway
Lagoon and Mamala Bay to the south (Figure 1-2 and Figure 1-3). The site occupies approximately 18
acres and is covered with a mixture of bare coralline soils and dry coastal scrub-shrub forest dominated

TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                          D-i
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




by kiawe, grasses, and herbaceous plants (EA Engineering, Science, and Technology, Inc. [EA],
November 1996). The topography of Site SS13 is relatively flat (approximately 10 feet above mean sea
level [msl]).
Site SS13 currently includes areas used for ongoing 15 CES/CEVR and 15 ABW Compliance Element
(15 CES/CEVC) activities and for U.S. Air Force communications. Site activities at Site SS13 include a
phytoremediation pilot study, storage space for contractor investigation-derived waste (IDW) drums
and equipment storage, a remediation contractor’s field office trailer, and a newly-constructed soil land-
farming treatment pad. U.S. Air Force communications activities are limited to operation and
maintenance of an antenna array installed in 1977. There are a number of abandoned utilities at the site
as well as active electrical and communications utilities. The Base Comprehensive Plan (BCP) classifies site
land use as light industrial, and future land use is not anticipated to change.
Site SS13 was initially identified in November 1970, when free petroleum product was discovered in
drainage ditches adjacent to the site. Results of a subsequent investigation indicated released fuel
consisted of a mixture of aviation gasoline (AVGAS) and jet propulsion (JP) fuel Type 4 (JP-4), which
was consistent with the fuel in use at the tank farm. Several remedial efforts conducted at this site since
then have included removal of leaky underground fuel lines, subsequent abandonment of the tank farm,
and removal of free petroleum product. The site became a communication center in 1977. In 1994, the
611 Civil Engineer Squadron/Civil Engineering Operations Squadron (611 CES/CEOR) from Elmendorf
AFB, Alaska, removed the majority of remaining fuel storage systems.
Several environmental investigations have also been conducted at Site SS13 since the 1970s and have
included collection of data from soil borings, groundwater monitoring wells, and a passive soil gas
(PSG) survey. Although risks to human health and the environment are within acceptable ranges,
further action at Site SS13 is warranted, based in part on prior data which exceeded HDOH Tier 1
groundwater and soil action levels, on findings during the Site ST26 removal action, and on concerns
raised by HDOH regarding the unresolved potential for residual constituents to be present beneath the
former fuel dispensing rack at the site. These concerns are based on the site’s past use as a tank farm and
numerous localized source areas, the magnitude of the remedial efforts that have been required to
remove free petroleum product from the site’s subsurface, and the site’s close proximity to the Manuwai
Canal (Site SD02, which is currently undergoing a Remedial Investigation/Feasibility Study [RI/FS]).


Site SS15 is located in the north-central section of Hickam AFB and overlaps with portions of the Par 3
Golf Course. The site occupies approximately 25 acres. The Par 3 Golf Course, a 9-hole golf course
administered by the U.S. Air Force military services, comprises much of the site. The course covers
approximately 20 acres of groomed lawns, greens, tees, palm trees, and ornamental shrubs. To the west
of the golf course, the site extends approximately 300 feet to the west of Engine Test Road and includes
wash racks, fuel hydrants, and other POL support facilities (for example, POL tanker parking). The east
boundary of Site SS15 is approximately 400 feet west of McClelland Street. Site SS15 is bound to the
north by Kuntz Avenue and to the south by Moffett Street. The topography of Site SS15 is relatively flat
(approximately 10 feet above msl). In addition to annual rainfall, the Par 3 Golf Course is irrigated
daily.
Site SS15 was initially identified in the 1970s when a POL plume was identified at the site as part of a
Hickam AFB-wide investigation of fuel releases. Several environmental investigations, including
product recovery and a bioventing pilot test, have been conducted at Site SS15 since the 1970s and were
associated with confirmed or expected releases from these pipelines. Currently the pipelines supply JP-8
D-ii                                                                     TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC
                                                                      APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                      INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                               AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                         JANUARY, 2005




to storage areas. Historically, they have supplied JP-4 and possibly aviation gasoline. An active
skimming system (that has since been dismantled) recovered approximately 5,400 gallons of product
between 1986 and 1988. A risk-based screening evaluation was conducted for constituents detected in
soil and groundwater at Site SS15 based on the 1999 site characterization data. Risks to human health
and the environment were within acceptable ranges. LNAPL measurements collected in Fall 2000 and
Winter 2001 confirmed the continued presence of LNAPL at the site. Based on this continued presence
in several monitoring wells at the site, on the unknown extent of LNAPL, and on the potential for future
offsite migration of LNAPL and associated dissolved-phase constituents, active extraction and
continued monitoring is recommended.




TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                        D-iii
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




Description of Specific Tasks to be Performed
The field activities that will be performed at Hickam AB include the following activities:
         •    Groundwater sampling and analysis in support of semi-annual monitoring requirements at
              14 wells located at SS13 (Former John Rodgers Tank Farm) and SS15 (Par 3 Golf Course)
              monitoring wells.
         •    Operations and maintenance of a phytoremediation project area located at the John Rodgers
              Tank Farm. Operations and maintenance of an existing irrigation system (checking for leaks,
              making repairs as needed), adding fertilizer via the irrigation system, weeding/cutting back
              competing vegetation.
         •    Construction of an approximately 60 x 40 foot covered, enclosed waste storage area on a
              concrete pad at the Former John Rodgers Tank Farm.
         •    Modification of existing remediation equipment (pilot test rig and trailer mounted internal
              combustion engine) to facilitate multi-phase extraction of subsurface fuel at SS15. Specific
              modifications to the MPX trailer include:

                   •    Addition of pre-LRP liquid separation which prevents unnecessary mixing of fuel
                        and water in the impellers of the LRP

                   •    Addition of fuel and water equalization (EQ) tanks with integral pumps

                   •    Addition of electrical control panel that provides power for lighting, level switches,
                        pumps, and an integrated programmable logic controller (PLC) control of pumps and
                        shutdown as a result of alarms/faults. PLC also provides a link to the ICE to allow
                        shutdown of the MPX system in the event that the ICE shuts down to prevent
                        untreated fugitive emissions.

                   •    Deposal of existing emulsion tank that has become cracked, and generally worn as a
                        result of normal wear and tear and exposure to the weather

                   •    Provide the ability to utilize the vacuum of the ICE for most site applications thereby
                        eliminating the need for the LRP which requires 3-phase power and complicates
                        vapor treatment by .
         •    Operation, maintenance, and optimization of the remediation equipment to provide for the
              extraction of gaseous and liquid phase fuels at SS15, as well as performance of associated
              waste management to address the recovered water and fuel. Mobilization, startup and
              maintenance of mobile system to remove fuels from monitoring wells. The system would
              consist of multiple mobile trailers including: AFCEE trailer with 2 air liquid separators with
              pumps, 1 oil water separator, 1 fuel EQ tank with pup, 1 water EQ tank with pump and 1
              electrical control panel.




D-iv                                                                         TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC
                                                                                                      APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                                                      INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                                               AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                                         JANUARY, 2005




                                                                    Contents
1.0 Tasks to be Performed Under this Plan.............................................................................D-1
       1.1     Description of Tasks...................................................................................................... D-1
               1.1.1 HAZWOPER-Regulated Tasks ........................................................................ D-1
               1.1.2 Non-HAZWOPER-Regulated Tasks ............................................................... D-1
       1.2     Health and Safety Risk Analysis................................................................................. D-3
2.0 Hazard Controls .....................................................................................................................D-9
       2.1     Project-Specific Hazards............................................................................................... D-9
               2.1.1 Compressed Gas Cylinders .............................................................................. D-9
               2.1.2 Concrete & Masonry.......................................................................................... D-9
               2.1.3 Concrete Pump Truck Operations................................................................. D-10
               2.1.4 Cranes & Hoisting, Rigging............................................................................ D-10
               2.1.5 Operating Heavy Equipment (earthmoving/excavating machinery) ..... D-11
               2.1.6 Electrical ............................................................................................................ D-12
               2.1.7 Excavation Activities....................................................................................... D-13
               2.1.8 Fall Protection Activities................................................................................. D-13
               2.1.9 Fire Prevention ................................................................................................. D-14
               2.1.10 Forklift ............................................................................................................... D-14
               2.1.11 Hand and Power Tools ................................................................................... D-15
               2.1.12 Haul Trucks ...................................................................................................... D-15
               2.1.13 Hazardous Materials ....................................................................................... D-16
               2.1.14 Stairways and Ladders.................................................................................... D-16
               2.1.15 Lockout/Tagout Activities ............................................................................. D-17
               2.1.16 Lifting ................................................................................................................ D-17
               2.1.17 Noise.................................................................................................................. D-18
               2.1.18 Pressurized Lines/Equipment....................................................................... D-18
               2.1.19 System Engineered Metal Building............................................................... D-18
               2.1.20 Suspended Loads............................................................................................. D-19
               2.1.21 Vacuum Trucks ................................................................................................ D-19
               2.1.22 Exposure to Public Vehicular Traffic ............................................................ D-20
               2.1.23 Vegetation Management................................................................................. D-21
               2.1.24 Visible Lighting................................................................................................ D-21
               2.1.25 Welding & Cutting .......................................................................................... D-21
       2.2     General Hazards.......................................................................................................... D-22
               2.2.1 General Practices and Housekeeping ........................................................... D-22
               2.2.2 Hazard Communication ................................................................................. D-22
               2.2.3 Shipping and Transportation of Chemical Products .................................. D-23
               2.2.4 Heat Stress ........................................................................................................ D-23
               2.2.5 Monitoring Heat Stress ................................................................................... D-24
               2.2.6 Procedures for Locating Buried Utilities ...................................................... D-25
       2.3     Biological Hazards and Controls .............................................................................. D-25
               2.3.1 Ticks................................................................................................................... D-25
               2.3.2 Bees, Scorpions, Centipedes, and Other Stinging Insects .......................... D-25
TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                                                            D-v
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




               2.3.3 Mosquito Bites, West Nile Virus, and Dengue Fever ................................. D-26
               2.3.4 Bloodborne Pathogens .................................................................................... D-28
               2.3.5 Other Anticipated Biological Hazards.......................................................... D-28
       2.4     Radiological Hazards and Controls.......................................................................... D-28
       2.5     Contaminants of Concern .......................................................................................... D-29
       2.6     Potential Routes of Exposure..................................................................................... D-30
3.0 Project Organization and Personnel.................................................................................D-31
       3.1     CH2M HILL Employee Medical Surveillance and Training................................. D-31
       3.2     Field Team Chain of Command and Communication Procedures...................... D-32
               3.2.1 Client ................................................................................................................. D-32
               3.2.2 CH2M HILL...................................................................................................... D-32
               3.2.3 CH2M HILL Subcontractors .......................................................................... D-34
4.0 Personal Protective Equipment (PPE) ..............................................................................D-37

5.0 Air Monitoring/Sampling ..................................................................................................D-39
       5.1     Air Monitoring Specifications ................................................................................... D-39
       5.2     Calibration Specifications .......................................................................................... D-41
6.0 Decontamination..................................................................................................................D-43
       6.1     Decontamination Specifications................................................................................ D-43
       6.2     Diagram of Personnel-Decontamination Line ........................................................ D-43
7.0 Spill-Containment Procedures ..........................................................................................D-47

8.0 Site-Control Plan..................................................................................................................D-49
       8.1     Site-Control Procedures ............................................................................................. D-49
       8.2     HAZWOPER Compliance Plan................................................................................. D-49
9.0 Emergency Response Plan..................................................................................................D-51
       9.1     Pre-Emergency Planning............................................................................................ D-51
       9.2     Emergency Equipment and Supplies ....................................................................... D-52
       9.3     Incident Response ....................................................................................................... D-52
       9.4     Emergency Medical Treatment ................................................................................. D-52
       9.5     Evacuation.................................................................................................................... D-53
       9.6     Evacuation Signals ...................................................................................................... D-53
       9.7     Incident Notification and Reporting ........................................................................ D-53
10.0 Behavior-Based Loss Prevention System ........................................................................D-55
       10.1    Activity Hazard Analysis........................................................................................... D-55
       10.2    Pre-Task Safety Plans.................................................................................................. D-56
       10.3    Loss Prevention Observations................................................................................... D-56
       10.4    Loss/Near Loss Investigations.................................................................................. D-56
11.0 Approval ...............................................................................................................................D-59
       11.1 Original Plan ................................................................................................................ D-59
       11.2 Revisions....................................................................................................................... D-59

D-vi                                                                                                          TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC
                                                                                                    APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                                                    INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                                             AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                                       JANUARY, 2005




12.0 Attachments ..........................................................................................................................D-61



Figures
6-1        Personnel Decontamination Line


Attachments
1          Employee Signoff Form — Field Safety Instructions
2          Project-Specific Chemical Product Hazard Communication Form
3          Chemical-Specific Training Form
4          Emergency Contacts
5          Project Activity Self-Assessment Checklists/Permits
6          Behavior Based Loss Prevention Forms
7          Applicable Material Safety Data Sheets




TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                                                        D-vii
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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                                                                         APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                         INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                  AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                            JANUARY, 2005




              1.0 Tasks to be Performed Under this Plan

1.1 Description of Tasks
         (Refer to Field Project Start-up Form)
Refer to project documents (i.e., Work Plan) for detailed task information. A health and safety risk
analysis (Section 1.2) has been performed for each task and is incorporated in this plan through task-
specific hazard controls and requirements for monitoring and protection. Tasks other than those listed
below require an approved amendment or revision to this plan before tasks begin. Refer to Section 8.2
for procedures related to “clean” tasks that do not involve hazardous waste operations and emergency
response (HAZWOPER).
It is assumed for the purposes of this project that there will be no confined space entries.

1.1.1     HAZWOPER-Regulated Tasks
   •    Groundwater sampling and analysis                •   Operation, maintenance and optimization of
                                                             remediation equipment provided for extraction
   •    Modification of existing remediation                 of gaseous and liquid phase fuels
        equipment to facilitate multi-phase extraction
        of subsurface fuel                               •   Removal of waste from remediation
                                                             equipment

1.1.2     Non-HAZWOPER-Regulated Tasks
Under specific circumstances, the training and medical monitoring requirements of federal or state
HAZWOPER regulations are not applicable. It must be demonstrated that the tasks can be performed
without the possibility of exposure in order to use non-HAZWOPER-trained personnel. Prior approval
from the Health and Safety Manager (HSM) is required before these tasks are conducted on
regulated hazardous waste sites.
          TASKS                                                              CONTROLS
   •    Mobilization to each site                                    •   Brief on hazards, limits of access,
                                                                         and emergency procedures
   •    Site preparation and utility clearances
                                                                     •   Post contaminant areas as
   •    Construction of enclosed waste storage area                      appropriate (refer to Section 8.2
   •    Backfill and surface restoration                                 for details)

   •    Demobilization from each site                                •   Sample and monitor as
                                                                         appropriate (refer to Section 5.0)
   •    Operation and maintenance of phytoremediation
        project area




TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                          D-1
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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                                                                                                                      APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                                                                      INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                                                               AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                                                         JANUARY, 2005




1.2 Health and Safety Risk Analysis
                                                                               Project Activities

                                      Waste         Waste      Waste Storage       Phytoremediation   Groundwater
                                     Storage       Storage                              project        monitoring
                                                              Erect Roof, Walls,                                        Demobilization          Project Oversight
                  Mobilize          Site prep.      Place       Fence Install
POTENTIAL         each site        Utility Clear   Concrete    Lights & Power
 HAZARDS                                             Pad

Compressed                                                            X                                                                                  X
gas cylinders

 Concrete &                                           X                                                                                                  X
  masonry
 construction

  Concrete                                            X                                                                                                  X
 pump truck
 operations

  Confined
 space entry

  Cranes &                                                            X                                                                                  X
  hoisting,
   rigging

  Demolition

   Drilling

 Earthmoving           X                X             X                                                                         X                        X
 Equipment /
    heavy
  equipment

  Electrical           X                X                             X                     X               X                   X                        X
 Excavations                            X                                                                                                                X
Fall protection                                                       X                                                                                  X


TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                                                                       D-3
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




                                                                                     Project Activities

                                       Waste              Waste      Waste Storage       Phytoremediation   Groundwater
                                      Storage            Storage                              project        monitoring
                                                                    Erect Roof, Walls,                                    Demobilization       Project Oversight
                   Mobilize          Site prep.          Place        Fence Install
POTENTIAL          each site        Utility Clear       Concrete     Lights & Power
 HAZARDS                                                  Pad

    Fire or            X                  X                 X               X                     X             X               X                       X
  explosion
   hazards

      Forklifts        X                                                    X                                                   X                       X
Hand & power           X                  X                 X               X                     X             X               X                       X
   tools

  Haul truck           X                  X                 X                                                                   X                       X
  operations

  Hazardous                                                 X                                                   X               X                       X
   materials

  Hazardous                                                                                                                     X                       X
    waste
 management

  Ladders &                                                                 X                                                                           X
    stairs

       Lead

   Lockout /                              X                                 X                                                                           X
     tagout
 (uncontrolled
    energy)

Manual lifting         X                  X                 X               X                     X             X               X                       X
 Mechanical
  guarding
  hazards

       Noise           X                  X                 X               X                                                   X                       X
 Pressurized                                                                                      X                                                     X
    lines /


D-4                                                                                                                        TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC
                                                                                                                        APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                                                                        INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                                                                 AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                                                           JANUARY, 2005




                                                                               Project Activities

                                      Waste         Waste      Waste Storage         Phytoremediation   Groundwater
                                     Storage       Storage                                project        monitoring
                                                              Erect Roof, Walls,                                          Demobilization          Project Oversight
                    Mobilize        Site prep.      Place       Fence Install
POTENTIAL           each site      Utility Clear   Concrete    Lights & Power
 HAZARDS                                             Pad

  equipment

   Pressure
   washing
  equipment

 Respiratory
  hazards

  System                                                              X                                                                                    X
 Engineered
Metal Building

 Suspended                                                            X                                                                                    X
   loads

Utilities, buried                       X
Vacuum truck                                                                                                                                               X
 operations

Vehicle Traffic        X                X                                                                                         X                        X
Visible lighting       X                X                                                                                         X                        X
 Vegetation                                                                                  X                                                             X
Management

  Welding &                                                           X
   cutting



                                                                                   Project Activities




TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                                                                         D-5
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




                               Modification     Modification        Modification    Modification     Operation    Maintenance      Waste
                               remediation      remediation         remediation     remediation     Remediation   Remediation   Management
                                equipment        equipment           equipment       equipment       Equipment     Equipment    remediation     Demobilization      Construction
                   Mobilize                                                                                                      Equipment                           oversight
                               Addition         Add electrical      Dispose         Repair vacuum
                   each site
                               pre-LRP and      control panel       emulsion tank   of ICE
                               fuel & water     and logic
                               EQ tanks         controller
 Compressed                          X                 X                 X                                            X                                X                  X
 gas cylinders

 Concrete &
  masonry
 construction

   Concrete
  pump truck
  operations

  Confined
 space entry

  Cranes &                           X                                   X                                                                                                X
  hoisting,
   rigging

  Demolition

       Drilling

 Earthmoving                                                                                                                                           X                  X
 Equipment /
    heavy
  equipment

      Electrical      X              X                 X                 X               X                            X                                X                  X
 Excavations

Fall protection

    Fire or           X              X                                                                                                                 X                  X
  explosion
   hazards

      Forklifts       X                                                  X                                                                             X                  X


D-6                                                                                                                               TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC
                                                                                                                            APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                                                                            INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                                                                     AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                                                               JANUARY, 2005




                                                                                       Project Activities

                              Modification   Modification     Modification    Modification     Operation    Maintenance         Waste
                              remediation    remediation      remediation     remediation     Remediation   Remediation      Management
                               equipment      equipment        equipment       equipment       Equipment     Equipment       remediation       Demobilization      Construction
                 Mobilize                                                                                                     Equipment                             oversight
                              Addition       Add electrical   Dispose         Repair vacuum
POTENTIAL        each site
                              pre-LRP and    control panel    emulsion tank   of ICE
 HAZARDS
                              fuel & water   and logic
                              EQ tanks       controller
Hand & power         X              X              X               X               X                X            X                 X                   X                  X
   tools

  Haul truck         X              X                              X                                                                                   X                  X
  operations

 Hazardous                                                                                                       X                 X                   X                  X
  materials

 Hazardous                                                                                                       X                 X                   X                  X
   waste
management

  Ladders &                         X              X               X                                             X                                     X                  X
    stairs

    Lead

  Lockout /                         X              X               X               X                             X                                     X                  X
    tagout
(uncontrolled
   energy)

Manual lifting       X              X              X               X               X                X            X                 X                   X                  X
 Mechanical
  guarding
  hazards

    Noise            X              X                              X               X                X            X                                     X                  X
 Pressurized                        X                                              X                             X                                                        X
    lines /
 equipment

  Pressure
  washing



TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                                                                             D-7
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




                                                                                             Project Activities

                                Modification    Modification        Modification    Modification     Operation    Maintenance      Waste
                                remediation     remediation         remediation     remediation     Remediation   Remediation   Management
                                 equipment       equipment           equipment       equipment       Equipment     Equipment    remediation     Demobilization      Construction
                    Mobilize                                                                                                     Equipment                           oversight
                                Addition        Add electrical      Dispose         Repair vacuum
POTENTIAL           each site
                                pre-LRP and     control panel       emulsion tank   of ICE
 HAZARDS
                                fuel & water    and logic
                                EQ tanks        controller
  equipment

 Respiratory
  hazards

 Suspended                           X                                   X                                                                                                X
   loads

Utilities, buried

Vacuum truck                                                                                                                         X                                    X
 operations

Vehicle Traffic

Visible lighting       X             X                 X                 X               X                X           X              X                 X                  X
  Welding &                          X                                   X                                                                                                X
   cutting




D-8                                                                                                                               TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC
                                                                           APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                           INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                    AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                              JANUARY, 2005




                                         2.0 Hazard Controls
This section provides safe work practices and control measures used to reduce or eliminate potential
hazards. These practices and controls are to be implemented by the party in control of either the site or
the particular hazard. CH2M HILL employees and subcontractors must remain aware of the hazards
affecting them regardless of who is responsible for controlling the hazards. CH2M HILL employees and
subcontractors who do not understand any of these provisions should contact the SSC for clarification.
The health and safety hazards posed by field activities have been identified for each project activity and
is provided in the Hazard Analysis Table in section 1.2. Hazard control measures for project-specific
and general H&S hazards are provided in 2.1 and 2.2 of this section.
In addition to the controls specified in this section, Project-Activity Self-Assessment Checklists are
contained in Attachment 5. These checklists are to be used to assess the adequacy of CH2M HILL and
subcontractor site-specific safety requirements. The objective of the self-assessment process is to
identify gaps in project safety performance, and prompt for corrective actions in addressing these gaps.
Self-assessment checklists should be completed early in the project, when tasks or conditions change, or
when otherwise specified by the HSM. The self-assessment checklists, including documented corrective
actions, should be made part of the permanent project records.
Project-activity self-assessments checklist shall be completed weekly by the SSC during the course of the
project, completing the applicable checklist depending on the work performed at the time on the project.



2.1 Project-Specific Hazards
2.1.1        Compressed Gas Cylinders
         •     Valve caps must be in place when cylinders are transported, moved, or stored.
         •     Cylinder valves must be closed when cylinders are not being used and when cylinders are
               being moved.
         •     Cylinders must be secured in an upright position at all times.
         •     Cylinders must be shielded from welding and cutting operations and positioned to avoid
               being struck or knocked over; contacting electrical circuits; or exposed to extreme heat
               sources.
         •     Cylinders must be secured on a cradle, basket, or pallet when hoisted; they may not be
               hoisted by choker slings.

2.1.2        Concrete & Masonry
         •     Wear appropriate personal protective equipment (eye/face protection, gloves, rubber boots)
               when in areas where concrete is being poured.
         •     Protruding reinforcing steel (rebar), onto which personnel could fall, must be guarded to
               eliminate the hazard of implement.

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JANUARY, 2005




         •     Stay as clear as possible of all hoisting operations. Loads, including concrete buckets, shall
               not be hoisted overhead of personnel.
         •     Maintain a safe distance from formwork and shoring being removed from concrete
               structures.
         •     Maintain a safe distance from precast and lift-slab concrete being lifted into position until
               physically secured.
         •     Do not stand behind the tensioning jacks during post-tensioning.
         •     Do not ride concrete buckets.
         •     Do not enter limited access zones during concrete or masonry wall construction.
         •     When cutting concrete with saw ensure methods use water to reduce dust levels. If wet
               methods can not be used utilize filtering facepiece respirator as needed to control exposure to
               silica dust.

2.1.3        Concrete Pump Truck Operations
         •     Ensure truck's physical dimensions and outriggers are appropriate for the job and work area.

         •     Use spotters to assist the pump truck operator while backing into place and directing the
               offload of concrete.
         •     Use head and face protection while pumping concrete.

         •     Pump is not left unattended unless an emergency stop button is activated and pump is
               inoperable.

2.1.4     Cranes & Hoisting, Rigging
(Reference CH2M HILL, SOP HS-44, Cranes, Hoists and Rigging)

         •     Cranes shall be operated by a certified crane operator.

         •     The crane’s operations manual and load chart specifically designed for the crane shall be on
               the crane at all times.

         •     The crane must have a current annual inspection to include load test certification (within the
               last 12 months) that meet all state and federal safety standards. Documentation of this
               inspection must be available for review.
         •     A competent person will inspect the crane daily to ensure it is in safe operating condition.

         •     All rigging equipment must be inspected by a competent person prior to use for signs of
               excessive wear; equipment found to be damaged will be tagged and removed from service.

         •     A pre-lift meeting will be conducted to include all parties involved in that days crane
               operation.

         •     Only one person shall signal the crane operator. This person shall be thoroughly familiar
               with all of the cranes operation and be able to communicate with the crane operator with the
               appropriate hand signals.
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         •    No personnel shall be permitted under the load at any time.

         •    Tag lines shall be attached to every load being made by the crane.

         •    The swing radius of the rear rotating superstructure (counterweight) of the crane shall be
              barricaded and no entrance allowed.

         •    No part of the crane will come within 10 feet of overhead electrical power lines rated 50 kV
              or less. For lines over 50 kV, increase clearance distance by 4 inches for every 10 kV over
              50kV.

         •    Stay as clear as possible of all hoisting operations. Loads shall not be hoisted overhead of
              personnel.

2.1.5 Operating Heavy Equipment (earthmoving/excavating machinery)
         (Refer to CH2M HILL, SOP HS-27, Earthmoving Equipment)
         •    CH2M HILL authorizes only those employees qualified by training or previous experience to
              operate material handling equipment.
         •    Equipment must be checked at the beginning of each shift to ensure the equipment is in safe
              operating condition and free of apparent damage. The check should include: service brakes,
              parking brakes, emergency brakes, tires, horn, back-up alarm, steering mechanism, coupling
              devices, seat belts and operating controls. All defects shall be corrected before the equipment
              is placed in service. Documentation of this inspection must be maintained onsite at all times.
         •    Equipment must be on a stable foundation such as solid ground or cribbing; outriggers are to
              be fully extended.
         •    Equipment must not be used to lift personnel; loads must not be lifted over the heads of
              personnel.
         •    Equipment, or parts thereof, which are suspended must be substantially blocked or cribbed
              to prevent shifting before personnel are permitted to work under or between them. All
              controls shall be in a neutral position, with the motors stopped and brakes set.
         •    Equipment that is operating in reverse must have a reverse signal alarm distinguishable from
              the surrounding noise or a signal person when the operator’s view is obstructed.
         •    When equipment is used near energized power lines, the closest part of the equipment must
              be at least 10 feet from the power lines that are less than 50 kilovolts (kV). Provide an
              additional 4 feet for every 10 kV over 50 kV. A person must be designated to observe
              clearances and give timely warning for all operations where it is difficult for the operator to
              maintain the desired clearance by visual means. All overhead power lines must be
              considered to be an energized until the electrical utility authorities indicate that it is not an
              energized line and it has been visibly grounded.
         •    Underground utility lines must be located before excavation begins; refer to Section 2.2.8
              “Procedures for locating buried utilities.”
         •    Operators loading/unloading from vehicles are responsible for seeing that vehicle drivers
              are in the vehicle cab or in a safe area.
TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                           D-11
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JANUARY, 2005




         •     The parking brake shall be set whenever equipment is parked, wheels must be chocked when
               parked on inclines.
         •     When not in operation, the blade/bucket must be blocked or grounded; the master clutch
               must be disengaged when the operator leaves the cab. When equipment is unattended,
               power must be shut off, brakes set, blades/buckets landed and shift lever in neutral.
         •     Working around material handling equipment
         •     Never approach operating equipment from the rear. Always make positive contact with the
               operator, and confirm that the operator has stopped the motion of the equipment.
         •     Never approach the side of operating equipment; remain outside of the swing and turning
               radius.
         •     Maintain distance from pinch points of operating equipment.
         •     Because heavy equipment may not be equipped with properly functioning reverse signal
               alarms, never turn your back on any operating equipment.
         •     Never climb onto operating equipment or operate contractor/subcontractor equipment.
         •     Never ride contractor/subcontractor equipment unless it is designed to accommodate
               passengers; equipped with firmly attached passenger seat.
         •     Never work or walk under a suspended load.
         •     Never use equipment as a personnel lift; do not ride excavator buckets or crane hooks.
         •     Always stay alert and maintain a safe distance from operating equipment, especially
               equipment on cross slopes and unstable terrain.

2.1.6        Electrical
         (Refer to CH2M HILL-SOP HS-23, Electrical)
         •     Only qualified personnel are permitted to work on unprotected energized electrical systems.
         •     Only authorized personnel are permitted to enter high-voltage areas.
         •     Do not tamper with electrical wiring and equipment unless qualified to do so. All electrical
               wiring and equipment must be considered energized until lockout/tagout procedures are
               implemented.
         •     Inspect electrical equipment, power tools, and extension cords for damage prior to use. Do
               not use defective electrical equipment, remove from service.
         •     All temporary wiring, including extension cords and electrical power tools, must have
               ground fault circuit interrupters (GFCIs) installed.
         •     Extension cords must be:

                   −    equipped with third-wire grounding.
                   −    covered, elevated, or protected from damage when passing through work areas.
                   −    protected from pinching if routed through doorways.
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                   −   not fastened with staples, hung from nails, or suspended with wire.
         •     Electrical power tools and equipment must be effectively grounded or double-insulated UL
               approved.
         •     Operate and maintain electric power tools and equipment according to manufacturers'
               instructions.
         •     Maintain safe clearance distances between overhead power lines and any electrical
               conducting material unless the power lines have been de-energized and grounded, or where
               insulating barriers have been installed to prevent physical contact. Maintain at least 10 feet
               from overhead power lines for voltages of 50 kV or less, and 10 feet plus ½ inch for every 1
               kV over 50 kV.
         •     Temporary lights shall not be suspended by their electric cord unless designed for
               suspension. Lights shall be protected from accidental contact or breakage.
         •     Protect all electrical equipment, tools, switches, and outlets from environmental elements.

2.1.7        Excavation Activities
         (Refer to CH2M HILL, SOP HS-32, Excavation and Trenching)
         •     CH2M HILL personnel must notify and be granted authorization from the excavation
               competent person prior to entering any excavation. CH2M HILL personnel must follow all
               excavation requirements established by the competent person.
         •     The competent person must inspect the trench and/or excavation everyday and after every
               hazard increasing event. Documentation of this inspection must be maintained onsite at al
               times.
         •     Excavations must be protected from cave-ins by adequate protective systems unless the
               excavation is less than 5 feet in depth and a competent person determines there is no
               indication of cave-in or the excavation is made entirely in stable rock that is not fractured.
         •     Prior to excavating at a location, buried utilities in the area must be identified; refer to
               Section 2.2.8 “Procedures for locating buried utilities.”
         •     CH2M HILL personnel must not enter any excavation where protective systems are deficient
               at any time, for any reason. The competent person must be notified of such conditions.
         •     Refer to CH2M HILL SOP HS-32 “Excavations and Trenching” for more specific details on
               excavation requirements.

2.1.8        Fall Protection Activities
(Reference CH2M HILL, SOP HS-31, Fall Protection)

•   CH2M HILL personnel exposed to fall hazards must complete the Fall Protection training course in
    the Basic Program and receive project-specific fall protection training. Personnel may not use fall
    protection systems on which they have not been trained.




TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                             D-13
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




•      The CH2M HILL Site Safety Coordinator (SSC) must complete the Project Fall Protection Evaluation
       Form and provide project-specific fall protection training to all CH2M HILL personnel exposed to
       fall hazards. The Project Fall Protection Evaluation Form is provided in Attachments.
•      Fall protection systems must be used to eliminate fall hazards of 6 feet or greater.
•      All components of the personal fall arrest system must be inspected for proper working condition
       prior to each use.
•      Personal fall arrest system anchorage’s must be capable of supporting 5000 pounds per individual.
•      Refer to CH2M HILL SOP HS-31 “Fall Protection” for more specific details on fall protection
       requirements.

2.1.9      Fire Prevention
          (Refer to CH2M HILL- SOP HS-22, Fire Prevention)
•      Fire extinguishers shall be provided so that the travel distance from any work area to the nearest
       extinguisher is less than 100 feet. When 5 gallons or more of a flammable or combustible liquid is
       being used, an extinguisher must be within 50 feet. Extinguishers must:

       − be maintained in a fully charged and operable condition,
       − be visually inspected each month, and
       − undergo a maintenance check each year.
•      The area in front of extinguishers must be kept clear.
•      Post “Exit” signs over exiting doors, and post “Fire Extinguisher” signs over extinguisher locations.
•      Combustible materials stored outside should be at least 10 feet from any building.
•      Solvent waste and oily rags must be kept in a fire resistant, covered container until removed from
       the site.
•      Flammable/combustible liquids must be kept in approved containers, and must be stored in an
       approved storage cabinet.

2.1.10 Forklift
•      Only authorized and trained personnel may operate forklifts.
•      Forklifts shall be inspected by the operator prior to use.
•      No part of a load must pass over any personnel.
•      Forklifts left unattended must be immobilized and secured against accidental movement and forks,
       buckets or other attachments must be in the lowered position or be firmly supported.
•      No load may exceed the maximum rated load and loads must be handled in accordance with the
       height and weight restrictions on the load chart.
•      When a load is in the raised position, the controls must be attended by an operator.
•      If an operator does not have a clear view of the path, a signaler must be used.
•      Loads must be carried as close to the ground or floor as the situation permits.
•      Loads that may tip or fall must be secured.
•      Where a forklift is required to enter or exit a vehicle to load or unload, the vehicle must be
       immobilized and secured against accidental movement.
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•   Forklifts shall not be used to support, raise or lower workers.
•   Forklifts operators shall wear seatbelts at all times.
•   Concentrations of carbon monoxide created by forklift operation indoors must be monitored when
    the potential exists for reaching or exceeding permissible exposure limits.
•   Barriers, warning signs, designated walkways or other safeguards must be provided where
    pedestrians are exposed to the risk of collision.


2.1.11 Hand and Power Tools
•   Hand and power tools shall be used, inspected, and maintained in accordance with the
    manufacturer’s instructions and recommendations and shall be used only for the purpose for which
    designed. A copy of the manufacturer’s instructions and recommendations shall be maintained with
    the tools.

•   Hand and power tools will be inspected, tested and determined to be in safe operating condition
    before use: continuing periodic inspections will be made to assure safe operating condition and
    proper maintenance.

•   Hand and power tools will be in good repair and with all required safety devices install and
    properly adjusted: tools having defects that will impair their strength or render them unsafe shall be
    removed from service.

•   Power tools designed to accommodate guards shall be equipped with such guards.

•   Reciprocating, rotating and moving parts of equipment shall be guarded if exposed to contact by
    employees or otherwise create a hazard.

•   When work is being performed overhead, tools not in use shall be secured in place in holders.

•   Throwing tools or materials from one location to another or from one person to another, or dropping
    them to lower levels shall not be permitted.

•   Loose and frayed clothing, loose long hair, dangling jewelry (including dangling rings, chains, and
    wristwatches) shall not be worn while working with any power tool.

2.1.12 Haul Trucks
•   Haulage truck operators should be familiar with their equipment and inspect all equipment before
    use.

•   Haul truck operators should ensure all persons are clear before operating truck or equipment.
    Before moving operators should sound horn or alarm, all equipment should be equipped with a
    working back up alarm.

•   Haulage trucks or equipment with restricted visibility should be equipped with devices that
    eliminate blind spots.

•   Employees should stay off haul roads. When approaching a haul area, employees should make eye
    contact and communicate their intentions directly with the equipment operator.

•   If possible minimize steep grades on haul roads.

TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                       D-15
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JANUARY, 2005




•      Where grades are steep provide signage indicating the actual grade as well as measures for a
       runaway truck.

•      Trucks are to be operated within the manufacturer’s recommendations (for example- retarder charts
       indicate the combination of loads, grades and speeds that should not be exceeded if the truck’s
       retarder is to work properly – to ensure the truck does not descend grade at speeds greater than
       listed).

•      Haul roads should be well lit, sufficiently wide (at least 50% of the width of the equipment on both
       sides of road) and equipped with reflectors to indicate access points.

•      Haul roads should have adequate right-of-way signs indicating haul directions.

2.1.13 Hazardous Materials
•      Employees will read MSDS for the hazardous materials that will be used onsite.

•      PPE will be chosen based on recommendations from the MSDS and the label.

•      If airborne hazards are possible from spray applying paint evaluate to see if a respirator or
       supplemental ventilation is needed.

2.1.14 Stairways and Ladders
          (Refer to CH2M HILL-SOP HS-25, Stairways and Ladders)
•      Stairway or ladder is generally required when a break in elevation of 19 inches or greater exists.
•      Personnel should avoid using both hands to carry objects while on stairways; if unavoidable, use
       extra precautions.
•      Personnel must not use pan and skeleton metal stairs until permanent or temporary treads and
       landings are provided the full width and depth of each step and landing.
•      Ladders must be inspected by a competent person for visible defects prior to each day’s use.
       Defective ladders must be tagged and removed from service.
•      Ladders must be used only for the purpose for which they were designed and shall not be loaded
       beyond their rated capacity.
•      Only one person at a time shall climb on or work from an individual ladder.
•      User must face the ladder when climbing; keep belt buckle between side rails.
•      Ladders shall not be moved, shifted, or extended while in use.
•      User must use both hands to climb; use rope to raise and lower equipment and materials.
•      Straight and extension ladders must be tied off to prevent displacement.
•      Ladders that may be displaced by work activities or traffic must be secured or barricaded.
•      Portable ladders must extend at least 3 feet above landing surface.
•      Straight and extension ladders must be positioned at such an angle that the ladder base to the wall is
       one-fourth of the working length of the ladder.
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•   Stepladders are to be used in the fully opened and locked position.
•   Users are not to stand on the top two steps of a stepladder; nor are users to sit on top or straddle a
    stepladder.
•   Fixed ladders > 24 feet in height must be provided with fall protection devices.
•   Fall protection should be considered when working from extension, straight, or fixed ladders greater
    than six feet from lower levels and both hands are needed to perform the work, or when reaching or
    working outside of the plane of ladder side rails.

2.1.15 Lockout/Tagout Activities
         (Refer to CH2M HILL, SOP HS-33, Lockout and Tagout)
•   Only qualified personnel may work on energized equipment that has not been de-energized by
    lockout/tagout procedures.
•   When CH2M HILL controls the work, CH2M HILL must verify that subcontractors affected by the
    unexpected operation of equipment develop a written lockout/tagout program, provide training on
    lockout/tagout procedures and coordinate its program with other affected subcontractors. This may
    include compliance with the owner or facility lockout/tagout program.
•   When CH2M HILL personnel are affected by the unexpected operation of equipment they must
    complete the lockout/tagout training course in the Basic Program. Project training may also be
    required onsite specific lockout procedures.
•   Standard lockout/tagout procedures include the following six steps: 1) notify all personnel in the
    affected area of the lockout/tagout, 2) shut down the equipment using normal operating controls,
    3) isolate all energy sources, 4) apply individual lock and tag to each energy isolating device, 5)
    relieve or restrain all potentially hazardous stored or residual energy, and 6) verify that isolation
    and de-energization of the equipment has been accomplished. Once verified that the equipment is
    at the zero energy state, work may begin.
•   All safe guards must be put back in place, all affected personnel notified that lockout has been
    removed and controls positioned in the safe mode prior to lockout removal. Only the individual
    who applied the lock and tag may remove them.
•   Refer to CH2M HILL SOP HS-33 “Lockout and Tagout” for more specific details on lockout/tagout
    requirements.

2.1.16 Lifting
         (Refer to CH2M HILL-SOP HS-29, Lifting)
•   Proper lifting techniques must be used when lifting any object.:

    −    Plan storage and staging to minimize lifting or carrying distances.
    −    Split heavy loads into smaller loads.
    −    Use mechanical lifting aids whenever possible.
    −    Have someone assist with the lift -- especially for heavy or awkward loads.
    −    Make sure the path of travel is clear prior to the lift.

TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                         D-17
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
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AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




2.1.17 Noise
•      Employees shall be provided protection against the effects of hazardous noise exposure and a
       continuing effective hearing conservation program shall be administered whenever sound-pressure
       levels exceed 85 dB(A) steady-state expressed as a time weighted average (TWA) or 140 dB(A)
       impulse.

•      Sound-pressure level measurements shall be made by qualified personnel using calibrated
       instruments.

•      Noise hazard areas shall be marked with caution signs with a statement of the hazard and
       requirement for hearing protection.

•      When sound-pressure levels exceed 115 dB(A) steady-state, personnel ear protection equivalent to
       the combination of earplugs and earmuffs shall be required.

2.1.18 Pressurized Lines/Equipment
•      Pressurized equipment and systems shall be inspected and performance tested before being placed
       in service and after any repair or modification.

•      Compressors and related equipment shall be located to provide safe access to all parts of the
       equipment for operation, maintenance and repairs.

•      Safety appliances such as valves, indicating devices, and controlling devices shall be constructed,
       located and installed so they cannot be readily rendered inoperative by any means, including the
       elements.

•      Air hose, pipes, valves, filters, and other fittings shall be pressure rated by the manufacturer and this
       pressure shall not be exceeded. Defective hose shall be removed from service.

•      Air hose shall be laid over ladders, steps, scaffolds or walkways to create a tripping hazard.

•      The use of compressed air for blowing dirt from hands, face or clothing is prohibited. Compressed
       air shall not be used for other cleaning purposed except when the pressure is 30 psi (200kPa) or less
       and only with effective chip guarding PPE. This 30 psi requirement does not apply for concrete
       forms, mill scale, and similar cleaning purposes.

•      When used on tools and equipment such as track drills, all airlines exceeding 0.5 inch (1.3 cm) inside
       diameter shall have a safety device at the source of supply or branch line to reduce the pressure
       incase of hose failure.

2.1.19 System Engineered Metal Building
•      Each structural column shall be anchored by a minimum of four anchor rods (anchor bolts).

•      Rigid frames shall have 50% of their bolts or the number of bolts specified by the manufacturer
       (whichever is greater) installed and tightened on both sides of the web adjacent to each flange before
       the hoisting equipment is released.

•      Construction loads shall not be placed on any structural steel framework unless such framework is
       safely bolted, welded or otherwise adequately secured.

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•   In girt and eave strut-to-frame connections, when girts or eave struts share common connection
    holes, at least one bolt with its wrench-tight nut shall remain connected to the first member unless a
    manufacturer-supplied, field attached seat or similar connection device is present to secure the first
    member so that the girt or eave strut is always secured against displacement.

•   Purlins and girts shall not be used as an anchorage point for a fall arrest system unless written
    approval is obtained from a qualified person.

•   Purlins may only be used as a walking/working surface when installing safety systems, after all
    permanent bridging has been installed and fall protection is provided.

•   Construction loads may be placed only within a zone that is within 8 feet of the centerline of the
    primary support member.

•   Both ends of all steel joists or cold-formed joists shall be fully bolted and or welded to the support
    structure before releasing the hoisting cables, allowing an employee on the joists, or allowing any
    construction loads on the joists.

•   All materials, equipment and tools, which are not in use while aloft shall be secured against
    accidental displacement.

•   The controlling contractor shall bar other construction processes below steel erection unless
    overhead protection for the employees below is provided.

•   Each employee engaged in a steel erection activity who is on a walking/working surface with an
    unprotected side or edge more than 6 feet above a lower level shall be protected from fall hazards by
    guardrail systems, safety net systems, personal fall arrest systems, positioning device systems, or fall
    restraint systems.

•   On multi-story structures, perimeter safety cables shall be installed at the final interior and exterior
    perimeters of the floors as soon as the metal decking has been installed.

•   Each connector shall be protected from fall hazards of more than 6 feet above a lower level, have
    completed connector training and be provided with a personal fall arrest system, positioning device
    system or fall restraint system and wear the equipment necessary to be able to be tied off.

•   The contractor shall provide special training to employees engaged in connector procedures. The
    contractor shall ensure that each connector has been provided training in the following areas: nature
    of the hazards associated with connecting; establishment, access, and proper connecting techniques.

2.1.20 Suspended Loads
•   No one should ever be allowed to work under a raised bucket or suspended load.

•   A hazard assessment should be conducted prior to new lifts to identify potential hazards and unsafe
    conditions.
2.1.21 Vacuum Trucks
•   Pre-op equipment including rental equipment. Be familiar with operator's manual.
•   Examine for worn or frayed hoses and lines. Check valves and hose connections for signs of
    leakage.

TO105_FINALIRA WORK PLAN _APPD_2005-01.DOC                                                                         D-19
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JANUARY, 2005




•      When swinging boom, change directions slowly.

•      Only one person operates the boom and one-person signals and assists the operator.

•      When positioning the truck to work, be extra cautious of personnel and other equipment.

•      Properly secure all equipment and miscellaneous items before leaving yard or job site.

•      Do not load drum beyond capacity.
•      Be aware of possible load surge when turning or breaking.

•      Check to see that tailgate is properly secured after dumping.

•      Use safety stand when working under raised dump body.

•      Always use double hearing protection when working with vacuum truck.

2.1.22 Exposure to Public Vehicular Traffic
The following precautions must be taken when working around traffic, and in or near an area where
traffic controls have been established by a contractor.

•      Exercise caution when exiting traveled way or parking along street – avoid sudden stops, use
       flashers, etc.

•      Park in a manner that will allow for safe exit from vehicle, and where practicable, park vehicle so
       that it can serve as a barrier.

•      All staff working adjacent to traveled way or within work area must wear reflective/high-visibility
       safety vests.
•      Eye protection should be worn to protect from flying debris.

•      Remain aware of factors that influence traffic related hazards and required controls – sun glare, rain,
       wind, flash flooding, limited sight-distance, hills, curves, guardrails, width of shoulder (i.e.,
       breakdown lane), etc.

•      Always remain aware of an escape route -- behind an established barrier, parked vehicle, guardrail,
       etc.

•      Always pay attention to moving traffic – never assume drivers are looking out for you

•      Work as far from traveled way as possible to avoid creating confusion for drivers.

•      When workers must face away from traffic, a “buddy system” should be used, where one worker is
       looking towards traffic.

•      When working on highway projects, obtain a copy of the contractor’s traffic control plan.

•      Work area should be protected by a physical barrier – such as a K-rail or Jersey barrier.

•      Review traffic control devices to ensure that they are adequate to protect your work area. Traffic
       control devices should: 1) convey a clear meaning, 2) command respect of road users, and 3) give
       adequate time for proper traffic response. The adequacy of these devices are dependent on limited
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    sight distance, proximity to ramps or intersections, restrictive width, duration of job, and traffic
    volume, speed, and proximity.

•   Either a barrier or shadow vehicle should be positioned a considerable distance ahead of the work
    area. The vehicle should be equipped with a flashing arrow sign and truck-mounted crash cushion
    (TMCC). All vehicles within 40 feet of traffic should have an orange flashing hazard light atop the
    vehicle.

•   Except on highways, flaggers should be used when 1) two-way traffic is reduced to using one
    common lane, 2) driver visibility is impaired or limited, 3) project vehicles enter or exit traffic in an
    unexpected manner, or 4) the use of a flagger enhances established traffic warning systems.

•   Lookouts should be used when physical barriers are not available or practical. The lookout
    continually watches approaching traffic for signs of erratic driver behavior and warns workers.
    Vehicles should be parked at least 40 feet away from the work zone and traffic. Minimize the
    amount of time that you will have your back to oncoming traffic.

2.1.23 Vegetation Management
•   Brush hooks, machetes, limb saws and similar tools used to cut brush and branches should be kept
    sharp. Always use leather work gloves when using sharp tools. Wear safety glasses when cutting
    brush to prevent eye injuries.

•   Sharp cutting edges should always be guarded when transporting tools. Always carry cutting tools
    at your side with the cutting edge away from your body. Machetes should always be kept in
    sheaths when not in use. Brush hooks, machetes, and hatchets must never be transported in the
    passenger compartment of vehicles unless they are adequately tied down.

•   Cut and stack brush in manageable pieces that are easily handled to avoid back injuries. Utilize
    appropriate mechanical means when moving large quantities of brush.

•   Be aware of poisonous plants, insects, snakes, animals and animal waste products and carcasses.
    Wear long sleeved shirts, gloves and high top boots.

•   Be aware of loose material, excavation drop-off, tripping hazards, uneven ground and other
    obstructions.

2.1.24 Visible Lighting
•   While work is in progress outside construction areas shall have at least 33 lux (lx)

•   The means of egress shall be illuminated with emergency and non-emergency lighting to provide a
    minimum 11 lx measured at the floor. Egress illumination shall be arranged so that the failure of
    any single lighting unit, including the burning out of an electric bulb will not leave any area in total
    darkness.

2.1.25 Welding & Cutting
(Reference CH2M HILL SOP HSE-64, Welding and Cutting)

•   Only authorized and trained personnel are permitted to operate welding/cutting equipment.


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•      Do not enter areas where welding/cutting operations are taking place unless completely necessary
       and only after receiving permission from the welding/cutting operator.
•      If you must be present in an area during welding/cutting operations, position yourself behind flash
       screens or wear glasses/goggles with lenses of appropriate darkness.
•      Do not look directly at the welding/cutting flash or at reflective surfaces surrounding
       welding/cutting operations.
•      Avoid contacting compressed gas cylinders. Cylinders should be firmly secured in an upright
       position at all times.
•      Be aware of tripping hazards created by welding hoses, power cables, leads, and cords positioned on
       walking surfaces.



2.2 General Hazards
2.2.1      General Practices and Housekeeping
          (Refer to CH2M HILL- SOP HS-20, General Practices)
•      Site work should be performed during daylight hours whenever possible. Work conducted during
       hours of darkness require enough illumination intensity to read a newspaper without difficulty.
•      Good housekeeping must be maintained at all times in all project work areas.
•      Common paths of travel should be established and kept free from the accumulation of materials.
•      Keep access to aisles, exits, ladders, stairways, scaffolding, and emergency equipment free from
       obstructions.
•      Provide slip-resistant surfaces, ropes, and/or other devices to be used.
•      Specific areas should be designated for the proper storage of materials.
•      Tools, equipment, materials, and supplies shall be stored in an orderly manner.
•      As work progresses, scrap and unessential materials must be neatly stored or removed from the
       work area.
•      Containers should be provided for collecting trash and other debris and shall be removed at regular
       intervals.
•      All spills shall be quickly cleaned up. Oil and grease shall be cleaned from walking and working
       surfaces.

2.2.2      Hazard Communication
          (Refer to CH2M HILL-SOP HS-05, Hazard Communication)
The SSC is to perform the following:
•      Complete an inventory of chemicals brought onsite by CH2M HILL using Attachment 2.
•      Confirm that an inventory of chemicals brought onsite by CH2M HILL subcontractors is available.


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•   Request or confirm locations of Material Safety Data Sheets (MSDSs) from the client, contractors,
    and subcontractors for chemicals to which CH2M HILL employees potentially are exposed.
•   Before or as the chemicals arrive onsite, obtain an MSDS for each hazardous chemical.
•   Label chemical containers with the identity of the chemical and with hazard warnings, and store
    properly.
•   Give employees required chemical-specific HAZCOM training using Attachment 3.
•   Store all materials properly, giving consideration to compatibility, quantity limits, secondary
    containment, fire prevention, and environmental conditions.

2.2.3     Shipping and Transportation of Chemical Products
         (Refer to CH2M HILL’s Procedures for Shipping and Transporting Dangerous Goods)
Chemicals brought to the site might be defined as hazardous materials by the U.S. Department of
Transportation (DOT). All staff who ship the materials or transport them by road must receive CH2M
HILL training in shipping dangerous goods. All hazardous materials that are shipped (e.g., via Federal
Express) or are transported by road must be properly identified, labeled, packed, and documented by
trained staff. Contact the HSM or the Equipment Coordinator for additional information.

2.2.4     Heat Stress
         (Refer to CH2M HILL- SOP HS-09, Heat and Cold Stress)
•   Drink 16 ounces (1/2 liter)of water before beginning work. Disposable cups and water maintained
    at 50oF (10oC) to 60oF (15oC) should be available. Under severe conditions, drink 1 to 2 cups (1/4 to ½
    liter) every 20 minutes, for a total of 1 to 2 gallons (4 to 8 liters) per day. Do not use alcohol in place
    of water or other nonalcoholic fluids. Decrease your intake of coffee and caffinated soft drinks
    during working hours.
•   Acclimate yourself by slowly increasing workloads (e.g., do not begin with extremely demanding
    activities).
•   Use cooling devices, such as cooling vests, to aid natural body ventilation. These devices add
    weight, so their use should be balanced against efficiency.
•   Use mobile showers or hose-down facilities to reduce body temperature and cool protective
    clothing.
•   Conduct field activities in the early morning or evening and rotate shifts of workers, if possible.
•   Avoid direct sun whenever possible, which can decrease physical efficiency and increase the
    probability of heat stress. Take regular breaks in a cool, shaded area. Use a wide-brim hat or an
    umbrella when working under direct sun for extended periods.
•   Provide adequate shelter/shade to protect personnel against radiant heat (sun, flames, hot metal).
•   Maintain good hygiene standards by frequently changing clothing and showering.
•   Observe one another for signs of heat stress. Persons who experience signs of heat syncope, heat
    rash, or heat cramps should consult the SSC to avoid progression of heat-related illness.

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       SYMPTOMS AND TREATMENT OF HEAT STRESS

                 Heat Syncope           Heat Rash               Heat Cramps        Heat Exhaustion               Heat Stroke

 Signs and       Sluggishness or        Profuse tiny raised     Painful spasms     Fatigue, nausea,              Red, hot, dry
 Symptoms        fainting while         red blister-like        in muscles used    headache, giddiness; skin     skin; dizziness;
                 standing erect or      vesicles on affected    during work        clammy and moist;             confusion; rapid
                 immobile in heat.      areas, along with       (arms, legs, or    complexion pale, muddy, or    breathing and
                                        prickling sensations    abdomen);          flushed; may faint on         pulse; high oral
                                        during heat             onset during or    standing; rapid thready       temperature.
                                        exposure.               after work         pulse and low blood
                                                                hours.             pressure; oral temperature
                                                                                   normal or low

 Treatment       Remove to cooler       Use mild drying         Remove to          Remove to cooler area.        Cool rapidly by
                 area. Rest lying       lotions and             cooler area.       Rest lying down, with head    soaking in cool–
                 down. Increase         powders, and keep       Rest lying down.   in low position. Administer   but not cold–
                 fluid intake.          skin clean for drying   Increase fluid     fluids by mouth. Seek         water. Call
                 Recovery usually       skin and preventing     intake.            medical attention.            ambulance, and
                 is prompt and          infection.                                                               get medical
                 complete.                                                                                       attention
                                                                                                                 immediately!




2.2.5     Monitoring Heat Stress
These procedures should be considered when the ambient air temperature exceeds 70oF (21oC), the
relative humidity is high (>50 percent), or when workers exhibit symptoms of heat stress.
The heart rate (HR) should be measured by the radial pulse for 30 seconds, as early as possible in the
resting period. The HR at the beginning of the rest period should not exceed 100 beats/minute, or 20
beats/minute above resting pulse. If the HR is higher, the next work period should be shortened by 33
percent, while the length of the rest period stays the same. If the pulse rate still exceeds 100
beats/minute at the beginning of the next rest period, the work cycle should be further shortened by 33
percent. The procedure is continued until the rate is maintained below 100 beats/minute, or 20
beats/minute above resting pulse.




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2.2.6     Procedures for Locating Buried Utilities
Local Utility Mark-Out Service: Hickam AFB utility shops


•   Identify name and phone number of personnel responsible for utility mark-out service.
•   Where available, obtain utility diagrams for the facility.
•   Review locations of sanitary and storm sewers, electrical conduits, water supply lines, natural gas
    lines, and fuel tanks and lines.
•   Review proposed locations of intrusive work with facility personnel knowledgeable of locations of
    utilities. Check locations against information from utility mark-out service.
•   Where necessary (e.g., uncertainty about utility locations), excavation or drilling of the upper depth
    interval should be performed manually
•   Monitor for signs of utilities during advancement of intrusive work (e.g., sudden change in
    advancement of auger or split spoon).
•   When the client or other onsite party is responsible for determining the presence and locations of
    buried utilities, the SSC should confirm that arrangement.



2.3 Biological Hazards and Controls
2.3.1     Ticks
Ticks typically are in wooded areas, bushes, tall grass, and brush. Ticks are black, black and red, or
brown and can be up to one-quarter inch in size. Wear tightly woven light-colored clothing with long
sleeves and pant legs tucked into boots; spray only outside of clothing with permethrin or permanone
and spray skin with only DEET; and check yourself frequently for ticks.
If bitten by a tick, grasp it at the point of attachment and carefully remove it. After removing the tick,
wash your hands and disinfect and press the bite areas. Save the removed tick. Report the bite to
human resources. Look for symptoms of Lyme disease or Rocky Mountain spotted fever (RMSF).
Lyme: a rash might appear that looks like a bullseye with a small welt in the center. RMSF: a rash of
red spots under the skin 3 to 10 days after the tick bite. In both cases, chills, fever, headache, fatigue,
stiff neck, and bone pain may develop. If symptoms appear, seek medical attention.

2.3.2     Bees, Scorpions, Centipedes, and Other Stinging Insects
Bee and other stinging insects may be encountered almost anywhere and may present a serious hazard,
particularly to people who are allergic. Watch for and avoid nests. Keep exposed skin to a minimum.
Carry a kit if you have had allergic reactions in the past, and inform the SSC and/or buddy. If a stinger
is present, remove it carefully with tweezers. Wash and disinfect the wound, cover it, and apply ice.
Watch for allergic reaction; seek medical attention if a reaction develops.

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Scorpions
Scorpions may be encountered in Hawaii. They range in size from one and one-half to three inches long,
and have eight legs, a pair of large pincers near the mouth; and a tail that possesses a stinger. Scorpions
generally will not sting unless they are threatened. If you come in contact with one, brush it off, don’t
slap it. Its sting feels like a hot needle and there is often regional numbness and tingling. The injured
area may hypersensitive to touch, pressure, heat and cold.
First aid should include cleaning the site with soap and water, applying a cool compress, elevating the
affected limb to approximately heart level and taking aspirin or acetaminophen as needed for minor
discomfort. If you are stung, call the local poison information line.
Centipedes
Centipedes may be encountered in Hawaii and are often found underground or in rock piles and
usually come out at night to actively hunt their prey. They are capable of very fast movement when
exposed. Centipedes have an elongated, segmented body with each segment bearing a pair of legs. The
number of legs varies between 20 and more than 100. They range in size, growing up to 9 inches long.
Then venom delivery apparatus is a pair of modified front legs just behind the mouth.
Bites usually occur after accidental contact as Centipedes are generally not aggressive to humans. It
seems that there is a relationship between the size of the centipede and the amount of pain suffering
caused—the larger the centipede the more painful the symptoms after a bite.
Symptoms of centipede bites include burning pain, redness, and swelling in the area of the bite, as well
as possible lymph node swelling. Symptoms usually last less than 48 hours. Severe allergic reactions or
contact with exotic specimens may require more treatment.
First aid should include cleaning the site with soap and water, applying a cool compress, elevating the
affected limb to approximately heart level and taking aspirin or acetaminophen as needed for minor
discomfort.
Place ice (wrapped in a washcloth or other suitable covering) on the site of the bite for 10 minutes and
then off for 10 minutes. Repeat this process. If the patient has circulatory problems, decrease the time to
prevent possible damage to the skin. If you are stung, call the local poison information line.
Allergic Reactions to Bites and Stings
Allergic reactions vary. They can be mild or serious. They can be confined to a small area of the body or
may affect the entire body. Most occur within seconds or minutes after exposure to the allergen, but
some can occur after several hours. In very rare cases, reactions develop after 24 hours.
Anaphylaxis is a sudden and severe allergic reaction that occurs within minutes of exposure,
PROGRESSES RAPIDLY and can lead to anaphylactic shock and death within 15 minutes if medical
intervention is not obtained.

2.3.3     Mosquito Bites, West Nile Virus, and Dengue Fever
Due to the recent detection of the West Nile Virus in the Southeastern United States and Dengue Fever
in Hawaii (see Section 2.3.5 below), it is recommended that preventative measures be taken to reduce
the probability of being bitten by mosquitoes whenever possible. Mosquitoes are believed to be the
primary source for exposure to the West Nile Virus as well as several other types of encephalitis.
Dengue fever virus is transmitted to people as a result of being bitten by infected Aedes mosquitoes. The

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following guidelines should be followed to reduce the risk of these concerns for working in areas where
mosquitoes are prevalent.

         •    Mosquitoes are most active at dawn, dusk, and in the early evening and anytime during the
              day when indoors or in shady areas.

         •    Wear long-sleeved shirts and long pants whenever you are outdoors.

         •    Spray clothing with repellents containing permethrin or DEET since mosquitoes may bite
              through thin clothing.

         •    Apply insect repellent sparingly to exposed skin. An effective repellent will contain 35%
              DEET (N,N-diethyl-meta-toluamide). DEET in high concentrations (greater than 35%)
              provides no additional protection.

         •    Repellents may irritate the eyes and mouth, so avoid applying repellent to the hands.

         •    Whenever you use an insecticide or insect repellent, be sure to read and follow the
              manufacturer's DIRECTIONS FOR USE, as printed on the product.
Note: Vitamin B and "ultrasonic" devices are NOT effective in preventing mosquito bites.
Symptoms of Exposure to the West Nile Virus
Most infections are mild, and symptoms include fever, headache, and body aches, occasionally with
skin rash and swollen lymph glands. More severe infection may be marked by headache, high fever,
neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, paralysis, and,
rarely, death.
The West Nile Virus incubation period is from 3-15 days.
If you have any questions or need to report any suspicious symptoms, contact the project Health and
Safety Manager.
Dengue Fever
According to the Centers for Disease Control, Dengue Fever is primarily a viral infection transmitted by
mosquito bites. The mosquitoes are most active during the day, especially around dawn and dusk, and
are frequently found in and around human habitations.
Symptoms may include sudden onset of fever, painful headaches, vomiting, eye, joint, and muscle pain,
and rash. Occasionally symptoms may include blood clotting problems including dengue hemorrhagic
fever characterized by abnormal bleeding and very low blood pressure (shock).
Symptoms usually start 5 to 6 days after being bitten by infected Aedes mosquitoes, but onset can range
from 2 to 15 days.
Since there is no vaccine or specific treatment, prevention is important.. To reduce mosquito bites,
workers should wear clothes that cover most of the body. Workers should also take insect repellent with
them to use on any exposed areas of skin. The most effective repellent is DEET (N,N-diethyl meta-
toluamide). Avoid applying high-concentration DEET (greater than 35 percent) products to the skin and
refrain from applying repellant to portions of the hands that are likely to come in contact with the eyes
and mouth. Rarely toxic reactions or other problems have developed after contact with DEET. Please
note that personnel performing water sampling should refrain from using DEET because the

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breakdown products can show up as false positive results in lab analysis. For greater protection,
clothing can be soaked in or sprayed with PERMETHRIN, which is an insect repellent licensed for use
on clothing. If applied according to directions, permethrin will repel insects from clothing for several
weeks.
If you have any questions or need to report any suspicious symptoms, contact the project Health and
Safety Manager.

2.3.4     Bloodborne Pathogens
         (Reference CH2M HILL SOP HS-36, Bloodborne Pathogens)
Exposure to bloodborne pathogens may occur when rendering first aid or CPR, or when coming into
contact with landfill waste or waste streams containing potentially infectious material. Exposure
controls and personal protective equipment (PPE) are required as specified in CH2M HILL SOP HS-36,
Bloodborne Pathogens. Hepatitis B vaccination must be offered before the person participates in a task
where exposure is a possibility.

2.3.5     Other Anticipated Biological Hazards
None



2.4 Radiological Hazards and Controls
Refer to CH2M HILL’s Corporate Health and Safety Program, Program and Training Manual, and Corporate
Health and Safety Program, Radiation Protection Program Manual, for standards of practice in contaminated
areas.
                           Hazards                                      Controls
                          None Known                                  None Required




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2.5 Contaminants of Concern
TABLE 2-2
Contaminants of Concern
(Refer to Project Files for more detailed contaminant information). See Sections 4 through 9 for methods for limiting exposure and appropriate responses.
                                                                        a                                                                                                                   d
                                             Location and Maximum             Exposure                                                                                                 PIP
                                                                                    b                 c
            Contaminant                       Concentration (ppm)              Limit           IDLH                       Symptoms and Effects of Exposure                             (eV)

Petroleum Hydrocarbons                     TPH-JP4 as diesel range           300 ppm as          Ca       Petroleum products can cause dry skin, irritation, anesthetic                UK
                                           organics: in recovery             gasoline                     effects, loss of coordination, central nervous system depression,
                                           operation                                                      and death. Overexposure may cause an exaggerated sense of
                                                                                                          well being, excitement, headache, dizziness, incoherent speech,
                                           TPH-Gasoline: potential                                        narcosis, central nervous system stimulation and then depression,
                                                                                                          respiratory paralysis, respiratory irritation, vomiting, skin cancer,
                                           TPH-aviation gasoline
                                                                                                          and death. Fuels have been associated with skin and kidney
                                           (AVGAS): potential
                                                                                                          cancer.

Benzene                                    GW:1.6 ppm                        1 ppm              500       Eye, nose, skin, and respiratory irritation; headache; nausea;               9.24
                                           SB:                                                  Ca        dermatitis; fatigue; giddiness; staggered gait; bone marrow
                                                                                                          depression

Ethyl Benzene                              GW:0.35 ppm                       100 ppm            800       Eye, skin, and mucous membrane irritation; headache; dermatitis;             8.76
                                           SB:                                                            narcotic; coma
                                                                                         3
Lead                                       GW: 0.004 ppm                     0.05 mg/m          100       Weakness lassitude, facial pallor, pal eye, weight loss,                     NA
                                                                                                          malnutrition, abdominal pain, constipation, anemia, gingival lead
                                                                                                          line, tremors, paralysis of wrist and ankles, encephalopathy, kidney
                                                                                                          disease, irritated eyes, hypertension

Naphthalene                                GW: none detected last            10 ppm             250       Eye irritation, headache, confusion, excitement, nausea, vomiting,           8.12
                                           sampling session                                               abdominal pain, bladder irritation, profuse sweating, dermatitis,
                                           SB:                                                            corneal damage, optical neuritis

Toluene                                    GW: none detected last            50 ppm             500       Eye and nose irritation, fatigue, weakness, confusion, dizziness,            8.82
                                           sampling session                                               headache, dilated pupils, excessive tearing, nervousness, muscle
                                           SB:                                                            fatigue, paresthesia, dermatitis, liver and kidney damage




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TABLE 2-2
Contaminants of Concern
(Refer to Project Files for more detailed contaminant information). See Sections 4 through 9 for methods for limiting exposure and appropriate responses.
                                                                           a                                                                                                                     d
                                              Location and Maximum                Exposure                                                                                                    PIP
                                                                                        b                  c
             Contaminant                       Concentration (ppm)                 Limit           IDLH                        Symptoms and Effects of Exposure                               (eV)

Xylenes                                      GW: 1.16 ppm                       100 ppm              900       Irritated eyes, skin, nose, and throat; dizziness; excitement;                 8.56
                                             SB:                                                               drowsiness; incoherence; staggering gait; corneal vacuolization;
                                                                                                               anorexia; nausea; vomiting; abdominal pain; dermatitis

Footnotes:
a
  Specify sample-designation and media: SB (Soil Boring), A (Air), D (Drums), GW (Groundwater), L (Lagoon), TK (Tank), S (Surface Soil), SL (Sludge), SW (Surface Water).
b
  Appropriate value of PEL, REL, or TLV listed.
c
  IDLH = immediately dangerous to life and health (units are the same as specified “Exposure Limit” units for that contaminant); NL = No limit found in reference materials; CA = Potential
occupational carcinogen.
d
  PIP = photoionization potential; NA = Not applicable; UK = Unknown.




2.6 Potential Routes of Exposure
TABLE 2-3
Potential Routes of Exposure

                          Dermal                                                           Inhalation                                                             Other

Contact with contaminated media. This route of                  Vapors and contaminated particulates. This route of                  Inadvertent ingestion of contaminated media. This
exposure is minimized through proper use of PPE, as             exposure is minimized through proper respiratory                     route should not present a concern if good hygiene
specified in Section 4.                                         protection and monitoring, as specified in Sections 4 and            practices are followed (e.g., wash hands and face
                                                                5, respectively.                                                     before drinking or smoking).




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              3.0 Project Organization and Personnel

3.1 CH2M HILL Employee Medical Surveillance and Training
         (Refer to CH2M HILL- SOPs HS-01, Medical Surveillance, and HS-02, Health and Safety
         Training)

The employees listed below are enrolled in the CH2M HILL Comprehensive Health and Safety
Program and meet state and federal hazardous waste operations requirements for 40-hour initial
training, 3-day on-the-job experience, and have current 8-hour annual refresher training.

Employees designated “SSC” have completed a 12-hour site safety coordinator course, and have
documented requisite field experience. Employees designated with 8hr HWS have completed the
8 hr hazardous waste supervisor course and are eligible to manage employees during hazardous
waste operations. A SSC with a level designation (D, C, B) equal to or greater than the level of
protection being used must be present during all tasks performed in exclusion or decontamination
zones. Employees designated “FA-CPR” are currently certified by the American Red Cross, or
equivalent, in first aid and CPR. At least one FA-CPR designated employee must be present
during all tasks performed in exclusion or decontamination zones. Employees designated OSHA
10 hr Construction have completed the OSHA 10 hr Construction Course.

The employees listed below are currently active in a medical surveillance program that meets state
and federal regulatory requirements for hazardous waste operations. Certain tasks (e.g., confined-
space entry) and contaminants (e.g., lead) may require additional training and medical monitoring.
Pregnant employees are to be informed of and are to follow the procedures in CH2M HILL’s SOP
HS-04, Reproduction Protection, including obtaining a physician’s statement of the employee’s
ability to perform hazardous activities before being assigned fieldwork.
Employees working on hazardous waste sites are required to print out a copy of their training
record from HANDs and have it available onsite with them.
   Employee Name                       Office       Responsibility                           SSC-HW




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3.2 Field Team Chain of Command and Communication
Procedures
3.2.1      Client
Contact Name: Bob Chang/AFCEE Restoration Project Manager 808-449-0575 / William Grannis
/ 15 CES / Remedial Project Manager
Phone: 808-449-0575 Bob Chang / 808-449-1584 ext 230 William Grannis
Facility Contact Name:
Phone:
3.2.2      CH2M HILL
AFCEE Program Manager: Mark Rigatti ATL
Project Manager: Stacy Whitten HNL
Health and Safety Manager: Tom Natsch, PDX
Site Safety Coordinator: Mike Reynolds / Frank Hopkins HNL
The CH2M HILL project manager (PM) is responsible for providing adequate resources (budget
and staff) for project-specific implementation of the Health, Safety, and the Environment (HS&E)
management process. The PM has overall management responsibility for the tasks listed below.
The PM may explicitly delegate specific tasks to other staff, as described in sections that follow, but
retains ultimately responsibility for completion of the following in accordance with this SOP:
•      Including standard terms and conditions, and contract-specific HS&E roles and
       responsibilities, in contract and subcontract agreements (including flow-down requirements to
       lower-tier subcontractors)
•      Selecting safe and competent subcontractors by:

       •   Obtaining, reviewing, and accepting or rejecting subcontractor pre-qualification
           questionnaires

       •   Ensuring that acceptable certificates of insurance, including CH2M HILL as named
           additional insured, are secured as a condition of subcontract award

       •   Including HS&E submittals checklist in subcontract agreements, and ensuring that
           appropriate site-specific safety procedures, training, and medical monitoring records are
           reviewed and accepted prior to the start of subcontractor’s field operations
•      Maintaining copies of subcontracts and subcontractor certificates of insurance (including
       CH2M HILL as named additional insured); bond; contractors license; training and medical
       monitoring records; and site-specific safety procedures in the project file accessible to site
       personnel
•      Providing oversight of subcontractor HS&E practices per the site-specific safety plan
•      Managing the site and interfacing with third parties in a manner consistent with CH2M HILL’s
       contract and subcontract agreements and the applicable standard of reasonable care

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•   Ensuring that the overall, job-specific, HS&E goals are fully and continuously implemented
The CH2M HILL HSM is responsible for:
•   Reviewing and accepting or rejecting subcontractor pre-qualification questionnaires that fall
    outside the performance range delegated to the Contracts Administrator (KA)
•   Reviewing and accepting or rejecting subcontractor training records and site-specific safety
    procedures prior to start of subcontractor’s field operations
•   Supporting the DSC's oversight of subcontractor (and lower-tier subcontractors) HS&E
    practices and interfaces with on-site third parties per the site-specific safety plan
The SSC is responsible for verifying that the project is conducted in a safe manner including the
following specific obligations:
•   Verifying that these field safety instructions (FSI) are current and amended when project
    activities or conditions change
•   Verifying that CH2M HILL site personnel and subcontractor personnel read these FSI and sign
    Attachment 1 “Employee Signoff Form” prior to commencing field activities
•   Verifying that CH2M HILL site personnel and subcontractor personnel have completed any
    required specialty training (e.g., fall protection, confined space entry) and medical surveillance
    as identified in Section 2
•   Verifying that compliance with the requirements of these FSI and applicable subcontractor
    health and safety plan(s)
•   Acting as the project “Hazard Communication Coordinator” and performing the
    responsibilities outlined in Section 2.2.2
•   Acting as the project “Emergency Response Coordinator” and performing the responsibilities
    outlined in Section 4
•   Posting the U.S. Occupational Safety and Health Administration (OSHA) job-site poster; the
    poster is required at sites where project field offices, trailers, or equipment-storage boxes are
    established; posters can be obtained by calling 800/548-4776 or 800/999-9111
•   Verifying that safety meetings are conducted and documented in the project file initially and as
    needed throughout the course of the project (e.g., as tasks or hazards change)
•   Verifying that project H&S forms and permits, found in Attachment 5, are being used as
    outlined in Section 2
•   Performing oversight and/or assessments of subcontractor HS&E practices per the site-specific
    safety plan and verifying that project activity self-assessment checklists, found in
    Attachment 5, are being used as outlined in Section 2
•   Verifying that project files available to site personnel include copies of executed subcontracts
    and subcontractor certificates of insurance (including CH2M HILL as named additional
    insured); bond; contractors license; training and medical monitoring records; and site-specific
    safety procedures prior to start of subcontractor’s field operations

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•      Managing the site and interfacing with third parties in a manner consistent with CH2M HILL’s
       contract/subcontract agreements and the applicable standard of reasonable care
•      Coordinating with the HSM regarding CH2M HILL and subcontractor operational
       performance, and third party interfaces
•      Ensuring that the overall, job-specific, HS&E goals are fully and continuously implemented
The training required for the DSC is as follows:
•      DSC 10-hour course
•      OHSA 10-hour course for Construction
•      First Aid and CPR
•      Relevant Competent Person Courses (excavation, confined space, scaffold, fall protection, etc.)
The SSC is responsible for contacting the Field Team Leader and Project Manager. In general, the
Project Manager will contact the client. The Health and Safety Manager should be contacted as
appropriate.

3.2.3      CH2M HILL Subcontractors
          (Refer to CH2M HILL- SOP HS-55, Subcontractor, Contractor, and Owner)
Subcontractor: M. Nakai Repair Service, Ltd.
Subcontractor Contact Name: Scott Nakai
Telephone: (808) 841-7581
Certain subcontractors (drilling, remedial and construction contractors) are required to be pre-
qualified for safety by completing the Subcontractor Safety Performance Questionnaire. The
subcontractor listed above is covered by this HSP. However, this plan does not address hazards
associated with the tasks and equipment that the subcontractor has expertise in (e.g., drilling,
excavation work, electrical). Subcontractors are responsible for the health and safety procedures
specific to their work, and are required to submit these procedures to CH2M HILL for review
before the start of field work by following the Subcontractor Safety Procedure Criteria specific to
their work.
Subcontractors are also required to prepare an Activity Hazard Analysis (AHA) before beginning
each activity posing H&S hazards to their personnel using the AHA form provided in
Attachment 6 as a guide. The AHA shall identify the principle steps of the activity, potential H&S
hazards for each step, and recommended control measures for each identified hazard. In addition,
a listing of the equipment to be used to perform the activity, inspection requirements, and training
requirements for the safe operation of the equipment listed must be identified.
Subcontractors must comply with the established health and safety plan(s). The CH2M HILL SSC
should verify that subcontractor employee training, medical clearance, and fit test records are
current and must monitor and enforce compliance with the established plan(s). CH2M HILL
oversight does not relieve subcontractors of their responsibility for effective implementation and
compliance with the established plan(s).


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CH2M HILL should continuously endeavor to observe subcontractors’ safety performance. This
endeavor should be reasonable, and should include observing for hazards or unsafe practices that
are both readily observable and occur in common work areas. CH2M HILL is not responsible for
exhaustive observation for hazards and unsafe practices. In addition to this level of observation,
the SSC is responsible for confirming CH2M HILL subcontractor performance against both the
subcontractor’s safety plan and applicable self-assessment checklists. Self-assessment checklists
contained in Attachment 5 are to be used by the SSC to review subcontractor performance.
Health and safety related communications with CH2M HILL subcontractors should be conducted
as follows:
•   Brief subcontractors on the provisions of this plan, and require them to sign the Employee
    Signoff Form included in Attachment 1.
•   Request that subcontractor(s) brief project team on the hazards and precautions related to their
    work.
•   When apparent non-compliance/unsafe conditions or practices are observed, notify the
    subcontractor safety representative and require corrective action – the subcontractor is
    responsible for determining and implementing necessary controls and corrective actions.
•   When repeat non-compliance/unsafe conditions are observed, notify the subcontractor safety
    representative and stop affected work until adequate corrective measures are implemented.
•   When an apparent imminent danger exists, immediately remove all affected CH2M HILL
    employees and subcontractors, notify subcontractor safety representative, and stop affected
    work until adequate corrective measures are implemented. Notify the Project Manager and
    HSM as appropriate.
•   Document all oral health and safety related communications in project field logbook, daily
    reports, or other records.




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             4.0 Personal Protective Equipment (PPE)
          (Refer to CH2M HILL- SOP HS-07, Personal Protective Equipment, HS-08, Respiratory
          Protection)

                                               PPE Specifications a
           Task                   Level                        Body                            Head              Respirator b

General site work;                            Work clothes; steel-toe, leather work       Hardhat c
Construction of Waste                         boots; work glove.                          Safety glasses
Storage Bld;                                                                              Ear protection d
Phytoremedition project
                                    D                                                                           None required
activities; Modification of
remediation equipment
(with no contact with
chemicals or fluids)
General site work involving                   Work clothes or cotton coveralls            Hardhat c
potential contact with                        Boots: Steel-toe, chemical-resistant        Safety glasses
liquids; Groundwater            Modified      boots OR steel-toe, leather work boots      Ear protection d
                                                                                                                None required
monitoring; Maintenance,          D           with outer rubber boot covers
remediation equipment                         Gloves: Inner surgical-style nitrile &
                                              outer chemical-resistant nitrile gloves.
Free product removal                          Coveralls: Uncoated Tyvek®                  Hardhat c
Equipment decon;                              Boots: Steel-toe, chemical-resistant        Splash shield c
modification of remediation                   boots OR steel-toe, leather work boots      Safety glasses
equipment - potential                         with outer rubber boot covers               Ear protection d
                                Modified
contact with fluids and                       Gloves: Inner surgical-style nitrile &                            None required.
                                  D
chemicals; Waste                              outer chemical-resistant nitrile gloves.
management remediation
equipment

                                              Coveralls: Polycoated Tyvek®                Hardhat c           APR, full face,
Tasks requiring upgrade                       Boots: Steel-toe, chemical-resistant        Splash shield c     MSA Ultratwin or
                                              boots OR steel-toe, leather work boots      Ear protection d    equivalent; with
                                    C
                                              with outer rubber boot covers               Spectacle inserts   GME-H cartridges
                                              Gloves: Inner surgical-style nitrile &                          or equivalente.
                                              outer chemical-resistant nitrile gloves.




              Reasons for Upgrading or Downgrading Level of Protection

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                                Upgradef                                                              Downgrade
•      Request from individual performing tasks.                                •     New information indicating that situation is
•      Change in work tasks that will increase contact or potential                   less hazardous than originally thought.
       contact with hazardous materials.                                        •     Change in site conditions that decreases the
•      Occurrence or likely occurrence of gas or vapor emission.                      hazard.
•      Known or suspected presence of dermal hazards.                           •     Change in work task that will reduce contact
•      Instrument action levels (Section 5) exceeded.                                 with hazardous materials.
a Modifications  are as indicated. CH2M HILL will provide PPE only to CH2M HILL employees.
b No facial hair that would interfere with respirator fit is permitted.
c Hardhat and splash-shield areas are to be determined by the SSC.
d Ear protection should be worn when conversations cannot be held at distances of 3 feet or less without shouting.

e Cartridge change-out schedule is at least every 8 hours (or one work day), except if relative humidity is > 85%, or if organic vapor
measurements are > midpoint of Level C range (refer to Section 5)--then at least every 4 hours. If encountered conditions are different than
those anticipated in this HSP, contact the HSM.
f Performing a task that requires an upgrade to a higher level of protection (e.g., Level D to Level C) is permitted only when the PPE

requirements have been approved by the HSM, and an SSC qualified at that level is present.




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                               5.0 Air Monitoring/Sampling
          (Refer to CH2M HILL- SOP HS-06, Air Monitoring)



5.1 Air Monitoring Specifications
TABLE 5-1
Air Monitoring Specifications

       Instrument                Tasks         Action Levelsa                                        Frequency b   Calibration
FID: OVA model 128 or      Groundwater         10 ppm             Level D                          Initially and   Daily
equivalent                 sampling                                                                periodically
                                                                  Level C with Benzene
                           Free product                           detector tube monitoring or      during task
                                               10-25 ppm
                           removal                                Suspend operations and
                                                                  allow vapors to dissipate to <
                           Maintenance
                           remediation                            10 before continuing in Level
                           equipment           >25 ppm            D
                                                                  Suspend operations and
                                                                  allow vapors to dissipate to <
                                                                  25 ppm before continuing in
                                                                  Level C with benzene
                                                                  monitoring Level D
                                                                  Level C
                                                                  Level B
PID: OVM with 10.6eV       Groundwater         10 ppm             Level D                          Initially and   Daily
lamp or equivalent         sampling                               Level C with Benzene             periodically
                                               10-25 ppm          detector tube monitoring or      during task
                           Free product
                           removal                                Suspend operations and
                                                                  allow vapors to dissipate to <
                           Maintenance                            10 before continuing in Level
                           remediation         >25 ppm            D
                           equipment
                                                                  Suspend operations and
                                                                  allow vapors to dissipate to <
                                                                  25 ppm before continuing in
                                                                  Level C with benzene
                                                                  monitoring
                                                                  Level D
                                                                  Level C
                                                                  Level B
CGI: MSA model 260 or      •    Free product   0-10% :            No explosion hazard              Continuous      Daily
261 or equivalent               removal        10-25% LEL:        Potential explosion hazard       during
                                               >25% LEL:          Explosion hazard; evacuate       advancement
                                                                  or vent                          of boring or
                                                                                                   trench
O2Meter: MSA model         •    Free product   >25%c O2:          Explosion hazard; evacuate       Continuous      Daily
260 or 261 or equivalent        removal                           or vent                          during
                                               20.9%c O2:
                                               <19.5%c O2:        Normal O2                        advancement
                                                                  O2 deficient; vent or use        of boring or
                                                                  SCBA                             trench




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APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
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JANUARY, 2005




TABLE 5-1
Air Monitoring Specifications

       Instrument                 Tasks            Action Levelsa                                        Frequency b     Calibration
Detector Tube: Drager       PID/FID readings      <0.5 ppm           Level D                           Initially and     Not
benzene specific 0.5/c      >10 ppm               0.5-10 ppm         Level C with continued benzene    periodically      applicable
(0.5 to 10 ppm range)                                                monitoring or Suspend             when PID/FIB
with pre-tube, or                                                    operations and allow vapors to    >1 ppm
equivalent                                                           dissipate to < .5 ppm before
                                                                     continuing in Level D
                                                  >10 ppm            Suspend operations and allow
                                                                     vapors to dissipate to < 10 ppm
                                                                     before continuing in Level C
                                                                     with benzene monitoring
Noise-Level Monitor d:      Remediation           <85 dB(A)          No action required                Initially and     Daily
                            system operation      85-120 dB(A)       Hearing protection required       periodically
                                                  120 dB(A)          Stop; re-evaluate                 during task
a
  Action levels apply to sustained breathing-zone measurements above background.
b
  The exact frequency of monitoring depends on field conditions and is to be determined by the SSC; generally, every 5 to 15 minutes
   if acceptable; more frequently may be appropriate. Monitoring results should be recorded. Documentation should include
   instrument and calibration information, time, measurement results, personnel monitored, and place/location where measurement is
   taken (e.g., “Breathing Zone/MW-3”, “at surface/SB-2”, etc.).
c
  If the measured percent of O2 is less than 10, an accurate LEL reading will not be obtained. Percent LEL and percent O2 action
   levels apply only to ambient working atmospheres.
 d
    Noise monitoring and audiometric testing also required.




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5.2 Calibration Specifications
         (Refer to the respective manufacturer’s instructions for proper instrument-maintenance procedures)

         Instrument                              Gas               Span                  Reading                Method
PID: OVM, 10.6 or 11.8 eV bulb                 100 ppm            RF = 1.0               100 ppm             1.5 lpm reg
                                             isobutylene                                                     T-tubing
PID: MiniRAE, 10.6 eV bulb                     100 ppm           CF = 100                100 ppm             1.5 lpm reg
                                             isobutylene                                                     T-tubing
PID: TVA 1000                                  100 ppm            CF = 1.0               100 ppm             1.5 lpm reg
                                             isobutylene                                                     T-tubing
FID: OVA                                       100 ppm            3.0 + 1.5              100 ppm             1.5 lpm reg
                                               methane                                                       T-tubing
FID: TVA 1000                                  100 ppm                NA                 100 ppm             2.5 lpm reg
                                               methane                                                       T-tubing
Dust Monitor: Miniram-PDM3                                                           0.00 mg/m3 in           Dust-free
                                             Dust-free air          Not             “Measure” mode           area OR Z-
                                                                 applicable                                  bag with
                                                                                                             HEPA filter
CGI: MSA 260, 261, 360, or 361                  0.75%                N/A                50% LEL              1.5 lpm reg
                                               pentane                                  + 5% LEL             direct tubing




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                                     6.0 Decontamination
         (Refer to CH2M HILL- SOP HS-13, Decontamination)
The SSC must establish and monitor the decontamination procedures and their effectiveness.
Decontamination procedures found to be ineffective will be modified by the SSC. The SSC must
ensure that procedures are established for disposing of materials generated on the site.



6.1 Decontamination Specifications
             Personnel                             Sample Equipment                         Heavy Equipment

•   Boot wash/rinse                          •   Wash/rinse equipment              •    Power wash
•   Glove wash/rinse                         •   Solvent-rinse equipment           •    Steam clean
•   Outer-glove removal                      •   Contain solvent waste for         •    Dispose of equipment rinse
•   Body-suit removal                            offsite disposal                       water to facility or sanitary
•   Inner-glove removal                                                                 sewer, or contain for offsite
•   Respirator removal                                                                  disposal
•   Hand wash/rinse
•   Face wash/rinse
•   Shower ASAP
•   Dispose of PPE in
    municipal trash, or contain
    for disposal
•   Dispose of personnel rinse
    water to facility or sanitary
    sewer, or contain for offsite
    disposal



6.2 Diagram of Personnel-Decontamination Line
No eating, drinking, or smoking is permitted in contaminated areas and in exclusion or
decontamination zones. The SSC should establish areas for eating, drinking, and smoking.
Contact lenses are not permitted in exclusion or decontamination zones.
Figure 6-1 illustrates a conceptual establishment of work zones, including the decontamination
       line. Work zones are to be modified by the SSC to accommodate task-specific
       requirements.




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                                                                                                             Notes:
                                                                         Wind                                1. This figure can be used as a guide to establish a decontamination line
                                                                        Direction                               when used PPE will either be disposed of or re-used, and can be
                                                 Dispose of PPE as                                              applied to any level of protection.
                                                 specified in Section                                        2. The stations illustrated below may be removed when not applicable
                                                                                                                (e.g., no respirator station if not wearing Level C).
                                                   6.1 of the HSP                                            3. The SSC may modify the decontamination sequence based onsite-
                                                                                                                specific conditions.

                                                                             Remove outer                                        Remove coveralls
                                                                          gloves and boots or                                     (e.g., Tyvek®)
      Exclusion                                                               boot covers                                        and inner gloves
        Zone                  PPE to be disposed
      Boundary

                                                                         Change out respirator
                                                      Return to                                                              If worn , remove APR or
    Equipment drop                                                      cartridges or air tank. If                        SCBA. Dispose of cartridges             Wash face and
                                                    exclusion zone
      onto clean                                                        removed, replace outer                              and Decon respirator as               hands. Shower
       surface                                                             boots and gloves.                              specified in Section 6.1 of the           as soon as
                                                                                                                                        HSP                          possible.
                               PPE to be re-used

                                                     Outer glove,
                                                      boot, and           Outer glove,               Remove outer boots,             Remove inner
                                                                            boot, and                gloves, and coveralls            gloves and               Support zone
                                                    coverall (e.g.,
                                                                          coverall rinse                                               coveralls
                                                    Tyvek®) wash
      Sample
                                                                                     Dispose of PPE as
    preparation
                                                                                     specified in Section
                                                                                       6.1 of the HSP
                                                 Sample
                                             decontamination
                                               and packing
                                                                                                                                   FIGURE 6-1
                    Sample     Table                                                                                               Personnel Decontamination Line
                                                                                                                                   CH2M HILL Heath and Safety Plan




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                     7.0 Spill-Containment Procedures
Sorbent material will be maintained in the support zone. Incidental spills will be contained with
sorbent and disposed of properly.




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                                                                              AFCEE CONTRACT F41624-01-D-8545, TO 105
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                                     8.0 Site-Control Plan

8.1 Site-Control Procedures
         (Refer to CH2M HILL- SOP HS-11, Site Control)
•   The SSC will conduct a site safety briefing (see below) before starting field activities or as tasks
    and site conditions change.
•   Topics for briefing onsite safety: general discussion of Health and Safety Plan, site-specific
    hazards, locations of work zones, PPE requirements, equipment, special procedures,
    emergencies.
•   The SSC records attendance at safety briefings in a logbook and documents the topics discussed.
•   Post the OSHA job-site poster in a central and conspicuous location in accordance with CH2M
    HILL- SOP HS-71, OSHA Postings.
•   Establish support, decontamination, and exclusion zones. Delineate with flags or cones as
    appropriate. Support zone should be upwind of the site. Use access control at entry and exit
    from each work zone.
•   Establish onsite communication consisting of the following:

    − Line-of-sight and hand signals
    − Air horn
    − Two-way radio or cellular telephone if available
•   Establish offsite communication.
•   Establish and maintain the “buddy system.”
•   Initial air monitoring is conducted by the SSC in appropriate level of protection.
•   The SSC is to conduct periodic inspections of work practices to determine the effectiveness of
    this plan – refer to Sections 2 and 3. Deficiencies are to be noted, reported to the HSM, and
    corrected.



8.2 HAZWOPER Compliance Plan
         (Refer to CH2M HILL- SOP HS-19, Site-Specific Written Safety Plans)
Certain parts of the site work are covered by state or federal HAZWOPER standards and therefore
require training and medical monitoring. Anticipated HAZWOPER tasks (Section 1.1.1) might
occur consecutively or concurrently with respect to non-HAZWOPER tasks. This section outlines
procedures to be followed when approved activities specified in Section 1.1.2 do not require 24- or


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40-hour training. Non-HAZWOPER-trained personnel also must be trained in accordance with all
other state and federal OSHA requirements.
• In many cases, air sampling, in addition to real-time monitoring, must confirm that there is no
    exposure to gases or vapors before non-HAZWOPER-trained personnel are allowed on the site,
    or while non-HAZWOPER-trained staff are working in proximity to HAZWOPER activities.
    Other data (e.g., soil) also must document that there is no potential for exposure. The HSM
    must approve the interpretation of these data. Refer to subsections 2.5 and 5.3 for contaminant
    data and air sampling requirements, respectively.
•      When non-HAZWOPER-trained personnel are at risk of exposure, the SSC must post the
       exclusion zone and inform non-HAZWOPER-trained personnel of the:

       −   nature of the existing contamination and its locations
       −   limitations of their access
       −   emergency action plan for the site
•      Periodic air monitoring with direct-reading instruments conducted during regulated tasks also
       should be used to ensure that non-HAZWOPER-trained personnel (e.g., in an adjacent area) are
       not exposed to airborne contaminants.
•      When exposure is possible, non-HAZWOPER-trained personnel must be removed from the site
       until it can be demonstrated that there is no longer a potential for exposure to health and safety
       hazards.




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                         9.0 Emergency Response Plan
         (Refer to CH2M HILL- SOP HS-12, Emergency Response)



9.1 Pre-Emergency Planning
The SSC performs the applicable pre-emergency planning tasks before starting field activities and
coordinates emergency response with CH2M HILL onsite parties, the facility, and local emergency-
service providers as appropriate.
•   Review the facility emergency and contingency plans where applicable.
•   Determine what onsite communication equipment is available (e.g., two-way radio, air horn).
•   Determine what offsite communication equipment is needed (e.g., nearest telephone, cell
    phone).
•   Confirm and post emergency telephone numbers, evacuation routes, assembly areas, and route
    to hospital; communicate the information to onsite personnel.
•   Identify a designated assembly area in the event evacuation is necessary.
•   Field Trailers: Post “Exit” signs above exit doors, and post “Fire Extinguisher” signs above
    locations of extinguishers. Keep areas near exits and extinguishers clear.
•   Review changed site conditions, onsite operations, and personnel availability in relation to
    emergency response procedures.
•   Where appropriate and acceptable to the client, inform emergency room and ambulance and
    emergency response teams of anticipated types of site emergencies.
•   Designate one vehicle as the emergency vehicle; place hospital directions and map inside; keep
    keys in ignition during field activities.
•   Inventory and check site emergency equipment, supplies, and potable water.
•   Communicate emergency procedures for personnel injury, exposures, fires, explosions, and
    releases.
•   Rehearse the emergency response plan before site activities begin, including driving route to
    hospital.
•   Brief new workers on the emergency response plan.
•   The SSC will evaluate emergency response actions and initiate appropriate follow-up actions.




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JANUARY, 2005




9.2 Emergency Equipment and Supplies
The SSC should mark the locations of emergency equipment on the site map and post the map.
        Emergency Equipment and Supplies                                        Location
20-pound (or two 10-pound) fire extinguisher (A, B,                 Support Zone/Heavy Equipment
and C classes)
First aid kit                                                       Support Zone/Field Vehicle
Eye Wash                                                            Support & Decon Zone/Field Vehicle
Potable water                                                       Support & Decon Zone/Field Vehicle
Bloodborne-pathogen kit                                             Support Zone/Field Vehicle
Additional equipment (specify):




9.3 Incident Response
In fires, explosions, or chemical releases, actions to be taken include the following:
•      Shut down CH2M HILL operations and evacuate the immediate work area.
•      Notify appropriate response personnel.
•      Account for personnel at the designated assembly area(s).
•      Assess the need for site evacuation, and evacuate the site as warranted.


Instead of implementing a work-area evacuation, note that small fires or spills posing minimal
safety or health hazards may be controlled.



9.4 Emergency Medical Treatment
The procedures listed below may also be applied to non-emergency incidents. CH2M HILL and
subcontractor employee injuries and illnesses (including overexposure to contaminants) must be
reported to their respective Human Resource contacts in Attachment 4. If there is doubt about
whether medical treatment is necessary, or if the injured person is reluctant to accept medical
treatment, contact either the CH2M HILL or subcontractor medical consultant, depending on
whose employee is injured. During non-emergencies, follow these procedures as appropriate.
•      Notify appropriate emergency response authorities listed in Section 9.8 (e.g., 911 or 531-911).
•      The SSC will assume charge during a medical emergency until the ambulance arrives or until
       the injured person is admitted to the emergency room.
•      Prevent further injury.


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•   Initiate first aid and CPR where feasible.
•   Get medical attention immediately.
•   Perform decontamination where feasible; lifesaving and first aid or medical treatment take
    priority.
•   Make certain that the injured person is accompanied to the emergency room.
•   When contacting the medical consultant, give your name and telephone number, the name of
    the injured person, the extent of the injury or exposure, and the name and location of the
    medical facility where the injured person was taken.
•   Report incident as outlined in Section 9.7.



9.5 Evacuation
•   Evacuation routes and assembly areas (and alternative routes and assembly areas) are specified
    on the site map.
•   Evacuation route(s) and assembly area(s) will be designated by the SSC before work begins.
•   Personnel will assemble at the assembly area(s) upon hearing the emergency signal for
    evacuation.
•   The SSC and a “buddy” will remain on the site after the site has been evacuated (if safe) to assist
    local responders and advise them of the nature and location of the incident.
•   The SSC will account for all personnel in the onsite assembly area.
•   A designated person will account for personnel at alternate assembly area(s).
•   The SSC will write up the incident as soon as possible after it occurs and submit a report to the
    Corporate Director of Health and Safety.



9.6 Evacuation Signals
       Signal                                            Meaning
Grasping throat with hand                         Emergency-help me.
Thumbs up                                         OK; understood.
Grasping buddy’s wrist                            Leave area now.
Continuous sounding of horn                       Emergency; leave site now.



9.7 Incident Notification and Reporting
•   Upon any project incident (fire, spill, injury, near miss, death, etc.), immediately notify the PM
    and HSM. Call emergency beeper number if HSM is unavailable.
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JANUARY, 2005




•      For CH2M HILL work-related injuries or illnesses, contact the respective Human Resources
       contact listed in Attachment 4. For CH2M HILL incidents the HR administrator completes an
       Incident Report Form (IRF). IRF must be completed within 24 hours of incident.
•      For CH2M HILL subcontractor incidents, complete the Subcontractor Accident/Illness Report
       Form (Attachment 9) and submit to the HSM.
•      Notify and submit reports to client as required in contract.




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    10.0              Behavior-Based Loss Prevention System
A Behavior Based Loss Prevention System (BBLPS is a system to prevent or reduce losses using
behavior-based tools and proven management techniques to focus on behaviors or acts that could
lead to losses.
The four basic Loss Prevention tools that will be used on EE&S CCI projects to implement the
BBLPS include:
•   Activity Hazard Analysis (AHA)

•   Pre-Task Safety Plans (PTSP)

•   Loss Prevention Observations (LPO)

•   Loss and Near Loss Investigations (NLI)
The Site Supervisor serves as the Site Safety Coordinator (SSC) and is responsible for implementing
the BBLPS on the project site. When a separate individual is assigned as the SSC, the SSC is
delegated authority from the Site Supervisor to implement the BBLPS on the project site, but the
Site Supervisor remains accountable for it’s implementation. The Site Supervisor/Safety
Coordinator shall only oversee the subcontractor’s implementation of their AHAs and PTSPs
processes on the project.



10.1 Activity Hazard Analysis
An Activity Hazard Analysis (AHA) defines the activity being performed, the hazards posed and
control measures required to perform the work safely. Workers are briefed on the AHA before
doing the work and their input is solicited prior, during and after the performance of work to
further identify the hazards posed and control measures required.
Activity Hazard Analysis will be prepared before beginning each project activity posing H&S
hazards to project personnel using the AHA form provided in Attachment 6. The AHA shall
identify the work tasks required to perform each activity, along with potential H&S hazards and
recommended control measures for each work task. In addition, a listing of the equipment to be
used to perform the activity, inspection requirements and training requirements for the safe
operation of the equipment listed must be identified.
An AHA shall be prepared for all field activities performed by CCI and subcontractor during the
course of the project by the Site Supervisor/SSC. The Project-Specific and General Hazards
(Sections 2.1 and 2.2, respectively) of the HSP, the Hazard Analysis Table (able 2.1), and applicable
CH2Mhill Standards of Practice (SOPs) should be used as a basis for preparing CCI’s AHAs.
CCI subcontractors are required to provide AHA’s specific to their scope of work on the project for
acceptance by CCI. Each subcontractor shall submit AHAs for their field activities, as defined in
their work plan/scope of work, along with their project-specific HSP. Additions or changes in CCI
or subcontractor field activities, equipment, tools or material to perform work or

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JANUARY, 2005




additional/different hazard encountered that require additional/different hazard control measures
requires either a new AHA to be prepared or an existing AHA to be revised.



10.2 Pre-Task Safety Plans
Daily safety meetings are held with all project personnel in attendance to review the hazards posed
and required H&S procedures/JSAs, that apply for each day’s project activities. The PTSPs serve
the same purpose as these general assembly safety meetings, but the PTSPs are held between the
crew supervisor and their work crews to focus on those hazards posed to individual work crews.
At the start of each day’s activities, the crew supervisor completes the PTSP, provided in
Attachment 6, with input from the work crew, during their daily safety meeting. The day’s tasks,
personnel, tools and equipment that will be used to perform these tasks are listed, along with the
hazards posed and required H&S procedures, as identified in the JSA. The use of PTSPs, better
promotes worker participation in the hazard recognition and control process, while reinforcing the
task-specific hazard and required H&S procedures with the crew each day. The use of PTSPs is a
common safety practice in the construction industry.



10.3 Loss Prevention Observations
Loss Prevention Observations (LPO’s) shall be conducted by Site Supervisor/SSC for specific work
tasks or operations comparing the actual work process against established safe work procedures
identified in the project-specific HSP and AHAs. LPO’s are a tool to be used by supervisors to
provide positive reinforcement for work practices performed correctly, while also identifying and
eliminating deviations from safe work procedures that could result in a loss. Site Supervisor/SSC
shall perform at least one LPO each week for a tasks/operations addressed in the project-specific
HSP or AHA. The Site Supervisor/SSC shall complete the LPO form in Attachment 6 for the
task/operation being observed, following the process below:



10.4 Loss/Near Loss Investigations
Loss/Near Loss Investigations shall be performed for the all CCI and subcontractor incidents
involving:

•      Person injuries/illnesses and near miss injuries

•      Equipment/property damage

•      Spills, leaks, regulatory violations

•      Motor vehicle accidents
The cause of loss and near loss incidents are similar, so by identifying and correcting the causes of
near loss causes, future loss incidents may be prevented. The following is the Loss/Near Loss
Investigation Process:

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                                                                            AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                      JANUARY, 2005




•   Gather all relevant facts, focusing on fact-finding, not fault-finding, while answering the who,
    what, when, where and how questions.

•   Draw conclusions, pitting facts together into a probable scenario.

•   Determine incident root cause(s), which are basic causes on why an unsafe act/condition
    existed.

•   Develop and implement solutions, matching all identified root causes with solutions.

•   Communicate incident as a Lesson Learned to all project personnel.

•   Filed follow-up on implemented corrective active action to confirm solution is appropriate.
Site Supervisors/SSC shall perform an incident investigation, as soon as practical after incident
occurrence during the day of the incident, for all Loss and Near Loss Incidents that occur on the
project. Loss and Near Loss incident investigations shall be performed using the following incident
investigation forms provided in Attachment 6:

•   Incident Report Form (IRF)
•   Incident Investigation Form
•   Root Cause Analysis Form
All Loss and Near Loss incident involving personal injury, property damage in excess of $1,000 or
near loss incidents that could have resulted in serious consequences shall be investigated by
completing the incident investigation forms and submitting them to the PM and HSM within 24
hours of incident occurrence. A preliminary Incident Investigation and Root Cause Analysis shall
be submitted to the Project Manager and HSM within 24 hours of incident occurs. The final
Incident Investigation and Root Cause Analysis shall be submitted after completing a
comprehensive investigation of the incident.




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                                             11.0      Approval
This site-specific Health and Safety Plan has been written for use by CH2M HILL only. CH2M
HILL claims no responsibility for its use by others unless that use has been specified and defined
in project or contract documents. The plan is written for the specific site conditions, purposes,
dates, and personnel specified and must be amended if those conditions change.



11.1 Original Plan
Written By: Brenda Pittman CIH, CSP                                           Date: 28 April 2004


Approved By: Brenda Pittman, CIH, CSP                                         Date: 28 April 2004




11.2 Revisions
Revisions Made By:                                  Date:



Revisions to Plan:


Revisions Approved By:                                      Date:




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APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
DRAFT WORK PLAN: INTERIM REMOVAL ACTIONS
AT SITE SS13 (FORMER JOHN RODGERS TANK FARM) AND SITE SS15 (PAR 3 GOLF COURSE)
HICKAM AFB, OAHU, HAWAII
AFCEE CONTRACT F41624-01-D-8545, TASK ORDER 105
DECEMBER 21, 2004




                                      12.0               Attachments
ATTACHMENT 1:                     Employee Signoff Form – Field Safety Instructions

ATTACHMENT 2:                     Project-Specific Chemical Product Hazard Communication Form

ATTACHMENT 3:                     Chemical-Specific Training Form

ATTACHMENT 4:                     Emergency Contacts

ATTACHMENT 5:                     Project Activity Self-Assessment Checklists/Permits

ATTACHMENT 6:                     Behavior Based Loss Prevention Forms

ATTACHMENT 7:                     Applicable Material Safety Data Sheets




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                                                                           APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
                                                                                 DRAFT WORK PLAN: INTERIM REMOVAL ACTIONS
                                             AT SITE SS13 (FORMER JOHN RODGERS TANK FARM) AND SITE SS15 (PAR 3 GOLF COURSE)
                                                                                                    HICKAM AFB, OAHU, HAWAII
                                                                            AFCEE CONTRACT F41624-01-D-8545, TASK ORDER 105
                                                                                                          DECEMBER 21, 2004




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TO105_HIC_SS13.15_WP_DRAFT_APPD-HSP.DOC                                                                       D-63
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
DRAFT WORK PLAN: INTERIM REMOVAL ACTIONS
AT SITE SS13 (FORMER JOHN RODGERS TANK FARM) AND SITE SS15 (PAR 3 GOLF COURSE)
HICKAM AFB, OAHU, HAWAII
AFCEE CONTRACT F41624-01-D-8545, TASK ORDER 105
DECEMBER 21, 2004




                        -ATTACHMENT 1


•      EMPLOYEE SIGNOFF FORM
                                             Health and Safety Plan
•      The CH2M HILL project employees and subcontractors listed below have been provided with a copy of this HSP, have
       read and understood it, and agree to abide by its provisions.

Project Name: TO 105                                                         Project Number: 281154
           EMPLOYEE NAME
               (Please print)                       EMPLOYEE SIGNATURE                       COMPANY              DATE




D-64                                                                              TO105_HIC_SS13.15_WP_DRAFT_APPD-HSP.DOC
                      -ATTACHMENT 2


•   Project-Specific Chemical Product Hazard Communication Form
This form must be completed prior to performing activities that expose personnel to hazardous chemicals products. Upon
completion of this form, the SSC shall verify that training is provided on the hazards associated with these chemicals and the
control measures to be used to prevent exposure to CH2M HILL and subcontractor personnel. Labeling and MSDS
systems will also be explained.
Project Name: TO 105                                                       Project Number: 281154
MSDSs will be maintained
at the following
location(s):

•   Hazardous Chemical Products Inventory

                                                                                            •    Container labels
                                                                              MSDS
       Chemical             •    Quantity             Location               Available          Identity         Hazard




Refer to SOP HS-05 Hazard Communication for more detailed information.
APPENDIX D: SITE-SPECIFIC HEALTH AND SAFETY PLAN
DRAFT WORK PLAN: INTERIM REMOVAL ACTIONS
AT SITE SS13 (FORMER JOHN RODGERS TANK FARM) AND SITE SS15 (PAR 3 GOLF COURSE)
HICKAM AFB, OAHU, HAWAII
AFCEE CONTRACT F41624-01-D-8545, TASK ORDER 105
DECEMBER 21, 2004




              CHEMICAL-SPECIFIC TRAINING FORM-ATTACHMENT 3

Location: TO 105                               Project # : 281154
HCC:                                           Trainer:

TRAINING PARTICIPANTS:

           NAME                        SIGNATURE                             NAME                   SIGNATURE




REGULATED PRODUCTS/TASKS COVERED BY THIS TRAINING:




The HCC shall use the product MSDS to provide the following information concerning each of the products
listed above.

       Physical and health hazards

       Control measures that can be used to provide protection (including appropriate work practices,
       emergency procedures, and personal protective equipment to be used)

       Methods and observations used to detect the presence or release of the regulated product in the
       workplace (including periodic monitoring, continuous monitoring devices, visual appearance or odor of
       regulated product when being released, etc.)

Training participants shall have the opportunity to ask questions concerning these products and, upon
completion of this training, will understand the product hazards and appropriate control measures available for
their protection.

Copies of MSDSs, chemical inventories, and CH2M HILL’s written hazard communication program shall be
made available for employee review in the facility/project hazard communication file.




D-66                                                                             TO105_HIC_SS13.15_WP_DRAFT_APPD-HSP.DOC
Emergency Contacts-ATTACHMENT 4
       24-hour CH2M HILL Emergency Beeper – 888/444-1226
Medical Emergency – 449-7117                        CH2M HILL- Medical Consultant
Facility Medical Response #: 449-7117               Dr. Jerry H. Berke, M.D., M.P.H.
Local Ambulance #: 449-7117                         Health Resources
                                                    600 West Cummings Park, Suite 3400
                                                    Woburn, MA 01801-6350
                                                    800/350-4511 (8am - 11pm EST)
                                                    800/978-7003 (after hours and weekends)

Fire/Spill Emergency -- 449-7117                    Local Occupational Physician
Facility Fire Response #: 449-7117
Local Fire Dept #:    449-7117
Security & Police – 449-7117                        AFCEE Program Manager
Facility Security #:  449-7117                      Name: Mark Rigatti
                                                    Phone: 770/604-9182
Local Off Base Police #:226-3622
Utilities Emergency - 449-7117                      CCI Health and Safety Manager (HSM)
Water: 449-7117                                     Name: Tom Natsch (PDX) 503/235-5022
Gas: 449-7117                                       (Office); 503-720-5150 (Cell) 503-537-4949
                                                    (Home)
Designated Safety Coordinator (SSC)                 CCI Human Resources Department
Name: Mike Reynolds                                 Name: Nancy Orr/COR
Phone:                                              Phone: 303/771-0952
AFCEE Project Manager                               Corporate Human Resources Department
Name: Stacey Whitten                                Name: John Monark/COR
Phone: 808-440-0221 / 808-224-7198                  Phone: 303/771-0900
Federal Express Dangerous Goods Shipping            CH2M HILL Worker’s Compensation and
Phone: 800/238-5355                                 Auto Claims
Emergency Number for Shipping Dangerous             Worker's Compensation: contact Regional HR
Goods                                               dept. to have form completed or contact Julie
Phone: 800/255-3924                                 Zimmerman after hours: 303-664-3304
                                                    Automobile accidents:
                                                    Rental: Carol Dietz/COR 303-713-2757
                                                    CH2M Hill owned vehicle: Zurich Insurance Co
                                                    800-987-3373
                                                 Report fatalities AND report vehicular accidents
                                                 involving pedestrians, motorcycles, or more
                                                 than two cars.
Contact the Project Manager. Generally, the Project Manager will contact relevant government
agencies.
Facility Alarms: Hickam AFB recognizes         Evacuation Assembly Area(s): To be determined
4 levels of threat condition alert including   by the SSC. During threatcon conditions Charlie or
Threatcon Alpha, Bravo, Charlie, and           Delta, project personnel will contact the Base RPM or
Delta. Project personnel should stop work      exit the base as quickly as possible and make
when threatcon Charlie or Delta conditions     contact via cell phone or office phone.
are announced.
Facility/Site Evacuation Route(s): Will be specified at each site on map of site

Hospital Name/Address: Kapiolani Medical Center at Pali          Hospital Phone #: 485-4300
Momi

                              Directions to Hospital
Hospital Name/Address: Kapiolani Medical Center at Pali Momi

                              Directions to Hospital

Off base hospital: From the main gate veer left onto the H-1 Freeway (west), go approximately 1/4
mile and take the Pearlridge exit onto Kamehameha Highway. Go approximately 2 miles and turn
right onto Pali Momi Street, turn left onto Moanalua Road, and turn left into Pali Momi Medical
Center's emergency entrance.
CH2M HILL HEALTH AND SAFETY PLAN
Attachment 5




         Project Activity Self-Assessment Checklists/Permits


         •     Concrete & Masonry Construction
         •     Concrete Pump Truck Operations
         •     Confined Space Entry
         •     Cranes, Hoists & Rigging
         •     Earthmoving Equipment
         •     Electrical
         •     Excavations
         •     Fall Protection
         •     Forklifts
         •     Hand and Power Tools
         •     Lockout/Tagout
         •     Stairways & Ladders
         •     Traffic Control
         •     Welding & Cutting
H&S Self-Assessment Checklist - CONCRETE AND MASONRY                                                              Page 1 of 4

This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at locations where: 1) CH2M HILL employees are exposed to concrete and masonry hazards and/or
2) CH2M HILL provides oversight of subcontractor personnel who are exposed to concrete and masonry hazards.

SSC or DSC may consult with subcontractors when completing this checklist, but shall not direct the means and methods of
concrete and masonry operations nor direct the details of corrective actions. Subcontractors shall determine how to correct
deficiencies, and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious
injury or death) shall be corrected immediately or all exposed personnel shall be removed from the hazard until corrected.

Completed checklists shall be sent to the HS&E Staff for review.



Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

        Evaluate CH2M HILL employee exposure to concrete and masonry hazards.
        Evaluate a CH2M HILL subcontractor’s compliance with concrete and masonry requirements.
        Subcontractor's Name: ________________________________________________________



•       Check “Yes” if an assessment item is complete/correct.

•       Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
        subcontractor. Section 3 must be completed for all items checked “No.”

•       Check “N/A” if an item is not applicable.

•       Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-43.

                                                             SECTION 1
                                                                                                        Yes    No        N/A N/O
SAFE WORK PRACTICES (3.1)

1.        Personnel in areas where concrete is being poured are wearing PPE as required.
2.        Protruding rebar is adequately guarded to control impalement hazards.
3.        Personnel do not ride concrete buckets or position themselves in lifting areas.
4.        Personnel maintain safe distance from formwork, shoring, precast, and lift-slab operations.
5.        Personnel do not enter limited access zones during masonry wall construction.
6.        Personnel are not permitted under loads being lifted or walls being jacked.
7.        Personnel access is limited in areas where post-tension operations are performed.
8.        Scaffolding conforms to the requirements of SOP HS-73 prior to use.
9.        Excavations conform to the requirements of SOP HS-32 prior to entry.
10.       Lifting and rigging devices conform to the requirements of SOP HS-44.




HS-43                                                              1                                                REV. 1
H&S Self-Assessment Checklist - CONCRETE AND MASONRY                                                             Page 2 of 4
                                                           SECTION 2                                      Yes   No        N/A N/O
GENERAL (3.2.1)
11.     All concrete structures where loads are to be placed have been inspected, as required.
12.     All protruding rebar, onto which employees could fall, are guarded.
13.     No employee is permitted to be behind the jack during tensioning operations except those
        employees essential to the post-tensioning operations.
14.     Signs and barriers are erected to limit employee access to the post-tensioning area during
        tensioning operations.

TOOLS, MATERIALS, AND EQUIPMENT (3.2.2)
15.     Requirements for confined space entry and lockout/tagout are met, where required.
16.     Concrete mixers have clearing devices and guardrails installed, as required.
17.     Powered/rotating concrete troweling machines have appropriate shutoff devices installed.
18.     Concrete buggy handles do not extend beyond the wheels on either side of the buggy.
19.     Concrete pumping systems using discharge pipes are provided with supports, as required.
20.     Concrete buckets w/hydraulic or pneumatic gates have positive safety devices, as required.
21.     Employees are not permitted to work under concrete buckets during lifting and lowering.
22.     Elevated concrete buckets are routed so that no employees are exposed to overhead loads.
23.     Employees are not permitted to ride concrete buckets.
24.     Sections of tremies and similar concrete conveyances are secured with wire rope.
25.     Bull float handles used where they might contact conductors are nonconductive or insulated.
26.     Masonry saws are guarded with a semicircular enclosure over the blade.
27.     Employees are not permitted to apply a cement, sand, and water mixture through a pneumatic
        hose unless the employee is wearing protective head and face equipment.

FORMWORK AND SHORING (3.2.3)
28.     Formwork is capable of supporting loads that may be reasonably anticipated to be applied.
29.     Drawings and plans required to be at the jobsite are available.
30.     All shoring equipment is inspected prior to erection.
31.     Damaged shoring equipment is not used.
32.     Erected shoring is inspected prior to, during, and immediately after concrete placement.
33.     The sills for shoring are sound, rigid, and capable of carrying the maximum intended load.
34.     All base plates, shore heads, extension devices, and adjustment screws are installed correctly.
35.     Eccentric loads on shore heads and similar are prohibited unless designed for such loading.
36.     Whenever single-post shores are tiered, shoring is designed and inspected, as required.
37.     Tiered single-post shores are vertically aligned and adequately braced, as required.
38.     Adjustment of single-post shores to raise formwork is not made after placement of concrete.
39.     Re-shoring is erected when concrete is required to support loads in excess of its capacity.
40.     Forms/shores are only removed when concrete has gained sufficient strength as needed.
41.     Re-shoring is not removed until the concrete being supported has attained adequate
        strength to support its weight and all loads placed upon it.
42.     Precast concrete wall units, structural framing and tilt-up wall panels are adequately
        supported to prevent overturning and to prevent collapse until permanent connections
        are completed.
43.     All masonry walls over 8 feet in height are adequately braced.

LIFTING AND JACKING (3.2.4)

44.     Embedded lifting inserts attached to precast concrete members have required strength.
45.     Lifting hardware is capable of supporting at least five times the maximum intended load.
46.     Employees are not permitted under precast concrete members being lifted or tilted.
47.     Lift-slab operations are designed and planned by a registered professional engineer.



HS-43                                                            2                                                   REV. 1
H&S Self-Assessment Checklist - CONCRETE AND MASONRY                                                             Page 3 of 4


                                                           SECTION 2 (Continued)                          Yes   No        N/A N/O

LIFTING AND JACKING (3.2.4) (continued)

48.     Jacks/lifting units are marked to indicate the manufacturer’s rated capacity.
49.     Jacks/lifting units are not loaded beyond the manufacturer’s rated capacity.
50.     Jacking equipment is capable of supporting at least two and one-half times the load.
51.     Jacks/lifting units are designed not to lift or continue to lift beyond their rated capacity.
52.     Jacks/lifting units have a safety device, which will provide load support upon malfunction.
53.     Jacking operations are synchronized to maintain slab within 1/2 inch of level position.
54.     If using automatic leveling, a device is installed that will stop the operation as required.
55.     A competent person is attending a centrally located manual leveling control.
56.     The maximum number of manually controlled jacks/lifting units on one slab is
        limited as required.
57.     No non-essential employees are permitted in buildings/structures while jacking is occurring.
58.     No non-essential employees are permitted beneath a slab while it is being lifted.
59.     When making temporary connections to support slabs, wedges are appropriately secured.
60.     All welding on temporary and permanent connections is performed by a certified welder.
61.     Load transfers from jacks/lifting units to building columns are not done until welds on
        the column shear plates (weld blocks) are cooled to air temperature.
62.     Jacks/lifting units are positively secured to columns as to not become dislodged or dislocated.
63.     Equipment is designed/installed so that the lifting rods cannot slip out of position.
64.     Jacks/vertical supports are positioned so as loads do not exceed rated capacity of jacks.
65.     The jacks/ lifting devices are designed to support slip forms in the event of failure.
66.     The form structure is maintained within all design tolerances specified for plumbness
        during the jacking operation.
67.     The predetermined safe rate of lift is not exceeded.

LIMITED ACCESS ZONES (3.2.5)
68. A limited access zone is established whenever a masonry wall is being constructed.
69. The limited access zone is established prior to the start of construction of the wall.
70. The limited access zone is equal to the height of the wall to be reconstructed plus
    4 feet and runs the entire length of the wall.
71. The limited access zone is established on the side of the wall, which will be unscaffolded.
72. The limited access zone restricts entry to employees not engaged in constructing the wall.
73. The limited access zone remains in place until the wall is adequately braced, as required.




HS-43                                                            3                                                   REV. 1
H&S Self-Assessment Checklist - CONCRETE AND MASONRY                                                        Page 4 of 4

                                                        SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _________________________________ Project Manager: ___________________________________
HS-43                                                         4                                              REV. 1
HS&E Self-Assessment Checklist – CONCRETE PUMP TRUCK OPERATIONS                                                 Page 1 of 3

This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
written safety plan.

This checklist is to be used at locations where: 1) CH2M HILL employees are operating concrete pump trucks, and/or
2) CH2M HILL provides oversight of subcontractor personnel who are operating concrete pump trucks.

Safety Coordinators may consult with subcontractors when completing this checklist but shall not direct the means and
methods of concrete pump operations nor direct the details of corrective actions. Subcontractors shall determine how to correct
deficiencies, and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious
injury or death) shall be corrected immediately or all exposed personnel shall be removed from the hazard until corrected.


Project Name: _____________________________________________________                   Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ___________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

      Evaluate CH2M HILL employee use of concrete pump trucks
      Evaluate a CH2M HILL subcontractor’s compliance with concrete pump truck requirements
      Subcontractors Name: ________________________________________________________

•     Check “Yes” if an assessment item is complete/correct.
•     Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
      subcontractor. Section 3 must be completed for all items checked “No.”
•     Check “N/A” if an item is not applicable.
•     Check “N/O” if an item is applicable but was not observed during the assessment.
A description of each assessment item can be found in Standard of Practice HSE-43, Section 4.2.7.


                                                           SECTION 1
                                                                                                     Yes     No        N/A N/O
CONCRETE PUMP OPERATION PLANNING

1.    Truck’s physical dimensions and outriggers appropriate for the job and work area
2.    Sufficient hose/slick line provided for safe placement of the concrete
3.    All warning labels visible, alarms and emergency stops in good working condition
4.    There is no evidence of hydraulic leaks
5.    Inspection reports current and maintained on site

CONCRETE TRUCK SET-UP

6.    Areas designated for set-up, start, finish, and clean out
7.    Spotter used to assist the pump truck operator while maneuvering the truck into position
8.    Safe clearance distance maintained from overhead power lines
9.    Ground is firm and level to bear forces exerted through the outriggers without sinking
10.   Cribbing is used beneath all outriggers
11.   Outriggers set back from edges of excavations (at least equal to depth of excavation)
12.   Boom not unfolded with wind in excess of 45 mph; boom not used with lightning present
13.   Boom not unfolded until the outriggers have been extended and the pump truck is level
14.   Boom extended and swung over each outrigger to ensure stability


HS&E SELF-ASSESSMENT CHECKLIST – CONCRETE PUMP TRUCK OPERATIONS                                                           REV. 2
HS&E Self-Assessment Checklist – CONCRETE PUMP TRUCK OPERATIONS                                                 Page 2 of 3


                                                           SECTION 1 (Continued)
                                                                                                         Yes   No   N/A N/O
PREPARING TO PUMP

15.   Hose line, reducers, & extenders do not exceed the weight specified by the pump manufacturer
16.   Hose reducers fastened to the main hose by safety cables or straps
17.   If snap clamps are used to secure a system above workers, they are locked down and pinned
18.   Pump operator is positioned such that they can observe the boom
19.   Concrete trucks are guided by a designated signal person who can be seen by truck operator
20.   Personnel not positioned between the pump and the concrete truck at any time
21.   Concrete truck stopped well short of the hopper so that the driver can adjust the chute

AVOIDING AND MANAGING A BLOCKAGE

22.   Hoses are primed before concrete is pumped
23.   After hopper is filled with concrete from first load, water is added to reduce possible blockage
24.   Personnel kept away from end of the hose during priming and pumping of the first concrete
25.   Room left in the hopper so that concrete will not overflow if pump is reversed during blockage
26.   When pumping to elevated deck, end of the hose kept off deck to prevent kinks
27.   If a blockage occurs, the pump is stopped immediately and put into reverse for several cycles
28.   If a blockage remains, the pump is immediately stopped
29.   When immovable blockage occurs, pump is reversed a few strokes to relieve pressure
30.   When blockage is found, all personnel are cleared from the area as operator removes blockage
31.   After blockage is removed, section is shaken until all dry concrete is dispersed
32.   Pipe section cleaned out and the pipeline reassembled after the blockage is removed

PUMPING CONCRETE

33. Adequate concrete level maintained in hopper to prevent cylinders from pumping air
34. Personnel wearing head and face protection while concrete is pumped
35. Pump not left unattended unless the emergency stop button is activated and pump is inoperable

PUMP CLEAN OUT

36.   Pump cleaned out with water and not air
37.   Hopper gate not opened while cleaning the pump
38.   Hoses and clothing kept a good distance away from the agitator
39.   Nothing is placed or poked into the hopper while the agitator is running
40.   Truck engine is shut off if any additional cleaning to the hopper or agitator is needed
41.   After cleaned out, the boom is folded down & secured prior to retracting & locking outriggers




HS&E SELF-ASSESSMENT CHECKLIST – CONCRETE PUMP TRUCK OPERATIONS                                                         REV. 2
HS&E Self-Assessment Checklist – CONCRETE PUMP TRUCK OPERATIONS                                            Page 3 of 3

                                                         SECTION 2
Complete this section for all items checked “No” in Section 1. Deficient items must be corrected in a timely manner.
Item                                                                                                                 Date
  #                                       Corrective Action Planned/Taken                                          Corrected




Auditor: _________________________________          Project Manager: ___________________________________



HS&E SELF-ASSESSMENT CHECKLIST – CONCRETE PUMP TRUCK OPERATIONS                                                       REV. 2
H&S Self-Assessment Checklist: CONFINED-SPACE ENTRY                                                                Page 1 of 4
This checklist is provided as a method of verifying compliance with the OSHA confined-space entry standard. It shall be used
at locations where CH2M HILL employees enter confined spaces, or are required to perform oversight of subcontractor
personnel entering confined spaces, or both.
CH2M HILL staff shall not direct the means and methods of subcontractor confined space operations nor direct the details of
corrective actions. The subcontractor must determine how to correct deficiencies and CH2M HILL staff must carefully rely on
their expertise. Items considered to be imminently dangerous (possibility of serious injury or death) must be corrected
immediately or all exposed personnel must be removed from the hazard until corrected.
Completed checklists must be sent to the appropriate regional health and safety program manager for review.


Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________
This specific checklist has been completed to (check only one of the boxes below):

      Evaluate CH2M HILL compliance with its confined-space entry program (SOP HS-17)
      Evaluate a CH2M HILL subcontractor’s compliance with its confined-space entry program
      Subcontractor’s Name: ________________________________________________________


•     Check “Yes” if an assessment item is complete or correct.
•     Check “No” if an item is incomplete or deficient. Section 2 must be completed for all items checked “No.”
•     Check “N/A” if an item is not applicable.
•     Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-17.


                                                          SECTION 1                                     Yes   No    N/A N/O
CONFINED SPACE EVALUATION (6.1)
1.    Personnel informed of location and hazards of existing confined spaces (danger signs, verbal)
2.    Determination made that work can not be completed without entering the confined space
3.    Information obtained regarding the space (blue prints, potential hazards, energy sources)
4.    Spaces classified as permit-required, alternative procedure, or nonpermit confined spaces
TRAINING (6.2)
5.    Entrants, Attendants, and Entry Supervisor have completed confined-space entry training
6.    Employees performing lockout/tagout procedures have completed LOTO training
7.    Employees required to wear respirators have completed respiratory protection training
CONFINED-SPACE ENTRY (6.3)
8.  Completed permit or certificate posted at space entrance
9.  Preentry briefing conducted
10. Entrants/Attendants verify that entry supervisor has authorized entry
11. Entrants/Attendants verify that all requirements of the permit or certificate have been satisfied
12. Atmospheric monitoring is conducted at frequency provided on the permit or certificate
13. Entry not permitted if an atmospheric hazard is detected above acceptable safe levels
14. Entrants evacuate space upon orders of the attendant or entry supervisor,
    when an alarm is sounded, or when a prohibited condition or dangerous situation is recognized
15. Entrants/Attendant informs entry supervisor of hazards confronted or created in the space
    or any problems encountered during entry.
16. Entry supervisor informs the owner of such issues in item 16 above



HS-17, ATTACHMENT 2                                                                                                       REV. 3
H&S Self-Assessment Checklist: CONFINED-SPACE ENTRY                                                              Page 2 of 4

                                                         SECTION 1 (continued)                        Yes   No    N/A N/O
ENTRY UNDER A CONFINED-SPACE ENTRY PERMIT (CSEP) (6.4)
17.   CSEP completed by entry supervisor
18.   All expected hazards listed
19.   Entry supervisor and Attendant assigned
20.   Communication methods established between entrants and the attendant (6.7.1)
21.   Cleaning requirements identified (6.7.2)
22.   Isolation requirements identified (6.7.3)
23.   Ventilation requirements identified (6.7.4)
24.   Protective equipment requirements identified (6.7.5)
25.   Rescue equipment requirements identified (6.7.6)
26.   Other requirements identified (6.7.7)
27.   Rescue and emergency procedures identified (6.8)
28.   Atmospheric monitoring requirements identified
29.   HS&E manager approve use by signing (CH2M HILL CSEP only)
30.   Entry supervisor authorized entry by signing
31.   Authorized entrants have completed CSE training and attended preentry briefing
32.   Only authorized entrants permitted to enter the space
33.   Entry supervisor sign the CSEP indicating its cancellation
34.   Problems encountered during the entry listed
ENTRY UNDER AN ALTERNATIVE PROCEDURE CERTIFICATE (APC) (6.5)
35.   APC completed by entry supervisor
36.   All expected atmospheric hazards listed
37.   Entry supervisor and Attendant assigned
38.   Entry supervisor verifies that nonatmospheric hazards do not exist
39.   Communication methods established between entrants and the attendant
40.   Covers removed safely
41.   Openings guarded from both fall hazards and from objects entering the space
42.   Continuous forced-air ventilation positioned to ventilate the immediate areas where employees
      are working and continue until they have left the space
43.   Ventilation from a clean source of air
44.   Atmospheric monitoring requirements identified
45.   Entry supervisor authorize entry by signing
46.   Authorized entrants have completed CSE training and attended preentry briefing
47.   Only authorized entrants permitted to enter the space
48.   Entry supervisor sign the APC indicating its cancellation
49.   Problems encountered during the entry listed
ENTRY UNDER A NONPERMIT CERTIFICATE (NPC) (6.6)
50.   NPC completed by entry supervisor
51.   Entry supervisor assigned
52.   Attendant or buddy assigned
53.   Buddy remains in the space with the entrant
54.   Entry supervisor verifies nonatmospheric hazards do not exist
55.   Communication methods established between entrants and attendant or buddy
56.   Entrants informed to exit the space immediately if hazards are observed
57.   Atmospheric monitoring requirements identified
58.   Entry supervisor authorizes entry by signing
59.   Authorized entrants have completed CSE training and attended preentry briefing
60.   Only authorized entrants permitted to enter the space
61.   Entry supervisor shall sign the NPC indicating its cancellation
62.   Problems encountered during the entry shall be listed



HS-17, ATTACHMENT 2                                                                                                    REV. 3
H&S Self-Assessment Checklist: CONFINED-SPACE ENTRY                                                                 Page 3 of 4

                                                          SECTION 1 (continued)                          Yes   No     N/A N/O

RESCUE (6.8)
63.   Entrants wearing body harness with attached retrieval line (lifeline)
64.   Other end of lifeline attached to retrieval device (when required) or fixed point outside space
65.   Mechanical retrieval device positioned at access point for vertical-type spaces > 5 feet deep
66.   Rescue team established
67.   Team members have completed confined-space entry training
68.   Team members informed of the hazards that they may confront during rescue operations
69.   PPE & rescue equipment necessary to conduct safe entry-rescue provided & readily available
70.   Team members trained on rescue duties and proper use of PPE and rescue equipment
71.   All team members trained in first aid & CPR, at least one member holding a current certification
72.   Team has made simulated rescue from a space of similar configuration within last 12 months
73.   Communication established & tested between the team & entrants, and emergency provider
74.   Local emergency medical provider notified in advance of entries into PRCS

ATMOSPHERIC MONITORING (6.9)
75.   Qualified individual conducts atmospheric monitoring
76.   Monitoring results documented on permit or certificate
77.   Entrants do not enter until all monitoring requirements are completed
78.   Monitoring equipment calibrated prior to use
79.   Monitoring conducted for oxygen, flammability, and toxic air contaminants
80.   Monitoring conducted bottom to top at five foot intervals
PREENTRY BRIEFING (6.10)
81. Entry supervisor conducts the briefing and discusses the follow items:
82. Explanation of the work to be performed and limitations
83. Explanation of actual and potential hazards, including the possible behavioral effects
    and signs, symptoms, and consequences of exposure
84. Review of the control measure and atmospheric monitoring requirements, as specified on permit
    or certificate
85. Review of entrant and attendant responsibilities




HS-17, ATTACHMENT 2                                                                                                        REV. 3
H&S Self-Assessment Checklist: CONFINED-SPACE ENTRY                                                            Page 4 of 4

                                                        SECTION 2

Complete this section for all items checked “No” in Section 1. Deficient items must be corrected in a timely manner.
Item                                                                                                                 Date
  #                                      Corrective Action Planned or Taken                                        Corrected




Auditor: _______________________________ Project Manager: _________________________________




HS-17, ATTACHMENT 2                                                                                                     REV. 3
H&S Self-Assessment Checklist—CRANES, HOISTS AND RIGGING                                                                  Page 1 of 4
This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s HSP/FSI.

This checklist is to be used at locations where: 1) CH2M HILL employees are exposed to crane, hoist and rigging hazards (complete Section
1 and 3) and/or 2) CH2M HILL provides oversight of subcontractor personnel who are exposed to crane, hoist and rigging hazards (complete
entire checklist).

SSC or DSC may consult with subcontractors when completing this checklist, but shall not direct the means and methods of crane, hoist and
rigging operations nor direct the details of corrective actions. Subcontractors shall determine how to correct deficiencies and we must
carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious injury or death) shall be corrected
immediately or all exposed personnel shall be removed from the hazard until corrected.

Completed checklists shall be sent to the HS&E Staff for review.

Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

     Evaluate CH2M HILL employee exposure to crane, hoist and rigging hazards
     Evaluate a CH2M HILL subcontractor’s compliance with crane, hoist and rigging requirements
     Subcontractors Name: ________________________________________________________



•    Check “Yes” if an assessment item is complete/correct.

•    Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the subcontractor. Section 3
     must be completed for all items checked “No.”

•    Check “N/A” if an item is not applicable.

•    Check “N/O” if an item is applicable but was not observed during the assessment.

Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-44.

                                                               SECTION 1
                                                                                                               Yes      No       N/A N/O
SAFE WORK PRACTICES (3.1)
1.   Individuals operating cranes and hoists of any type are certified operators
2.   Cranes have current annual inspection and operations manual with load charts on site
3.   Swing radius of cranes are guarded and barricaded
4.   Competent person inspects crane daily
5.   Pre-lift meetings conducted with all parties involved in crane operations
6.   Cranes used to lift vertically only
7.   Adequate distance maintained between cranes parts and overhead power lines
8.   Dedicated signal person assigned to signal operator
9. Cranes do not swing over live roadways, railways, processes, or occupied buildings
10. Critical lifts have written lifting/rigging plan
11. No personnel permitted on or under loads lifted by crane. Tag lines used to control load
12. Manufacturers specifications and limitations for hoists followed
13. Personnel not permitted to ride on material hoists
14. Weather conditions considered when lifting operations performed
15. All rigging used as intended, inspected, stored, protected and supervised.
16. No fabrication, modifications, or additions to rigging made without testing and approval




1
H&S Self-Assessment Checklist—CRANES, HOISTS, AND RIGGING                                                   Page 2 of 4

                                                          SECTION 2

                                                                                                     Yes   No   N/A N/O
CRANES: GENERAL (3.2.1)
17. The competent person inspects all cranes, hoists, and rigging prior to use
18. Frequent and periodic inspections have been completed for all cranes to be used
19. Crane ropes and hooks have been inspected by an authorized person
20. All guards and safety devices installed and equipment removed after maintenance
21. A load-rating chart is easily visible to the seated operator
22. A designated person has been assigned to signal the operator when visibility is obstructed
23. Hand signals to crane operators are those prescribed by ANSI
24. All outriggers are deployed and seated
25. The tires of truck mounted cranes are off the ground when the outriggers are seated
26. Cranes are equipped with load limiting devices and boom angle indicator
27. Cabs of cranes have adequate access and kept clean of loose tools, cans, and waste
28. Cranes are equipped with a 5 BC or higher fire extinguisher
29. All windows in cabs are safety glass that does not interfere with the safe operation
30. All machinery operating on rails, tracks, or trolleys has stops/limiting and overspeed devices
31. Moving parts on the crane that employees are exposed to are guarded


CRANES: POSITIONING (3.2.2)
32. Cranes operated near live power lines will maintain minimum distance from the lines
33. Adequate clearance must be maintained between a crane and obstructions
34. The crane is level and blocked properly
35. Swing radius of crane has been barricaded to prevent exposure to struck against/crush hazard
36. Exhaust pipes are guarded from employee contact


CRANES: OPERATION (3.2.3)
37. Operator tests brakes when load is near rated capacity of lift
38. Sheaves are guarded or warning sign provided to identify hazard
39. Load or boom not lowered to where less than two full wraps of rope remain on drum
40. If two or more cranes are to be used to lift one load, a designated person is responsible
  for analyzing, instructing, rigging and signaling movement of the load
41. Cranes not operated without full amount of ballast or counterweight
42. Tag lines are used to control suspended load
43. Sudden acceleration or deceleration of load is avoided
44. Loads are not to be passed over personnel or facilities
45. No personnel are allowed to ride the load
46. Suspended loads are not left unattended
47. Lines are not allowed to twist around each other


HOISTS: GENERAL (3.2.4)
48. Manufacturer’s specifications and limitations are followed
49. Load capacities, operating speeds, and special warnings or instructions are posted on hoists
50. Hoist ropes are installed in accordance with the wire rope manufacturers’ recommendations
51. Live booms are not installed on hoists
52. Operating rules are posted at the operator’s station of hoists
53. No person will ride on material hoists except for inspection and maintenance
54. All entrances of the hoistways are protected by substantial gates or bars
55. Overhead protective coverings are provided on the top of every material host cage or platform
56. All hoistway entrance bars and gates are painted with diagonal contrasting colors
H&S Self-Assessment Checklist—CRANES, HOISTS, AND RIGGING                                                     Page 3 of 4

                                                    SECTION 2 (continued)

                                                                                                       Yes   No   N/A N/O
RIGGING: GENERAL (3.2.5)
57. The rigging equipment is not used in excess of the rated capacity of the weakest component
58. The rigging competent person has inspected all rigging equipment prior to use on each shift
     and as necessary during its use
59. Documentation of proof testing is available for rigging equipment that has been repaired
60. Rigging equipment has not been shortened with knots, bolts or other makeshift devices
61. Rigging equipment, when not in use, is removed from the work area
62. Rigging equipment has been load tested annually by a competent person and documented
63. All hooks used according to manufacturer’s recommendations or tested to twice SWL
64. Special rigging and hoisting devices are marked and proof tested prior to initial use


RIGGING: EQUIPMENT (3.2.6)
65. Protruding end strands of wire rope have been covered or blunted
66. Wire rope not used if the rope shows any sign of excessive wear, corrosion, or defect
67. No wire rope slings are used if more than one wire in a lay is broken in the end fitting
68. Splices in rope slings are made in accordance with manufacturer’s and regulatory specs
69. Synthetic web slings removed from service if showing any sign of damage
70. No job hooks, links, or makeshift fasteners, formed from bolts, rods, etc., are used
71. Alloy steel chains have identification stating size, grade, rated capacity and reach
72. Manual coupling links or low carbon repair links not used to repair broken lengths of chain
73. Shackles and hooks are constructed of forged alloy steel with the identifiable load rating


RIGGING: USE (3.2.7)
74. Rigging not pulled from under a resting load
75. Sling(s) is placed in center bowl of hook.
76. Sharp edges are “packed” to prevent cutting or damaging the rope or slings
77. Nylon, polyester, polypropylene web slings or web slings with aluminum fittings will not be
  used where fumes, vapors, sprays, mists or liquids of acids, caustics or phenolics are present
78. Natural or synthetic fiber rope slings used within acceptable operating temperature
79. U-bolts used to form wire rope eyes are of proper amount and spacing
80. U-bolts are installed so that the “U” section is in contact with the dead end of the rope
81. When more than one sling is used, or the sling angle is altered, the load has been calculated to
     assure that the safe working load is not exceeded.
H&S Self-Assessment Checklist—CRANES, HOISTS, AND RIGGING                                                   Page 4 of 4

                                                        SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _________________________________ Project Manager: ____________________________________
HS&E Self-Assessment Checklist - EARTHMOVING EQUIPMENT                                                         Page 1 of 3

This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at locations where: 1) CH2M HILL employees are potentially exposed to the hazards of
earthmoving equipment operations, 2) CH2M HILL employees are operating earthmoving equipment, and/or 3) CH2M HILL
provides oversight of a subcontractor operating earthmoving equipment.
The CH2M HILL Safety Coordinator may consult with subcontractors operating earthmoving equipment when completing this
checklist, but shall not direct the means and methods of equipment operations nor direct the details of corrective actions.
Earthmoving equipment subcontractors shall determine how to correct deficiencies and we must carefully rely on their
expertise. Items considered to be imminently dangerous (possibility of serious injury or death) shall be corrected immediately
or all exposed personnel shall be removed from the hazard until corrected.



Project Name: ______________________________________________________                  Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

      Evaluate CH2M HILL employee exposures to earthmoving equipment hazards (complete Section 1).
      Evaluate CH2M HILL employees operating earthmoving equipment (complete entire checklist).
      Evaluate CH2M HILL subcontractor’s compliance with earthmoving equipment safety requirements (complete entire
      checklist). Subcontractors Name: ________________________________________________________



•     Check “Yes” if an assessment item is complete/correct.

•     Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
      earthmoving equipment subcontractor. Section 3 must be completed for all items checked “No.”

•     Check “N/A” if an item is not applicable.

•     Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HSE-27.


SAFE WORK PRACTICES (3.1)                                 SECTION 1                                  Yes     No        N/A N/O

1.    Personnel maintaining safe distance from operating equipment
2.    Positioning personnel in close proximity to operating equipment is avoided
3.    Personnel wearing high-visibility and/or reflective vests when close to operating equipment
4.    Personnel approach operating equipment safely
5.    Personnel riding only in seats of equipment cab and using seat belts
6.    Personnel not positioned under elevated portions of equipment
7.    Personnel not positioned under hoisted loads
8.    Personnel not hoisted by equipment
9.    Personnel do not to approach equipment that has become electrically energized
10.   Personnel wearing appropriate PPE, per HSP/FSI




HS&E SELF-ASSESSMENT CHECKLIST - EARHTMOVING EQUIPMENT                                                                    REV. 3
HS&E Self-Assessment Checklist - EARTHMOVING EQUIPMENT                                                  Page 2 of 3

EQUIPMENT SAFETY REQUIREMENTS                            SECTION 2                               Yes   No   N/A N/O
PRIOR TO OPERATING EQUIPMENT (3.2.1)

11.   Only qualified and authorized personnel operating equipment
12.   Daily safety briefing/meeting conducted with equipment operators
13.   Daily inspection of equipment conducted and documented
14.   Modifications and attachments used approved by equipment manufacturer
15.   Backup alarm or spotter used when backing equipment
16.   Operational horn provided on bi-directional equipment
17.   Seat belts are provided and used
18.   Rollover protective structures (ROPS) provided
19.   Braking system capable of stopping full payload
20.   Headlights and taillights operable when additional light required
21.   Brake lights in operable condition
22.   Cab glass provides no visible distortion to the operator
23.   All machine guards are in place
24.   Hauling equipment (dump trucks) provided with cab shield or canopy
25.   Dump truck beds provided with positive means of support during maintenance or inspection
26.   Dump truck operating levers provided with latch to prevent accidental dumping
27.   Air monitoring conducted per HSP/FSI for hazardous atmospheres

EQUIPMENT PLACEMENT (3.2.2)

28.   Equipment position on firm/level surface, outriggers used
29.   Location of underground utilities identified
30.   Safe clearance distance maintained while working under overhead power lines
31.   Safe distance is maintained while traveling under power lines
32.   Warning system used to remind operator of excavation edge
33.   Unattended equipment visibly marked at night
34.   Tools lowered/parking brake set when not in use, wheels chocked when parked on incline

EQUIPMENT OPERATION (3.2.3)

35.   Equipment operated on safe roadways and grades
36.   Equipment operated at safe speed
37.   Operators maintain unobstructed view of travel path
38.   Equipment not operated during inclement weather, lightning storms
39.   Equipment started and moved safely
40.   Operators keep body parts inside cab during operation
41.   Vehicle occupants in safe position while loading/unloading
42.   Signal person visible to operator when required
43.   Equipment used for hoisting done according to equipment manufacturer specifications
44.   Lifting and hauling capacities are not exceeded

EQUIPMENT MAINTENANCE (3.2.4)
45. Defective components repaired immediately
46. Suspended equipment or attachments supported prior to work under or between
47. Lockout/tagout procedures used prior to maintenance
48. Tires on split rims removed using safety tire rack or cage
49. Good housekeeping maintained on and around equipment

EXCAVATING AT HAZARDOUS WASTE SITES (3.2.5)
50. Waste disposed of according to HSP/FSI
51. Appropriate decontamination procedures being followed, per HSP/FSI


HS&E SELF-ASSESSMENT CHECKLIST - EARTHMOVING EQUIPMENT                                                         REV. 3
HS&E Self-Assessment Checklist - EARTHMOVING EQUIPMENT                                                      Page 3 of 3

                                                         SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _________________________________ Project Manager: ___________________________________



HS&E SELF-ASSESSMENT CHECKLIST - EARTHMOVING EQUIPMENT                                                                REV. 3
HS&E Self-Assessment Checklist – EXCAVATIONS                                                                  Page 1 of 4

This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at locations where: (1) CH2M HILL employees enter excavations (complete Sections 1 and 3),
and/or (2) CH2M HILL oversight of an excavation subcontractor is required (complete entire checklist).

SC may consult with excavation subcontractors when completing this checklist, but shall not direct the means and methods of
excavation operations nor direct the details of corrective actions. Excavation subcontractors shall determine how to correct
deficiencies and we must carefully rely on their expertise. Conditions considered imminently dangerous (possibility of serious
injury or death) shall be corrected immediately or all exposed personnel shall be removed from the hazardous area until
corrected.


Project Name: ______________________________________________________                 Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

     Evaluate CH2M HILL employee exposures to excavation hazards
     Evaluate a CH2M HILL subcontractor’s compliance with excavation HS&E requirements
     Subcontractor Name: ________________________________________________________



•    Check “Yes” if an assessment item is complete/correct.

•    Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the excavation
     subcontractor. Section 3 must be completed for all items checked “No.”

•    Check “N/A” if an item is not applicable.

•    Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HSE-32.


                                                         SECTION 1                                  Yes    No      N/A N/O

EXCAVATION ENTRY REQUIREMENTS (4.1)

1.   Personnel have completed excavation safety training
2.   Competent person has completed daily inspection and has authorized entry
3.   Personnel are aware of entry requirements established by competent person
4.   Protective systems are free from damage and in stable condition
5.   Surface objects/structures secured from falling into excavation
6.   Potential hazardous atmospheres have been tested and found to be at safe levels
7.   Precautions have been taken to prevent cave-in from water accumulation in the excavation
8.   Personnel wearing appropriate PPE, per HSP/FSI




HS&E SELF-ASSESSMENT CHECKLIST – EXCAVATION                                                                             REV. 4
HS&E Self-Assessment Checklist - EXCAVATIONS                                                                 Page 2 of 4

                                                            SECTION 2                                 Yes   No   N/A N/O
GENERAL (4.2.1)
9. Daily safety briefing/meeting conducted with personnel
10. Excavation and protective systems adequately inspected by competent person
11. Defective protective systems or other unsafe conditions corrected before entry
12. Guardrails provided on walkways over excavation 6’ (1.8m) or deeper
13. Barriers provided at excavations 6’ or deeper when excavation not readily visible
14. Barriers or covers provided for wells, pits, shafts, or similar excavation 6’ (1.8 m) or deeper
15. Earthmoving equipment operated safely (use earthmoving equipment checklist in HS-27)

PRIOR TO EXCAVATING (4.2.2)
16. Dig permit obtained where required by client/facility
17. Location of underground utilities and installations identified
18. Excavation area evaluated for OE/UXO hazards
19. Soils characterized prior to excavation where contamination may be present
20. USDA (or local equivalent) soil permit obtained for soil transport, where required
21. Excavation area checked for wetlands, endangered species, cultural/historic resources
22. ACOE/CWA 404 (or local equivalent) permit obtained for wetlands, where required
23. Stockpile management plan prepared
24. Waste discharge/NPDES (or local equivalent) permit obtained for excavation dewatering
25. Stormwater pollution prevention or erosion & sediment control plan prepared, where required)

EXCAVATING ACTIVITIES (4.2.3)
26. Rocks, trees, and other unstable surface objects removed or supported
27. Exposed underground utility lines supported
28. Undermined surface structures supported or determined to be in safe condition
29. Warning system used to remind equipment operators of excavation edge
30. Stockpile, excavation covers, liners, silt fences in place, where required
31. Fugitive dust suppressed

EXCAVATION ENTRY (4.2.4)
32. Trenches > 4’ (1.2 m) deep provided with safe means of egress within 25’ (7.6 m)
33. Structure ramps designed and approved by competent person
34. Potential hazardous atmospheres tested prior to entry
35. Rescue equipment provided where potential for hazardous atmospheres exists
36. Ventilation used to control hazardous atmospheres and air tested frequently
37. Appropriate respiratory protection used when ventilation does not control hazards
38. Precautions taken to prevent cave-in from water accumulation in excavation
39. Precautions taken to prevent surface water from entering excavation
40. Protection provided from falling/rolling material from excavation face
41. Spoil piles, equipment, materials restrained or kept at least 2’ (61 cm) from excavation edge

EXCAVATION PROTECTIVE SYSTEMS (4.2.5)
42. Protective systems used for excavations 5’ (1.5 m) or deeper, unless stable rock
43. Protective systems for excavation deeper than 20’ (6.1 m) designed by registered PE
44. If soil unclassified, maximum allowable slope is 34 degrees
45. Protective systems free from damage
46. Protective system used according to manufacturer’s recommendations and not subjected to
    loads exceeding design limits
47. Protective system components securely connected to prevent movement or failure
48. Cave-in protection provided while entering/exiting shielding systems
49. Personnel removed from shielding systems when installed, removed, or vertical movement




HS&E SELF-ASSESSMENT CHECKLIST - EXCAVATION                                                                         REV. 4
HS&E Self-Assessment Checklist – EXCAVATIONS                                               Page 3 of 4


                                                       SECTION 2 (Continued)        Yes   No   N/A N/O

PROTECTIVE SYSTEM REMOVAL AND BACKFILLING (4.2.6)
50. Protective system removal starts and progresses from excavation bottom
51. Protective systems removed slowly and cautiously
52. Temporary structure supports used if failure of remaining components observed
53. Backfilling taking place immediately after protective system removal
54. Backfill certified clean when required by client or local regulation

EXCAVATING AT HAZARDOUS WASTE SITES (4.2.7)
55. Waste disposed of according to HSP and RCRA regulations
56. Appropriate decontamination procedures being followed, per HSP

EXCAVATING AT POTENTIAL ORDNANCE EXPLOSIVES SITES (4.2.8)
57. OE plan prepared and approved
58. OE/UXO avoidance provided, routes and boundaries cleared and marked
59. Personnel remain inside the marked boundary
60. Earthmoving equipment does not excavate closer than 1’ (30.5 cm) to anomalies




HS&E SELF-ASSESSMENT CHECKLIST - EXCAVATION                                                       REV. 4
HS&E Self-Assessment Checklist - EXCAVATIONS                                                                Page 4 of 4

                                                        SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _________________________________ Project Manager: _______________________________



HS&E SELF-ASSESSMENT CHECKLIST - EXCAVATION                                                                           REV. 4
H&S Self-Assessment Checklist - FALL PROTECTION                                                                  Page 1 of 4

This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at locations where: 1) CH2M HILL employees are required to use fall protection (complete
Section 1), 2) CH2M HILL employees are designing or installing fall protection systems (complete Section 2); and/or
3) CH2M HILL provides oversight of a subcontractor whose personnel design or install fall protection systems or are required
to use fall protection (complete entire checklist).

SC may consult with subcontractors when completing this checklist, but shall not direct the means and methods of fall
protection operations, nor direct the details of corrective actions. Subcontractors shall determine how to correct deficiencies
and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious injury or
death) shall be corrected immediately or all exposed personnel shall be removed from the hazard until corrected.


Project Name: ______________________________________________________ Project No.:
Location: ______________________________________________________ PM:
Auditor: ____________________________________ Title: _________________________________ Date:

This specific checklist has been completed to:

      Evaluate CH2M HILL employee exposure to fall hazards
      Evaluate a CH2M HILL subcontractor’s compliance with fall protection requirements
      Subcontractors Name: ________________________________________________________


•     Check “Yes” if an assessment item is complete/correct.

•     Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
      subcontractor. Section 3 must be completed for all items checked “No.”

•     Check “N/A” if an item is not applicable.

•     Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-31.


FALL PROTECTION USE (3.2)                                  SECTION 1                                    Yes   No       N/A N/O

1.    CH2M HILL employees have completed initial fall protection training
2.    Project Fall Protection Evaluation Form is completed
3.    CH2M HILL employees have complete project-specific fall protection training
4.    Personnel aware of and follow requirements established by competent person
5.    Personnel only using systems for which they have received training
6.    Fall protection equipment used only for fall protection and not to hoist materials
7.    Horizontal lifelines used under supervision of qualified person
8.    When vertical lifelines are used, each employee attached to a separate lifeline
9.    Personnel remaining within guardrails, when provided
10.   Personnel do not stand on objects or ladders on top platforms protected by guardrails
11.   Personal fall arrest systems (PFAS) inspected prior to each use for defects
12.   PFAS rigged such that personnel can neither free-fall more than 6’, nor contact any lower level
13.   PFAS anchorages capable of supporting 5,000 pounds
14.   PFAS not be attached to guardrail systems or hoists
15.   PFAS components subjected to impact loading immediately removed from service

HS&E SELF-ASSESSMENT CHECKLIST – FALL PROTECTION                                                                         REV. 3
H&S Self-Assessment Checklist - FALL PROTECTION                                                              Page 2 of 4

CONSTRUCTION & INSTALL                                      SECTION 2                                 Yes   No   N/A N/O

GUARDRAILS (3.3.1)

16.   Top rails positioned 39”-45” above the walking/working level
17.   Midrails, screen, or other barrier between the top rail and the walking/working surface
18.   Wood construction: 2”x4” top rails, 1”x6” midrails, and 2”x4” posts spaced every 8’
19.   Pipe construction: 1-½” nominal diameter with posts spaced every 8’
20.   Structural steel construction: 2”x2”x3/8” angles with posts spaced every 8’
21.   Other construction: pass a 200 lb. load test, no deflection < 39”
22.   Natural or synthetic rope top rails/midrails inspected frequently & pass 200 lb. load test
23.   Wire rope top rails/midrails > ¼” nominal diameter and flagged every 6’
24.   Points of access (ladderways) provided with gate or offset

SAFETY NETS (3.3.2)

25.   Nets installed as close as practicable under the walking/working surface, < 30’
26.   Potential fall area from bridge surfaces to net unobstructed
27.   Nets extend outward from the work surface based on the vertical fall distance
28.   Nets pass drop test or competent person certifies nets are in compliance
29.   Nets installed with sufficient clearance underneath to prevent contact with the surface
30.   Nets inspected at least once a week and after any occurrence that could affect its integrity
31.   Objects in net removed as soon as possible, at least before the next work shift
32.   Mesh openings < 6” in length on any side
33.   Border ropes have a minimum breaking strength of 5,000 pounds
34.   Safety net panel connections as strong as integral net components and spaced < 6” apart

PERSONAL FALL ARREST SYSTEMS (3.3.3)

35. PFAS components meet or exceed OSHA strength criteria
36. PFAS rigged such that personnel can neither free-fall more than 6’, nor contact any lower level
37. Body harness back dee-ring used as attachment point
38. Only locking type snaphooks are used
39. Horizontal lifelines used under supervision of qualified person with safety factor of > 2
40. When vertical lifelines are used, each employee attached to a separate lifeline
41. PFAS anchorages independent of anchorages used to support or suspend platforms
42. Anchorages capable of supporting > 5,000 lbs. per person or used under supervision
    of qualified person with safety factor of > 2
43. Method of rescue provided in the event of a fall

POSITIONING DEVICES (3.3.4)
44. Components meet or exceed OSHA PFAS construction and strength criteria
45. Components inspected prior to each use and defective components removed from service
46. Positioning devices rigged such that personnel cannot free-fall more than 2’
47. Anchorages capable of supporting > 2 times potential impact load of fall or 3,000 pounds

WARNING LINES (3.4.5)
48. Warning lines 34”-39” from the walking/working surface
49. Warning lines flagged at < 6’ intervals with high-visibility material
50. Warning lines attached at stanchions capable of resisting 16 lb. force without tipping
51. Warning lines erected > 6’ from each roof edge
52. Warning lines erected > 10’ from roof edge perpendicular to mechanical equipment travel
53. Warning line placed across the access points when not in use
54. Only personnel performing roof work between a roof edge and a warning line

HS&E SELF-ASSESSMENT CHECKLIST – FALL PROTECTION                                                                    REV. 3
H&S Self-Assessment Checklist - FALL PROTECTION                                                           Page 3 of 4

                                                           SECTION 2 (continued)                   Yes   No   N/A N/O

CONTROLLED ACCESS ZONE (3.3.6)

55.   Control lines enclose controlled access zones
56.   Only personnel engaged in related work permitted in the controlled access zone
57.   Control lines 30”-45” from the walking/working surface
58.   Control lines flagged at < 6’ intervals with high-visibility material
59.   Overhand bricklaying control lines positioned 10’-15’ from working edge
60.   Leading edge control lines positioned 6’-25’ from leading edge
61.   Precast concrete control lines positioned 6’-60’ or half the length of the erected member

SAFETY MONITORING SYSTEM (3.3.7)

62.   Safety monitor designated to observe and warn personnel
63.   Safety monitor not distracted from the monitoring function
64.   Safety monitor on the same working surface within sight and voice communication
65.   Only personnel necessary for work in safety monitoring zone
66.   Personnel adhere to the safety monitor’s instructions

FALL PROTECTION PLAN (3.3.8)

67.   Plan prepared by qualified person and specifically for site work being performed
68.   Plan maintained current with changes approved by a qualified person
69.   Plan maintained at the job site and implemented by competent person
70.   Plan documents why fall protection systems are infeasible or would create a greater hazard
71.   Plan discusses measures taken to reduce or eliminate the fall hazards
72.   Plan discusses when scaffolds, ladders, or vehicle mounted work platforms shall be used
73.   Locations covered by plan identified and classified as controlled access zones
74.   Entry into controlled access zone limited to personnel designated in plan
75.   Safety monitoring system used when no other alternative measure implemented

COVERS (3.3.9)

76. Covers capable of supporting 2x the maximum weight imposed on the cover at any one time
77. Covers secured to prevent accidental displacement
78. Covers color coded or marked HOLE or COVER

FALLING OBJECT PROTECTION (3.3.10)

79.   Personnel exposed to falling objects wearing hard hats
80.   Objects on elevated surfaces positioned away from surface edge
81.   Toeboards, screens, guardrails, or canopies used or area barricaded below
82.   Toeboards, when used, erected along the edge of the overhead walking/working surface
83.   Toeboards 3-½” high, < ¼” clearance above the surface, and no openings > 1”
84.   Screening/paneling provided where equipment or materials are piled above toeboards
85.   Guardrails, when used, no openings small enough to prevent passage of falling objects
86.   Overhand bricklaying masonry/mortar not stored within 4’ of working edge
87.   Excess overhand bricklaying mortar, masonry units, and other debris kept clear
88.   Roofing materials not stored within 6’ of a roof edge, unless guardrails are provided
89.   Roofing materials that are near roof edge are stable and self-supporting
90.   Canopies, when used, strong enough to prevent collapse and penetration by falling objects




HS&E SELF-ASSESSMENT CHECKLIST – FALL PROTECTION                                                                REV. 3
H&S Self-Assessment Checklist - FALL PROTECTION                                                             Page 4 of 4

                                                        SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _________________________________ Project Manager: ____________________________________

HS&E SELF-ASSESSMENT CHECKLIST – FALL PROTECTION                                                                    REV. 3
H&S Self-Assessment Checklist - FORKLIFTS                                                                       Page 1 of 3
This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.
This checklist is to be used at locations where: 1) CH2M HILL employees are potentially exposed to hazards associated with
forklift operations, 2) CH2M HILL employees are operating forklifts, and/or 3) CH2M HILL provides oversight of a
subcontractor operating forklifts.
SC may consult with subcontractors using forklifts when completing this checklist, but shall not direct the means and methods
of forklift operations nor direct the details of corrective actions. Subcontractors using forklifts shall determine how to correct
deficiencies, and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious
injury or death) shall be corrected immediately or all exposed personnel shall be removed from the hazard until corrected.


Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

     Evaluate CH2M HILL employee exposures to forklift hazards (Complete Section 1).
     Evaluate CH2M HILL employees operating forklifts (Complete entire checklist).
     Evaluate a CH2M HILL subcontractor’s compliance with forklift safety requirements (Complete entire checklist).
     Subcontractor’s Name: ________________________________________________________



•    Check “Yes” if an assessment item is complete/correct.

•    Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
     subcontractor. Section 3 must be completed for all items checked “No.”

•    Check “N/A” if an item is not applicable.

•    Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-48.

SAFE WORK PRACTICES (3.1)                                 SECTION 1                                   Yes     No      N/A N/O

1.   Personnel maintaining safe distance from operating forklifts.
2.   Positioning personnel in proximity to operating forklifts is avoided.
3.   Personnel wearing high-visibility vests when close to operating forklifts.
4.   Personnel approach operating forklifts safely.
5.   Personnel only riding in seats equipped with seat belts.
6.   Personnel not lifted or lowered by forklift unless approved for such use.
7.   Personnel not positioned under elevated loads or forks.
8.   Personnel do not place body between mast uprights or outside running lines during operation.
9.   Personnel do not touch or approach forklift that has become electrically energized.




HS&E SELF-ASSESSMENT CHECKLIST – FORKLIFTS                                                                                 REV. 2
H&S Self-Assessment Checklist - FORKLIFTS                                                                Page 2 of 3

FORKLIFT SAFETY REQUIREMENTS                               SECTION 2                              Yes   No   N/A N/O

PRIOR TO OPERATING FORKLIFT (3.2.1)
10. Only certified personnel operating forklifts.
11. Daily safety briefing/meeting conducted with forklift operators.
12. Daily inspection of forklift conducted and documented.
13. Rated capacity of forklift visible to operator.
14. Modifications and attachments used approved by forklift manufacturer.
15. High-lift forklifts have load backrest and overhead guard.
16. Seat belts are provided and used.
17. Backup alarm or spotter used when backing forklift.
18. Operational horn provided and used as necessary.
19. Braking system capable of stopping capacity load.
20. Forklifts equipped with lights for low-light operations.
21. Carbon monoxide concentrations below PEL (50 ppm).
22. At least one fire extinguisher available at the forklift operating area.
DESIGNATIONS AND LOCATIONS (3.2.2)
23. Atmosphere/locations classified as hazardous or non-hazardous.
24. Only properly designated forklifts used in hazardous locations.
FORKLIFT LOADING/UNLOADING (3.2.3)
25. Operator handles only loads within rated capacity, adjusts for long or tall loads.
26. Loads are stabilized before forklift travel.
27. Operator using proper tilt to stabilize load, uses caution when tilting elevated loads.
28. When two forklifts lift a load in unison, operators stay in close communication.
29. Trucks, trailers, railroad cars secured from movement before entering with forklift.
30. Dockplates/bridgeplates secured before use; capacity not exceeded.
31. Truck, trailer, railroad car flooring checked for weakness before forklift boarding.
32. Personnel platforms secured to forklift and shut off means provided on platform.
FORKLIFT TRAVEL (3.2.4)
33. Forklift operated on safe roadways and grades.
34. Grades ascended/descended properly.
35. Forklift operated at safe speed, kept under control at all times
36. Operators slow down and use horn at areas with obstructed vision.
37. Forklifts operating in reverse when load obstructs vision.
38. Operator keeping clear view of path of travel.
39. Forklifts do not pass other stopped vehicles at areas with obstructed vision.
40. Operators maintain safe distance from edge of ramps and platforms.
41. Overhead clearance maintained from installations.
42. Forklifts not parked within 8 feet of center of railroad tracks. Tracks crossed diagonally.
43. Forklift parked correctly when operator is dismounted.

FORKLIFT MAINTENANCE (3.2.5)
44. Forklifts with unsafe conditions removed from service and tagged as such to prevent use.
45. Forklifts repaired in designated, non-hazardous locations by authorized personnel.
46. Battery disconnected when repairing electrical systems.
47. Additions or omissions of parts not performed without manufacturer’s approval.
48. Good housekeeping maintained on and around forklift.
49. Water mufflers checked daily, kept at 75% full.
50. Forklifts removed from service if sparks, flames, or elevated operating temperatures occur.
51. Suspended forklifts or components are supported prior to work under or between.
52. Fueling/battery charging conducted in designated, well-ventilated area.
53. Fueling/battery charging areas properly equipped for task.
54. No smoking in fueling/battery charging areas.
55. Spillage of fuel properly cleaned up before starting forklift.

HS&E SELF-ASSESSMENT CHECKLIST – FORKLIFTS                                                                       REV. 2
H&S Self-Assessment Checklist - FORKLIFTS                                                                   Page 3 of 3

                                                        SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
                                                                                                                      Date
 Item #                                    Corrective Action Planned/Taken                                          Corrected




Auditor: _________________________________ Project Manager: ___________________________________




HS&E SELF-ASSESSMENT CHECKLIST – FORKLIFTS                                                                             REV. 2
H&S Self-Assessment Checklist – HAND AND POWER TOOLS

This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at locations where: 1) CH2M HILL employees are exposed to hand and power tool hazards and/or
2) CH2M HILL provides oversight of subcontractor personnel who are exposed to hand and power tool hazards.

SSC or DSC may consult with subcontractors when completing this checklist, but shall not direct the means and methods of
hand and power tool use nor direct the details of corrective actions. Subcontractors shall determine how to correct
deficiencies and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of
serious injury or death) shall be corrected immediately or all exposed personnel shall be removed from the hazard until
corrected.

Completed checklists shall be sent to the HS&E Staff for review.



Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

      Evaluate CH2M HILL employee exposure to hand and power tool hazards.
      Evaluate a CH2M HILL subcontractor’s compliance with hand and power tool requirements.
      Subcontractors Name: ________________________________________________________


•     Check “Yes” if an assessment item is complete/correct.

•     Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
      subcontractor. Section 3 must be completed for all items checked “No.”

•     Check “N/A” if an item is not applicable.

•     Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-50.

                                                           SECTION 1
                                                                                                          Yes   No     N/A N/O
SAFE WORK PRACTICES (3.1)
1.    All tools operated according to manufacturer’s instructions and design limitations.
2.    All hand and power tools maintained in a safe condition and inspected and tested before use.
3.    Defective tools are tagged and removed from service until repaired.
4.    PPE is selected and used according to tool-specific hazards anticipated.
5.    Power tools are not carried or lowered by their cord or hose.
6.    Tools are disconnected from energy sources when not in use, servicing, cleaning, etc.
7.    Safety guards remain installed or are promptly replaced after repair.
8.    Tools are stored properly.
9.    Cordless tools and recharging units both conform to electrical standards and specifications.
10.   Tools used in explosive environments are rated for such use.
11.   Knife or blade hand tools are used with the proper precautions.
12.   Consider controls to avoid muscular skeletal, repetitive motion, and cumulative trauma stressors.


HS-50                                                      1                                                             REV.1
H&S Self-Assessment Checklist – HAND AND POWER TOOLS


                                                            SECTION 2                                       Yes   No   N/A N/O

GENERAL (3.2.1)
13.   PPE is selected and used according to tool-specific hazards anticipated.
14.   Tools are tested daily to assure safety devices are operating properly.
15.   Damaged tools are removed from service until repaired.
16.   Power operated tools designed to accommodate guards have guards installed.
17.   Rotating or moving parts on tools are properly guarded.
18.   Machines designed for fixed locations are secured or anchored.
19.   Floor and bench-mounted grinders are provided with properly positioned work rests.
20.   Guards are provided at point of operation, nip points, rotating parts, etc.
21.   Fluid used in hydraulic-powered tools is approved fire-resistant fluid.
ELECTRIC-POWERED TOOLS (3.2.2)
22.     Electric tools are approved double insulated or grounded and used according to SOP HS-23.
23.     Electric cords are not used for hoisting or lowering tools.
24.     Electric tools are used in damp/ wet locations are approved for such locations or GFCI installed.
25.     Hand-held tools are equipped with appropriate on/off controls appropriate for the tool.
26.     Portable, power-driven circular saws are equipped with proper guards.
ABRASIVE WHEEL TOOLS (3.2.3)
27.   All employees using abrasive wheel tools are wearing eye protection.
28.   All grinding machines are supplied with sufficient power to maintain spindle speed.
29.   Abrasive wheels are closely inspected and ring-tested before use.
30.   Grinding wheels are properly installed.
31.   Cup-type wheels for external grinding are protected by the proper guard or flanges.
32.   Portable abrasive wheels used for internal grinding are protected by safety flanges.
33.   Safety flanges are used only with wheels designed to fit the flanges.
34.   Safety guards on abrasive wheel tools are mounted properly and of sufficient strength.
PNEUMATIC-POWERED TOOLS (3.2.4)
35.   Tools are secured to hoses or whip by positive means to prevent disconnection.
36.   Safety clips or retainers are installed to prevent attachments being expelled.
37.   Safety devices are installed on automatic fastener feed tools as required.
38.   Compressed air is not used for cleaning unless reduced to < 30 psi, with PPE, and guarded.
39.   Manufacturer’s safe operating pressure for hoses, pipes, valves, etc. are not exceeded.
40.   Hoses are not used for hoisting or lowering tools.
41.   All hoses >1/2-inch diameter have safety device at source to reduce pressure upon hose failure.
42.   Airless spray guns have required safety devices installed.
43.   Blast cleaning nozzles are equipped with operating valves, which are held open manually.
44.   Supports are provided for mounting nozzles when not in use.
45.   Air receiver drains, handholes, and manholes are easily accessible.
46.   Air receivers are equipped with drainpipes and valves for removal of accumulated oil and water.
47.   Air receivers are completely drained at required intervals.
48.   Air receivers are equipped with indicating pressure gauges.
49.   Safety, indicating, and controlling devices are installed as required.
50.   Safety valves are tested frequently and at regular intervals to assure good operating condition.




HS-50                                                        2                                                           REV.1
                                                     SECTION 2 (continued)

                                                                                                        Yes   No   N/A N/O

LIQUID FUEL-POWERED TOOLS (3.2.5)
51.   Liquid fuel-powered tools are stopped when refueling, servicing, or maintaining.
52.   Liquid fuels are stored, handled, and transported in accordance with SOP HS-21
53.   Liquid fuel-powered tools are used in confined spaces in accordance with SOP HS-17.
54.   Safe operating pressures of hoses, valves, pipes, filters, and other fittings are not exceeded.
POWDER-ACTUATED TOOLS (3.2.6)
55.   Only trained employee operates powder-actuated tools.
56.   Powder-actuated tools are not loaded until just prior to intended firing time.
57.   Tools are not pointed at any employee at any time.
58.   Hands are kept clear of open barrel end.
59.   Loaded tools are not left unattended.
60.   Fasteners are not driven into very hard or brittle materials.
61.   Fasteners are not driven into easily penetrated materials unless suitable backing is provided.
62.   Fasteners are not driven into spalled areas.
63.   Powder-actuated tools are not used in an explosive or flammable atmosphere.
64.   All tools are used with correct shields, guards, or attachments recommended by manufacturer.
JACKING TOOLS (3.2.7)
65.     Rated capacities are legibly marked on jacks and not exceeded.
66.     Jacks have a positive stop to prevent over-travel.
67.     The base of jacks are blocked or cribbed to provide a firm foundation, when required.
68.     Wood blocks are place between the cap and load to prevent slippage, when required.
69.     After load is raised, it is cribbed, blocked, or otherwise secured immediately.
70.     Antifreeze is used when hydraulic jacks are exposed to freezing temperatures.
71.     All jacks are properly lubricated.
72.     Jacks are inspected as required.
73.     Repair or replacement parts are examined for possible defects.
74.     Jacks not working properly are removed from service and repaired or replaced.
HAND TOOLS (3.2.8)
75. Wrenches are not used when jaws are sprung to the point of slippage.
76. Impact tools are kept free of mushroomed heads.
77. Wooden handles of tools are kept free of splinters or cracks and are tightly fitted in tool.




HS-50                                                        3                                                       REV.1
H&S Self-Assessment Checklist – HAND AND POWER TOOLS
                                                       SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
                                                                                                                      Date
  Item #                                         Corrective Action Planned/Taken                                    Corrected




Auditor: _________________________________ Project Manager: ____________________________________




HS-50                                                    4                                                            REV.1
H&S Self-Assessment Checklist-Lockout/Tagout                                                                      Page 1 of 3
This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at the following locations: 1) Where CH2M HILL employees are exposed to equipment requiring
lockout/tagout or 2) Where CH2M HILL provides oversight of subcontractor personnel who are exposed to equipment
requiring lockout/tagout.

The SSC or DSC may consult with subcontractors when completing this checklist, but shall not direct the means and methods
of lockout/tagout operations nor direct the details of corrective actions. Subcontractors shall determine how to correct
deficiencies and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious
injury or death) shall be corrected immediately, or all exposed personnel shall be removed from the hazard until corrected.

Completed checklists shall be sent to the HS&E Staff for review.


Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

        Evaluate CH2M HILL employee exposure to equipment requiring lockout/tagout
        Evaluate a CH2M HILL subcontractor’s compliance with lockout/tagout requirements
        Subcontractors Name: ________________________________________________________



•       Check “Yes” if an assessment item is complete/correct.

•       Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
        subcontractor. Section 3 must be completed for all items checked “No.”

•       Check “N/A” if an item is not applicable.

•       Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-33.

                                                             SECTION 1
                                                                                                       Yes     No        N/A N/O
SAFE WORK PRACTICES (3.1)

1.      Only authorized personnel are performing lockout/tagout
2.      Only qualified personnel working on energized equipment via energized electrical work permit
3.      Contractor lockout/tagout programs have been verified prior to start of work
4.      All affected employees notified of lockout/tagout
5.      Equipment has been shutdown using normal operating controls
6.      All energy sources have been isolated
7.      Individual locks and tags have been applied to energy isolating device
8.      Stored or residual energy has been relieve or restrained
9.      Locked/tagged equipment has been tested to verify zero energy state
10.     All safe guards have been replaced when lockout/tagout is complete
11.     Controls are positioned in the safe mode prior to lockout/tagout removal
12.     Only individuals who apply locks/tags may remove them
13.     Lockout is selected over tagout as preferred method of hazardous energy control
14.     Master or duplicate keys are prohibited and lock removal is controlled by written procedure
15.     Multiple work group lockout/tagout activities are coordinated on large projects

ATT 2
H&S Self-Assessment Checklist-Lockout/Tagout                                                                 Page 2 of 3
                                                            SECTION 2                                 Yes   No   N/A N/O
GENERAL (3.2.1)

16. An energy control program is in place with appropriate procedures
17. Lockout or tagout is performed by trained, authorized employees only
18. Authorized employees are familiar with facility procedures specific to individual energy types
19. Employee do not attempt to start, energize or use equipment that is locked or tagged out
20. Affected employees are notified before and after lockout/tagout controls are applied
21. Locking is the preferred method of energy control
22. Tags are used only where locks cannot be applied
23 Additional safety measures are implemented in conjunction with the tagout system

LOCKOUT/TAGOUT DEVICES (3.2.2)

24. New or modified equipment is designed to accept a lockout device
25. Locks, tags, and other equipment are supplied to employees
26. L/T devices are singularly identified and not used for other purposes
27. L/T devices are capable of withstanding anticipated environmental conditions of use
28. L/T devices are standardized on the project by color, shape, size, print, and format
29. Lockout devices are substantial to prevent removal without the use of excessive force
30 Tagout devices and their means of attachment, are substantial to prevent inadvertent removal
31 L/T devices indicate the identity of the employee applying the device(s)
32 Tagout devices warn against hazardous conditions if equipment is energized
33 Tags are only removed by authorized user and never bypassed, ignored, or defeated
34 Tagout devices are attached at the same location as lockout devices
35 Tags shall be legible and understandable by all employees

INITIATING CONTROL (3.2.3)

36.     Orderly shutdown of equipment is conducted that does not increase hazards
37.     All devices needed to isolate equipment from energy sources are installed and/or operated
38.     Lockout/Tagout devices are affixed to equipment by authorized employees
39.     Lockout/Tagout devices are affixed to secure equipment in the “off” position
40.     Tags are located as close to or at the energy isolating device
41.     All hazardous stored or residual energy is relieved, disconnected or restrained.
42.     Isolation of energy sources has been verified (tested) prior to start of work on equipment

RELEASING CONTROL (3.2.4)

43. Work area is inspected prior to removing lockout/tagout devices and re-energization
44. Only authorized employees who installed lockout/tagout devices are removing devices
45 Written procedure is followed for the removal of lockout/tagout devices when authorized
    employees are not available
46. All affected employees are notified prior to starting equipment previously locked or tagged out

SPECIAL CONDITIONS (3.2.5)

47.     Group lockout/tagout procedure is used for a crew or work group
48.     Multiple crews or work groups have designated group supervisor to coordinate energy control
49.     Designated group supervisors affix a personal lockout/tagout device
50.     Designated group supervisor lockout/tagout devices are the last to be removed
51.     Procedures are in place to coordinate shift or personnel change to ensure continuity
52.     On coming shift or new personnel verify lockout/tagout prior to commencing work




ATT 2
H&S Self-Assessment Checklist-Lockout/Tagout                                                                Page 3 of 3
                                                        SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _________________________________ Project Manager: ___________________________________




ATT 2
H&S Self-Assessment Checklist - STAIRWAYS AND LADDERS                                                          Page 1 of 3
This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at locations where: 1) CH2M HILL employees are using stairways and ladders and/or 2) CH2M
HILL provides oversight of subcontractor personnel who are using stairways and ladders.

SSC or DSC may consult with subcontractors when completing this checklist, but shall not direct the means and methods of
stairway and ladder use nor direct the details of corrective actions. Subcontractors shall determine how to correct deficiencies
and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious injury or
death) shall be corrected immediately or all exposed personnel shall be removed from the hazard until corrected.

Completed checklists shall be sent to the HS&E Staff for review.


Project Name: ______________________________________________________                  Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

    Evaluate CH2M HILL employee use of stairways and ladders
    Evaluate a CH2M HILL subcontractor’s compliance with stairway and ladder requirements
    Subcontractors Name: ________________________________________________________



•   Check “Yes” if an assessment item is complete/correct.
•   Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
    subcontractor. Section 3 must be completed for all items checked “No.”
•   Check “N/A” if an item is not applicable.
•   Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-25.

                                                          SECTION 1
                                                                                                     Yes     No      N/A N/O
PERSONNEL SAFE WORK PRACTICES (3.1)
1. CH2M HILL employees have completed stairway and ladder training
2. Carrying objects on stairs with both hands is avoided
3. Pan and skeleton metal stairs not used until permanent or temporary treads/landings provided
4. Ladders periodically inspected for defects by competent person
5. Defective ladders tagged and removed from service until repaired
6. Ladders used only for purpose for which they were designed
7. Ladders not loaded beyond their rated capacity
8. Only one person simultaneously climbing or working from an individual ladder
9. Personnel face ladder when climbing
10. Personnel climbing ladders maintain 3 points of contact with ladder
11. Personnel not carrying tools, materials, or equipment while climbing. Tag lines used.
12. Ladders not moved, shifted or extended while in use
13. Stepladders used in open and locked position only
14. Stepladders top and top step not used as a step
15. Stepladders cross-bracing not used for climbing
16. Fall protection considered when working from ladders over 6’

HS-25                                                     PAGE 1 OF 3                                                      REV. 0
ATTACHMENT 2
H&S Self-Assessment Checklist - STAIRWAYS AND LADDERS                                                         Page 2 of 3

                                                          SECTION 2                                    Yes   No   N/A N/O
STAIRWAYS AND LADDERS: GENERAL (3.2.1)

17. Stairways or ladders provided at breaks in elevation ≥ 19 inches
18. At least one clear access point provided to elevated levels

STAIRWAY: DESIGN AND CONSTRUCTION (3.2.2)

19.   Stairways maintained free of slippery conditions and dangerous projections
20.   Stairways installed between 30 - 50 degrees with uniform risers and treads
21.   Landings (30” deep x 22” wide) provided every 12’ of vertical rise.
22.   Landings extend ≥ 20” beyond swing of any doors
23.   Adequate stair rails installed at each unprotected side or edge
24.   Handrails installed as handhold for support
25.   Mid-rails, screens, mesh, or intermediate members installed between top rail and treads
26.   Adequate guardrails installed at each unprotected side or edge of a landing

LADDERS: GENERAL (3.2.3)

27. Ladder components surfaced to prevent injury from puncture, laceration, or snagging clothing
28. Ladders maintained free of oil, grease, and other slipping hazards
29. The area around the top and bottom of ladders kept free of obstructions

PORTABLE LADDERS: DESIGN AND CONSTRUCTION (3.2.4)

30. Only ANSI approved portable ladders used
31. Rungs and steps are parallel, level, and uniformly spaced
32. Ladders not tied or fastened together to create longer sections unless designed for such use
33. Ladders with non-conductive side rails used near energized electrical equipment
34. Extension ladders equipped with positive section stops
35. Stepladders provided with metal spreader or locking device to hold open when in use
36. Wood ladders not coated with opaque covering
37. Double-cleated or two ladders provided if > 25 personnel use ladders as only means
    of access, or when ladder serves simultaneous two-way traffic
38. Two or more ladders used to reach elevated work areas offset with platform or landing

PORTABLE LADDER: POSITIONING (3.2.5)

39.   Ladders used only on stable, level, surfaces unless secured to prevent movement
40.   Ladders placed in areas where they can be displaced by work activities, secured or barricaded
41.   Extension ladder section overlap adequate distance
42.   Extension and straight ladders placed with both side rails supported equally
43.   Extension and straight ladders positioned at approximately 75 degree angle
44.   Ladders extend 3’ above upper landings or are secured at top

FIXED LADDERS: DESIGN AND CONSTRUCTION (3.2.6)

45.   Adequate clearances from obstructions maintained behind, in front, and to side of ladder rungs
46.   Ladder step across distance at access point 7-12”
47.   Side rails extend 42” above landing platform
48.   Cages, wells, ladder safety devices, or self-retracting lifelines used for ladders > 24’
49.   Ladder safety devices operate without the use of hands
50.   Ladder safety devices activate within 2’ after a fall
51.   Connection between lifeline and harness attachment point < 9”

HS-25                                                      PAGE 2 OF 3                                                REV. 0
ATTACHMENT 2
H&S Self-Assessment Checklist - STAIRWAYS AND LADDERS                                                       Page 3 of 3

                                                         SECTION 3
Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _________________________________                 Project Manager:
___________________________________

HS-25                                                    PAGE 3 OF 3                                                    REV. 0
ATTACHMENT 2
H&S Self-Assessment Checklist – TRAFFIC CONTROL                                                                   Page 1 of 4
This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.
This checklist is to be used at locations where: 1) CH2M HILL employees are exposed to traffic hazards and/or 2) CH2M HILL
provides oversight of subcontractor personnel who are exposed to traffic hazards.
SSC or DSC may consult with subcontractors when completing this checklist, but shall not direct the means and methods of
traffic control operations nor direct the details of corrective actions. Subcontractors shall determine how to correct deficiencies,
and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious injury or
death) shall be corrected immediately or all exposed personnel shall be removed from the hazard until corrected.
Completed checklists shall be sent to the HS&E Staff for review.

Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

        Evaluate CH2M HILL employee exposure to traffic hazards.
        Evaluate a CH2M HILL subcontractor’s compliance with traffic control requirements.
        Subcontractors Name: ________________________________________________________


•       Check “Yes” if an assessment item is complete/correct.

•       Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the subcontractor.
        Section 3 must be completed for all items checked “No.”

•       Check “N/A” if an item is not applicable.

•       Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-24.

                                                             SECTION 1
                                                                                                         Yes   No       N/A N/O
SAFE WORK PRACTICES (3.1)

1.      Personnel working on/adjacent to active roadways or in control zones are wearing safety vests.
2.      Traffic control plan (TCP) is consistent with roadway, traffic, and working conditions.
3.      TCP has been approved by regulatory or contractual authority prior to work.
4.      TCP considers all factors that may influence traffic related hazards and controls.
5.      Work areas are protected by rigid barriers.
6.      Lookouts are used when applicable.
7.      Vehicles are parked 40 feet away from work zone or are equipped with hazard beacon/strobe.
8.      TMCC or TMA vehicle is used where appropriate.
9.      All CH2M HILL traffic control devices conform to MUTCD standards.
10.     Traffic control devices are inspected continuously.
11.     Flagging is only used when other means of traffic control are inadequate.
12.     Additional traffic control zone controls have been implemented.
13.     Cranes do not swing loads/booms over nor do workers enter/cross live roadways (as defined).




HS-24                                                              1                                                        REV. 2
H&S Self-Assessment Checklist – TRAFFIC CONTROL                                                                  Page 2 of 4
                                                             SECTION 2                                    Yes   No   N/A N/O
GENERAL (3.2.1)
14.     Lane closings are performed when required by this SOP.
15.     Traffic control configurations are based on an engineering study of the location.
16.     If no study, traffic control is performed with approval of the authority having jurisdiction.
17.     TCP has been prepared and understood by all responsible parties prior to work.
18.     Special preparation/coordination with external parties has been conducted where applicable.
19.     All contractor traffic control devices conform to MUTCD standards.
20.     Traffic movement and flow are inhibited or disrupted as little as possible.
21.     Supplemental equipment and activities do not interfere with traffic.
22.     Drivers and pedestrians are considered when entering and traversing traffic control zone.
TRAFFIC CONTROL ZONES (3.2.2)
23.     Traffic control zones are divided into the necessary five areas.
24.     Advances warning area is designed based on conditions of speed, roadways, and driver needs.
25.     Advanced warning signage is spaced according to roadway type and conditions.
26.     Transition areas are used to channelize traffic around the work area.
27.     Buffer areas are used to provide a margin of safety for traffic and workers.
28.     The buffer area is free of equipment, workers, materials, and worker vehicles.
29.     The length of the buffer area is two times the posted speed limit in feet.
30.     All work is contained in the work area and is closed to all traffic.
31.     A termination area is used to provide traffic to return to normal lanes.
32.     A downstream taper is installed in the termination area.
DEVICE INSTALLATION AND REMOVAL (3.2.3)
33.     All vehicles involved with device installation/removal have hazard beacons/strobes.
34.     Devices are installed according to the order established by this SOP.
35.     Devices are removed in the opposite order of installation.
36.     Tapers are used to move traffic out of its normal path.
37.     Tapers are created using channelizing devices.
38.     The length of taper is determined by posted speed and width of lane to be closed (see formula).
39.     Local police or highway patrol assist during taper installation and removal.
40.     TMCC/ TMA vehicles are used to protect personnel during installation and removal of devices.
41.     Cone trucks are equipped with platforms and railings.
42.     Cones are the appropriate height for the specific roadway and are reflectorized.
43.     Temporary sign supports are secured using sandbags to prevent movement.
44.     Arrow panels are used on lane closures where required.
45.     Concrete barriers are used where required.
46.     Barrels, crash cushions, or energy absorbing terminals are used to protect traffic as required.
47.     Changeable message signs (CMS) are used as required.
48.     CMS are not used to replace required signage.
49.     No more than two message panels are used in any message cycle on CMS.
FLAGGING (3.2.4)
50.     Flagging is used only when other traffic control methods are inadequate.
51.     Only approved personnel with current certification are allowed to be used as flaggers.
52.     Flaggers are located off the traveled portion of the roadway.
53.     A communication system is established when more than one flagger is used.
54.     Hand signaling by flaggers is by means of red flags, sign paddles, or red lights.
55.     Flaggers are alert, positioned close enough to warn work crews, and easily identified from crew.
56.     An escape plan is established by crew and flaggers prior to traffic control set up.
57.     Signs indicating a flagger is present are used and removed as required.




HS-24                                                               2                                                    REV. 2
H&S Self-Assessment Checklist – TRAFFIC CONTROL                                                                 Page 3 of 4

                                                            SECTION 2                                    Yes   No   N/A N/O

INSPECTION AND MAINTENANCE (3.2.5)

58.     Traffic control zones are monitored to determine their effectiveness under varying conditions.
59.     Traffic control devices are inspected at the beginning and continuously during work shift.
60.     Traffic control devices are restored to their proper position immediately and continuously.
61.     Damaged, old, or ineffective devices are removed and replace immediately and continuously.
62.     Devices using reflected light for illumination are cleaned and monitored continuously.




HS-24                                                              3                                                    REV. 2
H&S Self-Assessment Checklist – TRAFFIC CONTROL                                                             Page 4 of 4

                                                         SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _____________________________ Project Manager: _________________________________




HS-24                                                          4                                                      REV. 2
H&S Self-Assessment Checklist—WELDING AND CUTTING                                                             Page 1 of 4

This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at locations where: 1) CH2M HILL employees are exposed to welding and cutting hazards and/or 2)
CH2M HILL provides oversight of subcontractor personnel who are exposed to welding and cutting hazards.

SSC or DSC may consult with subcontractors when completing this checklist, but shall not direct the means and methods of
welding and cutting operations nor direct the details of corrective actions. Subcontractors shall determine how to correct
deficiencies and we must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious
injury or death) shall be corrected immediately or all exposed personnel shall be removed from the hazard until corrected.

Completed checklists shall be sent to the HS&E Staff for review.

Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

    Evaluate CH2M HILL employee exposure to welding and cutting hazards
    Evaluate a CH2M HILL subcontractor’s compliance with welding and cutting requirements
    Subcontractors Name: ________________________________________________________



•   Check “Yes” if an assessment item is complete/correct.

•   Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the
    subcontractor. Section 3 must be completed for all items checked “No.”

•   Check “N/A” if an item is not applicable.

•   Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-63.

                                                         SECTION 1
                                                                                                    Yes     No       N/A N/O
SAFE WORK PRACTICES (3.1)

1. CH2M HILL employees have completed Welding and Cutting training
2. Welding and cutting personnel have been properly trained and qualified
3. Work area inspected by the authorized person
4. Suitable fire extinguishing equipment is available
5. Flame-resistant blankets used to control sparks from travelling to lower levels
6. Leaking valves of cylinders repaired or tagged and removed from service
7. Top of cylinder or manifold kept clear to prevent damage and allow quick closing of valve
8. Flow gauges and regulators on cylinders inspected prior to use and removed when not in use
9. Hose, leads, and cables covered, elevated, or protected from damage.
10. Fuel gas and oxygen cylinders in storage separated or protected with fire barrier
11. Flash arresters are installed at the torch handle
12. Hot electrode holders not dipped in water to cool
13. Arc welding electrodes not struck against cylinders to strike an arc
14. Arc welding or cutting work shielded with screens to prevent employees from arc
15. Proper ventilation provided to maintain exposure to contaminants below PEL
16. Arc welding equipment exposed to unusual service conditions is task designed
HS-63, ATTACHMENT 2                                                                                                     REV. 1
H&S Self-Assessment Checklist—WELDING AND CUTTING                                                           Page 2 of 4
                                                           SECTION 2                                 Yes   No   N/A N/O
COMPRESSED GAS CYLINDERS (3.2.1)
17. Cylinders being transported have valve protection caps installed and in vertical position
18. Cylinders hoisted by cradle, slingboard or pallet designed to do so and not by valve cap
19 Cylinders kept from being knocked over by a chain, truck or steadying device
20. Oxygen cylinders are separated from fuel-gas cylinders by 20 feet or a 5 foot fire barrier
21. Cylinders stored indoors in a well ventilated location, where they won’t be knocked over
22. Cylinders in use are kept away from sparks, flames or slag or are shielded
23. Valves are “cracked” prior to attaching regulators
24. Cylinders are not placed where they can become part of an electrical circuit
25. Oxygen or fuel-gas cylinders are outside of confined spaces
26. Cylinders, valves, couplings, regulators and valves are free of grease and oil
27. Frozen cylinders are thawed with warm water and not boiling water
28. Fuel-gas cylinders are opened not more than 1.5 turns for quick closing
29. Damaged, defective or leaking cylinders have been removed from service
30. Only owner or authorized agent refills cylinders or attempts to mix gasses in cylinder

WELDING AND CUTTING EQUIPMENT (3.2.2)
31. Fuel-gas and oxygen manifolds are labeled with one inch letters or sign to identify substance
32. Fuel-gas and oxygen manifolds are working properly & located in a well ventilated open area
33. Manifold and header hoses capped when not in use
34. Flash arresters are used on acetylene cylinders connected together
35. Fuel-gas and oxygen hoses are clearly marked, not interchangeable and free of grease and oil
36. Parallel sections of hose taped together have no more than 4 inches covered per foot
37. Torches and hoses are inspected at the beginning of each shift
38. Hoses connections are designed to be disconnected with a rotary motion, not straight pull
39. Hoses are stored in a ventilated box
40. Torches are lit with friction lighters, not open flames or hot work

ARC WELDING AND CUTTING (3.2.3)
41. Only manual electrode holders designed for arc welding are used
42. Only cable free of repair/splices < 10 ft. from cable attachment to electrode holder are used
43. All parts of the welding and cutting equipment that are gripped are fully insulated
44. All welding and cutting cables are fully insulated
45. Pipelines containing flammable gases or liquids are not used as a ground return
46. All ground connections have been inspected for mechanical strength and current capacity
47. Frame of arc welding/cutting machine is grounded.
48. When electrode holders are unattended, the electrode is removed
49. Hot electrode holder arel not be dipped in water to cool
50. When welding or cutting is stopped or equipment is moved, power is shut off
51. Before starting welding and cutting operations the equipment is inspected
52. The frame or case of the welding machine is grounded (except engine driven machines)
53. Employees in the vicinity are shielded from the direct rays of the arc, or given filter lenses                          .
54. Inert gas welding employees are completely covered to prevent skin burns
55. Chlorinated solvents are >200 feet away and surfaces prepared w/ solvents are dry prior

TOXIC FUMES AND GASES (3.2.4)
56. Mechanical or local exhaust ventilation is used when welding or cutting in a confined space
57. Mechanical ventilation is capable of keeping fumes and smoke below the exposure limits
58. Local exhaust ventilation is close to the work to keep employee below the exposure limits
59. Contaminated air is exhausted into open air clear of the intake
60. Exhausted air is replaced by breathable air, and not oxygen
61. Welding/cutting in confined space on toxic metals is done w/ ventilation or supplied air
62 Welding/cutting in open air on metals outlined in 3.2.4 done with filter or air line respirator
63. Workers exposed to the same atmosphere as welder are protected in the same manner
64. In enclosed spaces, all surfaces covered with preservative coating are stripped at least four
     inches from the area to be heated, or the worker is protected with an air line respirator
HS-63, ATTACHMENT 2                                                                                                REV. 1
                                                  SECTION 2 (continued)
                                                                                                      Yes   No   N/A N/O

FIRE PREVENTION (3.2.5)
65. Objects to be welded or cut have been moved to a safe location
66. Combustibles have been moved at least 35 feet from welding and cutting
67. Combustibles that cannot be moved are protected from flame, heat and sparks
68. Fire extinguishing equipment is immediately available in the work area
69. Additional trained personnel (fire watch) assigned when normal fire fighting is not sufficient
70. The atmosphere to be welded or cut in is not explosive as verified by air monitoring, as needed
71. Precautions have been taken on the opposite side of walls, floors and ceilings
72. Openings in floors and walls are blocked to prevent sparks from passing through
73. Gas supply can be shut off at some point outside an enclosed space
74. Drums have been filled with water, cleaned or ventilated and tested before welding or cutting
75. Drums, containers or structures have an open vent before heat is applied
76. Surface coatings have been tested for flammability before welding or cutting
77. Flammable coatings have been stripped before welding or cutting

PERSONAL PROTECTIVE EQUIPMENT (3.2.6)
78. When welding or cutting on surfaces with preservative coatings, respirators used
79. Workers entering a confined space through a small opening wear a full body harness or
    other suitable device for quick removal in case of an emergency
80. Employees welding or cutting wear the proper eye protective equipment as per Table 1
81. Welders or cutters exposed to other welders arc wear filter goggles under their helmets
82. Exposed employees wearing protective clothing to protect against UV damage
83. Fall protection is provided when working 6 feet or more above lower levels




HS-63, ATTACHMENT 2                                                                                                REV. 1
H&S Self-Assessment Checklist—WELDING AND CUTTING                                                           Page 4 of 4

                                                        SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                  Date
  #                                       Corrective Action Planned/Taken                                           Corrected




Auditor: _________________________________ Project Manager: ___________________________________

HS-63, ATTACHMENT 2                                                                                                  REV. 1
CH2M HILL HEALTH AND SAFETY PLAN
Attachment 6




           Behavior Based Loss Prevention System Forms
                       Activity Hazard Analysis
                        Confined Space Entry
                              Electrical
                        Pre-Task Safety Plans
                     Loss Prevention Observation
                   Incident Report and Investigation
                                                                 ACTIVITY HAZARD ANALYSIS
                                                                                        Date:
Activity:

                                                                                        Project:


                                                                                        Site Supervisor:
Description of the work:

                                                                                        Site Safety Officer:


                                                                                         Review for latest use: Before the job is performed.

            Work Activity Sequence                            Potential Health and Safety Hazards                                   Hazard Controls
(Identify the principal steps involved and the sequence   (Analyze each principal step for potential hazards)        (Develop specific controls for each potential hazard)
                    of work activities)




   HSOP/TEMP.DOC                                          1                                       REVISED 08/13/04
                                                               ACTIVITY HAZARD ANALYSIS

            Work Task Sequence                                Identify & Analyze the Hazards                                   Hazard Controls
                                                          (Analyze each principal step for potential hazards)   (Develop specific controls for each potential hazard)
(Identify the principal steps involved and the sequence
                    of work activities)
                                                 ACTIVITY HAZARD ANALYSIS
       Equipment to be used                         Inspection Requirements                              Training Requirements
(List equipment to be used in the work   (List inspection requirements for the work activity)   (List training requirements including hazard
              activity)                                                                                         communication)
                               ACTIVITY HAZARD ANALYSIS


                       PRINT   SIGNATURE

Supervisor Name:                                      Date/Time:

Safety Officer Name:                                  Date/Time:

Employee Name(s):                                     Date/Time:


                                                      Date/Time:


                                                      Date/Time:


                                                      Date/Time:


                                                      Date/Time:


                                                      Date/Time:


                                                      Date/Time:


                                                      Date/Time:


                                                      Date/Time:


                                                      Date/Time:


                                                      Date/Time:
H&S Self-Assessment Checklist: CONFINED-SPACE ENTRY                                                                Page 1 of 4
This checklist is provided as a method of verifying compliance with the OSHA confined-space entry standard. It shall be used
at locations where CH2M HILL employees enter confined spaces, or are required to perform oversight of subcontractor
personnel entering confined spaces, or both.
CH2M HILL staff shall not direct the means and methods of subcontractor confined space operations nor direct the details of
corrective actions. The subcontractor must determine how to correct deficiencies and CH2M HILL staff must carefully rely on
their expertise. Items considered to be imminently dangerous (possibility of serious injury or death) must be corrected
immediately or all exposed personnel must be removed from the hazard until corrected.
Completed checklists must be sent to the appropriate regional health and safety program manager for review.


Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________
This specific checklist has been completed to (check only one of the boxes below):

      Evaluate CH2M HILL compliance with its confined-space entry program (SOP HS-17)
      Evaluate a CH2M HILL subcontractor’s compliance with its confined-space entry program
      Subcontractor’s Name: ________________________________________________________


•     Check “Yes” if an assessment item is complete or correct.
•     Check “No” if an item is incomplete or deficient. Section 2 must be completed for all items checked “No.”
•     Check “N/A” if an item is not applicable.
•     Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-17.


                                                          SECTION 1                                     Yes   No    N/A N/O
CONFINED SPACE EVALUATION (6.1)
1.    Personnel informed of location and hazards of existing confined spaces (danger signs, verbal)
2.    Determination made that work can not be completed without entering the confined space
3.    Information obtained regarding the space (blue prints, potential hazards, energy sources)
4.    Spaces classified as permit-required, alternative procedure, or nonpermit confined spaces
TRAINING (6.2)
5.    Entrants, Attendants, and Entry Supervisor have completed confined-space entry training
6.    Employees performing lockout/tagout procedures have completed LOTO training
7.    Employees required to wear respirators have completed respiratory protection training
CONFINED-SPACE ENTRY (6.3)
8.  Completed permit or certificate posted at space entrance
9.  Preentry briefing conducted
10. Entrants/Attendants verify that entry supervisor has authorized entry
11. Entrants/Attendants verify that all requirements of the permit or certificate have been satisfied
12. Atmospheric monitoring is conducted at frequency provided on the permit or certificate
13. Entry not permitted if an atmospheric hazard is detected above acceptable safe levels
14. Entrants evacuate space upon orders of the attendant or entry supervisor,
    when an alarm is sounded, or when a prohibited condition or dangerous situation is recognized
15. Entrants/Attendant informs entry supervisor of hazards confronted or created in the space
    or any problems encountered during entry.
16. Entry supervisor informs the owner of such issues in item 16 above



HS-17, ATTACHMENT 2                                                                                                       REV. 3
H&S Self-Assessment Checklist: CONFINED-SPACE ENTRY                                                              Page 2 of 4

                                                         SECTION 1 (continued)                        Yes   No    N/A N/O
ENTRY UNDER A CONFINED-SPACE ENTRY PERMIT (CSEP) (6.4)
17.   CSEP completed by entry supervisor
18.   All expected hazards listed
19.   Entry supervisor and Attendant assigned
20.   Communication methods established between entrants and the attendant (6.7.1)
21.   Cleaning requirements identified (6.7.2)
22.   Isolation requirements identified (6.7.3)
23.   Ventilation requirements identified (6.7.4)
24.   Protective equipment requirements identified (6.7.5)
25.   Rescue equipment requirements identified (6.7.6)
26.   Other requirements identified (6.7.7)
27.   Rescue and emergency procedures identified (6.8)
28.   Atmospheric monitoring requirements identified
29.   HS&E manager approve use by signing (CH2M HILL CSEP only)
30.   Entry supervisor authorized entry by signing
31.   Authorized entrants have completed CSE training and attended preentry briefing
32.   Only authorized entrants permitted to enter the space
33.   Entry supervisor sign the CSEP indicating its cancellation
34.   Problems encountered during the entry listed
ENTRY UNDER AN ALTERNATIVE PROCEDURE CERTIFICATE (APC) (6.5)
35.   APC completed by entry supervisor
36.   All expected atmospheric hazards listed
37.   Entry supervisor and Attendant assigned
38.   Entry supervisor verifies that nonatmospheric hazards do not exist
39.   Communication methods established between entrants and the attendant
40.   Covers removed safely
41.   Openings guarded from both fall hazards and from objects entering the space
42.   Continuous forced-air ventilation positioned to ventilate the immediate areas where employees
      are working and continue until they have left the space
43.   Ventilation from a clean source of air
44.   Atmospheric monitoring requirements identified
45.   Entry supervisor authorize entry by signing
46.   Authorized entrants have completed CSE training and attended preentry briefing
47.   Only authorized entrants permitted to enter the space
48.   Entry supervisor sign the APC indicating its cancellation
49.   Problems encountered during the entry listed
ENTRY UNDER A NONPERMIT CERTIFICATE (NPC) (6.6)
50.   NPC completed by entry supervisor
51.   Entry supervisor assigned
52.   Attendant or buddy assigned
53.   Buddy remains in the space with the entrant
54.   Entry supervisor verifies nonatmospheric hazards do not exist
55.   Communication methods established between entrants and attendant or buddy
56.   Entrants informed to exit the space immediately if hazards are observed
57.   Atmospheric monitoring requirements identified
58.   Entry supervisor authorizes entry by signing
59.   Authorized entrants have completed CSE training and attended preentry briefing
60.   Only authorized entrants permitted to enter the space
61.   Entry supervisor shall sign the NPC indicating its cancellation
62.   Problems encountered during the entry shall be listed



HS-17, ATTACHMENT 2                                                                                                    REV. 3
H&S Self-Assessment Checklist: CONFINED-SPACE ENTRY                                                                 Page 3 of 4

                                                          SECTION 1 (continued)                          Yes   No     N/A N/O

RESCUE (6.8)
63.   Entrants wearing body harness with attached retrieval line (lifeline)
64.   Other end of lifeline attached to retrieval device (when required) or fixed point outside space
65.   Mechanical retrieval device positioned at access point for vertical-type spaces > 5 feet deep
66.   Rescue team established
67.   Team members have completed confined-space entry training
68.   Team members informed of the hazards that they may confront during rescue operations
69.   PPE & rescue equipment necessary to conduct safe entry-rescue provided & readily available
70.   Team members trained on rescue duties and proper use of PPE and rescue equipment
71.   All team members trained in first aid & CPR, at least one member holding a current certification
72.   Team has made simulated rescue from a space of similar configuration within last 12 months
73.   Communication established & tested between the team & entrants, and emergency provider
74.   Local emergency medical provider notified in advance of entries into PRCS

ATMOSPHERIC MONITORING (6.9)
75.   Qualified individual conducts atmospheric monitoring
76.   Monitoring results documented on permit or certificate
77.   Entrants do not enter until all monitoring requirements are completed
78.   Monitoring equipment calibrated prior to use
79.   Monitoring conducted for oxygen, flammability, and toxic air contaminants
80.   Monitoring conducted bottom to top at five foot intervals
PREENTRY BRIEFING (6.10)
81. Entry supervisor conducts the briefing and discusses the follow items:
82. Explanation of the work to be performed and limitations
83. Explanation of actual and potential hazards, including the possible behavioral effects
    and signs, symptoms, and consequences of exposure
84. Review of the control measure and atmospheric monitoring requirements, as specified on permit
    or certificate
85. Review of entrant and attendant responsibilities




HS-17, ATTACHMENT 2                                                                                                        REV. 3
H&S Self-Assessment Checklist: CONFINED-SPACE ENTRY                                                            Page 4 of 4

                                                        SECTION 2

Complete this section for all items checked “No” in Section 1. Deficient items must be corrected in a timely manner.
Item                                                                                                                 Date
  #                                      Corrective Action Planned or Taken                                        Corrected




Auditor: _______________________________ Project Manager: _________________________________




HS-17, ATTACHMENT 2                                                                                                     REV. 3
H&S Self-Assessment Checklist-Electrical

This checklist shall be used by CH2M HILL personnel only and shall be completed at the frequency specified in the project’s
HSP/FSI.

This checklist is to be used at the following locations: 1) CH2M HILL employees are exposed to electrical hazards or 2) CH2M
HILL provides oversight of subcontractor personnel who are exposed to electrical hazards.

SSC or DSC may consult with subcontractors when completing this checklist, but shall not direct the means and methods of
electrical operations nor direct the details of corrective actions. Subcontractors shall determine how to correct deficiencies and we
must carefully rely on their expertise. Items considered to be imminently dangerous (possibility of serious injury or death) shall be
corrected immediately, or all exposed personnel shall be removed from the hazard until corrected.

Completed checklists shall be sent to the HS&E Staff for review.



Project Name: ______________________________________________________ Project No.: ______________________
Location: ______________________________________________________ PM: __________________________________
Auditor: ____________________________________ Title: _________________________________ Date: _____________

This specific checklist has been completed to:

        Evaluate CH2M HILL employee exposure to electrical hazards
        Evaluate a CH2M HILL subcontractor’s compliance with electrical safety requirements
        Subcontractors Name: ________________________________________________________


•       Check “Yes” if an assessment item is complete/correct.

•       Check “No” if an item is incomplete/deficient. Deficiencies shall be brought to the immediate attention of the subcontractor.
        Section 3 must be completed for all items checked “No.”

•       Check “N/A” if an item is not applicable.

•       Check “N/O” if an item is applicable but was not observed during the assessment.
Numbers in parentheses indicate where a description of this assessment item can be found in Standard of Practice HS-23.

                                                             SECTION 1
                                                                                                        Yes    No      N/A N/O
SAFE WORK PRACTICES (3.1)

1. Only qualified employees conducting installation, adjustment, etc. of electrical equipment
2. Only qualified employees working on energized electrical equipment
3. Areas under new installation or repair have sufficient guarding with physical barriers and signs
4. All temporary wiring supplying electrical tool have GFCI installed.
5. Extension cords equipped with 3-wire grounding
6. Extension cords covered, elevated, or protected when passing through work areas and doorways
7. Extension cords not fastened with staples, hung from nails, or suspended with wire
8. Electric power tools and equipment effectively grounded or double-insulated and UL approved
9. Electric power tools and equipment inspected prior to use. Damaged tools tagged and removed
10. Electric power tools and equipment operated and maintained according to manufacturer’s specs
11. Temporary lights not suspended by their electric cords unless designed to be
12. Lights are protected from contact or breakage
13. All electrical equipment, tools, switches, and outlets protected from environmental elements



HS-23                                                         1
H&S Self-Assessment Checklist-Electrical

                                                            SECTION 2

                                                                                                       Yes   No   N/A N/O
General Electrical Safety (3.2.1)

14.     All electrical conductors and equipment are approved
15.     Equipment installed and used in accordance with listings, labels, and certifications
16.     Equipment intended to break current is sufficient for the current that must be interrupted
17.     Electric equipment is firmly secured to the surface on which it is mounted
18.     Electrical equipment is ventilated for cooling as required
19.     Conductors requiring splicing are spliced with devices and methods designed as such
20.     Electric equipment that produces sparks is enclosed or separated from combustible material
21.     Electrical equipment is marked with voltage, current, wattage, or other ratings as necessary

Clearance Requirements and Working on/Adjacent to Exposed Energized Equipment (3.2.2)

22. Open conductors conform to the minimum clearances from sidewalks, traffic, etc.
23. Conductors have at least 3 ft. clearance from windows, doors, fire escapes, or similar locations
24. Conductors above roof space accessible to employees maintain minimum clearances
600 volts or less.
25. Working space is provided about all electric equipment for safe operation and maintenance
26. Workspace not less than 30 inches wide in front of electrical equipment
27. Minimum headroom of working space is 6 feet 3 inches
28. Working space around electrical equipment is not used for storage
29. When normally enclosed live parts are exposed for inspection or servicing, guards are provided
30. Exposed live parts of switchboards or MCCs have at least 3 ft. working space in front
31. Live parts of electric equipment at ≥ 50 volts are adequately guarded against accidental contact
Over 600 volts
32. Electrical equipment over 600 volts is accessible to qualified persons only
33. Entrances to buildings, rooms or enclosures containing exposed live parts are locked
34. Exposed energized parts have a minimum clear workspace ≥ 6ft. 6 in. high; ≥ 3 ft. wide
35. Workspace permits at least a 90-degree opening of doors or hinged panels
36. Minimum clear workspace in front of electric equipment is ≥ 3 ft. or as specified in Table 1
37. ≥ 30 in. horizontal work space is provided for rear access to work on de-energized equipment
38. SOP HS-44 and HS-41 have been used to establish clearance requirements for overhead lines

Grounding (3.2.3)
39. A GFCI or an assured equipment grounding program is used to protect employees
40. All 120 volt, single-phase 15 and 20 ampere receptacle outlets have GFCIs.
41. A written description of the assured equipment grounding program is available at the jobsite
42. One or more qualified persons is designated to implement the assured equip. grounding program
43. Cord sets, plug/receptacle of cord sets, & equipment connected by cord/plug are inspected daily
44. Relevant equipment is tested for continuity and correct attachment to grounding conductors
45. Tests are performed when necessary but a least at intervals of 3months
46. Records of inspections and testing of each piece of equipment are maintained
47. Frames of portable generators are appropriately grounded, where applicable
48. Vehicle mounted generators are appropriately grounded, where applicable
49. Exposed noncurrent-carrying metal parts of fixed equipment are grounded, where applicable
50. Exposed metal parts of cord- and plug-connected equipment are grounded, where applicable
51. Cord- and plug-connected equipment are grounded, where applicable
52. Cord-and plug-connected portable x-ray equipment and hand lamps are grounded
53. Tools used in wet and/or conductive locations are grounded, where applicable
54. Metal parts of applicable non-electrical equipment are grounded




HS-23                                                        2
                                                     SECTION 2 (continued)
                                                                                                        Yes   No   N/A N/O
Temporary and Portable Electrical Equipment (3.2.4)

55. No wiring is installed in ducts used to transport dust, loose stock or flammable vapors
56. All requirements for permanent wiring have been applied to temporary wiring installations
57. Temporary wiring is removed immediately upon completion of construction or intended use
58. All conductors are protected by over-current devices at their ampacity
59. Runs of open conductors are located where they will not be subject to physical damage
60. Conductors are fastened at intervals not exceeding 10 feet (3.05 m)
61. No branch-circuit conductors are laid on the floor
62. Branch circuit conductors have separate grounding conductors, where applicable
63. Receptacles are of the grounding type
64. Receptacles are not installed on branch circuits that supply temp. lighting, where applicable
65. Receptacles are not connected to ungrounded conductors of multiwire circuits, where applicable
66. Disconnecting switches or plug connectors are installed properly
67. All lamps for general illumination are protected from accidental contact or breakage
68. Metal-case sockets are grounded
69. Temporary lights are not suspended by their electric cords unless designed to do so
70. Portable lights used in wet locations shall be operated at 12 volts or less, or use a GFCI
71. Flexible cords and cables are protected from damage, sharp edges, and pinch hazards
72. Extension cords used with portable electric tools and appliances are of three-wire type
73. Conductors entering boxes, cabinets, or fittings are protected.
74. All pull boxes, junction boxes, and fittings are provided with covers
75. In energized installations, each outlet box has a cover, faceplate or fixture canopy
76. Covers of outlet boxes have bushings installed, where applicable
77. Over 600 V, pull/junction boxes have a complete enclosure for the contained conductors/cables
78. Boxes are closed by covers securely fastened in place
79. Covers for boxes are permanently marked "HIGH VOLTAGE."
80. Single-throw knife switches are connected so blades are dead in the open position
81. Single-throw knife switches are placed so that gravity will not close them
82. Single-throw knife switches used in the inverted position have a locking device
83. Double-throw knife switches are mounted correctly
84. Cabinets, boxes, fittings, etc. in damp locations are installed to prevent moisture or water from
 entering/accumulating within the enclosures. In wet locations the enclosures are weatherproof
85. Switches, breakers, and switchboards in wet locations are enclosed in weatherproof enclosures
86. All conductors used for general wiring shall be insulated unless otherwise permitted
87. Conductor insulation is of a type suitable for the voltage, operating temp., and location of use
88. Insulated conductors are distinguishable by appropriate color or other means, as needed
89. Flexible cords and cables are suitable for conditions of use and location
90. Flexible cords and cables are used only for applications specified in this SOP
91. Flexible cords are used only in continuous lengths without splices
92. Flexible cords are connected to devices and fittings so that strain relief is provided
93. Flexible cords and cables are protected by bushings where passing through covers, boxes, etc.
94. Portable lamps are wired w/flexible cords and plug of the polarized or grounding type
95. Portable handlamps with metal shell, paper lined lampholders are not being used
96. Handlamps are equipped with an insulated handle and substantial guard
97. Metallic guards on handlamps are grounded w/a grounding conductor run within the cord
98. Worn or frayed electric cords or cables are not used
99. Extension cords are not fastened with staples, hung from nails, or suspended by wire
100. All wiring components and equipment in hazardous locations are maintained as appropriate
101.Conductors or equipment are only located in the environment they are designed for
102.Equipment approved for use in dry locations only are protected from damage by weather

Personnel Protection (3.2.5)

103. Electrical equipment has been de-energizing and grounded or guarded by insulation
104. Where the location of underground power is unknown, insulated gloves are provided




HS-23                                                      3
                                                       SECTION 2 (continued)

                                                                                                         Yes No N/A N/O

Personnel Protection (3.2.5) (continued)

105. Attempts are made to locate all energized electrical circuits before work begins
106. Signs are posted and maintained warning employees of electrical hazards
107. When energized parts are exposed, barriers or guards are used to prevent accidental contact
108. Working space, walkways, and similar are kept clear of cords to prevent tripping hazards
109. Controls that are deactivated are locked out and tagged out

Batteries (3.2.6)

110. Unsealed batteries are located in well ventilated rooms
111. Racks and trays used to store batteries are substantial and resistant to electrolytic damage
112. Floors are acid resistant or otherwise protected from acid accumulation
113. Face shields, aprons, and rubber gloves are provided for workers handling acids or batteries
114. Eye wash is provided within 25 feet (7.62 m) of battery handling areas
115. Facilities are provided for flushing and neutralizing spilled electrolyte and for fire protection
116. Battery charging installations are located in designated areas
117. Charging apparatus are protected from damage by trucks
118. When batteries are being charged, vent caps are kept in place to avoid electrolyte spray
119. Vent caps on batteries are maintained in functioning condition

Lockout-Tagout (3.2.7)

120. Lockout/tagout procedures are utilized that provide emphasis on verifying de-energization
121. De-energization is confirmed using a 3-point testing procedure
122. If tagout only is performed, one additional safety measure has been implemented




HS-23                                                        4
H&S Self-Assessment Checklist-Electrical

                                                          SECTION 3

Complete this section for all items checked “No” in Sections 1 or 2. Deficient items must be corrected in a timely manner.
Item                                                                                                                   Date
  #                                       Corrective Action Planned/Taken                                            Corrected




Auditor: _________________________________ Project Manager: ____________________________________



HS-23                                                    5
                  PRE-TASK SAFETY PLAN
Project: ________________________ Location: _______________________Date:__________________________

Supervisor: ________________________________ Job Activity:_______________________________________

 _____________________________________________________________________________________________

Task Personnel:




List Tasks:




Tools/Equipment required for Tasks (ladders, scaffolds, fall protection, cranes/rigging, heavy equipment, power
tools):




Potential H&S Hazards, including chemical, physical, safety, biological and environmental (Check all that apply):

__ Chemical burns/contact             __ Trench, excavations, cave-ins   __Ergonomics

__ Pressurized lines/equipment        __ Overexertion                    __ Chemical splash

__ Thermal burns                      __ Pinch points                    __ Poisonous plants/insects

__ Electrical                         __ Cuts/abrasions                  ___Eye hazards/flying projectile

__ Weather conditions                 __ Spills                          __ Inhalation hazard

__Heights/fall> 6’                    __ Overhead Electrical hazards     __ Heat/cold stress

__ Noise                              __ Elevated loads                  __ Water/drowning hazard

__ Explosion/fire                     __ Slips, trip and falls           __ Heavy equipment

__Radiation                           __ Manual lifting                  __ Aerial lifts/platforms

__ Confined space entry               __Welding/cutting                  __ Demolition

Other Potential Hazards (Describe):




HSOP/TEMP.DOC                                           5                                 REVISED 08/13/04
                                PRE-TASK SAFETY PLAN
Hazard Control Measures (Check all that apply):
PPE                     Protective Systems           Fire Protection                      Electrical

__ Thermal/lined        __ Sloping                   __ Fire extinguishers                __ Lockout/tagout

__ Eye                  __ Shoring                   __ Fire watch                        __ Grounded

__ Dermal/hand          __ Trench box                __ Non-spark tools                   __ Panels covered

__ Hearing              __ Barricades                __ Grounding/bonding                 __ GFCI/extension cords

__ Respiratory          __ Competent person          __ Intrinsically safe equipment      __ Power tools/cord inspected

__ Reflective vests     __ Locate buried utilities

__ Flotation device     __ Daily inspections

Fall Protection         Air Monitoring               Proper Equipment                     Welding & Cutting

__ Harness/lanyards     __ PID/FID                   __ Aerial lift/ladders/scaffolds     __ Cylinders secured/capped

__ Adequate anchorage   __ Detector tubes            __ Forklift/ Heavy equipment         __ Cylinders separated/upright

__ Guardrail system     __ Radiation                 __ Backup alarms                     __ Flash-back arrestors

__ Covered opening      __ Personnel sampling        __ Hand/power tools                  __ No cylinders in CSE

__ Fixed barricades     __ LEL/O2                    __ Crane w/current inspection        __ Flame retardant clothing

__ Warning system       __ Other                     __ Proper rigging                    __ Appropriate goggles

                                                     __ Operator qualified

Confined Space Entry    Medical/ER                   Heat/Cold Stress                     Vehicle/Traffic

__ Isolation            __ First-aid kit             __ Work/rest regime                  __ Traffic control

__ Air monitoring       __ Eye wash                  __ Rest area                         __ Barricades

__ Trained personnel    __ FA-CPR trained            __ Liquids available                 __ Flags
                        personnel
__ Permit completed                                  __ Monitoring                        __ Signs
                        __ Route to hospital
__ Rescue                                            __ Training


Permits                 Demolition                   Inspections:                         Training:

__ Hot work             __ Pre-demolition survey     __ Ladders/aerial lifts              __ Hazwaste

__ Confined space       __ Structure condition       __ Lanyards/harness                  __ Construction

__ Lockout/tagout        __ Isolate area/utilities   __ Scaffolds                         __ Competent person

__ Excavation           __ Competent person          __ Heavy equipment                   __ Task-specific (THA)

__ Demolition           __ Hazmat present            __Cranes and rigging                 __ Hazcom

__ Energized work

FieldNotes:_____________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

Supervisor signature:_________________________________                         Date:__________________
                               Safe Work Loss-Prevention Observation Checklist

Date:                     Task:                      Observer:
Position/Title of                                    Background
worker observed:                                     Information/comments:

Project Lessons
Learned:
    Identify and reinforce safe work practices/behaviors
    Identify and improve on at-risk practices/acts
    Identify and improve on practices, conditions, controls, and compliance that eliminate or reduce hazards
    Proactive PM support facilitates eliminating/reducing hazards (do you have what you need?)
    Positive, corrective, cooperative, collaborative feedback/recommendations
        Actions & Behaviors            Safe   At-Risk                      Safer Options
Current & accurate Pre-Task
Planning/Briefing (Project safety
plan, AHA, PTSP, tailgate briefing,
etc., as needed)

Properly
trained/qualified/experienced
Tools/equipment available and
adequate
Proper use of tools
Barricades/work zone control
Housekeeping
Communication
Work Approach/Habits
Attitude
Focus/attentiveness
Pace
Uncomfortable position
Inconvenient location
Position/Line of fire
Apparel (hair, loose clothing,
jewelry)
Repetitive motion
Incident Report Form (Hardcopy)

Type of Incident (Select at least one)
    Injury/Illness                       Property Damage                      Other
    Environmental/Permit                 Near Miss
Issue                                    Spill/Release

General Information (Complete for all incident types)
Preparer’s Name: ________________________________ Preparer’s Employee Number: __________________
Date of Report: ___________________ Date of Incident: _________________ Time of Incident: ___________
am/pm

Type of Activity (Provide activity being performed that resulted in the incident)
   Asbestos Work
   Confined Space Entry                    Excavation Trench-Haz Waste       Other (Specify)
   Construction Mgmt- Haz Waste            Excavation Trench-Non Haz      _________________________
   Construction Mgmt - Non-Haz             Facility Walk Through             Process Safety Management
Waste                                      General Office Work               Tunneling
   Demolition                              Keyboard Work                     Welding
   Drilling-Haz Waste                      Laboratory                        Wetlands Survey
   Drilling-Non Haz Waste                  Lead Abatement                    Working from Heights
   Drum Handling                           Motor Vehicle Operation           Working in Roadways
   Electrical Work                         Moving Heavy Object               WWTP Operation
                                   Location of Incident (Select one)
    Company Premises (CH2M HILL Office: _________________________)
    Field (Project #: ________________ Project/Site Name: _________________ Client: _______________)
    In Transit (Traveling from: _______________________ Traveling to: _____________________________)
    At Home

Geographic Location of Incident (Select region where the incident occurred)
    Northeast                            Southwest                            Asia Pacific
    Southeast                            Corporate                            Europe Middle East
    Northwest                            Canadian                             Latin America

If a CH2M HILL subcontractor was involved in the incident, provide their company name and phone
number:




Describe the Incident (Provide a brief description of the incident):




INCIDENT REPORT FORM (HARCOPY)                        17                                                 REV. 2
Injured Employee Data (Complete for Injury/Illness incidents only)

                                        If CH2M HILL employee injured
Employee Name: _________________________________________ Employee Number: __________________

                                  If CH2M HILL Subcontractor employee injured
Employee Name: __________________________ Company: ____________________________________
Injury Type
   Allergic Reaction                       Electric Shock                           Multiple (Specify)
   Amputation                              Foreign Body in eye                   _________________________
   Asphyxia                                Fracture                                 Muscle Spasms
   Bruise/Contusion/Abrasion               Freezing/Frost Bite                      Other (Specify)
   Burn (Chemical)                         Headache                              _________________________
   Burn/Scald (Heat)                       Hearing Loss                             Poisoning (Systemic)
   Cancer                                  Heat Exhaustion                          Puncture
   Carpal Tunnel                           Hernia                                   Radiation Effects
   Concussion                              Infection                                Strain/Sprain
   Cut/Laceration                          Irritation to eye                        Tendonitits
   Dermatitis                              Ligament Damage                          Wrist Pain
   Dislocation


                                              Part of Body Injured
   Abdomen                                 Hand(s)                                  Neck
   Ankle(s)                                Head                                     Nervous System
   Arms (Multiple)                         Hip(s)                                   Nose
   Back                                    Kidney                                   Other (Specify)
   Blood                                   Knee(s)                               ______________________
   Body System                             Leg(s)                                   Reproductive System
   Buttocks                                Liver                                    Shoulder(s)
   Chest/Ribs                              Lower (arms)                             Throat
   Ear(s)                                  Lower (legs)                             Toe(s)
   Elbow(s)                                Lung                                     Upper Arm(s)
   Eye(s)                                  Mind                                     Upper Leg(s)
   Face                                                                             Wrist(s)
   Finger(s)                               Multiple (Specify)
   Foot/Feet                            ______________________


                                                  Nature of Injury
    Absorption                             Inhalation                               Repeated Motion/Pressure
    Bite/Sting/Scratch                     Lifting                                  Rubbed/Abraded
    Cardio-                                Mental Stress                            Shock
Vascular/Respiratory System                Motor Vehicle Accident                   Struck Against
Failure                                    Multiple (Specify)                       Struck By
    Caught In or Between                _________________________                   Work Place Violence
    Fall (From Elevation)                  Other (Specify)
    Fall (Same Level)                   _________________________
    Ingestion                              Overexertion

Initial Diagnosis/Treatment Date: ______________


                                               Type of Treatment
   Admission to hospital/medical facility                        Cold/Heat Compression/One Treatment
   Application of bandages                                       First Degree Burn Treatment
   Cold/Heat Compression/Multiple Treatment                      Heat Therapy/Multiple treatment

INCIDENT REPORT FORM (HARDCOPY)                           2                                                    REV. 2
   Multiple (Specify)                                       Soaking therapy- Multiple Treatment
_________________________________________________           Soaking Therapy- One Treatment
__                                                          Stitches/Sutures
   Heat Therapy/One Treatment                               Tetanus
   Non-Prescriptive medicine                                Treatment for infection
   None                                                     Treatment of 2nd /3rd degree burns
   Observation                                              Use of Antiseptics – multiple treatment
   Other (Specify)                                          Use of Antiseptics – single treatment
_________________________________________________           Whirlpool bath therapy/multiple treatment
   Prescription- Multiple dose                              Whirlpool therapy/single treatment
   Prescription- Single dose                                X-rays negative
   Removal of foreign bodies                                X-rays positive/treatment of fracture
   Skin Removal

Number of days doctor required employee to be off work: _________
Number of days doctor restricted employee’s work activity: _________
Equipment Malfunction : Yes       No              Activity was a Routine Task: Yes                 No
Describe how you may have prevented this injury:




Physician Information                                       Hospital Information
Name: _____________________________________                 Name: ________________________________
Address: _____________________________________              Address: ______________________________
City:    _____________________________________              City:    _______________________________
Zip Code: ____________________________________              Zip Code: ______________________________
Phone:    _____________________________________             Phone:    ______________________________

Property Damage (Complete for Property Damage incidents only)

Property Damaged:                                      Property Owner:
Damage Description:
Estimated Amount: $

Spill or Release (Complete for Spill/Release incidents only)

Substance (attach MSDS):                                Estimated Quantity:
Facility Name, Address, Phone No.:
Did the spill/release move off the property where work was performed?:
Spill/Release From:                              Spill/Release To:

Environmental/Permit Issue (Complete for Environmental/Permit Issue incidents only)

Describe Environmental or Permit Issue:

Permit Type:

Permitted Level or Criteria (e.g., discharge limit):

Permit Name and Number (e.g., NPDES No. ST1234):

Substance and Estimated Quantity:


INCIDENT REPORT FORM (HARDCOPY)                        2                                                REV. 2
Duration of Permit Exceedence:




Verbal Notification (Complete for all incident types)(Provide names, dates and times)

CH2M HILL Personnel Notified:

Client Notified:


Witnesses (Complete for all incident types)

Witness Information (First Witness)                    Witness Information (Second Witness)
Name:                                                  Name:

Employee Number (CH2M HILL):                           Employee Number (CH2M HILL):

Address:                                               Address:

City:                                                  City:

Zip Code:                                              Zip Code:

Phone:                                                 Phone:




INCIDENT REPORT FORM (HARDCOPY)                   17                                          REV. 2
INCIDENT INVESTIGATION FORM
Employer Information

Company Name:


Project Name:                                                     Project Number:

Project Location:

CHIL Project?    Yes       No

Task Location:


Job Assignment:                                               Business Group:

Preparer’s Name:                                        Preparer’s Employee Number:

Incident Specific Information

Date of Incident:                                             Time of Incident:                    a.m./p.m.

Location of incident:

  Company premises                Field                             In Transit            Other:


Address where the incident occurred:


Equipment Malfunction : Yes         No                Activity was a Routine Task: Yes   No

Describe any property damage:


Specific activity the employee was engaged in when the incident occurred:




All equipment, materials, or chemicals the employee was using when the incident occurred:




Describe the specific incident and how it occurred:




INCIDENT REPORT FORM (HARDCOPY)                              17                                                REV. 2
CH2M HILL HEALTH AND SAFETY PLAN
Attachment 7




               Applicable Material Safety Data Sheets
ALCONOX MSDS - ALCONOX MSDS - ALCONOX MSDS - ALCONOX MSDS


               Red
                                                   Alconox ®
               Fire
                          NFPA
                          Rating   MATERIAL SAFETY DATA SHEET
                0
          0           0                              Alconox, Inc.
 Blue                       Yellow
 Health                     Reactivity         30 Glenn Street. Suite 309
                                                  White Plains, NY 10603
              White
                                   24 Hour Emergency Number – Chem-Tel (800) 255-3924
              Special

I. IDENTIFICATION
Product Name (as appears on label)               ALCONOX
CAS Registry Number:                             Not Applicable
Effective Date:                                  January 1, 1999
Chemical Family:                                 Anionic Powdered Detergent
Manufacturer Catalog Numbers for sizes           1104, 1125, 1150, 1101, 1103 and 1112

II. HAZARDOUS INGREDIENTS/IDENTITY INFORMATION
There are no hazardous ingredients in ALCONOX as defined by the OSHA Standard and Hazardous Substance List
29 CFR 1910 Subpart Z.

III. PHYSICAL/CHEMICAL CHARACTERISTICS
Boiling Point (F):                  Not Applicable
Vapor Pressure (mm Hg):             Not Applicable
Vapor Density (AIR=1):              Not Applicable
Specific Gravity (Water=1):         Not Applicable
Melting Point:                      Not Applicable
Evaporation Rate (Butyl Acetate=1): Not Applicable
Solubility in Water:                Appreciable-Soluble to 10% at ambient conditions
Appearance:                         White powder interspersed with cream colored flakes.

IV. FIRE AND EXPLOSION DATA
Flash Point (Method Used): None
                           LEL: No Data
Flammable Limits:
                           UEL: No Data
Extinguishing Media:       Water, dry chemical, CO2, foam
Special Fire fighting      Self-contained positive pressure breathing apparatus and protective
Procedures:                clothing should be worn when fighting fires involving chemicals.
Unusual Fire and Explosion
                           None
Hazards:

V. REACTIVITY DATA
Stability:                                               Stable
Hazardous Polymerization:                                Will not occur
Incompatibility (Materials to Avoid):                    None
Hazardous Decomposition or Byproducts:                   May release CO2 on burning
VI. HEALTH HAZARD DATA
                      Inhalation? Yes
Route(s) of Entry:    Skin? No
                      Ingestion? Yes
                      Inhalation of powder may prove locally irritating to mucous
Health Hazards (Acute
                      membranes. Ingestion may cause discomfort and/or diarrhea. Eye
and Chronic):
                      contact may prove irritating.
                      NTP? No
Carcinogenicity:      IARC Monographs? No
                      OSHA Regulated? No
Signs and Symptoms of
                      Exposure may irritate mucous membranes. May cause sneezing.
Exposure:
Medical Conditions    Not established. Unnecessary exposure to this product or any
Generally Aggravated industrial chemical should be avoided. Respiratory conditions may
by Exposure:          be aggravated by powder.
                      Eyes: Immediately flush eyes with water for at least 15 minutes.
                      Call a physician.
Emergency and First Skin: Flush with plenty of water.
Aid Procedures:       Ingestion: Drink large quantities of water or milk. Do not induce
                      vomiting. If vomiting occurs administer fluids. See a physician for
                      discomfort.

VII. PRECAUTIONS FOR SAFE HANDLING AND USE
Steps to be Taken if
                         Material foams profusely. Recover as much as possible and flush
Material is Released or
                         remainder to sewer. Material is biodegradable.
Spilled:
                         Small quantities may be disposed of in sewer. Large quantities
Waste Disposal Method: should be disposed of in accordance with local ordinances for
                         detergent products.
Precautions to be Taken
                         Material should be stored in a dry area to prevent caking.
in Storing and Handling:
                         No special requirements other than the good industrial hygiene and
Other Precautions:
                         safety practices employed with any industrial chemical.

VIII. CONTROL MEASURES
Respiratory Protection (Specify Type):  Dust mask - Recommended
                                        Local Exhaust-Normal
                                        Special-Not Required
Ventilation:
                                        Mechanical-Not Required
                                        Other-Not Required
Protective Gloves:                      Impervious gloves are useful but not required.
                                        Goggles are recommended when handling
Eye Protection:
                                        solutions.
Other Protective Clothing or Equipment: None
Work/Hygienic Practices:                No special practices required

THE INFORMATION HEREIN IS GIVEN IN GOOD FAITH BUT NO WARRANTY IS EXPRESSED OR
IMPLIED.
AutoCal                                                                            Page 1 of 4




                  -----MATERIAL SAFETY DATA SHEET-----
                                  AutoCal Solution
          Compliance Technology Inc.
                 118 Starlite St.           Prepared: February 20, 1996
          So. San Francisco, CA 94080-       Revised: February 14, 2000
                       6310

                                   ----- NOTICE-----
       This information is believed to be accurate and represents the best
     information currently available to us. however, we make no warranty of
     merchantability, or fitness for any particular use, or any other warranty,
     express or implied, with respect to this information, and we assume no liability
     resulting from the use of this information. Users should make their own
     investigations to determine the suitability of the information for their particular
     needs and purposes. Compliance Technology Inc. will assist in this regard.

                  -----SUBSTANCE IDENTIFICATION-----
        SUBSTANCE: AutoCal Solution Calibrating Buffer Solution
       Trade names/synonyms: This material is also known by various
                                catalog numbers.
     Cercla ratings (scale 0-3): health=0 fire=0 reactivity=0 persistence=0
             Nfpa ratings (scale 0-4): health=0 fire=0 reactivity=0


           -----COMPONENTS AND CONTAMINANTS---
     Component: potassium hydrogen phthalate CAS# 877-24-7 Percent:
                                  <2.0
            Component: water CAS# 7732-18-5 percent: >98
                        Other contaminants: none


                         ----- EXPOSURE LIMITS-----
            No occupational exposure limits established by osha, acgih or
                                      niosh.

                             -----PHYSICAL DATA-----



http://www.compliancetechnology.com/MSDS/AutoCal.html                              01/03/2003
AutoCal                                                                Page 2 of 4




                                 Description:
                            Clear, colorless liquid.
      Approx. boiling point: 212°F (100°C). Approx. melting point: 32°F
                                     (0°C)
          Vapor pressure: 14 torr @20°C Evap. Rate: (ether=1) < 1
       pH: 4.0 Solubility in water: complete Vapor density: 0.7 (H2O)


                    -----FIRE AND EXPLOSION DATA-----
     Fire and explosion hazard: No fire hazard when exposed to heat or
     flame.
     Flash point: not applicable
     Fire fighting media: dry chemical, carbon dioxide, water spray or
     regu-lar foam. (1990 emergency response guidebook, dot p-5800.5)
     For larger fires, use water spray, fog or regular foam. (1990
     emergency response guidebook, dot p-5800.5)
     Fire fighting: Move container from fire area if it can be done without
     risk. Do not scatter spilled material with high-pressure water
     streams. Dike fire-control water for later disposal . (1990 emergency
     response guidebook, dot p-5800.5 Pg. 31) Use agents suitable for the
     type of surrounding fire. Avoid breathing hazardous vapors, stay
     upwind of the fire.


                                 -----TOXICITY-----
     potassium hydrogen phthalate:
     Carcinogen status: none.
     Local effects: irritant - inhalation, skin, eye.
     Acute toxicity level: no data available.
     Target effects: no data available.
     medical conditions agravated by exposure: no data available.

                -----HEALTH EFFECTS AND FIRST AID-----
                             INHALATION

     POTASSIUM HYDROGEN PHTHALATE:IRRITANT.
     ACUTE EXPOSURE - MAY CAUSE IRRITATION.


http://www.compliancetechnology.com/MSDS/AutoCal.html                  01/03/2003
AutoCal                                                 Page 3 of 4




     CHRONIC EXPOSURE - REPEATED OR PROLONGED
     EXPOSURE MAY CAUSE IRRITA-TION.
     FIRST AID - REMOVE FROM EXPOSURE AREA TO FRESH
     AIR IMMEDIATELY. IF BREATHING HAS STOPPED,
     PERFORM ARTIFICIAL RESPIRATION. KEEP PERSON
     WARM AND AT REST. TREAT SYMPTOMATICALLY AND
     SUPPORTIVELY. GET MEDICAL ATTENTION
     IMMEDIATELY.
                         SKIN CONTACT:
     POTASSIUM HYDROGEN PHTHALATE:IRRITANT.
     ACUTE EXPOSURE - MAY CAUSE IRRITATION.
     CHRONIC EXPOSURE - REPEATED OR PROLONGED
     EXPOSURE MAY CAUSE DERMATITIS.
     FIRST AID - REMOVE CONTAMINATED CLOTHING AND
     SHOES IMMEDIATELY, WASH AFFECTED AREA WITH
     SOAP OR MILD DETERGENT AND LARGE AMOUNTS OF
     WATER UNTIL NO EVIDENCE OF CHEMICAL REMAINS
     (APPROXIMATELY 15-20 MINUTES). GET MEDICAL
     ATTENTION IMMEDIATELY.
                         EYE CONTACT:
     POTASSIUM HYDROGEN PHTHALATE: IRRITANT.
     ACUTE EXPOSURE-DIRECT CONTACT MAY CAUSE
     IRRITATION, REDNESS AND PAIN.
     CRONIC EXPOSURE-REPEATED OR PROLONGED
     EXPOSURE MAY CAUSE CONJUNCTIVITIS
     FIRST AID - WASH EYES IMMEDIATELY WITH LARGE
     AMOUNTS OF WATER OR NORMAL SALINE,
     OCCASIONALLY LIFTING UPPER AND LOWER LIDS UNTIL
     NO EVIDENCE OF CHEMICAL REMAINS (APPROXIMATELY
     15-20 MINUTES). GET MEDICAL ATTENTION
     IMMEDIATELY.
                           INGESTION
     POTASSIUM HYDROGEN PHTHALATE: IRRITANT.
     ACUTE EXPOSURE - MAY CAUSE NAUSEA, VOMITING AND
     DIARRHEA.
     CRONIC EXPOSURE - NOT REPORTED TO OCCUR IN
     HUMANS


http://www.compliancetechnology.com/MSDS/AutoCal.html   01/03/2003
AutoCal                                                                  Page 4 of 4




     FIRST AID - IF VICTIM IS CONSCIOUS, IMMEDIATELY GIVE
     2-4 GLASSES OF WATER, AND INDUCE VOMITING BY
     TOUCHING FINGER TO BACK OF THROAT, GET MEDICAL
     ATTENTION IMMEDIATELY.


                            -----REACTIVITY-----
     Reactivity: stable under normal temperatures and pressures.
     Incompatibilities: AFFECTED BY STRONG OXIDIZERS WHEN
     DRY.
     Decomposition: NONE KNOWN WHILE IN SOLUTION.
     Polymerization: NONE KNOWN WHILE IN SOLUTION.


                      -----STORAGE AND DISPOSAL-----
     Observe all federal, state and local regulations when storing or
     disposing of this substance. for assistance, contact the district
     director of the environmental protection agency.


                  -----PROTECTIVE EQUIPMENT-----
      When using, wear eye protection to prevent contact.




http://www.compliancetechnology.com/MSDS/AutoCal.html                    01/03/2003
MATERIAL SAFETY DATA SHEET

PRODUCT NAME: HEXANE

1. Chemical Product and Company Identification

BOC Gases,                                                             BOC Gases
Division of                                                            Division of
The BOC Group, Inc.                                                    BOC Canada Limited
575 Mountain Avenue                                                    5975 Falbourne Street, Unit 2
Murray Hill, NJ 07974                                                  Mississauga, Ontario L5R 3W6

TELEPHONE NUMBER: (908) 464-8100                                       TELEPHONE NUMBER: (905) 501-1700
24-HOUR EMERGENCY TELEPHONE NUMBER:                                    24-HOUR EMERGENCY TELEPHONE NUMBER:
CHEMTREC (800) 424-9300                                                (905) 501-0802
                                                                       EMERGENCY RESPONSE PLAN NO: 20101

PRODUCT NAME: HEXANE
CHEMICAL NAME: Hexane
COMMON NAMES/SYNONYMS: Hexane/mixed isomers, Hexanes, n-Hexane
TDG (Canada) CLASSIFICATION: 3
WHMIS CLASSIFICATION: B2, D2A, D2B

PREPARED BY: Loss Control (908)464-8100/(905)501-1700
PREPARATION DATE: 6/1/95
REVIEW DATES: 6/7/96


2. Composition, Information on Ingredients

             INGREDIENT                    % VOLUME                PEL-OSHA1                  TLV-ACGIH2      LD50 or LC50
                                                                                                             Route/Species
Hexane                                   100.0              500 ppm TWA                    50 ppm TWA       LD50
FORMULA: C6H14                                              (n-Hexane)                     (n-Hexane)       2870 mg/kg
CAS: 110-54-3                                                                                               (rat)
RTECS #: MN9275000
1
    As stated in 29 CFR 1910, Subpart Z (revised July 1, 1993)
2
    As stated in the ACGIH 1994-95 Threshold Limit Values for Chemical Substances and Physical Agents


3. Hazards Identification

                                       EMERGENCY OVERVIEW
Vapors irritating to the eyes and respiratory system. Skin contact may cause irritation and dermatitis.
Inhalation of vapors may depress the central nervous system causing dizziness, headache and
nausea and eventual loss of consciousness and respiratory paralysis at very high concentrations.
Flammable.

ROUTE OF ENTRY:
  Skin Contact                  Skin Absorption               Eye Contact                Inhalation          Ingestion
      Yes                             No                          Yes                       Yes                Yes




MSDS: G-38
Revised: 6/7/96                                                                                            Page 1 of 7
PRODUCT NAME: HEXANE

HEALTH EFFECTS:
          Exposure Limits                            Irritant                               Sensitization
                Yes                                    Yes                                      No
             Teratogen                         Reproductive Hazard                            Mutagen
                Yes                                    Yes                                      Yes
Synergistic Effects
None reported

Carcinogenicity: -- NTP: No     IARC: No      OSHA: No

EYE EFFECTS:
Contact will cause irritation, redness and a burning sensation. Persons with potential exposure to hexane should
not wear contact lenses.

SKIN EFFECTS:
Hexane is an irritant to the skin and can be absorbed through the skin in harmful amounts.

INGESTION EFFECTS:
Ingestion may cause gastrointestinal irritation, nausea, vomiting and headache.

INHALATION EFFECTS:
Inhalation of the vapors may depress the central nervous system causing dizziness, difficulty in walking,
respiratory tract irritation, numbness of the extremeties and may result in eventual respiratory paralysis at very
high concentrations.

Some evidence indicates hexane may cause mutagenic, teratogenic, and/or reproductive effects

MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE:
Any type of paresthesia may be aggravated by hexane exposure.

NFPA HAZARD CODES                       HMIS HAZARD CODES                         RATINGS SYSTEM

Health:       1                          Health:       1                          0 = No Hazard
Flammability: 3                          Flammability: 3                          1 = Slight Hazard
Reactivity:   0                          Reactivity:   0                          2 = Moderate Hazard
                                                                                  3 = Serious Hazard
                                                                                  4 = Severe Hazard
4. First Aid Measures

EYES:
Flush contaminated eye(s) with copious quantities of water. Part eyelids with fingers to assure complete
flushing. Continue for minimum of 15 minutes. Seek medical attention.

SKIN:
Flush affected area with large quantities of water. Remove contaminated clothing as rapidly as possible.

INGESTION:
Do not induce vomiting as aspiration into the lung may cause pulmonary edema and complications. Do not
administer milk, alcohol or fatty foods. Lay victim down in a cool, quiet, well ventilated area and keep warm
with a blanket. Consult a poison control center for instructions as soon as possible.

INHALATION:


MSDS: G-38
Revised: 6/7/96                                                                                    Page 2 of 7
PRODUCT NAME: HEXANE

Conscious persons should be assisted to an uncontaminated area and inhale fresh air. Quick removal from the
contaminated area is most important. Unconscious persons should be moved to an uncontaminated area and
given artificial resuscitation and supplemental oxygen. Further treatment should be symptomatic and supportive.

PROMPT MEDICAL ATTENTION IS MANDATORY IN ALL CASES OF OVEREXPOSURE TO
HEXANE. Rescue personnel should be equipped with self-contained breathing apparatus and be aware of
extreme fire and explosion hazard.


5. Fire Fighting Measures

Conditions of Flammability: Liquid and vapor flammable
Flash point:                         Method:                             Autoignition
-7 oF (-22 oC)                       Not Available                       Temperature: Not Available
LEL(%): 1.7                                        UEL(%): 7.7
Hazardous combustion products: Typical for burning hydrocarbon
Sensitivity to mechanical shock: None
Sensitivity to static discharge: Not Available

FIRE AND EXPLOSION HAZARDS:
Vapors may accumulate in areas with inadequate ventilation possibly forming an explosive atmosphere. Use
adequate ventilation to prevent vapor buildup.

EXTINGUISHING MEDIA:
Water (foam), dry chemical, carbon dioxide.

FIRE FIGHTING INSTRUCTIONS:
If possible, stop flow of hexane. Use water spray to cool surrounding containers. Wear self-contained breathing
apparatus and other protective clothing as required to fight fire.


6. Accidental Release Measures

Evacuate all personnel from affected area. Use appropriate protective equipment. If leak is in user’s equipment,
be certain to purge piping with inert gas prior to attempting repairs. If leak is in container or container valve,
contact the appropriate emergency telephone number listed in Section 1 or call your closest BOC location.


7. Handling and Storage

Electrical Classifications:
Class 1, Group not specified.

Earth-ground and bond all lines and equipment associated with the hexane system. All electrical equipment
should be non-sparking or explosion proof.




MSDS: G-38
Revised: 6/7/96                                                                                  Page 3 of 7
PRODUCT NAME: HEXANE

Use only in well-ventilated areas. For gases, valve protection caps must remain in place unless container is
secured with valve outlet piped to use point. Do not drag, slide or roll cylinders. Use a suitable hand truck for
cylinder movement. Use a pressure reducing regulator when connecting cylinder to lower pressure (<3000 psig)
piping or systems. Do not heat cylinder by any means to increase the discharge rate of product from the
cylinder. Use a check valve or trap in the discharge line to prevent hazardous back flow into the system.

Protect cylinders from physical damage. Store in cool, dry, well-ventilated area away from heavily trafficked
areas and emergency exits. Do not allow the temperature where cylinders are stored to exceed 130oF (54oC).
Cylinders should be stored upright and firmly secured to prevent falling or being knocked over. Full and empty
cylinders should be segregated. Use a "first in-first out" inventory system to prevent full cylinders being stored
for excessive periods of time. Post "NO SMOKING OR OPEN FLAMES" signs in the storage area or use area.
There should be no sources of ignition in the storage or use area.

For additional recommendations, consult Compressed Gas Association’s Pamphlet P-1.

Never carry a compressed gas cylinder or a container of a gas in cryogenic liquid form in an enclosed space such
as a car trunk, van or station wagon. A leak can result in a fire, explosion, asphyxiation or a toxic exposure.


8. Exposure Controls, Personal Protection

EXPOSURE LIMITS1:
            INGREDIENT                       % VOLUME                   PEL-OSHA2                    TLV-ACGIH3        LD50 or LC50
                                                                                                                      Route/Species
Hexane                                      100.0                500 ppm TWA                     50 ppm TWA          LD50
FORMULA: C6H14                                                   (n-Hexane)                      (n-Hexane)          2870 mg/kg
CAS: 110-54-3                                                                                                        (rat)
RTECS #: MN9275000
1
  Refer to individual state of provincial regulations, as applicable, for limits which may be more stringent than
  those listed here.
2
  As stated in 29 CFR 1910, Subpart Z (revised July 1, 1993)
3
  As stated in the ACGIH 1994-1995 Threshold Limit Values for Chemical Substances and Physical Agents.

IDLH: 5000 ppm

ENGINEERING CONTROLS:
Use a laboratory hood with forced ventilation for handling small quantities. Use local exhaust to prevent
exposures above exposure limits.

EYE/FACE PROTECTION:
Chemical safety goggles or glasses and face shield. Do not wear contact lenses.

SKIN PROTECTION:
Use nitrile rubber gloves.

RESPIRATORY PROTECTION:
Positive pressure air line with full-face mask and escape bottle or self-contained breathing apparatus should be
available for emergency use.




MSDS: G-38
Revised: 6/7/96                                                                                                     Page 4 of 7
PRODUCT NAME: HEXANE

9. Physical and Chemical Properties

PARAMETER                                                VALUE                      UNITS
Physical state (gas, liquid, solid)                      : Liquid
Vapor pressure at STP                                    : 2.5                      psia
Vapor density at STP (Air = 1)                           : 3.0
Evaporation point                                        : Not Available
                                                                                    o
Boiling point                                            : 156                        F
                                                                                    o
                                                         : 69                         C
                                                                                    o
Freezing point                                           : -140                       F
                                                                                    o
                                                         : -95.6                      C
pH                                                       : Not Available
Specific gravity                                         : 0.664
Oil/water partition coefficient                          : Not Available
Solubility (H20)                                         : Negligible
Odor threshold                                           : Not Available
Odor and appearance                                      : Clear liquid with mild solvent odor



10. Stability and Reactivity

STABILITY:
Stable

INCOMPATIBLE MATERIALS:
Oxygen, other oxidizers.

HAZARDOUS POLYMERIZATION:
Will not occur.


11. Toxicological Information

REPRODUCTIVE:
Toxicity observed in newborn following experimental 10,000 ppm, 7 hour exposure in female rats.

Toxic effects observed in embryo and fetus following 5000 ppm, 20 hour exposure in female rats.

Toxic effects also observed to embryo and fetus of orally exposed mice.

MUTAGENECITY:
Genetic effects observed in mammalian cell analysis system.

OTHER:
Toxic effects observed to respiratory system, nervous systems in experimental exposures mammalian species.
Effects include changes in brain weight, body weight and peripheral nervous system changes.




MSDS: G-38
Revised: 6/7/96                                                                                  Page 5 of 7
PRODUCT NAME: HEXANE


12. Ecological Information

No data given.


13. Disposal Considerations

Do not attempt to dispose of residual waste or unused quantities. Return in the shipping container PROPERLY
LABELED, WITH ANY VALVE OUTLET PLUGS OR CAPS SECURED AND VALVE PROTECTION CAP
IN PLACE to BOC Gases or authorized distributor for proper disposal.


14. Transport Information

      PARAMETER                          United States DOT                                Canada TDG
PROPER SHIPPING NAME:                            Hexanes                                      Hexanes
HAZARD CLASS:                                       3                                            3
IDENTIFICATION NUMBER:                           UN 1208                                      UN 1208
SHIPPING LABEL:                            FLAMMABLE LIQUID                             FLAMMABLE LIQUID

Packing Group: II


15. Regulatory Information

SARA TITLE III NOTIFICATION AND INFORMATION:
Releases of hexane in quantities equal to or greater than the reportable quantity (RQ) of 5,000 pounds are
subject to reporting to the National Response Center under CERCLA, Section 304 SARA Title III.

SARA TITLE II-HAZARD CLASSES:
Acute Health Hazard
Chronic Health Hazard
Fire Hazard

SARA TITLE III - SECTION 313 SUPPLIER NOTIFICATION:
This product contains the following toxic chemicals subject to the reporting requirements of section 313 of the
Emergency Planning and Community Right-To-Know Act (EPCRA) of 1986 and of 40 CFR 372:

CAS NUMBER          INGREDIENT NAME                     PERCENT BY VOLUME
110-54-3             Hexane                                 100.0

This information must be included on all MSDSs that are copied and distributed for this material.


16. Other Information

Compressed gas cylinders shall not be refilled without the express written permission of the owner. Shipment of
a compressed gas cylinder which has not been filled by the owner or with his/her (written) consent is a
violation of transportation regulations.


DISCLAIMER OF EXPRESSED AND IMPLIED WARRANTIES:

MSDS: G-38
Revised: 6/7/96                                                                                 Page 6 of 7
PRODUCT NAME: HEXANE

Although reasonable care has been taken in the preparation of this document, we extend no warranties and make
no representations as to the accuracy or completeness of the information contained herein, and assume no
responsibility regarding the suitability of this information for the user’s intended purposes or for the
consequences of its use. Each individual should make a determination as to the suitability of the information for
their particular purpose(s).




MSDS: G-38
Revised: 6/7/96                                                                                 Page 7 of 7
HYDROCHLORIC ACID (LESS THAN 10%)                                                                             Page 1 of 8




 HYDROCHLORIC ACID (LESS THAN 10%)
 MSDS Number: H3883 --- Effective Date: 11/17/99



 1. Product Identification
      Synonyms: Muriatic acid solution; 10:1 Dilute Hydrochloric acid; Hydrochloric acid
      volumetric solutions (0.2 - 2.0 N)
      CAS No.: 7647-01-0
      Molecular Weight: 36.46
      Chemical Formula: HCl in water
      Product Codes:
      J.T. Baker: 0325, 4655, 5612, 5616, 5620, 5622, 6134
      Mallinckrodt: 6388, H162, H163, H959, V028, V043



 2. Composition/Information on Ingredients

   Ingredient                                                    CAS No                Percent        Hazardous
   ---------------------------------------                       ------------          -------        ---------

   Hydrogen Chloride                                             7647-01-0             0.7 - 8%            Yes
   Water                                                         7732-18-5             92 - 99%            No




 3. Hazards Identification
      Emergency Overview
      --------------------------
      DANGER! CORROSIVE. LIQUID AND MIST CAUSE SEVERE BURNS TO ALL
      BODY TISSUE. MAY BE FATAL IF SWALLOWED OR INHALED.

      J.T. Baker SAF-T-DATA(tm) Ratings (Provided here for your convenience)
      -----------------------------------------------------------------------------------------------------------


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HYDROCHLORIC ACID (LESS THAN 10%)                                                                             Page 2 of 8


      Health Rating: 3 - Severe (Poison)
      Flammability Rating: 0 - None
      Reactivity Rating: 2 - Moderate
      Contact Rating: 3 - Severe (Corrosive)
      Lab Protective Equip: GOGGLES & SHIELD; LAB COAT & APRON; VENT HOOD;
      PROPER GLOVES
      Storage Color Code: White (Corrosive)
      -----------------------------------------------------------------------------------------------------------

      Potential Health Effects
      ----------------------------------

      Health hazards given on this data sheet apply to concentrated solutions of hydrochloric
      acid. Hazards of dilute solutions may be reduced, depending upon the concentration.
      Degree of hazard for these reduced concentrations is not currently addressed in the
      available literature.

      Inhalation:
      Corrosive! Inhalation of vapors can cause coughing, choking, inflammation of the nose,
      throat, and upper respiratory tract, and in severe cases, pulmonary edema, circulatory
      failure, and death.
      Ingestion:
      Corrosive! Swallowing hydrochloric acid can cause immediate pain and burns of the
      mouth, throat, esophagus and gastrointestinal tract. May cause nausea, vomiting, and
      diarrhea, and in severe cases, death.
      Skin Contact:
      Corrosive! Can cause redness, pain, and severe skin burns. Concentrated solutions cause
      deep ulcers and discolor skin.
      Eye Contact:
      Corrosive! Vapors are irritating and may cause damage to the eyes. Contact may cause
      severe burns and permanent eye damage.
      Chronic Exposure:
      Long-term exposure to concentrated vapors may cause erosion of teeth. Long term
      exposures seldom occur due to the corrosive properties of the acid.
      Aggravation of Pre-existing Conditions:
      Persons with pre-existing skin disorders or eye problems or impaired respiratory function
      may be more susceptible to the effects of the substance.



 4. First Aid Measures
      First aid procedures given apply to concentrated solutions. Exposures to dilute solutions
      may not require these extensive first aid procedures.
      Inhalation:
      Remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult,
      give oxygen. Get medical attention immediately.
      Ingestion:
      If swallowed, DO NOT INDUCE VOMITING. Give large quantities of water. Never give
      anything by mouth to an unconscious person. Get medical attention immediately.

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      Skin Contact:
      Immediately flush skin with plenty of water for at least 15 minutes while removing
      contaminated clothing and shoes. Get medical attention immediately. Wash clothing
      before reuse. Thoroughly clean shoes before reuse.
      Eye Contact:
      Immediately flush eyes with plenty of water for at least 15 minutes, lifting lower and
      upper eyelids occasionally. Get medical attention immediately.



 5. Fire Fighting Measures
      Fire:
      Not considered to be a fire hazard. May react with metals or heat to release flammable
      hydrogen gas.
      Explosion:
      Not considered to be an explosion hazard.
      Fire Extinguishing Media:
      Water or water spray. Neutralize with soda ash or slaked lime.
      Special Information:
      In the event of a fire, wear full protective clothing and NIOSH-approved self-contained
      breathing apparatus with full facepiece operated in the pressure demand or other positive
      pressure mode. Structural firefighter's protective clothing is ineffective for fires involving
      hydrochloric acid. Stay away from ends of tanks. Cool tanks with water spray until well
      after fire is out.



 6. Accidental Release Measures
      Ventilate area of leak or spill. Wear appropriate personal protective equipment as
      specified in Section 8. Isolate hazard area. Keep unnecessary and unprotected personnel
      from entering. Contain and recover liquid when possible. Neutralize with alkaline
      material (soda ash, lime), then absorb with an inert material (e. g., vermiculite, dry sand,
      earth), and place in a chemical waste container. Do not use combustible materials, such as
      saw dust. Do not flush to sewer! US Regulations (CERCLA) require reporting spills and
      releases to soil, water and air in excess of reportable quantities. The toll free number for
      the US Coast Guard National Response Center is (800) 424-8802.

      J. T. Baker NEUTRASORB(R) or TEAM(R) 'Low Na+' acid neutralizers are
      recommended for spills of this product.



 7. Handling and Storage
      Store in a cool, dry, ventilated storage area with acid resistant floors and good drainage.
      Protect from physical damage. Keep out of direct sunlight and away from heat and
      incompatible materials. Do not wash out container and use it for other purposes. When
      diluting, always add the acid to water; never add water to the acid. When opening metal


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HYDROCHLORIC ACID (LESS THAN 10%)                                                            Page 4 of 8


      containers, use non-sparking tools because of the possibility of hydrogen gas being
      present. Protect from freezing. Containers of this material may be hazardous when empty
      since they retain product residues (vapors, liquid); observe all warnings and precautions
      listed for the product.



 8. Exposure Controls/Personal Protection
      Airborne Exposure Limits:
      For Hydrochloric acid:
      - OSHA Permissible Exposure Limit (PEL):
      5 ppm (Ceiling)
      - ACGIH Threshold Limit Value (TLV):
      5 ppm (STEL/Ceiling)
      Ventilation System:
      A system of local and/or general exhaust is recommended to keep employee exposures
      below the Airborne Exposure Limits. Local exhaust ventilation is generally preferred
      because it can control the emissions of the contaminant at its source, preventing
      dispersion of it into the general work area. Please refer to the ACGIH document,
      Industrial Ventilation, A Manual of Recommended Practices, most recent edition, for
      details.
      Personal Respirators (NIOSH Approved):
      If the exposure limit is exceeded, a full facepiece respirator with an acid gas cartridge
      may be worn up to 50 times the exposure limit or the maximum use concentration
      specified by the appropriate regulatory agency or respirator supplier, whichever is lowest.
      For emergencies or instances where the exposure levels are not known, use a full-
      facepiece positive-pressure, air-supplied respirator. WARNING: Air purifying respirators
      do not protect workers in oxygen-deficient atmospheres.
      Skin Protection:
      Rubber or neoprene gloves and additional protection including impervious boots, apron,
      or coveralls, as needed in areas of unusual exposure to prevent skin contact.
      Eye Protection:
      Use chemical safety goggles and/or a full face shield where splashing is possible.
      Maintain eye wash fountain and quick-drench facilities in work area.



 9. Physical and Chemical Properties
      Appearance:
      Clear, colorless solution.
      Odor:
      Pungent, hydrochloric acid.
      Solubility:
      Infinitely soluble.
      Specific Gravity:
      ca. 1
      pH:
      For HCL solutions: 0.1 (1.0 N), 1.1 (0.1 N), 2.02 (0.01 N)


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HYDROCHLORIC ACID (LESS THAN 10%)                                                           Page 5 of 8


      % Volatiles by volume @ 21C (70F):
      100 (as water and acid)
      Boiling Point:
      ca. 100C (ca. 212F)
      Melting Point:
      ca. 0C (ca. 32F)
      Vapor Density (Air=1):
      Essentially the same as water.
      Vapor Pressure (mm Hg):
      Essentially the same as water.
      Evaporation Rate (BuAc=1):
      Essentially the same as water.



 10. Stability and Reactivity
      Stability:
      Stable under ordinary conditions of use and storage.
      Hazardous Decomposition Products:
      When heated to decomposition, emits toxic hydrogen chloride fumes and will react with
      water or steam to produce heat and toxic and corrosive fumes. Thermal oxidative
      decomposition produces toxic chlorine fumes and explosive hydrogen gas.
      Hazardous Polymerization:
      Will not occur.
      Incompatibilities:
      A strong mineral acid, concentrated hydrochloric acid is highly reactive with strong
      bases, metals, metal oxides, hydroxides, amines, carbonates and other alkaline materials.
      Incompatible with materials such as cyanides, sulfides, sulfites, and formaldehyde.
      Conditions to Avoid:
      Heat, direct sunlight, incompatibles.



 11. Toxicological Information

      Hydrochloric acid: Inhalation rat LC50: 3124 ppm/1H; Oral rabbit LD50: 900 mg/kg.
      Investigated as a tumorigen, mutagen, reproductive effector.

   --------\Cancer Lists\------------------------------------------------------
                                          ---NTP Carcinogen---
   Ingredient                             Known    Anticipated    IARC Category
   ------------------------------------   -----    -----------    -------------
   Hydrogen Chloride (7647-01-0)           No          No              3
   Water (7732-18-5)                       No          No            None



 12. Ecological Information


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HYDROCHLORIC ACID (LESS THAN 10%)                                                          Page 6 of 8



      Environmental Fate:
      For Hydrochloric Acid (Concentrated Solutions):
      When released into the soil, this material is not expected to biodegrade. When released
      into the soil, this material may leach into groundwater.
      Environmental Toxicity:
      For Hydrochloric Acid (Concentrated Solutions):
      This material may be toxic to aquatic life. LC50 Shrimp: 100-300 ppm/48-hr/salt water;
      LC100 trout: 10 mg/l/24-hr; TLm mosquito fish: 282 ppm/96-hr.



 13. Disposal Considerations
      Whatever cannot be saved for recovery or recycling should be handled as hazardous
      waste and sent to a RCRA approved waste facility. Processing, use or contamination of
      this product may change the waste management options. State and local disposal
      regulations may differ from federal disposal regulations. Dispose of container and unused
      contents in accordance with federal, state and local requirements.



 14. Transport Information
      Domestic (Land, D.O.T.)
      -----------------------
      Proper Shipping Name: HYDROCHLORIC ACID
      Hazard Class: 8
      UN/NA: UN1789
      Packing Group: II
      Information reported for product/size: 200L

      International (Water, I.M.O.)
      -----------------------------
      Proper Shipping Name: HYDROCHLORIC ACID
      Hazard Class: 8
      UN/NA: UN1789
      Packing Group: II
      Information reported for product/size: 200L



 15. Regulatory Information
   --------\Chemical Inventory Status - Part 1\---------------------------------
   Ingredient                                       TSCA EC    Japan Australia
   ----------------------------------------------- ---- --- ----- ---------
   Hydrogen Chloride (7647-01-0)                     Yes Yes    Yes      Yes
   Water (7732-18-5)                                 Yes Yes    Yes      Yes

   --------\Chemical Inventory Status - Part 2\---------------------------------
                                                           --Canada--


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HYDROCHLORIC ACID (LESS THAN 10%)                                                              Page 7 of 8

   Ingredient                                                    Korea    DSL     NDSL   Phil.
   -----------------------------------------------               -----    ---     ----   -----
   Hydrogen Chloride (7647-01-0)                                  Yes     Yes     No      Yes
   Water (7732-18-5)                                              Yes     Yes     No      Yes

   --------\Federal, State & International Regulations - Part 1\----------------
                                              -SARA 302-    ------SARA 313------
   Ingredient                                 RQ    TPQ     List Chemical Catg.
   ----------------------------------------- ---    -----   ---- --------------
   Hydrogen Chloride (7647-01-0)              5000 500*     Yes        No
   Water (7732-18-5)                          No    No      No         No

   --------\Federal, State & International Regulations - Part 2\----------------
                                                         -RCRA-    -TSCA-
   Ingredient                                 CERCLA     261.33     8(d)
   ----------------------------------------- ------      ------    ------
   Hydrogen Chloride (7647-01-0)              5000       No         No
   Water (7732-18-5)                          No         No         No


 Chemical Weapons Convention: No      TSCA 12(b): No                    CDTA: Yes
 SARA 311/312: Acute: Yes       Chronic: Yes Fire: No                 Pressure: No
 Reactivity: No          (Mixture / Liquid)




      Australian Hazchem Code: No information found.
      Poison Schedule: No information found.
      WHMIS:
      This MSDS has been prepared according to the hazard criteria of the Controlled Products
      Regulations (CPR) and the MSDS contains all of the information required by the CPR.



 16. Other Information
      NFPA Ratings: Health: 3 Flammability: 0 Reactivity: 0
      Label Hazard Warning:
      DANGER! CORROSIVE. LIQUID AND MIST CAUSE SEVERE BURNS TO ALL
      BODY TISSUE. MAY BE FATAL IF SWALLOWED OR INHALED.
      Label Precautions:
      Do not get in eyes, on skin, or on clothing.
      Do not breathe vapor or mist.
      Keep container closed.
      Use only with adequate ventilation.
      Wash thoroughly after handling.
      Label First Aid:
      In case of contact, immediately flush eyes or skin with plenty of water for at least 15
      minutes while removing contaminated clothing and shoes. Wash clothing before reuse. If
      inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is
      difficult, give oxygen. If swallowed, DO NOT INDUCE VOMITING. Give large
      quantities of water. Never give anything by mouth to an unconscious person. In all cases
      get medical attention immediately.
      Product Use:
      Laboratory Reagent.


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HYDROCHLORIC ACID (LESS THAN 10%)                                         Page 8 of 8


      Revision Information:
      No changes.
      Disclaimer:
      ****************************************************************************************

      Mallinckrodt Baker, Inc. provides the information contained herein in good faith
      but makes no representation as to its comprehensiveness or accuracy. This
      document is intended only as a guide to the appropriate precautionary handling of
      the material by a properly trained person using this product. Individuals receiving
      the information must exercise their independent judgment in determining its
      appropriateness for a particular purpose. MALLINCKRODT BAKER, INC.
      MAKES NO REPRESENTATIONS OR WARRANTIES, EITHER EXPRESS OR
      IMPLIED, INCLUDING WITHOUT LIMITATION ANY WARRANTIES OF
      MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE WITH
      RESPECT TO THE INFORMATION SET FORTH HEREIN OR THE PRODUCT
      TO WHICH THE INFORMATION REFERS. ACCORDINGLY,
      MALLINCKRODT BAKER, INC. WILL NOT BE RESPONSIBLE FOR
      DAMAGES RESULTING FROM USE OF OR RELIANCE UPON THIS
      INFORMATION.
      ****************************************************************************************

      Prepared by: Strategic Services Division
      Phone Number: (314) 539-1600 (U.S.A.)




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                                           MATERIAL SAFETY
                                             DATA SHEET
                                  Prepared to U.S. OSHA, CMA, ANSI and Canadian WHMIS Standards

                                                1. PRODUCT IDENTIFICATION
    CHEMICAL NAME; CLASS:                                                    NON-FLAMMABLE GAS MIXTURE
         Containing One or More of the Following Components in a Nitrogen Balance Gas:
                           Oxygen 0-23.5%; Isobutylene, 0.0005-0.9%
SYNONYMS: Not Applicable
CHEMICAL FAMILY NAME: Not Applicable
FORMULA: Not Applicable
Document Number: 50054
Note: The Material Safety Data Sheet is for this gas mixture supplied in cylinders with 33 cubic feet (935 liters) or less gas capacity (DOT - 39 cylinders). This
MSDS has been developed for various gas mixtures with the composition of components within the ranges listed in Section 2 (Composition and Information on
Ingredients). Refer to the product label for information on the actual composition of the product.

PRODUCT USE:                                                                       Calibration           of      Monitoring            and       Research
                                                                                   Equipment
SUPPLIER/MANUFACTURER'S NAME:                                                      AIR LIQUIDE AMERICA CORPORATION
ADDRESS:                                                                           821 Chesapeake Drive
                                                                                   Cambridge, MD 21613
EMERGENCY PHONE:                                                                   CHEMTREC: 1-800-424-9300
BUSINESS PHONE:                                              1-410-228-6400
                                    General MSDS Information 1-713/868-0440
                                          Fax on Demand:     1-800/231-1366

                     2. COMPOSITION and INFORMATION ON INGREDIENTS
   CHEMICAL NAME                   CAS #                  mole %                                       EXPOSURE LIMITS IN AIR
                                                                                       ACGIH                             OSHA
                                                                                 TLV           STEL           PEL          STEL        IDLH          OTHER
                                                                                 ppm           ppm            ppm          ppm          ppm
 Oxygen                          7782-44-7               0 - 23.5%           There are no specific exposure limits for Oxygen.
 Isobutylene                     115-11-7              0.0005 - 0.9%         There are no specific exposure limits for Isobutylene.
 Nitrogen                        7727-37-9                Balance            There are no specific exposure limits for Nitrogen. Nitrogen is a simple
                                                                             asphyxiant (SA). Oxygen levels should be maintained above 19.5%.
NE = Not Established.               C = Ceiling Limit.                 See Section 16 for Definitions of Terms Used.
NOTE : All WHMIS required information is included. It is located in appropriate sections based on the ANSI Z400.1-1993 format.




NON-FLAMMABLE GAS MIXTURE MSDS - 50054                                                                  EFFECTIVE DATE: MARCH 10, 2000
                                                                       PAGE 1 OF 7
                                   3. HAZARD IDENTIFICATION
 EMERGENCY OVERVIEW: This product is a colorless, odorless gas. Releases of this product may produce
 oxygen-deficient atmospheres (especially in confined spaces or other poorly-ventilated environments);
 individuals in such atmospheres may be asphyxiated. Isobutylene, a component of this gas mixture, may
 cause drowsiness and other central nervous system effects in high concentrations; however, due to its low
 concentration in this gas mixture, this is unlikely to occur.
SYMPTOMS OF OVER-EXPOSURE BY ROUTE OF
EXPOSURE: The most significant route of over-exposure for this            HAZARDOUS MATERIAL INFORMATION
                                                                                     SYSTEM
product is by inhalation.
INHALATION: Due to the small size of an individual cylinder of
this product, no unusual health effects from over-exposure to the
                                                                     HEALTH                        (BLUE)           1

product are anticipated under routine circumstances of use. The
chief health hazard associated with this gas mixture is when this
product contains less than 19.5% Oxygen and is released in a
small, poorly-ventilated area (i.e. an enclosed or confined           FLAMMABILITY                   (RED)          0
space).      Under this circumstance, an oxygen-deficient
environment may occur.         Individuals breathing such an
atmosphere may experience symptoms which include
headaches,      ringing   in   ears,     dizziness,  drowsiness,      REACTIVITY                 (YELLOW)           0
unconsciousness, nausea, vomiting, and depression of all the
senses. Under some circumstances of over-exposure, death
may occur. The effects associated with various levels of oxygen       PROTECTIVE EQUIPMENT B
are as follows:
CONCENTRATION OF OXYGEN         OBSERVED EFFECT            EYES      RESPIRATORY        HANDS                BODY

12-16% Oxygen:         Breathing and pulse rate
                       increase,     muscular      coor-                   See Section 8
                       dination slightly disturbed.
10-14% Oxygen:         Emotional upset, abnormal
                       fatigue, disturbed respiration.         For routine industrial applications
6-10% Oxygen:          Nausea, vomiting, collapse, or
                       loss of consciousness.
Below 6%:              Convulsive movements, possible respiratory collapse, and death.
HEALTH EFFECTS OR RISKS FROM EXPOSURE: An Explanation in Lay Terms. Over-exposure to this gas
mixture may cause the following health effects:
ACUTE: Due to the small size of the individual cylinder of this product, no unusual health effects from exposure
to the product are anticipated under routine circumstances of use. The most significant hazard associated with
this gas mixture when it contains less than 19.5% oxygen is the potential for exposure to oxygen-deficient
atmospheres. Symptoms of oxygen deficiency include respiratory difficulty, ringing in ears, headaches, shortness
of breath, wheezing, headache, dizziness, indigestion, nausea, unconsciousness, and death. The skin of a victim
of over-exposure may have a blue color. Additionally, Isobutylene, a component of this gas mixture, may cause
drowsiness or central nervous system effects in high concentrations; however, due to its low concentration in this
gas mixture, this is unlikely to occur.
CHRONIC: There are currently no known adverse health effects associated with chronic exposure to this gas
mixture.
TARGET ORGANS: Respiratory system.

                                      4. FIRST-AID MEASURES
RESCUERS SHOULD NOT ATTEMPT TO RETRIEVE VICTIMS OF EXPOSURE TO THIS
PRODUCT WITHOUT ADEQUATE PERSONAL PROTECTIVE EQUIPMENT. At a minimum, Self-
Contained Breathing Apparatus must be worn.
No unusual health effects are anticipated after exposure to this product, due to the small cylinder size. If any
adverse symptom develops after over-exposure to this product, remove victim(s) to fresh air as quickly as
possible. Only trained personnel should administer supplemental oxygen and/or cardio-pulmonary resuscitation
if necessary.




NON-FLAMMABLE GAS MIXTURE MSDS - 50054                                   EFFECTIVE DATE: MARCH 10, 2000
                                                  PAGE 2 OF 7
                              4. FIRST-AID MEASURES (Continued)
Victim(s) who experience any adverse effect after over-exposure to this product must be taken for medical
attention. Rescuers should be taken for medical attention if necessary. Take a copy of the label and the MSDS
to physician or other health professional with victim(s).
                                   5. FIRE-FIGHTING MEASURES
FLASH POINT, (method): Not applicable.
AUTOIGNITION TEMPERATURE: Not applicable.                                         NFPA RATING
                                                                                        FLAMMABILITY
FLAMMABLE LIMITS (in air by volume, %):
Lower (LEL): Not applicable.
Upper (UEL): Not applicable.                                                                 0

FIRE EXTINGUISHING MATERIALS:               Non-flammable gas           HEALTH      1                  0   REACTIVITY

mixture. Use extinguishing media appropriate for surrounding fire.
UNUSUAL FIRE AND EXPLOSION HAZARDS: This gas mixture
is not flammable; however, containers, when involved in fire, may
rupture or burst in the heat of the fire.                                                 OTHER


Explosion Sensitivity to Mechanical Impact: Not sensitive.
Explosion Sensitivity to Static Discharge: Not sensitive.
SPECIAL FIRE-FIGHTING PROCEDURES:                   Structural firefighters must wear Self-Contained Breathing
Apparatus and full protective equipment.

                             6. ACCIDENTAL RELEASE MEASURES
LEAK RESPONSE: Due to the small size and content of the cylinder, an accidental release of this product
presents significantly less risk of an oxygen deficient environment and other safety hazards than a similar
release from a larger cylinder. However, as with any chemical release, extreme caution must be used during
emergency response procedures. In the event of a release in which the atmosphere is unknown, and in which
other chemicals are potentially involved, evacuate immediate area. Such releases should be responded to by
trained personnel using pre-planned procedures. Proper protective equipment should be used. In case of a leak,
clear the affected area, protect people, and respond with trained personnel.
Allow the gas mixture to dissipate. If necessary, monitor the surrounding area (and the original area of the
release) for oxygen. Oxygen levels must be above 19.5% before non-emergency personnel are allowed to re-
enter area.
If leaking incidentally from the cylinder, contact your supplier.

                                          7. HANDLING and USE
WORK PRACTICES AND HYGIENE PRACTICES: Be aware of any signs of dizziness or fatigue, especially if
work is done in a poorly-ventilated area; exposures to fatal concentrations of this product could occur without any
significant warning symptoms, due to oxygen deficiency. Do not attempt to repair, adjust, or in any other way
modify cylinders containing this gas mixture. If there is a malfunction or another type of operational problem,
contact nearest distributor immediately.
STORAGE AND HANDLING PRACTICES: Cylinders should be firmly secured to prevent falling or being
knocked-over. Cylinders must be protected from the environment, and preferably kept at room temperature
                     C;
(approximately 21° 70°     F). Cylinders should be stored in dry, well-ventilated areas, away from sources of heat,
ignition, and direct sunlight. Protect cylinders against physical damage.

Full and empty cylinders should be segregated. Use a first-in, first-out inventory system to prevent full
containers from being stored for long periods of time. These cylinders are not refillable. WARNING! Do not
refill DOT 39 cylinders. To do so may cause personal injury or property damage.
SPECIAL PRECAUTIONS FOR HANDLING GAS CYLINDERS: WARNING! Compressed gases can present
significant safety hazards. During cylinder use, use equipment designed for these specific cylinders. Ensure all
lines and equipment are rated for proper service pressure.
PROTECTIVE PRACTICES DURING MAINTENANCE OF CONTAMINATED EQUIPMENT: Follow practices
indicated in Section 6 (Accidental Release Measures). Make certain that application equipment is locked and
tagged-out safely. Always use product in areas where adequate ventilation is provided.

NON-FLAMMABLE GAS MIXTURE MSDS - 50054                                   EFFECTIVE DATE: MARCH 10, 2000
                                                    PAGE 3 OF 7
                    8. EXPOSURE CONTROLS - PERSONAL PROTECTION
VENTILATION AND ENGINEERING CONTROLS: No special ventilation systems or engineering controls are
needed under normal circumstances of use. As with all chemicals, use this product in well-ventilated areas. If
this product is used in a poorly-ventilated area, install automatic monitoring equipment to detect the levels of
oxygen.
RESPIRATORY PROTECTION: No special respiratory protection is required under normal circumstances of
use. Use supplied air respiratory protection if oxygen levels are below 19.5% or unknown during emergency
response to a release of this product. If respiratory protection is required for emergency response to this product,
follow the requirements of the Federal OSHA Respiratory Protection Standard (29 CFR 1910.134) or equivalent
State standards.
EYE PROTECTION: Safety glasses.
HAND PROTECTION: No special protection is needed under normal circumstances of use.
BODY PROTECTION: No special protection is needed under normal circumstances of use.

                                9. PHYSICAL and CHEMICAL PROPERTIES
Unless otherwise specified, the following information is for Nitrogen, the main component of this gas
mixture.
GAS DENSITY @ 32°F (0° and 1 atm: 0.072 lbs/ ft3 (1.153 kg/m3)
                       C)
BOILING POINT: -195.8°C (-320.4 °F)
FREEZING/MELTING POINT @ 10 psig -210°C (-345.8°F)
SPECIFIC GRAVITY (air = 1) @ 70°F (21.1°C): 0.906          pH: Not applicable.
                                         C)
SOLUBILITY IN WATER vol/vol @ 32°F (0° and 1 atm: 0.023          MOLECULAR WEIGHT: 28.01
EVAPORATION RATE (nBuAc = 1): Not applicable.              EXPANSION RATIO: Not applicable.
ODOR THRESHOLD: Not applicable.                            SPECIFIC VOLUME (ft3/lb): 13.8
VAPOR PRESSURE @ 70°F (21.1°C) psig: Not applicable.
COEFFICIENT WATER/OIL DISTRIBUTION: Not applicable.
The following information is for this gas mixture.
APPEARANCE AND COLOR: This product is a colorless, odorless gas.
HOW TO DETECT THIS SUBSTANCE (warning properties): There are no unusual warning properties
associated with a release of this product.

                                           10. STABILITY and REACTIVITY
STABILITY: Normally stable in gaseous state.
DECOMPOSITION PRODUCTS: The thermal decomposition products of Isobutylene include carbon oxides.
The other components of this gas mixture do not decompose, per se, but can react with other compounds in the
heat of a fire.
MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Titanium will burn in Nitrogen (the main
component of this product). Lithium reacts slowly with Nitrogen at ambient temperatures. A component of this
product (Isobutylene) are also incompatible with strong oxidizers (i.e. chlorine, bromine pentafluoride, oxygen
difluoride, and nitrogen trifluoride).
HAZARDOUS POLYMERIZATION: Will not occur.
CONDITIONS TO AVOID: Contact with incompatible materials. Cylinders exposed to high temperatures or
direct flame can rupture or burst.


                                      11. TOXICOLOGICAL INFORMATION
TOXICITY DATA: The following toxicology data are available for the components of this product:
NITROGEN: There are no specific toxicology data for Nitrogen.            ISOBUTYLENE:
Nitrogen is a simple asphyxiant, which acts to displace oxygen in the    LC50 (inhalation, rat) = 620,000 mg/kg/4 hours
environment.                                                             LC50 (inhalation, mouse) = 415,000 mg/kg



NON-FLAMMABLE GAS MIXTURE MSDS - 50054                                                  EFFECTIVE DATE: MARCH 10, 2000
                                                                 PAGE 4 OF 7
                        11. TOXICOLOGICAL INFORMATION (Continued)
SUSPECTED CANCER AGENT: The components of this gas mixture are not found on the following lists:
FEDERAL OSHA Z LIST, NTP, CAL/OSHA, and IARC; therefore, they are not considered to be, nor suspected to
be, cancer-causing agents by these agencies.
IRRITANCY OF PRODUCT: Not applicable.
SENSITIZATION TO THE PRODUCT: This gas mixture is not known to cause sensitization in humans.
REPRODUCTIVE TOXICITY INFORMATION: Listed below is information concerning the effects of this product
and its components on the human reproductive system.
    Mutagenicity: No mutagenicity effects have been described for this gas mixture.
    Embryotoxcity: No embryotoxic effects have been described for this gas mixture.
    Teratogenicity: No teratogenicity effects have been described for this gas mixture.
    Reproductive Toxicity: No reproductive toxicity effects have been described for gas mixture.
A mutagen is a chemical which causes permanent changes to genetic material (DNA) such that the changes will
propagate through generation lines. An embryotoxin is a chemical which causes damage to a developing embryo
(i.e. within the first eight weeks of pregnancy in humans), but the damage does not propagate across
generational lines. A teratogen is a chemical which causes damage to a developing fetus, but the damage does
not propagate across generational lines. A reproductive toxin is any substance which interferes in any way with
the reproductive process.
MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: Acute or chronic respiratory conditions may be
aggravated by over-exposure to the components of this product.
RECOMMENDATIONS TO PHYSICIANS:                           Administer oxygen, if necessary; treat symptoms; eliminate
exposure.
BIOLOGICAL EXPOSURE INDICES (BEIs): Currently, Biological Exposure Indices (BEIs) are not applicable
for the components of this gas mixture.

                                      12. ECOLOGICAL INFORMATION
ENVIRONMENTAL STABILITY: The components of this gas mixture occur naturally in the atmosphere. The
gas will be dissipated rapidly in well-ventilated areas. The following environmental data are applicable to the
components of this product.
                                                                  C.
OXYGEN: Water Solubility = 1 volume Oxygen/32 volumes water at 20° Log Kow = -0.65
                                                                         C.
NITROGEN: Water Solubility = 2.4 volumes Nitrogen/100 volumes water at 0° 1.6 volumes Nitrogen/100 volumes water at 20°C.

                                                                                           s
EFFECT OF MATERIAL ON PLANTS or ANIMALS: No evidence is currently available on this product’ effects
on plant and animal life.
                                                                                      s
EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence is currently available on this product’ effects on
aquatic life.

                                     13. DISPOSAL CONSIDERATIONS
PREPARING WASTES FOR DISPOSAL PREPARING WASTES FOR DISPOSAL: Waste disposal must be in
accordance with appropriate Federal, State, and local regulations. Cylinders with undesired residual product may
be safely vented outdoors with the proper regulator. For further information, refer to Section 16 (Other
Information).

                                 14. TRANSPORTATION INFORMATION
THIS MATERIAL IS HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF
TRANSPORTATION.
PROPER SHIPPING NAME:                Compressed gases, n.o.s. (Nitrogen, Oxygen)
HAZARD CLASS NUMBER and DESCRIPTION: 2.2 (Non-Flammable Gas)
UN IDENTIFICATION NUMBER:            UN 1956
PACKING GROUP:                       Not applicable.
DOT LABEL(S) REQUIRED:               Non-Flammable Gas
NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER (1996): 126
MARINE POLLUTANT: The components of this gas mixture are not classified by the DOT as Marine Pollutants
(as defined by 49 CFR 172.101, Appendix B).

NON-FLAMMABLE GAS MIXTURE MSDS - 50054                                                 EFFECTIVE DATE: MARCH 10, 2000
                                                           PAGE 5 OF 7
                      14. TRANSPORTATION INFORMATION (Continued)
SPECIAL SHIPPING INFORMATION: Cylinders should be transported in a secure position, in a well-ventilated
vehicle. The transportation of compressed gas cylinders in automobiles or in closed-body vehicles can present
serious safety hazards. If transporting these cylinders in vehicles, ensure these cylinders are not exposed to
extremely high temperatures (as may occur in an enclosed vehicle on a hot day). Additionally, the vehicle
should be well-ventilated during transportation.
Note: DOT 39 Cylinders ship in a strong outer carton (overpack). Pertinent shipping information goes on the
outside of the overpack. DOT 39 Cylinders do not have transportation information on the cylinder itself.
TRANSPORT CANADA TRANSPORTATION OF DANGEROUS GOODS REGULATIONS: THIS MATERIAL IS
CONSIDERED AS DANGEROUS GOODS. Use the above information for the preparation of Canadian
Shipments.

                                      15. REGULATORY INFORMATION
SARA REPORTING REQUIREMENTS: This product is subject to the reporting requirements of Sections 302,
304, and 313 of Title III of the Superfund Amendments and Reauthorization Act, as follows:
            COMPONENT                       SARA 302                       SARA 304                   SARA 313
 Oxygen                                        NO                              NO                         NO
 Nitrogen                                      NO                              NO                         NO
 Isobutylene                                   NO                              NO                         NO

SARA THRESHOLD PLANNING QUANTITY: Not applicable.
TSCA INVENTORY STATUS: The components of this gas mixture are listed on the TSCA Inventory.
CERCLA REPORTABLE QUANTITY (RQ): Not applicable.
OTHER U.S. FEDERAL REGULATIONS:
• No component of this product is subject to the requirements of CFR 29 1910.1000 (under the 1989 PELs).
• Isobutylene is subject to the reporting requirements of Section 112(r) of the Clean Air Act. The Threshold
     Quantity for this gas is 10,000 pounds.
• The regulations of the Process Safety Management of Highly Hazardous Chemicals are not applicable (29
    CFR 1910.119).
• This gas mixture does not contain any Class I or Class II ozone depleting chemicals (40 CFR Part 82).
• Nitrogen and Oxygen are not listed as Regulated Substances, per 40 CFR, Part 68, of the Risk Management
      for Chemical Releases. Isobutylene is listed under this regulation in Table 3 as Regulated Substances
      (Flammable Substances), in quantities of 10,000 lbs (4,553 kg) or greater.
OTHER CANADIAN REGULATIONS: This gas mixture is categorized as a Controlled Product, Hazard Class A,
as per the Controlled Product Regulations.
STATE REGULATORY INFORMATION: The components of this gas mixture are covered under the following
specific State regulations:
Alaska - Designated Toxic and              Michigan - Critical Materials Register:     Pennsylvania - Hazardous Substance
   Hazardous Substances: No.                No.                                         List: Oxygen, Nitrogen, Isobutylene.
California - Permissible Exposure          Minnesota - List of Hazardous               Rhode Island - Hazardous Substance
   Limits for Chemical Contaminants:        Substances: No.                             List: Oxygen, Nitrogen.
   Nitrogen.                               Missouri - Employer Information/Toxic       Texas - Hazardous Substance List:
Florida - Substance List:        Oxygen,    Substance List: No.                         No.
   Isobutylene.                            New Jersey - Right to Know                  West Virginia - Hazardous Substance
Illinois - Toxic Substance List: No.        Hazardous Substance List: Oxygen,           List: No.
Kansas - Section 302/313 List: No.          Nitrogen, Isobutylene.                     Wisconsin - Toxic and Hazardous
Massachusetts - Substance List:            North Dakota - List of Hazardous             Substances: : No.
   Oxygen, Isobutylene.                     Chemicals, Reportable Quantities:
                                            No.

CALIFORNIA PROPOSITION 65: No component of this product is on the California Proposition 65 lists.




NON-FLAMMABLE GAS MIXTURE MSDS - 50054                                           EFFECTIVE DATE: MARCH 10, 2000
                                                      PAGE 6 OF 7
                                               16. OTHER INFORMATION
           INFORMATION ABOUT DOT-39 NRC (Non-Refillable Cylinder) PRODUCTS
DOT 39 cylinders ship as hazardous materials when full. Once the cylinders are relieved of pressure (empty)
they are not considered hazardous material or waste. Residual gas in this type of cylinder is not an issue
because toxic gas mixtures are prohibited. Calibration gas mixtures typically packaged in these cylinders are
Nonflammable n.o.s., UN 1956. A small percentage of calibration gases packaged in DOT 39 cylinders are
flammable or oxidizing gas mixtures.
For disposal of used DOT-39 cylinders, it is acceptable to place them in a landfill if local laws permit. Their
disposal is no different than that employed with other DOT containers such as spray paint cans, household
aerosols, or disposable cylinders of propane (for camping, torch etc.). When feasible, we recommended
recycling for scrap metal content. Air Liquide America will do this for any customer that wishes to return
cylinders to us prepaid. All that is required is a phone call to make arrangements so we may anticipate arrival.
Scrapping cylinders involves some preparation before the metal dealer may accept them. We perform this
operation as a service to valued customers who want to participate.
MIXTURES: When two or more gases or liquefied gases are                          mixed, their hazardous properties may combine to
create additional, unexpected hazards. Obtain and evaluate                       the safety information for each component before
you produce the mixture. Consult an Industrial Hygienist or                      other trained person when you make your safety
evaluation of the end product. Remember, gases and liquids                       have properties which can cause serious injury or
death.
Further information about the handling of compressed gases can be found in the following pamphlets published
by: Compressed Gas Association Inc. (CGA), 1725 Jefferson Davis Highway, Suite 1004, Arlington, VA 22202-
4102. Telephone: (703) 412-0900.
               P-1             “Safe Handling of Compressed Gases in Containers”
               AV-1            “Safe Handling and Storage of Compressed Gases”
                               “Handbook of Compressed Gases”
PREPARED BY:                               CHEMICAL SAFETY ASSOCIATES, Inc.
                                           9163 Chesapeake Drive, San Diego, CA 92123-1002
                                           619/565-0302
                                           Fax on Demand:                  1-800/231-1366




                                                                  s
 This Material Safety Data Sheet is offered pursuant to OSHA’ Hazard Communication Standard, 29 CFR, 1910.1200. Other government
                                                                                                                     s
 regulations must be reviewed for applicability to this product. To the best of Air Liquide America Corporation’ knowledge, the information
 contained herein is reliable and accurate as of this date; however, accuracy, suitability or completeness are not guaranteed and no warranties of
 any type, either express or implied, are provided. The information contained herein relates only to this specific product. If this product is
 combined with other materials, all component properties must be considered. Data may be changed from time to time. Be sure to consult the
 latest edition.




NON-FLAMMABLE GAS MIXTURE MSDS - 50054                                                        EFFECTIVE DATE: MARCH 10, 2000
                                                                PAGE 7 OF 7
Alconox, Inc. - Liqui-nox Material Safety Data Sheet                                                                    Page 1 of 3




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                               Liqui-nox® Material Safety Data Sheet
                                                Alconox, Inc.
                                          30 Glenn Street, Suite 309
                                           White Plains, NY 10603                           Get a PDF version of this
                                                                                                   document

                              24 Hour Emergency Number - Chem-Tel (800) 255-
                                                  3924


                         I. Identification                                              National Fire Protection
                                                                                            Association 704
                          Product Name (shown on label):         LIQUI-NOX                     Labeling:
                          CAS Registry Number:                   Not Applicable
                          Effective Date:                        January 1, 1999
                          Chemical Family:                       Anionic Liquid
                                                                 Detergent
                          Mfr. Catalog #s for Sizes:             1232, 1201, 1215,
                                                                 1255

                         II. Hazardous Ingredients/Identity Information

                         There are no hazardous ingredients in LIQUI-NOX¨
                                                                                                       NJTSRN: 1200
                         as defined by the OSHA Standard and Hazardous
                         Substance List 29 CFR 1910 Subpart Z.
                         III. Physical/Chemical Characteristics

                          Boiling Point (F):                             214°F
                          Vapor Pressure (mm Hg):                        No Data
                          Vapor Density (AIR=1):                         No Data
                          Specific Gravity (Water=1):                    1.075
                          Evaporation Rate (Butyl Acetate=1):            Slower
                          Melting Point:                                 No Data
                          Solubility in Water:                           Completely soluble in all proportions
                          Appearance:                                    Yellow liquid, nearly odorless

                         IV. Fire and Explosion Data

                          Flash Point (Method Used):                     None (Cleveland Open Cup)
                          Flammable Limits:                              LEL: No Data
                                                                         UEL: No Data
                          Extinguishing Media:                           Water, dry chemical, CO2, foam
                          Special Fire fighting Procedures:              Self-contained positive pressure
                                                                         breathing apparatus and protective

http://www.alconox.com/static/msds/msds_liquinox.asp                                                                    03/06/2001
Alconox, Inc. - Liqui-nox Material Safety Data Sheet                                                 Page 2 of 3

                                                        breathing apparatus and protective
                                                        clothing should be worn when fighting
                                                        fires involving chemicals.
                    Unusual Fire and Explosion Hazards: None

                    V. Reactivity Data

                    Stability:                              Stable
                    Hazardous Polymerization:               Will not occur.
                    Incompatibility (Materials to Avoid):   Oxidizing agents.
                    Hazardous Decomposition or              May release SO2 on burning.
                    Byproducts:

                    VI. Health Hazard Data

                    Route(s) of Entry:                  Inhalation? No
                                                        Skin? Yes
                                                        Ingestion? Yes
                    Health Hazards (Acute and Chronic): Skin contact may prove locally
                                                        irritating, causing drying and/or
                                                        chapping. Ingestion may cause
                                                        discomfort and/or diarrhea.
                    Carcinogenicity:                    NTP? No
                                                        IARC Monographs? No
                                                        OSHA Regulated? No
                    Signs and Symptoms of Exposure:     Prolonged skin contact may cause
                                                        drying and/or chapping.
                    Medical Conditions Generally        Not established. Unnecessary
                    Aggravated by Exposure:             exposure to this product or any
                                                        industrial chemical should be avoided.
                    Emergency and First Aid Procedures: Eyes: Immediately flush eyes with
                                                        water for at least 15 minutes. Call a
                                                        physician.
                                                        Skin: Flush with plenty of water.
                                                        Ingestion: Drink large quantities of
                                                        water or milk. Do not induce vomiting.
                                                        If vomiting occurs administer fluids.
                                                        See a physician for discomfort.

                    VII. Precautions for Safe Handling and Use

                    Steps to be Taken if Material is        Material foams profusely. For small
                    Released or Spilled:                    spills recover as much as possible
                                                            with absorbent material and flush
                                                            remainder to sewer. Material is
                                                            biodegradable.
                    Waste Disposal Method:                  Small quantities may be disposed of
                                                            in sewer. Large quantities should be
                                                            disposed of in accordance with local
                                                            ordinances for detergent products.
                    Precautions to be Taken in Storing      No special precautions in storing. Use
                    and Handling:                           protective equipment when handling
                                                            undiluted material.
                    Other Precautions:                      No special requirements other than
                                                            the good industrial hygiene and safety
                                                            practices employed with any industrial

http://www.alconox.com/static/msds/msds_liquinox.asp                                                 03/06/2001
Alconox, Inc. - Liqui-nox Material Safety Data Sheet                                                                                Page 3 of 3

                                                                               practices employed with any industrial
                                                                               chemical.

                           VII. Control Measures

                            Respiratory Protection (Specify Type): None Required
                            Ventilation:                           Local Exhaust-Normal
                                                                   Special-Not Required
                                                                   Mechanical-Not Required
                                                                   Other-Not Required
                            Protective Gloves:                     Impervious gloves are recommended.
                            Eye Protection:                        Goggles and/or splash shields are
                                                                   recommended.
                            Other Protective Clothing or           Not required
                            Equipment:
                            Work/Hygienic Practices:               No special practices required.

                             THE INFORMATION HEREIN IS GIVEN IN GOOD FAITH BUT NO WARRANTY IS EXPRESSED OR
                                                                 IMPLIED.




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http://www.alconox.com/static/msds/msds_liquinox.asp                                                                                03/06/2001
                                                                          Page 1 of 4


 MINE SAFETY APPLIANCES CO       -- 96329 CALIBRATING GAS, 2% METHANE IN AIR
 =======================================================
 MSDS Safety Information
 =======================================================
 NIIN: EMPTY
 MSDS Date: 02/07/1999
 MSDS Num: CKVCG
 Product ID: 96329 CALIBRATING GAS, 2% METHANE IN AIR
 MFN: 01
 Responsible Party
 Cage: 0B274
 Name: MINE SAFETY APPLIANCES CO
 Address: 121 GAMMA DRIVE
 Box: 426
 City: PITTSBURGH PA 15230
 Info Phone Number: 412-967-3000
 Emergency Phone Number: 412-967-3000
 Preparer's Name: NONE
 Review Ind: Y
 Published: Y
 =======================================================
 Contractor Summary
 =======================================================
 Cage: 0B274
 Name: MINE SAFETY APPLIANCES CO
 Address: 121 GAMMA DRIVE
 Box: 426
 City: PITTSBURGH PA 15230
 Phone: 412-967-3000
 =======================================================
 Ingredients
 =======================================================
 Cas: 74-82-8
 RTECS #: PA1490000
 Name: METHANE
 Percent by Wt: 2.
 Other REC Limits: NONE RECOMMENDED
 OSHA PEL: NOT ESTABLISHED
 ACGIH TLV: ASPHYXIANT; 9495
 ------------------------------
 Name: AIR
 Percent by Wt: 98.
 Other REC Limits: NONE RECOMMENDED
 OSHA PEL: NOT ESTABLISHED
 ACGIH TLV: NOT ESTABLISHED
 =======================================================
 Health Hazards Data
 =======================================================
 LD50 LC50 Mixture: NONE SPECIFIED BY MANUFACTURER.
 Route Of Entry Inds - Inhalation: YES
 Skin: NO
 Ingestion: NO
 Carcinogenicity Inds - NTP: NO
 IARC: NO
 OSHA: NO
 Effects of Exposure: METHANE IS A SIMPLE ASPHYXIANT, (ACGIH 1995- 96). TARGET
   ORGANS: LUNGS.
 Explanation Of Carcinogenicity: COMPONENT GASES ARE NOT LISTED BY NIOSH RTECS,
   OSHA, NTP, OR IARC.
 Signs And Symptions Of Overexposure: NONE KNOWN FOR 2% METHANE IN AIR. METHANE
   IS A SIMPLE ASPHYXIANT, ACGIH 1995-96.
 Medical Cond Aggravated By Exposure: NO INFORMATION.
 First Aid: NONE.



http://hazard.com/msds/f/99/ckvcg.html                                    11/19/2001
                                                                          Page 2 of 4

 =======================================================
 Handling and Disposal
 =======================================================
 Spill Release Procedures: VENTILATE AREA.
 Neutralizing Agent: NONE.
 Waste Disposal Methods: DO NOT PUNCTURE OR INCINERATE CYLINDER. BEFORE
   DISCARDING CYLINDER, SLOWLY RELEASE CONTENTS TO A SAFE EXHAUST.
 Handling And Storage Precautions: STORAGE: STORE IN A COOL, DRY,
   WELL-VENTILATED AREA. DO NOT EXCEED TEMPERATURE OF 120F. WORKING PRACTICES:
   AVOID BREATHING GAS. USE IN WELL VENTILATED AREAS. FOLLOW THE CALIBRATION
   PROCEDURE DETAILED IN THE MSA INSTRUCTION MANUAL PROVIDED WITH THE
   INSTRUMENT UNDER CALIBRATION.
 =======================================================
 Fire and Explosion Hazard Information
 =======================================================
 Extinguishing Media: THIS CALIBRATION GAS MIXTURE IS NOT FLAMMABLE. USE MEDIA
   APPROPRIATE FOR SURROUNDING FIRE.
 Fire Fighting Procedures: COOL FIRE EXPOSED CYLINDERS.
 Unusual Fire/Explosion Hazard: GAS UNDER PRESSURE, 115 PSIG AT 70F. NOT EXCEED
   120F.
 =======================================================
 Control Measures
 =======================================================
 Respiratory Protection: DUE TO THE LIMITED AMOUNT OF GAS IN THE CYLINDER, AND
   THE LOW RELEASE RATE EMPLOYED IN INSTRUMENT CALIBRATION, RESPIRATORY
   PROTECTION IS NOT INDICATED UNDER CONDITIONS OF INTENDED USE.
 Ventilation: MECHANICAL VENTILATION IS SUITABLE.
 Other Protective Equipment: NONE SPECIFIED BY MANUFACTURER.
 Work Hygienic Practices: AVOID BREATHING GAS. USE IN WILL-VENTILATED AREAS.
   FOLLOW THE CALIBRATION PROCEDURE DETAILED IN THE MSA INSTRUCTION MANUAL
   PROVIDED WITH THE INSTRUMENT UNDER CALIBRATION.
 Supplemental Safety and Health: CHEMICAL NAME: METHANE, OXYGEN, NITROGEN
   MIXTURE AND/OR 96329 CAALIBRATION GAS. NOTE: GAS UNDER PRESSURE, 115 PSIG AT
   70F, APPROX. 3 LITERS GAS AT ATMOSPHERIC PRESSURE.
 =======================================================
 Physical/Chemical Properties
 =======================================================
 HCC: G3
 M.P/F.P Text: UNKNOWN
 Decomp Text: UNKNOWN
 Vapor Density: <1 (AIR=1)
 Solubility in Water: METHANE =9 CM3/100ML(20C)
 Appearance and Odor: COLORLESS GAS. ODORLESS.
 Corrosion Rate: UNKNOWN
 =======================================================
 Reactivity Data
 =======================================================
 Materials To Avoid: CONDITIONS OR MATERIALS TO AVOID: NONE.
 =======================================================
 Toxicological Information
 =======================================================
 Toxicological Information: EXPOSURE LIMITS: NONE. METHANE IS A SIMPLE
   ASPHYXIANT (ACGIH 1995-96). CARCINOGENICITY DATA: COMPONENT GASES ARE NOT
   LISTED BY NIOSH RTECS, OSHA, NTP, OR IARC.
 =======================================================
 Ecological Information
 =======================================================
 Ecological: SOLUBILITY IN WATER: METHANE: 9 CM3 / 100 ML (20C). OXYGEN: 3.2 CM3
   / 100 ML (25C). NITROGEN: 2.3 CM3 / 100 ML (0C).
 =======================================================
 MSDS Transport Information
 =======================================================
 =======================================================
 Regulatory Information



http://hazard.com/msds/f/99/ckvcg.html                                    11/19/2001
                                                                          Page 3 of 4

 =======================================================
 Federal Regulatory Information: THIS PRODUCT CONTAINS METHANE, OXYGEN, AND
   NITROGEN, SUBSTANCES SUBJECT TO THE PENNSYLVANIA WOKER AND COMMUNITY
   RIGHT-TO-KNOW ACT.
 =======================================================
 Other Information
 =======================================================
 Other Information: COMPRESSED GAS, 115 PSIG AT 70F. CONDITIONS OR MATERIALS TO
   AVOID: NONE.
 =======================================================
 Transportation Information
 =======================================================
 Responsible Party Cage: 0B274
 Trans ID NO: 155007
 Product ID: 96329 CALIBRATING GAS, 2% METHANE IN AIR
 MSDS Prepared Date: 02/07/1999
 Review Date: 10/18/2000
 MFN: 1
 Tech Entry NOS Shipping Nm: (METHANE, OXYGEN, NITROGEN)
 Net Unit Weight: 3 L @ ATM
 Multiple KIT Number: 0
 =======================================================
 Detail DOT Information
 =======================================================
 DOT PSN Code: DQQ
 Symbols: G
 DOT Proper Shipping Name: COMPRESSED GASES, N.O.S.
 Hazard Class: 2.2
 UN ID Num: UN1956
 Label: NONFLAMMABLE GAS
 Special Provision: B13
 Non Bulk Pack: 302,305
 Bulk Pack: 314,315
 Max Qty Pass: 75 KG
 Max Qty Cargo: 150 KG
 Vessel Stow Req: A
 =======================================================
 Detail IMO Information
 =======================================================
 IMO PSN Code: EQH
 IMO Proper Shipping Name: COMPRESSED GAS, N.O.S. o
 IMDG Page Number: 2124
 UN Number: 1956
 UN Hazard Class: 2(2.2)
 IMO Packaging Group: -
 Subsidiary Risk Label: -
 EMS Number: 2-04
 MED First Aid Guide NUM: 620
 =======================================================
 Detail IATA Information
 =======================================================
 IATA PSN Code: HDO
 IATA UN ID Num: 1956
 IATA Proper Shipping Name: COMPRESSED GAS, N.O.S. *
 IATA UN Class: 2.2
 IATA Label: NON-FLAMMABLE GAS
 Packing Note Passenger: 200
 Max Quant Pass: 75KG
 Max Quant Cargo: 150KG
 Packaging Note Cargo: 200
 =======================================================
 Detail AFI Information
 =======================================================
 AFI PSN Code: HDO



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                                                                          Page 4 of 4

 AFI Symbols: *
 AFI Proper Shipping Name: COMPRESSED GAS, N.O.S.
 AFI Hazard Class: 2.2
 AFI UN ID NUM: UN1956
 Special Provisions: P5
 Back Pack Reference: A6.3, A6.5,A6.6
 =======================================================
 HAZCOM Label
 =======================================================
 Product ID: 96329 CALIBRATING GAS, 2% METHANE IN AIR
 Cage: 0B274
 Company Name: MINE SAFETY APPLIANCES CO
 Street: 121 GAMMA DRIVE
 PO Box: 426
 City: PITTSBURGH PA
 Zipcode: 15230
 Health Emergency Phone: 412-967-3000
 Label Required IND: Y
 Date Of Label Review: 10/18/2000
 Status Code: A
 Label Date: 10/18/2000
 Origination Code: F
 Chronic Hazard IND: Y
 Signal Word: CAUTION
 Respiratory Protection IND: NO
 Health Hazard: Slight
 Contact Hazard: None
 Fire Hazard: None
 Reactivity Hazard: None
 Hazard And Precautions: METHANE IS A SIMPLE ASPHYXIANT, (ACGIH 1995- 96).
   TARGET ORGANS: LUNGS.
 =======================================================
 Disclaimer (provided with this information by the compiling agencies): This
   information is formulated for use by elements of the Department of Defense.
   The United States of America in no manner whatsoever expressly or implied
   warrants, states, or intends said information to have any application, use or
   viability by or to any person or persons outside the Department of Defense
   nor any person or persons contracting with any instrumentality of the United
   States of America and disclaims all liability for such use. Any person
   utilizing this instruction who is not a military or civilian employee of the
   United States of America should seek competent professional advice to verify
   and assume responsibility for the suitability of this information to their
   particular situation regardless of similarity to a corresponding Department
   of Defense or other government situation.




http://hazard.com/msds/f/99/ckvcg.html                                    11/19/2001
MSDS035                                                Personal Safety Equipment Towelettes


                            MATERIAL SAFETY DATA SHEET
                            Chemical Product and Company Identification

LABEL IDENTIFIER: Personal Safety Equipment Towelettes

PRODUCT IDENTIFIER: P/N 697382 Towelettes, Canister of 220

COMPANY IDENTIFICATION: MINE SAFETY APPLIANCES COMPANY
                        P.O. Box 439
                        Pittsburgh, PA 15230
                        CUSTOMER SERVICE: 1-800-MSA-2222 (8:30 a.m. – 5:00 p.m., USA local time)
                        EMERGENCY: 1-800-255-3924 (CHEM-TEL, INC.)


                                             Vendor Information

A Material Safety Data Sheet as furnished by Allegro Industries for Wipe
Downs for Equipment, P/N 5001 ( Personal Safety Equipment Towelettes ), is
attached ( 3 pages ).
Allegro Industries MSDS REVISION DATE: 3/8/96


                                              Other Information

WARNING: This is a hazardous chemical product. By following the directions and warnings provided with this
product, the hazards associated with the use of this product can be greatly reduced but never entirely eliminated.
Mine Safety Appliances Company makes no warranties, expressed or implied, with respect to this product and
EXPRESSLY DISCLAIMS THE WARRANTY OF MERCHANTABILITY AND ANY WARRANTY OF FITNESS FOR
A PARTICULAR PURPOSE. Users assume all risks in handling, using or storing this product.




Revision: 2 11/15/00                                                                               Page 1 of 1
NITRIC ACID VOLUMETRIC SOLUTIONS, 0.1 N                                             Page 1 of 8




 NITRIC ACID VOLUMETRIC SOLUTIONS, 0.1 N
 MSDS Number: N3658 --- Effective Date: 08/27/98



 1. Product Identification
       Synonyms: Azotic acid solutions
       CAS No.: 7697-37-2
       Molecular Weight: 63.00
       Chemical Formula: HNO3 in H2O
       Product Codes:
       J.T. Baker: 5600
       Mallinckrodt: 4739



 2. Composition/Information on Ingredients

   Ingredient                                       CAS No           Percent    Hazardous
   ---------------------------------------          ------------     -------    ---------

   Nitric Acid                                      7697-37-2          0.63%       Yes
   Water                                            7732-18-5          > 99%       No




 3. Hazards Identification
       Emergency Overview
       --------------------------
       DANGER! CORROSIVE. LIQUID AND MIST CAUSE BURNS TO ALL BODY
       TISSUE. HARMFUL IF SWALLOWED OR INHALED. VAPOR IRRITATING
       TO EYES AND RESPIRATORY TRACT. INHALATION MAY CAUSE LUNG
       AND TOOTH DAMAGE.

       J.T. Baker SAF-T-DATA(tm) Ratings (Provided here for your convenience)


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       -----------------------------------------------------------------------------------------------------------
       Health Rating: 2 - Moderate
       Flammability Rating: 0 - None
       Reactivity Rating: 0 - None
       Contact Rating: 3 - Severe (Corrosive)
       Lab Protective Equip: GOGGLES & SHIELD; LAB COAT & APRON; VENT HOOD;
       PROPER GLOVES
       Storage Color Code: White (Corrosive)
       -----------------------------------------------------------------------------------------------------------

       Potential Health Effects
       ----------------------------------

       Concentrated nitric acid is extremely hazardous; it is corrosive, reactive, an oxidizer, and
       a poison. The following hazards are for concentrated solutions. Hazards of less
       concentrated solutions may be reduced. Degree of hazard for reduced concentrations is
       not currently addressed in the available literature.

       Inhalation:
       Corrosive. Effects should be less severe than from exposure to higher concentrations
       where symptoms may include irritation of the nose and throat, labored breathing, as well
       as lung edema, damage to the mucous membranes and upper respiratory tract.
       Ingestion:
       Corrosive. Effects should be less severe than from exposure to higher concentrations
       where symptoms may include severe burns of the mouth, throat, and stomach, leading to
       death.
       Skin Contact:
       Corrosive. Effects should be less severe than from exposure to higher concentrations
       where symptoms may include redness, pain, and burns to the skin.
       Eye Contact:
       Corrosive! Vapors are irritating and may cause damage to the eyes. Contact may cause
       severe burns and permanent eye damage.
       Chronic Exposure:
       Long-term exposure to concentrated vapors may cause erosion of teeth and lung damage.
       Long-term exposures seldom occur due to the corrosive properties of the acid.
       Aggravation of Pre-existing Conditions:
       Persons with pre-existing skin disorders or eye problems or impaired respiratory function
       may be more susceptible to the effects of the substance.



 4. First Aid Measures
       Inhalation:
       Remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult,
       give oxygen. Get medical attention immediately.
       Ingestion:
       If swallowed, DO NOT INDUCE VOMITING. Give large quantities of water. Never give
       anything by mouth to an unconscious person. Get medical attention immediately.
       Skin Contact:

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       Immediately flush skin with plenty of water for at least 15 minutes while removing
       contaminated clothing and shoes. Get medical attention immediately. Wash clothing
       before reuse. Thoroughly clean shoes before reuse.
       Eye Contact:
       Immediately flush eyes with plenty of water for at least 15 minutes, lifting lower and
       upper eyelids occasionally. Get medical attention immediately.



 5. Fire Fighting Measures
       Fire:
       Not considered to be a fire hazard.
       Explosion:
       Not considered to be an explosion hazard.
       Fire Extinguishing Media:
       If involved in a fire, use water spray.
       Special Information:
       In the event of a fire, wear full protective clothing and NIOSH-approved self-contained
       breathing apparatus with full facepiece operated in the pressure demand or other positive
       pressure mode.



 6. Accidental Release Measures
       Ventilate area of leak or spill. Wear appropriate personal protective equipment as
       specified in Section 8. Isolate hazard area. Keep unnecessary and unprotected personnel
       from entering. Contain and recover liquid when possible. Neutralize with alkaline
       material (soda ash, lime), then absorb with an inert material (e. g., vermiculite, dry sand,
       earth), and place in a chemical waste container. Do not use combustible materials, such as
       saw dust. Do not flush to sewer! US Regulations (CERCLA) require reporting spills and
       releases to soil, water and air in excess of reportable quantities. The toll free number for
       the US Coast Guard National Response Center is (800) 424-8802.

       J. T. Baker NEUTRASORB(R) or TEAM(R) 'Low Na+' acid neutralizers are
       recommended for spills of this product.



 7. Handling and Storage
       Store in a cool, dry, ventilated storage area with acid resistant floors and good drainage.
       Protect from physical damage. Keep out of direct sunlight and away from heat, water, and
       incompatible materials. Do not wash out container and use it for other purposes. When
       diluting, the acid should always be added slowly to water and in small amounts.
       Containers of this material may be hazardous when empty since they retain product
       residues (vapors, liquid); observe all warnings and precautions listed for the product.




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 8. Exposure Controls/Personal Protection
       Airborne Exposure Limits:
       For Nitric Acid:
       OSHA Permissible Exposure Limit (PEL):
       2 ppm (TWA)
       ACGIH Threshold Limit Value (TLV):
       2 ppm (TWA); 4 ppm (STEL)
       Ventilation System:
       A system of local and/or general exhaust is recommended to keep employee exposures
       below the Airborne Exposure Limits. Local exhaust ventilation is generally preferred
       because it can control the emissions of the contaminant at its source, preventing
       dispersion of it into the general work area. Please refer to the ACGIH document,
       Industrial Ventilation, A Manual of Recommended Practices, most recent edition, for
       details.
       Personal Respirators (NIOSH Approved):
       Not expected to require personal respirator usage. If the exposure limit is exceeded, wear
       a supplied air, full-facepiece respirator, airlined hood, or full-facepiece self-contained
       breathing apparatus. Nitric acid is an oxidizer and should not come in contact with
       cartridges and canisters that contain oxidizable materials, such as activated charcoal.
       Canister-type respirators using sorbents are ineffective.
       Skin Protection:
       Rubber or neoprene gloves and additional protection including impervious boots, apron,
       or coveralls, as needed in areas of unusual exposure to prevent skin contact.
       Eye Protection:
       Use chemical safety goggles and/or a full face shield where splashing is possible.
       Maintain eye wash fountain and quick-drench facilities in work area.



 9. Physical and Chemical Properties
       Appearance:
       Clear, colorless liquid.
       Odor:
       Slight acrid odor.
       Solubility:
       Infinitely soluble.
       Specific Gravity:
       No information found.
       pH:
       No information found.
       % Volatiles by volume @ 21C (70F):
       100
       Boiling Point:
       ca. 100C (ca. 212F)
       Melting Point:
       ca. 0C (ca. 32F)


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       Vapor Density (Air=1):
       Essentially the same as water.
       Vapor Pressure (mm Hg):
       Essentially the same as water.
       Evaporation Rate (BuAc=1):
       Essentially the same as water.



 10. Stability and Reactivity
       Stability:
       Stable under ordinary conditions of use and storage.
       Hazardous Decomposition Products:
       When heated to decomposition, emits toxic nitrogen oxides fumes and hydrogen nitrate.
       Hazardous Polymerization:
       Will not occur.
       Incompatibilities:
       A dangerously powerful oxidizing agent, concentrated nitric acid is incompatible with
       most substances, especially strong bases, metallic powders, carbides, hydrogen sulfide,
       turpentine, and combustible organics.
       Conditions to Avoid:
       Heat, incompatibles.



 11. Toxicological Information

       Investigated as a mutagen, reproductive effector.

   --------\Cancer Lists\------------------------------------------------------
                                          ---NTP Carcinogen---
   Ingredient                             Known    Anticipated    IARC Category
   ------------------------------------   -----    -----------    -------------
   Nitric Acid (7697-37-2)                 No          No            None
   Water (7732-18-5)                       No          No            None



 12. Ecological Information
       Environmental Fate:
       No information found.
       Environmental Toxicity:
       No information found.



 13. Disposal Considerations
       Whatever cannot be saved for recovery or recycling should be managed in an appropriate


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       and approved waste facility. Although not a listed RCRA hazardous waste, this material
       may exhibit one or more characteristics of a hazardous waste and require appropriate
       analysis to determine specific disposal requirements. Processing, use or contamination of
       this product may change the waste management options. State and local disposal
       regulations may differ from federal disposal regulations. Dispose of container and unused
       contents in accordance with federal, state and local requirements.



 14. Transport Information
       Domestic (Land, D.O.T.)
       -----------------------
       Proper Shipping Name: NITRIC ACID (WITH NOT MORE THAN 70% NITRIC
       ACID)
       Hazard Class: 8
       UN/NA: UN2031
       Packing Group: II
       Information reported for product/size: 20L

       International (Water, I.M.O.)
       -----------------------------
       Proper Shipping Name: NITRIC ACID (WITH NOT MORE THAN 70% NITRIC
       ACID)
       Hazard Class: 8
       UN/NA: UN2031
       Packing Group: II
       Information reported for product/size: 20L

       International (Air, I.C.A.O.)
       -----------------------------
       Proper Shipping Name: NITRIC ACID (WITH NOT MORE THAN 70% NITRIC
       ACID)
       Hazard Class: 8
       UN/NA: UN2031
       Packing Group: II
       Information reported for product/size: 20L



 15. Regulatory Information
   --------\Chemical Inventory Status - Part 1\---------------------------------
   Ingredient                                       TSCA EC    Japan Australia
   ----------------------------------------------- ---- --- ----- ---------
   Nitric Acid (7697-37-2)                           Yes Yes    Yes      Yes
   Water (7732-18-5)                                 Yes Yes    Yes      Yes

   --------\Chemical Inventory Status - Part 2\---------------------------------
                                                           --Canada--
   Ingredient                                       Korea DSL    NDSL Phil.
   ----------------------------------------------- ----- ---     ---- -----



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   Nitric Acid (7697-37-2)                                         Yes      Yes    No       Yes
   Water (7732-18-5)                                               Yes      Yes    No       Yes

   --------\Federal, State & International Regulations - Part 1\----------------
                                              -SARA 302-    ------SARA 313------
   Ingredient                                 RQ    TPQ     List Chemical Catg.
   ----------------------------------------- ---    -----   ---- --------------
   Nitric Acid (7697-37-2)                    1000 1000     Yes        No
   Water (7732-18-5)                          No    No      No         No

   --------\Federal, State & International Regulations - Part 2\----------------
                                                         -RCRA-    -TSCA-
   Ingredient                                 CERCLA     261.33     8(d)
   ----------------------------------------- ------      ------    ------
   Nitric Acid (7697-37-2)                    1000       No         No
   Water (7732-18-5)                          No         No         No


 Chemical Weapons Convention: No      TSCA 12(b): No                       CDTA: No
 SARA 311/312: Acute: Yes       Chronic: Yes Fire: No                    Pressure: No
 Reactivity: No          (Mixture / Liquid)




       Australian Hazchem Code: 2PE
       Poison Schedule: S6
       WHMIS:
       This MSDS has been prepared according to the hazard criteria of the Controlled Products
       Regulations (CPR) and the MSDS contains all of the information required by the CPR.



 16. Other Information
       NFPA Ratings: Health: 3 Flammability: 0 Reactivity: 0
       Label Hazard Warning:
       DANGER! CORROSIVE. LIQUID AND MIST CAUSE BURNS TO ALL BODY
       TISSUE. HARMFUL IF SWALLOWED OR INHALED. VAPOR IRRITATING TO
       EYES AND RESPIRATORY TRACT. INHALATION MAY CAUSE LUNG AND
       TOOTH DAMAGE.
       Label Precautions:
       Do not get in eyes, on skin, or on clothing.
       Do not breathe vapor or mist.
       Keep container closed.
       Use only with adequate ventilation.
       Wash thoroughly after handling.
       Label First Aid:
       In case of contact, immediately flush eyes or skin with plenty of water for at least 15
       minutes while removing contaminated clothing and shoes. Wash clothing before reuse. If
       inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is
       difficult, give oxygen. If swallowed, DO NOT INDUCE VOMITING. Give large
       quantities of water. Never give anything by mouth to an unconscious person. In all cases
       get medical attention immediately.
       Product Use:


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       Laboratory Reagent.
       Revision Information:
       MSDS Section(s) changed since last revision of document include: 3.
       Disclaimer:
       ****************************************************************************************

       Mallinckrodt Baker, Inc. provides the information contained herein in good faith
       but makes no representation as to its comprehensiveness or accuracy. This
       document is intended only as a guide to the appropriate precautionary handling of
       the material by a properly trained person using this product. Individuals receiving
       the information must exercise their independent judgment in determining its
       appropriateness for a particular purpose. MALLINCKRODT BAKER, INC.
       MAKES NO REPRESENTATIONS OR WARRANTIES, EITHER EXPRESS OR
       IMPLIED, INCLUDING WITHOUT LIMITATION ANY WARRANTIES OF
       MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE WITH
       RESPECT TO THE INFORMATION SET FORTH HEREIN OR THE PRODUCT
       TO WHICH THE INFORMATION REFERS. ACCORDINGLY,
       MALLINCKRODT BAKER, INC. WILL NOT BE RESPONSIBLE FOR
       DAMAGES RESULTING FROM USE OF OR RELIANCE UPON THIS
       INFORMATION.
       ****************************************************************************************

       Prepared by: Strategic Services Division
       Phone Number: (314) 539-1600 (U.S.A.)




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                                                            MATERIAL SAFETY DATA SHEET
  Section 1. Chemical Product and Company Identification
  Catalog Number(s)
  35654-08,05942-61-65-67-62-64-66,35653-03
  Product Identity
  BUFFER, Standard, pH 10.00; BUFFER, High Accuracy, pH 10.000 (Color Coded Blue)
  Manufacturer’s Name                                                         Emergency Telephone Number (24 hr)
  RICCA CHEMICAL COMPANY                                                      CHEMTREC®: 800-424-9300
  Address (Number, Street, City, State, and ZIP Code)                         Telephone Number For Information
  P.O. Box 13090                                                              817-461-5601
                                                                              Date Prepared
  Arlington, Texas 76094                              3-8-2000
  Section 2. Composition / Information on Ingredients
                                                                                                             Percent                       Exposure Limits
  Component                                                                     CAS Registry #            Concentration           ACGIH TLV               OSHA PEL
  Sodium Carbonate                                                                497-19-8                     <1                     N/A                     N/A

  Sodium Bicarbonate                                                              144-55-8                     <1                     N/A                     N/A

  Preservative*                                                                  proprietary                  < 0.1                   N/A                     N/A
  *(No Mercury compounds or Formaldehyde)
  Inert Dye                                                                      proprietary                  < 0.1                   N/A                     N/A

  Water, Deionized                                                                7732-18-5                 Balance                   N/A                     N/A

  Section 3. Hazards Identification

    ¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶
                                                EMERGENCY OVERVIEW
  Clear, blue colored liquid. Non-flammable, non-toxic, non-corrosive. Does not present any significant health hazards.

    ¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶
  POTENTIAL HEALTH EFFECTS:
  TARGET ORGANS: eyes, skin.

  EYE CONTACT:         May cause slight irritation.

  INHALATION:


  SKIN CONTACT:


  INGESTION:


  CHRONIC EFFECTS / CARCINOGENICITY:
  IARC – No
  NTP – No
  OSHA – No

  TERATOLOGY (BIRTH DEFECT) INFORMATION:
  Mutation data cited in “Registry of Toxic Effects of Chemical Substances” for Sodium Bicarbonate in rats.



PRODUCT IDENTITY: BUFFER, Standard and High Accuracy, pH 10.00         CATALOG NUMBER (S): 00654-08, 35654-08, 05942-61, 05942-62, 05942-64, 05942-65, 05942-66, 05942-67
EFFECTIVE DATE: 3-8-2000                                         MSDS NUMBER 00509                                                                           Page 1 of 3
                                                            MATERIAL SAFETY DATA SHEET
  REPRODUCTION INFORMATION:
  Reproductive data cited in “Registry of Toxic Effects of Chemical Substances” for Sodium Bicarbonate and Sodium
  Carbonate in mice.

  Section 4. First Aid Measures – In all cases, seek qualified evaluation.
  EYE CONTACT:


  INHALATION:


  SKIN CONTACT:


  INGESTION:


  Section 5. Fire Fighting Measures
  FLAMMABLE PROPERTIES:
        FLASH POINT:                                                             METHOD USED:
  FLAMMABLE LIMITS
                     LFL:                                                                       UFL:
  EXTINGUISHING MEDIA:


  FIRE & EXPLOSION HAZARDS:


  FIRE FIGHTING INSTRUCTIONS:


  FIRE FIGHTING EQUIPMENT:


  Section 6. Accidental Release Measures



  Section 7. Handling and Storage



  Section 8. Exposure Controls / Personal Protection
  ENGINEERING CONTROLS:


  RESPIRATORY PROTECTION:


  SKIN PROTECTION:


  EYE PROTECTION:


  Section 9. Physical and chemical Properties
              APPEARANCE:                                                                                                    pH:
                        ODOR:                                                                          BOILING POINT (OC):
   SOLUBILITY IN WATER:                                                                                MELTING POINT (OC):
        SPECIFIC GRAVITY:                                                                               VAPOR PRESSURE:


  Section 10. Stability and Reactivity
  CHEMICAL STABILITY:



  INCOMPATIBILITY:
PRODUCT IDENTITY: BUFFER, Standard and High Accuracy, pH 10.00         CATALOG NUMBER (S): 00654-08, 35654-08, 05942-61, 05942-62, 05942-64, 05942-65, 05942-66, 05942-67
EFFECTIVE DATE: 3-8-2000                                         MSDS NUMBER 00509                                                                           Page 2 of 3
                                                            MATERIAL SAFETY DATA SHEET
  HAZARDOUS DECOMPOSITION PRODUCTS:


  HAZARDOUS POLYMERIZATION:


  Section 11. Toxicological Information



  Section 12. Ecological Information
  ECOTOXICOLOGICAL INFORMATION:


  CHEMICAL FATE INFORMATION:


  Section 13. Disposal Considerations




  Section 14. Transport Information (Not meant to be all inclusive)
                    D.O.T. SHIPPING NAME:
                    D.O.T. HAZARD CLASS:
                        U.N. / N.A. NUMBER:
                           PACKING GROUP:
                                D.O.T. LABEL:


  Section 15. Regulatory Information (Not meant to be all inclusive - selected regulation represented)
  OSHA STATUS:
  TSCA STATUS:
  CERCLA REPORTABLE QUANTITY:                    Not reportable
  SARA TITLE III:
     SECTION 302 EXTREMELY HAZARDOUS SUBSTANCES:
     SECTION 311/312 HAZARDOUS CATEGORIES:
     SECTION 313 TOXIC CHEMICALS:
  RCRA STATUS:


  CALIFORNIA PROPOSITION 65:


 Section 16. Other Information
NFPA® Ratings:        Health: 1                          Flammability: 0                Reactivity: 0          Special Notice Key: None
HMIS® Ratings:        Health: 1                          Flammability: 0                Reactivity: 0          Protective Equipment: B
                                                                                                                       (Protective eyewear, gloves)

When handled properly by qualified personnel, the product described herein does not present a significant health or safety hazard.
Alteration of its characteristics by concentration, evaporation, addition of other substances, or other means may present hazards not
specifically addressed herein and which must be evaluated by the user. The information furnished herein is believed to be accurate and
represents the best data currently available to us. No warranty, expressed or implied, is made and RICCA CHEMICAL COMPANY
assumes no legal responsibility or liability whatsoever resulting from its use.




PRODUCT IDENTITY: BUFFER, Standard and High Accuracy, pH 10.00          CATALOG NUMBER (S): 00654-08, 35654-08, 05942-61, 05942-62, 05942-64, 05942-65, 05942-66, 05942-67
EFFECTIVE DATE: 3-8-2000                                          MSDS NUMBER 00509                                                                           Page 3 of 3
                                                            MATERIAL SAFETY DATA SHEET
  Section 1. Chemical Product and Company Identification
  Catalog Number(s)
  05942-21-25-27,00654-00,05942-22-24-26,35653-01,35654-00
  Product Identity
  BUFFER, Standard, pH 4.01; BUFFER, High Accuracy, pH 4.000 (Color Coded Red)
  Manufacturer’s Name                                                        Emergency Telephone Number (24 hr)
  RICCA CHEMICAL COMPANY                                                     CHEMTREC®: 800-424-9300
  Address (Number, Street, City, State, and ZIP Code)                        Telephone Number For Information
  P.O. Box 13090                                                             817-461-5601
                                                                             Date Prepared
  Arlington, Texas 76094                              3-7-2000
  Section 2. Composition / Information on Ingredients
                                                                                                            Percent                       Exposure Limits
  Component                                                                    CAS Registry #            Concentration           ACGIH TLV               OSHA PEL
  Potassium Acid Phthalate                                                       877-24-7                0.95 – 1.05                 N/A                     N/A

  Preservative*                                                                 proprietary                  <0.5                    N/A                     N/A
  *(No Mercury compounds or Formaldehyde)
  Inert Dye                                                                     proprietary                  <0.1                    N/A                     N/A

  Water, Deionized                                                               7732-18-5                 Balance                   N/A                     N/A

  Section 3. Hazards Identification

    ¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶
                                                EMERGENCY OVERVIEW
  Clear, red colored liquid. Non-flammable, non-toxic, non-corrosive. Does not present any significant health hazards.

    ¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶
  POTENTIAL HEALTH EFFECTS:
  TARGET ORGANS: eyes, skin.

  EYE CONTACT:         May cause slight irritation.

  INHALATION:


  SKIN CONTACT:


  INGESTION:


  CHRONIC EFFECTS / CARCINOGENICITY:
  IARC – No
  NTP – No
  OSHA – No

  TERATOLOGY (BIRTH DEFECT) INFORMATION:
  No information found in “Registry of Toxic Effects of Chemical Substances” or other information sources.

  REPRODUCTION INFORMATION:
  No information found in “Registry of Toxic Effects of Chemical Substances” or other information sources.

PRODUCT IDENTITY: BUFFER, Standard and High Accuracy, pH 4.01         CATALOG NUMBER (S): 00654-00, 35654-00, 05942-21, 05942-22, 05942-24, 05942-25, 05942-26, 05942-27
EFFECTIVE DATE: 3-7-2000                                        MSDS NUMBER 00506                                                                           Page 1 of 3
                                                            MATERIAL SAFETY DATA SHEET
  Section 4. First Aid Measures – In all cases, seek qualified evaluation.
  EYE CONTACT:


  INHALATION:


  SKIN CONTACT:


  INGESTION:


  Section 5. Fire Fighting Measures
  FLAMMABLE PROPERTIES:
        FLASH POINT:                                                            METHOD USED:
  FLAMMABLE LIMITS
                     LFL:                                                                      UFL:
  EXTINGUISHING MEDIA:


  FIRE & EXPLOSION HAZARDS:


  FIRE FIGHTING INSTRUCTIONS:


  FIRE FIGHTING EQUIPMENT:


  Section 6. Accidental Release Measures



  Section 7. Handling and Storage



  Section 8. Exposure Controls / Personal Protection
  ENGINEERING CONTROLS:


  RESPIRATORY PROTECTION:


  SKIN PROTECTION:


  EYE PROTECTION:


  Section 9. Physical and chemical Properties
              APPEARANCE:                                                                                                   pH:
                        ODOR:                                                                         BOILING POINT (OC):
   SOLUBILITY IN WATER:                                                                               MELTING POINT (OC):
        SPECIFIC GRAVITY:                                                                              VAPOR PRESSURE:
  Section 10. Stability and Reactivity
  CHEMICAL STABILITY:


  INCOMPATIBILITY:


  HAZARDOUS DECOMPOSITION PRODUCTS:



PRODUCT IDENTITY: BUFFER, Standard and High Accuracy, pH 4.01         CATALOG NUMBER (S): 00654-00, 35654-00, 05942-21, 05942-22, 05942-24, 05942-25, 05942-26, 05942-27
EFFECTIVE DATE: 3-7-2000                                        MSDS NUMBER 00506                                                                           Page 2 of 3
                                                            MATERIAL SAFETY DATA SHEET
  HAZARDOUS POLYMERIZATION:


  Section 11. Toxicological Information



  Section 12. Ecological Information
  ECOTOXICOLOGICAL INFORMATION:


  CHEMICAL FATE INFORMATION:


  Section 13. Disposal Considerations




  Section 14. Transport Information (Not meant to be all inclusive)
                    D.O.T. SHIPPING NAME:
                    D.O.T. HAZARD CLASS:
                        U.N. / N.A. NUMBER:
                           PACKING GROUP:
                                D.O.T. LABEL:

  Section 15. Regulatory Information (Not meant to be all inclusive - selected regulation represented)
  OSHA STATUS:


  TSCA STATUS:
  CERCLA REPORTABLE QUANTITY:                    Not reportable
  SARA TITLE III:
     SECTION 302 EXTREMELY HAZARDOUS SUBSTANCES:
     SECTION 311/312 HAZARDOUS CATEGORIES:
     SECTION 313 TOXIC CHEMICALS:
  RCRA STATUS:


  CALIFORNIA PROPOSITION 65:


 Section 16. Other Information
NFPA® Ratings:        Health: 1                          Flammability: 0                Reactivity: 0          Special Notice Key: None
HMIS® Ratings:        Health: 1                          Flammability: 0                Reactivity: 0          Protective Equipment: B
                                                                                                                       (Protective eyewear, gloves)

When handled properly by qualified personnel, the product described herein does not present a significant health or safety hazard.
Alteration of its characteristics by concentration, evaporation, addition of other substances, or other means may present hazards not
specifically addressed herein and which must be evaluated by the user. The information furnished herein is believed to be accurate and
represents the best data currently available to us. No warranty, expressed or implied, is made and RICCA CHEMICAL COMPANY
assumes no legal responsibility or liability whatsoever resulting from its use.




PRODUCT IDENTITY: BUFFER, Standard and High Accuracy, pH 4.01           CATALOG NUMBER (S): 00654-00, 35654-00, 05942-21, 05942-22, 05942-24, 05942-25, 05942-26, 05942-27
EFFECTIVE DATE: 3-7-2000                                          MSDS NUMBER 00506                                                                           Page 3 of 3
                                                MATERIAL SAFETY DATA SHEET
  Section 1. Chemical Product and Company Identification
  Catalog Number(s)
  35653-21,05942-41-42-44-45-46-47,00654-04

  Product Identity
  BUFFER, High Accuracy, pH 7.000 (Color Coded Yellow)
  Manufacturer’s Name                                                Emergency Telephone Number (24 hr)
  RICCA CHEMICAL COMPANY                                             CHEMTREC®: 800-424-9300
  Address (Number, Street, City, State, and ZIP Code)                Telephone Number For Information
  P.O. Box 13090                                                     817-461-5601
                                                                     Date Prepared
  Arlington, Texas 76094                              3-8-2000
  Section 2. Composition / Information on Ingredients
                                                                                             Percent                  Exposure Limits
  Component                                                            CAS Registry #     Concentration        ACGIH TLV          OSHA PEL
  Sodium Phosphate, Dibasic                                             7558-79-4              <1                 N/A                   N/A

  Potassium Phosphate, Monobasic                                        7778-77-0              <1                 N/A                   N/A

  Preservative*                                                        Proprietary            1-2                 N/A                   N/A
  *(No Mercury Compounds or Formaldehyde)
  Inert Dye                                                            Proprietary            < 0.1               N/A                   N/A

  Water, Deionized                                                      7732-18-5           Balance               N/A                   N/A

  Section 3. Hazards Identification

    ¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶
                                                 EMERGENCY OVERVIEW
  Clear, yellow colored liquid. Non-flammable, non-toxic, non-corrosive. Does not present any significant health hazards.
  May cause irritation. Wash areas of contact with water.

    ¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶¶
  POTENTIAL HEALTH EFFECTS:
  TARGET ORGANS: eyes, skin.

  EYE CONTACT:       May cause slight irritation.

  INHALATION:


  SKIN CONTACT:


  INGESTION:


  CHRONIC EFFECTS / CARCINOGENICITY:


  NTP – No
  OSHA – No
  TERATOLOGY (BIRTH DEFECT) INFORMATION:
  No information found in “Registry of Toxic Effects of Chemical Substances” or other information sources.

  REPRODUCTION INFORMATION:

PRODUCT IDENTITY: BUFFER, High Accuracy, pH 7.000 (Color Coded Yellow)                                  CATALOG NUMBER (S): 05942-46, 05942-47
EFFECTIVE DATE: 3-8-2000                                       MSDS NUMBER 00508                                                  Page 1 of 3
                                               MATERIAL SAFETY DATA SHEET
  No information found in “Registry of Toxic Effects of Chemical Substances” or other information sources.

  Section 4. First Aid Measures – In all cases, seek qualified evaluation.
  EYE CONTACT:


  INHALATION:


  SKIN CONTACT:


  INGESTION:


  Section 5. Fire Fighting Measures
  FLAMMABLE PROPERTIES:
       FLASH POINT:                                                     METHOD USED:
  FLAMMABLE LIMITS
                 LFL:                                                              UFL:
  EXTINGUISHING MEDIA:


  FIRE & EXPLOSION HAZARDS:


  FIRE FIGHTING INSTRUCTIONS:


  FIRE FIGHTING EQUIPMENT:


  Section 6. Accidental Release Measures



  Section 7. Handling and Storage



  Section 8. Exposure Controls / Personal Protection
  ENGINEERING CONTROLS:


  RESPIRATORY PROTECTION:


  SKIN PROTECTION:


  EYE PROTECTION:


  Section 9. Physical and chemical Properties
            APPEARANCE:                                                                                   pH:
                    ODOR:                                                                 BOILING POINT (OC):
   SOLUBILITY IN WATER:                                                                   MELTING POINT (OC):
       SPECIFIC GRAVITY:                                                                   VAPOR PRESSURE:
  Section 10. Stability and Reactivity
  CHEMICAL STABILITY:


  INCOMPATIBILITY:


  HAZARDOUS DECOMPOSITION PRODUCTS: Phosphorus                 oxides may form when heated to decomposition.


PRODUCT IDENTITY: BUFFER, High Accuracy, pH 7.000 (Color Coded Yellow)                                 CATALOG NUMBER (S): 05942-46, 05942-47
EFFECTIVE DATE: 3-8-2000                                       MSDS NUMBER 00508                                                 Page 2 of 3
                                               MATERIAL SAFETY DATA SHEET
  HAZARDOUS POLYMERIZATION:


  Section 11. Toxicological Information



  Section 12. Ecological Information
  ECOTOXICOLOGICAL INFORMATION:


  CHEMICAL FATE INFORMATION:


  Section 13. Disposal Considerations




  Section 14. Transport Information (Not meant to be all inclusive)
                D.O.T. SHIPPING NAME:
                 D.O.T. HAZARD CLASS:
                    U.N. / N.A. NUMBER:
                      PACKING GROUP:
                          D.O.T. LABEL:


  Section 15. Regulatory Information (Not meant to be all inclusive - selected regulation represented)
  OSHA STATUS:


  TSCA STATUS:
  CERCLA REPORTABLE QUANTITY:           Not reportable
  SARA TITLE III:
    SECTION 302 EXTREMELY HAZARDOUS SUBSTANCES:
    SECTION 311/312 HAZARDOUS CATEGORIES:
    SECTION 313 TOXIC CHEMICALS:
  RCRA STATUS:


  CALIFORNIA PROPOSITION 65:
  PENNSYLVANIA: Sodium       Phosphate Dibasic is listed as an environmental hazard on the state Hazardous Substance list.

 Section 16. Other Information
NFPA Ratings:         Health: 1                Flammability: 0              Reactivity: 0   Special Notice Key: None
HMIS® Ratings:        Health: 1                Flammability: 0              Reactivity: 0   Protective Equipment: B
                                                                                                    (Protective eyewear, gloves)

When handled properly by qualified personnel, the product described herein does not present a significant health or safety hazard.
Alteration of its characteristics by concentration, evaporation, addition of other substances, or other means may present hazards not
specifically addressed herein and which must be evaluated by the user. The information furnished herein is believed to be accurate and
represents the best data currently available to us. No warranty, expressed or implied, is made and RICCA CHEMICAL COMPANY
assumes no legal responsibility or liability whatsoever resulting from its use.




PRODUCT IDENTITY: BUFFER, High Accuracy, pH 7.000 (Color Coded Yellow)                             CATALOG NUMBER (S): 05942-46, 05942-47
EFFECTIVE DATE: 3-8-2000                                       MSDS NUMBER 00508                                             Page 3 of 3
SODIUM HYDROXIDE, 0.01 to 0.1 NORMAL VOLUMETRIC SOLUTIONS                                                      Page 1 of 7




 SODIUM HYDROXIDE, 0.01 to 0.1 NORMAL
 VOLUMETRIC SOLUTIONS
 MSDS Number: S4038 --- Effective Date: 06/30/98



 1. Product Identification
       Synonyms: None
       CAS No.: 1310-73-2
       Molecular Weight: 40.00
       Chemical Formula: NaOH in water
       Product Codes:
       J.T. Baker: 5653, 5663, 5664
       Mallinckrodt: 6146, H350, H373



 2. Composition/Information on Ingredients

   Ingredient                                                     CAS No                Percent        Hazardous
   ---------------------------------------                        ------------          -------        ---------

   Sodium Hydroxide                                               1310-73-2             0 - 0.4%            No
   Water                                                          7732-18-5               > 99%             No




 3. Hazards Identification
       Emergency Overview
       --------------------------
       WARNING! HARMFUL IF SWALLOWED. MAY CAUSE IRRITATION TO
       SKIN, EYES, RESPIRATORY TRACT AND GASTROINTESTINAL TRACT.

       J.T. Baker SAF-T-DATA(tm) Ratings (Provided here for your convenience)
       -----------------------------------------------------------------------------------------------------------


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SODIUM HYDROXIDE, 0.01 to 0.1 NORMAL VOLUMETRIC SOLUTIONS                                                      Page 2 of 7


       Health Rating: 2 - Moderate
       Flammability Rating: 0 - None
       Reactivity Rating: 1 - Slight
       Contact Rating: 2 - Moderate
       Lab Protective Equip: GOGGLES; LAB COAT; VENT HOOD; PROPER GLOVES
       Storage Color Code: Orange (General Storage)
       -----------------------------------------------------------------------------------------------------------

       Potential Health Effects
       ----------------------------------

       The health effects from exposure to diluted forms of this chemical are not well
       documented. They are expected to be less severe than those for concentrated forms which
       are referenced in the descriptions below.

       Inhalation:
       Mists are irritants to respiratory tract.
       Ingestion:
       Corrosive. Swallowing may cause burns of the mouth, throat and stomach.
       Skin Contact:
       Can be corrosive to skin. May cause irritation.
       Eye Contact:
       Sodium Hydroxide: Corrosive! May cause irritation of eyes, and with greater exposures,
       severe burns with possibly blindness resulting.
       Chronic Exposure:
       Prolonged contact can dehydrate and remove oils from skin.
       Aggravation of Pre-existing Conditions:
       Persons with pre-existing skin disorders may be susceptible to these solutions.



 4. First Aid Measures
       Inhalation:
       If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is
       difficult, give oxygen. Call a physician.
       Ingestion:
       DO NOT INDUCE VOMITING. Give large quantities of water. Never give anything by
       mouth to an unconscious person. Call a physician immediately.
       Skin Contact:
       Immediately flush skin with plenty of water for at least 15 minutes while removing
       contaminated clothing and shoes. Call a physician, immediately. Wash clothing before
       reuse.
       Eye Contact:
       Immediately flush eyes with plenty of water for at least 15 minutes, lifting lower and
       upper eyelids occasionally. Get medical attention immediately.

       Note to Physician:
       Perform endoscopy in all cases of suspected sodium hydroxide ingestion. In cases of
       severe esophageal corrosion, the use of therapeutic doses of steroids should be

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SODIUM HYDROXIDE, 0.01 to 0.1 NORMAL VOLUMETRIC SOLUTIONS                                           Page 3 of 7


       considered. General supportive measures with continual monitoring of gas exchange,
       acid-base balance, electrolytes, and fluid intake are also required.



 5. Fire Fighting Measures
       Fire:
       Not considered to be a fire hazard.
       Explosion:
       Not considered to be an explosion hazard.
       Fire Extinguishing Media:
       Use any means suitable for extinguishing surrounding fire.
       Special Information:
       Use protective clothing and breathing equipment appropriate for the surrounding fire.



 6. Accidental Release Measures
       Ventilate area of leak or spill. Remove all sources of ignition. Wear appropriate personal
       protective equipment as specified in Section 8. Isolate hazard area. Keep unnecessary and
       unprotected personnel from entering. Contain and recover liquid when possible. Use non-
       sparking tools and equipment. Collect liquid in an appropriate container or absorb with an
       inert material (e. g., vermiculite, dry sand, earth), and place in a chemical waste container.
       Do not use combustible materials, such as saw dust. Do not flush to sewer!

       J. T. Baker NEUTRACIT(R)-2 or BuCAIM(R) caustic neutralizers are recommended for
       spills of this product.



 7. Handling and Storage
       Keep in a tightly closed container. Store in a cool, dry, ventilated area. Protect against
       physical damage. Separate from acids and alkalis. Containers of this material may be
       hazardous when empty since they retain product residues (vapors, liquid); observe all
       warnings and precautions listed for the product. Protect from freezing.



 8. Exposure Controls/Personal Protection
       Airborne Exposure Limits:
       Sodium hydroxide:
       -OSHA Permissible Exposure Limit (PEL):
       2 mg/m3 Ceiling
       -ACGIH Threshold Limit Value (TLV):
       2 mg/m3 Ceiling
       Ventilation System:


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SODIUM HYDROXIDE, 0.01 to 0.1 NORMAL VOLUMETRIC SOLUTIONS                                    Page 4 of 7


       A system of local and/or general exhaust is recommended to keep employee exposures
       below the Airborne Exposure Limits. Local exhaust ventilation is generally preferred
       because it can control the emissions of the contaminant at its source, preventing
       dispersion of it into the general work area. Please refer to the ACGIH document,
       Industrial Ventilation, A Manual of Recommended Practices, most recent edition, for
       details.
       Personal Respirators (NIOSH Approved):
       Not expected to require personal respirator usage. If the exposure limit is exceeded, a
       half-face dust/mist respirator may be worn for up to ten times the exposure limit or the
       maximum use concentration specified by the appropriate regulatory agency or respirator
       supplier, whichever is lowest. A full-face piece dust/mist respirator may be worn up to 50
       times the exposure limit, or the maximum use concentration specified by the appropriate
       regulatory agency, or respirator supplier, whichever is lowest. For emergencies or
       instances where the exposure levels are not known, use a full-facepiece positive-pressure,
       air-supplied respirator. WARNING: Air-purifying respirators do not protect workers in
       oxygen-deficient atmospheres.
       Skin Protection:
       Wear impervious protective clothing, including boots, gloves, lab coat, apron or
       coveralls, as appropriate, to prevent skin contact.
       Eye Protection:
       Use chemical safety goggles and/or a full face shield where splashing is possible.
       Maintain eye wash fountain and quick-drench facilities in work area.



 9. Physical and Chemical Properties
       Appearance:
       Clear, colorless solution.
       Odor:
       Odorless.
       Solubility:
       Miscible in water.
       Density:
       1.0-1.05
       pH:
       12 - 13 (0.01N-0.2N)
       % Volatiles by volume @ 21C (70F):
       > 90 (as water)
       Boiling Point:
       ca. 100C (ca. 212F)
       Melting Point:
       ca. 0C (ca. 32F)
       Vapor Density (Air=1):
       No information found.
       Vapor Pressure (mm Hg):
       No information found.
       Evaporation Rate (BuAc=1):
       No information found.



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SODIUM HYDROXIDE, 0.01 to 0.1 NORMAL VOLUMETRIC SOLUTIONS                                   Page 5 of 7




 10. Stability and Reactivity
       Stability:
       Stable under ordinary conditions of use and storage.
       Hazardous Decomposition Products:
       No hazardous decomposition products.
       Hazardous Polymerization:
       Will not occur.
       Incompatibilities:
       Sodium hydroxide in contact with acids and organic halogen compounds, especially
       trichloroethylene, may causes violent reactions. Contact with nitromethane and other
       similar nitro compounds causes formation of shock-sensitive salts. Contact with metals
       such as aluminum, magnesium, tin, and zinc cause formation of flammable hydrogen gas.
       Sodium hydroxide, even in fairly dilute solution, reacts readily with various sugars to
       produce carbon monoxide. Precautions should be taken including monitoring the tank
       atmosphere for carbon monoxide to ensure safety of personnel before vessel entry.
       Conditions to Avoid:
       Heat, incompatibles.



 11. Toxicological Information

       Sodium hydroxide: irritation data: skin, rabbit: 500 mg/24H severe; eye rabbit: 50 ug/24H
       severe. Investigated as a mutagen.

   --------\Cancer Lists\------------------------------------------------------
                                          ---NTP Carcinogen---
   Ingredient                             Known    Anticipated    IARC Category
   ------------------------------------   -----    -----------    -------------
   Sodium Hydroxide (1310-73-2)            No          No            None
   Water (7732-18-5)                       No          No            None



 12. Ecological Information
       Environmental Fate:
       No information found.
       Environmental Toxicity:
       No information found.



 13. Disposal Considerations
       Whatever cannot be saved for recovery or recycling should be managed in an appropriate
       and approved waste facility. Although not a listed RCRA hazardous waste, this material


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SODIUM HYDROXIDE, 0.01 to 0.1 NORMAL VOLUMETRIC SOLUTIONS                                   Page 6 of 7


       may exhibit one or more characteristics of a hazardous waste and require appropriate
       analysis to determine specific disposal requirements. Processing, use or contamination of
       this product may change the waste management options. State and local disposal
       regulations may differ from federal disposal regulations. Dispose of container and unused
       contents in accordance with federal, state and local requirements.



 14. Transport Information
       Not regulated.



 15. Regulatory Information
   --------\Chemical Inventory Status - Part 1\---------------------------------
   Ingredient                                       TSCA EC    Japan Australia
   ----------------------------------------------- ---- --- ----- ---------
   Sodium Hydroxide (1310-73-2)                      Yes Yes    Yes      Yes
   Water (7732-18-5)                                 Yes Yes    Yes      Yes

   --------\Chemical Inventory Status - Part 2\---------------------------------
                                                           --Canada--
   Ingredient                                       Korea DSL    NDSL Phil.
   ----------------------------------------------- ----- ---     ---- -----
   Sodium Hydroxide (1310-73-2)                      Yes   Yes   No     Yes
   Water (7732-18-5)                                 Yes   Yes   No     Yes

   --------\Federal, State & International Regulations - Part 1\----------------
                                              -SARA 302-    ------SARA 313------
   Ingredient                                 RQ    TPQ     List Chemical Catg.
   ----------------------------------------- ---    -----   ---- --------------
   Sodium Hydroxide (1310-73-2)               No    No      No         No
   Water (7732-18-5)                          No    No      No         No

   --------\Federal, State & International Regulations - Part 2\----------------
                                                         -RCRA-    -TSCA-
   Ingredient                                 CERCLA     261.33     8(d)
   ----------------------------------------- ------      ------    ------
   Sodium Hydroxide (1310-73-2)               1000       No         No
   Water (7732-18-5)                          No         No         No


 Chemical Weapons Convention: No      TSCA 12(b): No                   CDTA: No
 SARA 311/312: Acute: Yes       Chronic: No   Fire: No               Pressure: No
 Reactivity: No          (Pure / Liquid)




       Australian Hazchem Code: No information found.
       Poison Schedule: No information found.
       WHMIS:
       This MSDS has been prepared according to the hazard criteria of the Controlled Products
       Regulations (CPR) and the MSDS contains all of the information required by the CPR.




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SODIUM HYDROXIDE, 0.01 to 0.1 NORMAL VOLUMETRIC SOLUTIONS                      Page 7 of 7



 16. Other Information
       NFPA Ratings: Health: 1 Flammability: 0 Reactivity: 0
       Label Hazard Warning:
       WARNING! HARMFUL IF SWALLOWED. MAY CAUSE IRRITATION TO SKIN,
       EYES, RESPIRATORY TRACT AND GASTROINTESTINAL TRACT.
       Label Precautions:
       Avoid breathing mist.
       Avoid contact with eyes, skin and clothing.
       Wash thoroughly after handling.
       Keep container closed.
       Use with adequate ventilation.
       Label First Aid:
       If swallowed, DO NOT INDUCE VOMITING. Give large quantities of water. Never give
       anything by mouth to an unconscious person. In case of contact, immediately flush eyes
       or skin with plenty of water for at least 15 minutes while removing contaminated clothing
       and shoes. Wash clothing before reuse. If inhaled, remove to fresh air. If not breathing
       give artificial respiration. If breathing is difficult, give oxygen. In all cases get medical
       attention immediately.
       Product Use:
       Laboratory Reagent.
       Revision Information:
       MSDS Section(s) changed since last revision of document include: 10.
       Disclaimer:
       ****************************************************************************************

       Mallinckrodt Baker, Inc. provides the information contained herein in good faith
       but makes no representation as to its comprehensiveness or accuracy. This
       document is intended only as a guide to the appropriate precautionary handling of
       the material by a properly trained person using this product. Individuals receiving
       the information must exercise their independent judgment in determining its
       appropriateness for a particular purpose. MALLINCKRODT BAKER, INC.
       MAKES NO REPRESENTATIONS OR WARRANTIES, EITHER EXPRESS OR
       IMPLIED, INCLUDING WITHOUT LIMITATION ANY WARRANTIES OF
       MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE WITH
       RESPECT TO THE INFORMATION SET FORTH HEREIN OR THE PRODUCT
       TO WHICH THE INFORMATION REFERS. ACCORDINGLY,
       MALLINCKRODT BAKER, INC. WILL NOT BE RESPONSIBLE FOR
       DAMAGES RESULTING FROM USE OF OR RELIANCE UPON THIS
       INFORMATION.
       ****************************************************************************************

       Prepared by: Strategic Services Division
       Phone Number: (314) 539-1600 (U.S.A.)




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SULFURIC ACID, 10 - 51%                                                             Page 1 of 8




 SULFURIC ACID, 10 - 51%
 MSDS Number: S8237 --- Effective Date: 09/14/00



 1. Product Identification
       Synonyms: Oil of vitriol; Babcock acid; sulphuric acid
       CAS No.: 7664-93-9
       Molecular Weight: 98.07
       Chemical Formula: H2SO4 in H2O
       Product Codes:
       J.T. Baker: 0331, 4700, 4701, 5253, 5691, 5951, 9696, 9698, S8237
       Mallinckrodt: H376, H378, H379, H390, V011, V026, V029, V487, V581



 2. Composition/Information on Ingredients

   Ingredient                                       CAS No           Percent    Hazardous
   ---------------------------------------          ------------     -------    ---------

   Sulfuric Acid                                    7664-93-9        10 - 51%      Yes
   Water                                            7732-18-5        49 - 90%      No




 3. Hazards Identification
       Emergency Overview
       --------------------------
       POISON! DANGER! CORROSIVE. LIQUID AND MIST CAUSE SEVERE
       BURNS TO ALL BODY TISSUE. MAY BE FATAL IF SWALLOWED OR
       CONTACTED WITH SKIN. HARMFUL IF INHALED. AFFECTS TEETH.
       WATER REACTIVE. CANCER HAZARD. STRONG INORGANIC ACID MISTS
       CONTAINING SULFURIC ACID CAN CAUSE CANCER. Risk of cancer depends
       on duration and level of exposure.


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       J.T. Baker SAF-T-DATA(tm) Ratings (Provided here for your convenience)
       -----------------------------------------------------------------------------------------------------------
       Health Rating: 3 - Severe (Poison)
       Flammability Rating: 0 - None
       Reactivity Rating: 3 - Severe (Water Reactive)
       Contact Rating: 4 - Extreme (Corrosive)
       Lab Protective Equip: GOGGLES & SHIELD; LAB COAT & APRON; VENT HOOD;
       PROPER GLOVES
       Storage Color Code: White (Corrosive)
       -----------------------------------------------------------------------------------------------------------

       Potential Health Effects
       ----------------------------------

       Inhalation:
       Inhalation produces damaging effects on the mucous membranes and upper respiratory
       tract. Symptoms may include irritation of the nose and throat, and labored breathing. May
       cause lung edema, a medical emergency.
       Ingestion:
       Corrosive. Swallowing can cause severe burns of the mouth, throat, and stomach, leading
       to death. Can cause sore throat, vomiting, diarrhea. Circulatory collapse with clammy
       skin, weak and rapid pulse, shallow respirations, and scanty urine may follow ingestion or
       skin contact. Circulatory shock is often the immediate cause of death.
       Skin Contact:
       Corrosive. Symptoms of redness, pain, and severe burn can occur. Circulatory collapse
       with clammy skin, weak and rapid pulse, shallow respirations, and scanty urine may
       follow skin contact or ingestion. Circulatory shock is often the immediate cause of death.
       Eye Contact:
       Corrosive. Contact can cause blurred vision, redness, pain and severe tissue burns. Can
       cause blindness.
       Chronic Exposure:
       Long-term exposure to mist or vapors may cause damage to teeth. Chronic exposure to
       mists containing sulfuric acid is a cancer hazard.
       Aggravation of Pre-existing Conditions:
       Persons with pre-existing skin disorders or eye problems or impaired respiratory function
       may be more susceptible to the effects of the substance.



 4. First Aid Measures
       Inhalation:
       Remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult,
       give oxygen. Call a physician immediately.
       Ingestion:
       DO NOT INDUCE VOMITING. Give large quantities of water. Never give anything by
       mouth to an unconscious person. Call a physician immediately.
       Skin Contact:


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       In case of contact, immediately flush skin with plenty of water for at least 15 minutes
       while removing contaminated clothing and shoes. Wash clothing before reuse. Excess
       acid on skin can be neutralized with a 2% solution of bicarbonate of soda. Call a
       physician immediately.
       Eye Contact:
       Immediately flush eyes with gentle but large stream of water for at least 15 minutes,
       lifting lower and upper eyelids occasionally. Call a physician immediately.



 5. Fire Fighting Measures
       Fire:
       Concentrated material is a strong dehydrating agent. Reacts with organic materials and
       may cause ignition of finely divided materials on contact.
       Explosion:
       Contact with most metals causes formation of flammable and explosive hydrogen gas.
       Fire Extinguishing Media:
       Dry chemical, foam or carbon dioxide. Do not use water on material. However, water
       spray may be used to keep fire exposed containers cool.
       Special Information:
       In the event of a fire, wear full protective clothing and NIOSH-approved self-contained
       breathing apparatus with full facepiece operated in the pressure demand or other positive
       pressure mode. Structural firefighter's protective clothing is ineffective for fires involving
       this material. Stay away from sealed containers.



 6. Accidental Release Measures
       Ventilate area of leak or spill. Wear appropriate personal protective equipment as
       specified in Section 8. Isolate hazard area. Keep unnecessary and unprotected personnel
       from entering. Contain and recover liquid when possible. Neutralize with alkaline
       material (soda ash, lime), then absorb with an inert material (e. g., vermiculite, dry sand,
       earth), and place in a chemical waste container. Do not use combustible materials, such as
       saw dust. Do not flush to sewer! US Regulations (CERCLA) require reporting spills and
       releases to soil, water and air in excess of reportable quantities. The toll free number for
       the US Coast Guard National Response Center is (800) 424-8802.

       J. T. Baker NEUTRASORB(R) or TEAM(R) 'Low Na+' acid neutralizers are
       recommended for spills of this product.



 7. Handling and Storage
       Store in a cool, dry, ventilated storage area with acid resistant floors and good drainage.
       Protect from physical damage. Keep out of direct sunlight and away from heat, water, and
       incompatible materials. Do not wash out container and use it for other purposes. When
       diluting, always add the acid to water; never add water to the acid. When opening metal


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       containers, use non-sparking tools because of the possibility of hydrogen gas being
       present. Containers of this material may be hazardous when empty since they retain
       product residues (vapors, liquid); observe all warnings and precautions listed for the
       product.



 8. Exposure Controls/Personal Protection
       Airborne Exposure Limits:
       For Sulfuric Acid:
       - OSHA Permissible Exposure Limit (PEL) -
       1 mg/m3 (TWA)
       - ACGIH Threshold Limit Value (TLV) -
       1 mg/m3(TWA), 3 mg/m3 (STEL), A2 - suspected human carcinogen for sulfuric acid
       contained in strong inorganic acid mists.
       Ventilation System:
       A system of local and/or general exhaust is recommended to keep employee exposures
       below the Airborne Exposure Limits. Local exhaust ventilation is generally preferred
       because it can control the emissions of the contaminant at its source, preventing
       dispersion of it into the general work area. Please refer to the ACGIH document,
       Industrial Ventilation, A Manual of Recommended Practices, most recent edition, for
       details.
       Personal Respirators (NIOSH Approved):
       If the exposure limit is exceeded and engineering controls are not feasible, a full
       facepiece respirator with an acid gas cartridge and particulate filter (NIOSH type N100
       filter) may be worn up to 50 times the exposure limit, or the maximum use concentration
       specified by the appropriate regulatory agency or respirator supplier, whichever is lowest.
       If oil particles (e.g. lubricants, cutting fluids, glycerine, etc.) are present, use a NIOSH
       type R or P particulate filter. For emergencies or instances where the exposure levels are
       not known, use a full-facepiece positive-pressure, air-supplied respirator. WARNING:
       Air purifying respirators do not protect workers in oxygen-deficient atmospheres. Where
       respirators are required, you must have a written program covering the basic requirements
       in the OSHA respirator standard. These include training, fit testing, medical approval,
       cleaning, maintenance, cartridge change schedules, etc. See 29CFR1910.134 for details.
       Skin Protection:
       Wear impervious protective clothing, including boots, gloves, lab coat, apron or
       coveralls, as appropriate, to prevent skin contact.
       Eye Protection:
       Use chemical safety goggles and/or a full face shield where splashing is possible.
       Maintain eye wash fountain and quick-drench facilities in work area.



 9. Physical and Chemical Properties
       Appearance:
       Clear oily liquid.
       Odor:
       Odorless.


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       Solubility:
       Miscible with water, liberates much heat.
       Specific Gravity:
       1.40 (50%), 1.07 (10%)
       pH:
       1 N solution (ca. 5% w/w) = 0.3; 0.1 N solution (ca. 0.5% w/w) = 1.2; 0.01 N solution
       (ca. 0.05% w/w) = 2.1.
       % Volatiles by volume @ 21C (70F):
       No information found.
       Boiling Point:
       ca. 290C (ca. 554F) (decomposes at 340C)
       Melting Point:
       3C (100%), -32C (93%), -38C (78%), -64C (65%).
       Vapor Density (Air=1):
       3.4
       Vapor Pressure (mm Hg):
       1 @ 145.8C (295F)
       Evaporation Rate (BuAc=1):
       No information found.



 10. Stability and Reactivity
       Stability:
       Concentrated solutions react violently with water, spattering and liberating heat.
       Hazardous Decomposition Products:
       Toxic fumes of oxides of sulfur when heated to decomposition. Will react with water or
       steam to produce toxic and corrosive fumes. Reacts with carbonates to generate carbon
       dioxide gas, and with cyanides and sulfides to form poisonous hydrogen cyanide and
       hydrogen sulfide respectively.
       Hazardous Polymerization:
       Will not occur.
       Incompatibilities:
       Water, potassium chlorate, potassium perchlorate, potassium permanganate, sodium,
       lithium, bases, organic material, halogens, metal acetylides, oxides and hydrides, metals
       (yields hydrogen gas), strong oxidizing and reducing agents and many other reactive
       substances.
       Conditions to Avoid:
       Heat, moisture, incompatibles.



 11. Toxicological Information
       Toxicological Data:
       Oral rat LD50: 2140 mg/kg; inhalation rat LC50: 510 mg/m3/2H; standard Draize, eye
       rabbit, 250 ug (severe); investigated as a tumorigen, mutagen, reproductive effector.
       Carcinogenicity:
       Cancer Status: The International Agency for Research on Cancer (IARC) has classified


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       "strong inorganic acid mists containing sulfuric acid" as a known human carcinogen,
       (IARC category 1). This classification applies only to mists containing sulfuric acid and
       not to sulfuric acid or sulfuric acid solutions.

   --------\Cancer Lists\------------------------------------------------------
                                          ---NTP Carcinogen---
   Ingredient                             Known    Anticipated    IARC Category
   ------------------------------------   -----    -----------    -------------
   Sulfuric Acid (7664-93-9)               No          No            None
   Water (7732-18-5)                       No          No            None



 12. Ecological Information
       Environmental Fate:
       When released into the soil, this material may leach into groundwater. When released into
       the air, this material may be removed from the atmosphere to a moderate extent by wet
       deposition. When released into the air, this material may be removed from the atmosphere
       to a moderate extent by dry deposition.
       Environmental Toxicity:
       LC50 Flounder 100 to 330 mg/l/48 hr aerated water/Conditions of bioassay not specified;
       LC50 Shrimp 80 to 90 mg/l/48 hr aerated water /Conditions of bioassay not specified;
       LC50 Prawn 42.5 ppm/48 hr salt water /Conditions of bioassay not specified.
       This material may be toxic to aquatic life.



 13. Disposal Considerations
       Whatever cannot be saved for recovery or recycling should be handled as hazardous
       waste and sent to a RCRA approved incinerator or disposed in a RCRA approved waste
       facility. Processing, use or contamination of this product may change the waste
       management options. State and local disposal regulations may differ from federal
       disposal regulations. Dispose of container and unused contents in accordance with
       federal, state and local requirements.



 14. Transport Information
       Domestic (Land, D.O.T.)
       -----------------------
       Proper Shipping Name: SULFURIC ACID (WITH NOT MORE THAN 51% ACID)
       Hazard Class: 8
       UN/NA: UN2796
       Packing Group: II
       Information reported for product/size: 200L

       International (Water, I.M.O.)
       -----------------------------
       Proper Shipping Name: SULPHURIC ACID (WITH NOT MORE THAN 51% ACID)

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       Hazard Class: 8
       UN/NA: UN2796
       Packing Group: II
       Information reported for product/size: 200L



 15. Regulatory Information
   --------\Chemical Inventory Status - Part 1\---------------------------------
   Ingredient                                       TSCA EC    Japan Australia
   ----------------------------------------------- ---- --- ----- ---------
   Sulfuric Acid (7664-93-9)                         Yes Yes    Yes      Yes
   Water (7732-18-5)                                 Yes Yes    Yes      Yes

   --------\Chemical Inventory Status - Part 2\---------------------------------
                                                           --Canada--
   Ingredient                                       Korea DSL    NDSL Phil.
   ----------------------------------------------- ----- ---     ---- -----
   Sulfuric Acid (7664-93-9)                         Yes   Yes   No     Yes
   Water (7732-18-5)                                 Yes   Yes   No     Yes

   --------\Federal, State & International Regulations - Part 1\----------------
                                              -SARA 302-    ------SARA 313------
   Ingredient                                 RQ    TPQ     List Chemical Catg.
   ----------------------------------------- ---    -----   ---- --------------
   Sulfuric Acid (7664-93-9)                  1000 1000     Yes        No
   Water (7732-18-5)                          No    No      No         No

   --------\Federal, State & International Regulations - Part 2\----------------
                                                         -RCRA-    -TSCA-
   Ingredient                                 CERCLA     261.33     8(d)
   ----------------------------------------- ------      ------    ------
   Sulfuric Acid (7664-93-9)                  1000       No         No
   Water (7732-18-5)                          No         No         No


 Chemical Weapons Convention: No      TSCA 12(b): No                 CDTA: Yes
 SARA 311/312: Acute: Yes       Chronic: Yes Fire: No              Pressure: No
 Reactivity: Yes         (Pure / Liquid)




       Australian Hazchem Code: 2P
       Poison Schedule: None allocated.
       WHMIS:
       This MSDS has been prepared according to the hazard criteria of the Controlled Products
       Regulations (CPR) and the MSDS contains all of the information required by the CPR.



 16. Other Information
       NFPA Ratings: Health: 3 Flammability: 0 Reactivity: 2 Other: Water reactive
       Label Hazard Warning:
       POISON! DANGER! CORROSIVE. LIQUID AND MIST CAUSE SEVERE BURNS
       TO ALL BODY TISSUE. MAY BE FATAL IF SWALLOWED OR CONTACTED


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United States Air Force
15th Airlift Wing
Environmental Restoration Program




     Appendix E

Construction Quality Plan




   Contract F41624-01-D-8545
        Task Order 105

       January 2005
                                                                                               APPENDIX E: CONSTRUCTION QUALITY PLAN
                                                                      INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                               AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                         JANUARY, 2005




                                                             Contents
Contents.............................................................................................................................................E-i

1.0 Construction Quality Plan General Information.............................................................. E-1
       1.1 Introduction...................................................................................................................... E-1
       1.2 Organization and Responsibilities ................................................................................ E-1
2.0 Inspection/Observation/Review Activities........................................................................ E-3
       2.1 Reporting .......................................................................................................................... E-3
            2.1.1 Waste Storage Area Facility Construction Reporting.................................... E-3
            2.1.2 MPX System Refurbishment and Startup Test Reporting ............................ E-3
       2.2 Submittal Review, Approval, and Management Procedures.................................... E-4
3.0 Master Document List.............................................................................................................. E-5


Tables
3-1 Master Document List
3-2 Available Documentation, TO 105

Attachments
1      AFCEE ENRAC Daily Report
2      Waste Storage Area Facility Drawings
3      MPX System Drawings and Testing Log




TO105_FINALIRA WORK PLAN_APPE _2005-01.DOC                                                                                                           E-i
APPENDIX E: CONSTRUCTION QUALITY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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E-ii                                                                TO105_FINALIRA WORK PLAN_APPE _2005-01.DOC
                                                                      APPENDIX E: CONSTRUCTION QUALITY PLAN
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                      AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                JANUARY, 2005




            1.0 Construction Quality Plan General
                        Information

1.1 Introduction
The purpose of this Construction Quality Plan (CQP) is to outline the quality control (QC)
requirements applicable to:
    Construction of the waste storage area at Site SS13
    Refurbishment of the existing multiphase extraction (MPX) system to be used at
    Site SS15
In addition, the Contract Data Requirements List (CDRL) for the project is included to
identify the requirements for reporting data collected during the project.



1.2 Organization and Responsibilities
The overall responsibility for implementation and enforcement of the CQP is assigned to the
Project Manager and QC Representative. Designated qualified individuals shall assume
execution responsibility of this plan. These individuals may include the Site Manager, Site
Safety Coordinator, Construction QC Manager, or other project personnel.
Please refer to the Work Plan for project team descriptions and organizational chart.




TO105_FINALIRA WORK PLAN_APPE _2005-01.DOC                                                                 E-1
APPENDIX E: CONSTRUCTION QUALITY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




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E-2                                                                 TO105_FINALIRA WORK PLAN_APPE _2005-01.DOC
                                                                      APPENDIX E: CONSTRUCTION QUALITY PLAN
                                             INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                      AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                JANUARY, 2005




   2.0 Inspection/Observation/Review Activities
Quality control shall be performed on the tasks in Table 2-1 to confirm work is being
performed in accordance with the applicable standards, regulations, specifications, and
codes. Construction details for the extraction wells are provided in Attachments 1 and 2.



2.1 Reporting
During fieldwork activities, QC duties include recording onsite personnel, including
subcontractors and visitors, and their corresponding time spent at the project; major
equipment onsite; and materials delivered on that day. In addition, the QC Report will
record the work performed by CH2M HILL and subcontractors and the results of any
inspections or QC tests performed that day. The frequency of reporting during other field
activities may be reduced according to the complexity of the task, length of the anticipated
activity, and number of personnel involved.

2.1.1 Waste Storage Area Construction Reporting
A Daily QC Report will be completed to document field activities associated with waste
storage area construction. The purpose of the log will be to track field personnel,
equipment, and materials brought to and removed from the site. An example Daily QC
Report form is included in Attachment 1. Copies of the QC Report will be sent to the Project
Manager on the day following the report. The Construction Manager will inspect
construction materials to ensure that they meet the design drawings and specifications.

2.1.2 MPX System Refurbishment and Startup Test Reporting
Upon completion of the MPX system refurbishment, the Construction Manager and
instrumentation and control (I&C) Engineer will inspect the equipment to verify that the
refurbishment was performed in accordance with the MPX system design drawings and
specifications. In addition, the MPX system will be tested to ensure that it is functioning
correctly. The results of functional I&C shop- and field-testing will be recorded on a
functional testing log form. MPX system design drawings and a testing log form are
included in Attachments 2 and 3. MPX system O&M will most likely not be reported on the
Daily QC Report form. However, sign-in logs and MPX system O&M information shall be
collected on the appropriate MPX system operations log sheet (See Appendix A).




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APPENDIX E: CONSTRUCTION QUALITY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005




2.2 Submittal Review, Approval, and Management
Procedures
As required in this Task Order (TO), CH2M HILL will follow the procedures relative to
submittals to the government as defined in the contract documents. Each submittal will
include a transmittal form that properly identifies each submittal.
The Construction Manager will document daily field activities and safety procedures and
submit the appropriate documentation to the Site Manager and Project Manager for
organization and review. The Project Manager has the authority to sign submittals and
present them to the government or return them to the Project Team for revision.




E-4                                                                 TO105_FINALIRA WORK PLAN_APPE _2005-01.DOC
                                                                                         APPENDIX E: CONSTRUCTION QUALITY PLAN
                                                                INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
                                                                                         AFCEE CONTRACT F41624-01-D-8545, TO 105
                                                                                                                   JANUARY, 2005




                                 3.0 Master Document List
The documentation required for this TO is specified in the CDRL and the Statement of Work. This
includes, but is not limited to, the documents shown in Table 3-1.
TABLE 3-1
Master Document List
IRAs at Sites SS13 and SS15
  CDRL                   Title                               Subtitle                                 Due Date
  A001
                                             Quality Program Plan -- Includes Work          April 30, 2004
  A002        Work Plan Addendum
                                             Plan, Health and Safety Plan (HSP), and
  A003        No.1
                                             Construction Quality Plan (CQP)
  A005
              Contractor’s Standard
                                             SOPs for Hazardous Materials
  A006        Operating Procedures                                                          TBD
                                             Management
              (SOPs)
  A007        Contractor’s SOPs              SOPs for Hazardous Waste Management            TBD
  A012A       Technical Report               Interim Remedial Action Report                 TBD
  A012B       Technical Report               Fact Sheets                                    TBD
                                                                                            As data packages are
  A013        Technical Report               Analytical Data Report Package
                                                                                            available
              Report Production or
  A015                                                                                      As required
              Delivery Problems
  A016        Status Report                  Technical Field Reports
  A017        Environmental Permits                                                         As required
              Real Property
                                             As-Built Drawings for MPX system and
  A027        Facilities/As-Built                                                           As required
                                             waste storage area
              Drawings
              Contract Work                                                                 Submit within 15 days after
  B001
              Breakdown Structure                                                           task order award.
  B003        Project Planning Chart         Project Schedule                               As required
              Contractor’s Progress,
  B004        Status and Management                                                         Monthly
              Report
  B006        Digital Imaging                                                               As required
  B009        Technical Data Package         Computer-Aided Design Drawings                 As required
                                                                                            As required. Submit 15
  B011        Presentation Materials
                                                                                            days prior to presentation
                                                                                            As required. Submit 15
  B012        Conference Agenda
                                                                                            days prior to presentation
                                                                                            Submit within 10 days after
  B013        Conference Minutes
                                                                                            scheduled meeting
  B014        Master Document List                                                          As required

                                             Environmental Resources Program                As required after data
  B015        Technical Data Package
                                             Information Management System                  generation

Table 3-2 contains a list of additional reports and documentation that will be submitted upon
request or maintained in the project files onsite.

TO105_FINALIRA WORK PLAN_APPE _2005-01.DOC                                                                           E-5
APPENDIX E: CONSTRUCTION QUALITY PLAN
INTERIM REMEDIAL ACTION WORK PLAN FOR SITES SS13 AND SS15 - FINAL
AFCEE CONTRACT F41624-01-D-8545, TO 105
JANUARY, 2005



TABLE 3-2
Available Documentation, TO 105
IRAs at Sites SS13 and SS15
             Report/documentation                                   Frequency             Submit          File only
Problem Reports                                        As required                           X
Testing and Analysis Results                           As requested                          X
Calculations and Raw Data from Analysis                As performed                                           X
Monitoring and Testing Activities
Subcontractors’ Plans and AHAs                         As required                                            X
QC Inspection Reports                                  As performed                                           X
Personnel and Visitor Daily Sign In/Out                Daily                                                  X
Tailgate Safety Meeting Attendance Log                 Daily                                                  X
Transportation and Disposal Log                        As performed                                           X
Sample Log                                             As performed                                           X
Field Logs                                             As performed                                           X
Chain-of-Custody Records                               As performed                                           X
Waste Profiles                                         As performed                                           X
Waste Manifests                                        As performed                                           X
Certificates of Disposal, Destruction, or Recycling    As performed                                           X
Instrument Calibration Records                         As performed                                           X
As-Builts, Maps, Drawings                              As prepared/updated                   X
Subcontractor Qualifications, Certifications,          As required                                            X
Licenses
Distribution and Receipt Documentation of Plans        As required                                            X
and their Revisions or Amendments
Contract Documents                                     As required                           X
Procurement Documents                                  As required                                            X
Invoices                                               Monthly                               X
Correspondence                                         As required                                            X




E-6                                                                         TO105_FINALIRA WORK PLAN_APPE _2005-01.DOC
CH2M HILL CONSTRUCTION QUALITY PLAN
Attachment 1




                      AFCEE ENRAC Daily Report
 (To be Completed for Waste Storage Area Facility Construction Fieldwork)
   CH2M HILL                                                    DAILY REPORT                                                   REPORT DATE :
                                                                                                                               REVISION NO:
AFCEE ENRAC                                          (ATTACH ADDITIONAL SHEETS IF NECESSARY)
                                                                                                                               REVISION DATE:
TO NO:                                     PROJECT NAME/LOCATION:                                                              REPORT NO:
PROJECT NO:                                PROJECT MANAGER:                                          PREPARED BY:
AM WEATHER:                                PM WEATHER:                                  MAX TEMP:           F                  MIN TEMP:            F
                                                        SUMMARY OF WORK PERFORMED TODAY




                      Was A Job Safety Meeting Held This Date?                             Yes        No        TOTAL WORK HOURS ON JOB SITE THIS
                                                                                                                   DATE (Including Continuation Sheets)
                      Were there any near miss, incident, or accidents this date? (If      Yes        No        CH2MHILL On-Site Hours
    SAFETY




                      Yes, attach copy of completed Incident Report Form)
      JOB




                      Was Crane/Manlift/Trenching/Scaffold/HV Elec/High                    Yes        No        Subcontractor On-Site Hours
                      Work/Hazmat Work Done??
                                                                                                                Total On-Site Hours This Date
                      (If Yes, attach statement or checklist showing inspection
                      performed)
                      Was Hazardous Material/Waste Released into the                       Yes        No        Cumulative Total of Work Hours
                      Environment? (If Yes, attach description of incident and                                  From Previous Report
                      proposed action)
                                                                                                                Total Work Hours From Start of
                                                                                                                Construction
SAFETY ACTIONS TAKEN TODAY/SAFETY INSPECTIONS CONDUCTED (Include Safety Violations, Corrective Instructions Given, Corrective Actions
Taken, and Results of Safety Inspections Conducted):
EQUIPMENT/MATERIAL RECEIVED TODAY TO BE INCORPORATED IN JOB
   Description of Equipment/Material Received              Make/Model/Manufacturer        Equipment Lot Number              Inspection              Number/
                                                                                                                           Performed By          Volume/ Weight




EQUIPMENT USED ON JOB SITE TODAY.
               Equipment Description                        Equipment Make/Model         Safety Check Performed By                Number of Hours
                                                                                                                           Used           Idle          Repair




CHANGED CONDITIONS/DELAY/CONFLICTS ENCOUNTERED (List any conflicts with the delivery order [i.e., scope of work and/or drawings], delays to
the project attributable to site and weather conditions, etc.):
VISITORS TO THE SITE:
                                                              PERSONNEL AT THE SITE TODAY
    Employee                               Work Performed                               Employer            Employee               Title/Trade          Hours
                                                                                                             Number




                                                                         MEETINGS HELD
   Meeting Name:                                                                                                     Led By:
      Attendees
   Topics Covered:
   Meeting Minutes:
CH2M HILL CONSTRUCTION QUALITY PLAN
Attachment 2




               Waste Storage Area Design Drawings
CH2M HILL CONSTRUCTION QUALITY PLAN
Attachment 3




               MPX System Drawings and Testing Log
CH2M HILL CONSTRUCTION QUALITY PLAN
Attachment 1




                      AFCEE ENRAC Daily Report
 (To be Completed for Waste Storage Area Facility Construction Fieldwork)
   CH2M HILL                                                    DAILY REPORT                                                   REPORT DATE :
                                                                                                                               REVISION NO:
AFCEE ENRAC                                          (ATTACH ADDITIONAL SHEETS IF NECESSARY)
                                                                                                                               REVISION DATE:
TO NO:                                     PROJECT NAME/LOCATION:                                                              REPORT NO:
PROJECT NO:                                PROJECT MANAGER:                                          PREPARED BY:
AM WEATHER:                                PM WEATHER:                                  MAX TEMP:           F                  MIN TEMP:            F
                                                        SUMMARY OF WORK PERFORMED TODAY




                      Was A Job Safety Meeting Held This Date?                             Yes        No        TOTAL WORK HOURS ON JOB SITE THIS
                                                                                                                   DATE (Including Continuation Sheets)
                      Were there any near miss, incident, or accidents this date? (If      Yes        No        CH2MHILL On-Site Hours
    SAFETY




                      Yes, attach copy of completed Incident Report Form)
      JOB




                      Was Crane/Manlift/Trenching/Scaffold/HV Elec/High                    Yes        No        Subcontractor On-Site Hours
                      Work/Hazmat Work Done??
                                                                                                                Total On-Site Hours This Date
                      (If Yes, attach statement or checklist showing inspection
                      performed)
                      Was Hazardous Material/Waste Released into the                       Yes        No        Cumulative Total of Work Hours
                      Environment? (If Yes, attach description of incident and                                  From Previous Report
                      proposed action)
                                                                                                                Total Work Hours From Start of
                                                                                                                Construction
SAFETY ACTIONS TAKEN TODAY/SAFETY INSPECTIONS CONDUCTED (Include Safety Violations, Corrective Instructions Given, Corrective Actions
Taken, and Results of Safety Inspections Conducted):
EQUIPMENT/MATERIAL RECEIVED TODAY TO BE INCORPORATED IN JOB
   Description of Equipment/Material Received              Make/Model/Manufacturer        Equipment Lot Number              Inspection              Number/
                                                                                                                           Performed By          Volume/ Weight




EQUIPMENT USED ON JOB SITE TODAY.
               Equipment Description                        Equipment Make/Model         Safety Check Performed By                Number of Hours
                                                                                                                           Used           Idle          Repair




CHANGED CONDITIONS/DELAY/CONFLICTS ENCOUNTERED (List any conflicts with the delivery order [i.e., scope of work and/or drawings], delays to
the project attributable to site and weather conditions, etc.):
VISITORS TO THE SITE:
                                                              PERSONNEL AT THE SITE TODAY
    Employee                               Work Performed                               Employer            Employee               Title/Trade          Hours
                                                                                                             Number




                                                                         MEETINGS HELD
   Meeting Name:                                                                                                     Led By:
      Attendees
   Topics Covered:
   Meeting Minutes:
CH2M HILL CONSTRUCTION QUALITY PLAN
Attachment 2




               Waste Storage Area Design Drawings
CH2M HILL CONSTRUCTION QUALITY PLAN
Attachment 3




               MPX System Drawings and Testing Log
Hickam Portable MPX Test
Before testing:
                       Device     No.                                                Description                                    Initial   Date   Notes
                                1.1     Complete all wiring and piping connections as shown on the drawings
                                1.2     Calibrate capacitance level switches per contract documents and manufacter's instructions
                                1.3     Set all panel switches to the off position
                                1.4     Open all breakers and fuses in the panel
                                1.5     Visually inspect panel internal components for shipping or installation damage
                                1.6     Verify all tanks are empty
                                1.7     Verify valves are in the correct position


Manual Test
                       Device     No.                                                Description                                    Initial   Date   Notes
Panel Power                     1.8     Apply line power to panel
                                1.9     Close breaker/Fuse CB-1, CB-2, FU1, FU2

ALS1 Low Level                  2.0     Close fuse FU5 - Verify green power led is ON at LSL01
                                2.0.1   Verify LSL01 contacts are OPEN, and PLC input 4 LED is OFF
                                2.0.2   Fill ALS1 with water until LSL01 is covered
                                2.0.3   Verify LSL01 contacts are CLOSED, and PLC input 4 LED is ON
                                2.0.4   LSL01 testing complete

ALS1 High Level                 2.1     Close fuse FU4 - Verify green power led is ON at LSH01
                                2.1.1   Verify LSH01 contacts are CLOSED, and PLC input 3 LED is ON
                                2.1.2   Fill ALS1 with water until LSH01 is covered
                                2.1.3   Verify LSH01 contacts are OPEN, and PLC input 3 LED is OFF
                                2.1.4   LSH01 testing complete

ALS1 High High Level            2.2     Close fuse FU3 - Verify green power led is ON at LAHH01
                                2.2.1   Verify LAHH01 contacts are CLOSED, and PLC input 2 LED is ON
                                2.2.2   Fill ALS1 with water until LAHH01 is covered
                                2.2.3   Verify LAHH01 contacts are OPEN, and PLC input 2 LED is OFF
                                2.2.4   LAHH01 testing complete

ALS1 Groundwater Pump           2.3     Close breaker CB3
                                2.3.1   Verify E-stop switch is pulled out (reset)
                                2.3.2   Test motor rotation by putting ALS1 Groundwater Pump Switch in the HAND position
                                2.3.3   While motor is running, verify pump discharge pressure
                                2.3.4   Run pump until level drops below LAHH01 Verify contacts are CLOSED
                                2.3.5   Run pump until level drops below LSH01 Verify contacts are CLOSED
                                2.3.6   Run pump until level drops below LSL01 Verify contacts are OPEN

ALS2 Low Level                  2.4     Close fuse FU8 - Verify green power led is ON at LSL02
                                2.4.1   Verify LSL02 contacts are OPEN, and PLC input 9 LED is OFF
                                2.4.2   Fill ALS2 with water until LSL02 is covered
                                2.4.3   Verify LSL02 contacts are CLOSED, and PLC input 9 LED is ON
                                2.4.4   LSL02 testing complete




                                                                                                                                                             05/12/2004
Hickam Portable MPX Test
                       Device     No.                                               Description                                 Initial   Date   Notes
ALS2 High Level                 2.5     Close fuse FU7 - Verify green power led is ON at LSH02
                                2.5.1   Verify LSH02 contacts are CLOSED, and PLC input 8 LED is ON
                                2.5.2   Fill ALS2 with water until LSH02 is covered
                                2.5.3   Verify LSH02 contacts are OPEN, and PLC input 8 LED is OFF
                                2.5.4   LSH02 testing complete

ALS2 High High Level            2.6     Close fuse FU6 - Verify green power led is ON at LAHH02
                                2.6.1   Verify LAHH02 contacts are CLOSED, and PLC input 7 LED is ON
                                2.6.2   Fill ALS2 with water until LAHH02 is covered
                                2.6.3   Verify LAHH02 contacts are OPEN, and PLC input 7 LED is OFF
                                2.6.4   LAHH02 testing complete

ALS2 Product Pump               2.7     Close breaker CB4
                                2.7.1   Verify E-stop switch is pulled out (reset)
                                2.7.2   Test motor rotation by putting ALS2 Product Pump Switch in the HAND position
                                2.7.3   While motor is running, verify pump discharge pressure
                                2.7.4   Run pump until level drops below LAHH02. Verify contacts are CLOSED
                                2.7.5   Run pump until level drops below LSH02. Verify contacts are CLOSED
                                2.7.6   Run pump until level drops below LSL02. Verify contacts are OPEN

WATER EQ TANK Low Level         2.8     Close fuse FU11 - Verify green power led is ON at LSL03
                                2.8.1   Verify LSL03 contacts are OPEN, and PLC input 2/4 LED is OFF
                                2.8.2   Fill WATER EQ TANK with water until LSL03 is covered
                                2.8.3   Verify LSL03 contacts are CLOSED, and PLC input 2/4 LED is ON
                                2.8.4   LSL03 testing complete

WATER EQ TANK High Level        2.9     Close fuse FU10 - Verify green power led is ON at LSH03
                                2.9.1   Verify LSH03 contacts are CLOSED, and PLC input 2/3 LED is ON
                                2.9.2   Fill WATER EQ TANK with water until LSH03 is covered
                                2.9.3   Verify LSH03 contacts are OPEN, and PLC input 2/3 LED is OFF
                                2.9.4   LSH03 testing complete

WATER EQ TANK High High Level   3.0     Close fuse FU9 - Verify green power led is ON at LAHH03
                                3.0.1   Verify LAHH03 contacts are CLOSED, and PLC input 2/2 LED is ON
                                3.0.2   Fill WATER EQ TANK with water until LAHH03 is covered
                                3.0.3   Verify LAHH03 contacts are OPEN, and PLC input 2/2 LED is OFF
                                3.0.4   LAHH03 testing complete

WATER EQ TANK Product Pump      3.1     Close breaker CB5
                                3.1.1   Verify E-stop switch is pulled out (reset)
                                3.1.2   Test motor rotation by putting WATER EQ TANK Product Pump Switch in the HAND position
                                3.1.3   While motor is running, verify pump discharge pressure
                                3.1.4   Run pump until level drops below LSH03. Verify contacts are CLOSED
                                3.1.5   Run pump until level drops below LSL03. Verify contacts are OPEN

PRODUCT EQ TANK Low Level       3.2     Close fuse FU14 - Verify green power led is ON at LSL04
                                3.2.1   Verify LSL04 contacts are OPEN, and PLC input 2/9 LED is OFF
                                3.2.2   Fill PRODUCT EQ TANK with water until LSL04 is covered
                                3.2.3   Verify LSL04 contacts are CLOSED, and PLC input 2/9 LED is ON
                                3.2.4   LSL04 testing complete



                                                                                                                                                         05/12/2004
Hickam Portable MPX Test
                   Device                       No.                                             Description                                               Initial   Date   Notes
PRODUCT EQ TANK High Level                    3.3     Close fuse FU13 - Verify green power led is ON at LSH04
                                              3.3.1   Verify LSH04 contacts are CLOSED, and PLC input 2/8 LED is ON
                                              3.3.2   Fill PRODUCT EQ TANK with water until LSH04 is covered
                                              3.3.3   Verify LSH04 contacts are OPEN, and PLC input 2/8 LED is OFF
                                              3.3.4   LSH04 testing complete

PRODUCT EQ TANK High High Level               3.4     Close fuse FU12 - Verify green power led is ON at LAHH04
                                              3.4.1   Verify LAHH04 contacts are CLOSED, and PLC input 2/7 LED is ON
                                              3.4.2   Fill PRODUCT EQ TANK with water until LAHH04 is covered
                                              3.4.3   Verify LAHH04 contacts are OPEN, and PLC input 2/7 LED is OFF
                                              3.4.4   LAHH04 testing complete

PRODUCT EQ TANK Product Pump                  3.5     Close breaker CB6
                                              3.5.1   Verify E-stop switch is pulled out (reset)
                                              3.5.2   Test motor rotation by putting PRODUCT EQ TANK Product Pump Switch in the HAND position
                                              3.5.3   While motor is running, verify pump discharge pressure
                                              3.5.4   Run pump until level drops below LSH04. Verify contacts are CLOSED
                                              3.5.5   Run pump until level drops below LSL04. Verify contacts are OPEN

MOBILE PRODUCT STORAGE TANK High Level        3.6     Close fuse FU15 - Verify green power led is ON at LAH05
                                              3.6.1   Verify LAH05 contacts are CLOSED, and PLC input 2/11 LED is ON
                                              3.6.2   Fill MOBILE PRODUCT STORAGE TANK with water until LAH05 is covered
                                              3.6.3   Verify LAH05 contacts are OPEN, and PLC input 2/11 LED is OFF
                                              3.6.4   LAH05 testing complete

MOBILE PRODUCT STORAGE TANK High High Level   3.7     Close fuse FU15 - Verify green power led is ON at LAHH05
                                              3.7.1   Verify LAHH05 contacts are CLOSED, and PLC input 2/10 LED is ON
                                              3.7.2   Fill MOBILE PRODUCT STORAGE TANK with water until LAHH05 is covered
                                              3.7.3   Verify LAHH05 contacts are OPEN, and PLC input 2/10 LED is OFF
                                              3.7.4   LAHH05 testing complete

MOBILE PRODUCT STORAGE TANK Product Pump      3.8     Close breaker CB8
                                              3.8.1   Test motor rotation by putting MOBILE PRODUCT STORAGE TANK Product Pump Switch in the ON position
                                              3.8.2   Run pump until level drops below LAHH05. Verify contacts are CLOSED
                                              3.8.3   Run pump until level drops below LSH05. Verify contacts are CLOSED

MOBILE WATER STORAGE TANK High High Level     3.9     Close fuse FU17 - Verify green power led is ON at LAHH06
                                              3.9.1   Verify LAHH06 contacts are CLOSED, and PLC input 2/12 LED is ON
                                              3.9.2   Fill MOBILE WATER STORAGE TANK with water until LAHH06 is covered
                                              3.9.3   Verify LAHH06 contacts are OPEN, and PLC input 2/12 LED is OFF
                                              3.9.4   LAHH06 testing complete

MOBILE WATER STORAGE TANK Product Pump        4.0     Close breaker CB9
                                              4.0.1   Test motor rotation by putting MOBILE WATER STORAGE TANK Product Pump Switch in the ON position
                                              4.0.2   Run pump until level drops below LAHH06. Verify contacts are CLOSED




                                                                                                                                                                                   05/12/2004
Hickam Portable MPX Test
                   Device               No.                                               Description               Initial   Date   Notes
LRP SEAL WATER TANK low level         5.0     Close fuse FU19 - Verify green power led is ON at LSL08
                                      5.0.1   Verify LSL08 contacts are OPEN, and PLC input 3/3 LED is OFF
                                      5.0.2   Fill LRP SEAL WATER TANK with water until LSL08 is covered
                                      5.0.3   Verify LSL08 contacts are CLOSED, and PLC input 3/3 LED is ON
                                      5.0.4   LSL08 testing complete

LRP SEAL WATER TANK High High Level   5.1     Close fuse FU18 - Verify green power led is ON at LAHH08
                                      5.1.1   Verify LAHH08 contacts are CLOSED, and PLC input 3/2 LED is ON
                                      5.1.2   Fill LRP SEAL WATER TANK with water until LAHH08 is covered
                                      5.1.3   Verify LAHH08 contacts are OPEN, and PLC input 3/2 LED is OFF
                                      5.1.4   LAHH08 testing complete

LIQUID RING PUMP                      5.2     Apply LRP generator power to panel CP08.
                                      5.2.1   Test motor rotation by putting LRP Switch in the HAND position
                                      3.8.2   Run pump until level drops below LAHH08. Verify contacts are CLOSED
                                      3.8.3   Run pump until level drops below LSH08. Verify contacts are CLOSED
                                      3.8.4   Run pump until level drops below LSL08. Verify contacts are OPEN

ICE                                   5.3     Verify E-stop switch is pulled out (reset)
                                      5.3.1   Place ICE Switch in the HAND position
                                      5.3.2   Start ICE from the ICE panel
                                      5.3.3   Verify PLC input 2/14 is ON while ICE is running
                                      5.3.4   Place ICE Switch in the OFF position, ICE should shutdown
                                      5.3.5   Verify PLC input 2/14 is OFF while ICE is off.




                                                                                                                                             05/12/2004

				
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