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Attachment 2 Data Management Plan

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Attachment 2

Data Management Plan

  

ATTACHMENT 2 TO THE CIP  

Data Management Plan  

Phase I Decontamination and Deconstruction Project Vernon, CA 90058 

  

   

Prepared for  

Exide Technologies 2700 South Indiana Street Vernon, CA  90058 

                                 

Prepared by 

   

  

1502 E Opp Street Wilmington, CA  90744 

 August 18, 2016 

Rev January 7, 2017 Rev July 14, 2017

Phase 1 Closure at Exide Facility    American Integrated Services, Inc. Vernon, CA    Data Management Plan 

 

1  

  

TableofContentsTable of Contents .............................................................................................................................................. 1 

1.  Data Management Plan ............................................................................................................................ 2 

1.1  Project Engineer ................................................................................................................................ 2 

1.2  Project Administrator ....................................................................................................................... 3 

1.3  Project Documents ........................................................................................................................... 4 

Attachment 2‐1 Daily Progress Report ......................................................................................................... 6 

Attachment 2‐2 Waste / Bin Manifest Tracking Form .................................................................................  7 

Attachment 2‐3 Storage Area Inspection Form ............................................................................................ 8 

Attachment 2‐4 Pre‐Loading Checklist ......................................................................................................... 9 

Attachment 2‐5 Truck Inspection and Decontamination Checklist ............................................................ 10 

Attachment 2‐6 Truck Driver Sign‐In and Route Acknowledgement Form ................................................ 11 

Attachment 2‐7 Mitigation Measures Air Quality Checklist Form .............................................................. 12 

Attachment 2‐8 Mitigation Measures Cultural and Historic Response Checklist ....................................... 13 

Attachment 2‐9 Mitigation Measures Equipment Noise Control Form ..................................................... 14 

Attachment 2‐10 Mitigation Measures Noise Monitoring Form ................................................................ 15 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phase 1 Closure at Exide Facility    American Integrated Services, Inc. Vernon, CA    Data Management Plan 

 

2  

 

 

1. DataManagementPlan 

The purpose of this plan is to outline the duties of the AIS personnel; provide a list of documentation 

that will be maintained on‐site; and, provide copies of relevant forms and templates that will be 

prepared and maintained to comply with Project data requirements. 

 

AIS has assigned a Project Engineer and a Project Administrator to the Exide Project. Following are 

their roles and responsibilities on the Project. 

 

1.1  Project Engineer  

The  Project  Engineer  (PE)  has  expertise  in  daily  field  operations  and  documentation 

requirements  in all phases of  the Project SOW and will provide assistance  to  the Senior 

Project Manager and Site Superintendents with daily field operations. He will be working 

closely with them to verify that AIS is on schedule and properly prepared for the next day’s 

tasks.   He will also be accountable  to the Senior Project Manager  for Client deliverables, 

including but not limited to daily forms regarding field operations; daily health and safety 

tail  gate meetings;  and,  preparing  the Daily  Progress  Report  (see Attachment  #1).     As 

required in the Closure Plan, the Daily Progress Report form includes the following: 

Project name and date; 

Weather conditions; 

Description of activities performed during the day; 

Description of any tests, sampling or monitoring performed, including data from previous 

testing; 

Details of any discrepancies or field conflicts which occurred during the day; 

Descriptions and quantities of materials,  labor or equipment mobilized to or demobilized 

from the facility, including delivery and disposal tickets; 

Description and quantities of materials, labor or equipment used during the day; 

Actual  engine  runtime  hours  and  fuel  usage  for  all  portable  equipment  engines.    The 

information will be used by Exide for RECLAIM reporting.  Mobile equipment does not need 

to be included; 

Phase 1 Closure at Exide Facility    American Integrated Services, Inc. Vernon, CA    Data Management Plan 

 

3  

Summary of disposal or recycling shipments, including a table providing manifest number, 

truck  number,  transporter,  contents,  weight,  destination  facility,  and  other  pertinent 

information. 

Health and safety summary, including personal air monitoring; 

Real time particulate (dust) air monitoring results; 

Description of inspections performed during the day including attendees; 

Submittals made during the day or decisions made on previous submittals; 

List of Site visitors and organizations represented; 

Site security activities; 

Any other significant activities; and, 

Contractor representative’s signature. 

 

The report will be submitted electronically to Exide, the Resident Engineer, and DTSC by the 

end  of  the  following  day.      He  will  utilize  Project  specific  Excel  forms  to  track  waste 

tonnage/volume  and disposal destination;  track  and document  all manifests, both  non‐

hazardous  and  hazardous.    See  Sample  Waste/Bin  Tracking  Form,  Attachment  #2.  

Hazardous manifests will be scanned and delivered electronically to Exide Representatives 

on a daily basis. Generator  copies will be  compiled and delivered  in hard  copy  to Exide 

representatives on a weekly basis. Data management tasks also  include project schedule 

maintenance;  tracking  change  orders;  preparing/organizing  daily  forms;  scheduling 

inspections; managing employees’ time cards; and preparing monthly invoices.   

 

1.2  Project Administrator  

The  Project  Administrator  (PA)  will  be  responsible  for  cost  tracking;  monitoring  log 

compilations;  tracking  time  and materials work;  assisting  the  PE;  and, maintaining  the 

following documentation on‐site for the Project duration: 

 

Copy of California State Contractor’s License; 

Cal/OSHA Registration Number; 

AQMD Equipment Permits; 

Copies of surveys and notifications;  

HASP and related documentation including copies of employee safety training certifications, 

daily tailgate safety meetings; 

Phase 1 Closure at Exide Facility    American Integrated Services, Inc. Vernon, CA    Data Management Plan 

 

4  

Regulated Area Entry logs; 

Waste profiles and manifests; 

Applicable field forms; 

Signed manifests; 

Records of the volume and/or tonnage of recycled and disposed materials; 

Approximate quantity of waste handled, along with date of movement;  

Photo documentation;  

Construction schedule and daily reports; and, 

Daily reports and field log books which contain field observations and notes, site personnel 

arrival and departures times, equipment and other vital project information. 

AIS will provide annual diversion reports to the City of Vernon by March 1 of the year following the reporting year. 

 

1.3  Project Documents  

The following forms will be utilized on the Project:  

Attachment 2‐1 ‐ Daily Progress Report 

Attachment 2‐2 – Waste / Bin Manifest Tracking Form 

Attachment 2‐3 ‐ Storage Area Inspection Form 

Attachment 2‐4 ‐ Pre‐Loading Checklist 

Attachment 2‐5 ‐ Truck Inspection and Decontamination Checklist 

Attachment 2‐6 ‐ Truck Driver Sign‐In and Route Acknowledgement Form 

Attachment 2‐7 – Mitigation Measures Air Quality Checklist Form – to be completed for each 

off‐road construction equipment at delivery. 

Attachment 2‐8 – Mitigation Measures Cultural and Historic Responses Checklist Form – to 

be used only if encountering prehistoric or historical cultural resources or human remains. 

Attachment 2‐9 – Equipment Noise Controls Form 

Attachment 2‐10 – Noise Monitoring Form 

 

The following forms are not included in this document as they are only to be used internally: 

Attachment 2‐11 ‐ Tailgate Safety Meeting Form 

Attachment 2‐12 ‐ Daily Superintendent’s Report 

Phase 1 Closure at Exide Facility    American Integrated Services, Inc. Vernon, CA    Data Management Plan 

 

5  

Attachment 2‐13 ‐ Request for Information 

Attachment 2‐14 ‐ Change Order Request 

Attachment 2‐15 ‐ Change Order Tracking Log 

   

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

6

Attachment 2-1

Daily Progress Report

ATTACHMENT 2-1: DAILY PROGRESS REPORT

Daily Progress Report #:

Dated:

Units worked on 

Unit Fuel: Hrs.:

UnitFuel: Hrs.:

List all visitors

Waste or Recycling Shipments? If YES attach Form 2.2 YES _____ NO ______

Name

Signature

Notes:

Submittals

Items submitted and results/responses to previous submittals, Decisions Based on Submittals

1) Test, sampling & monitoring with results from previous day; 2) Real time particulate (dust) monitoring results

AIS Representative:

Potential Problems or Concerns and Proposed Solutions:

Engineering Controls for Upcoming Work:

Discrepancies or Field Conflicts

Personnel On Site:

List all personnel on site during the reporting period by company and trade (categories would be laborers, operators ,etc.)

Security and Site Visitors:

Equipment, Site, Enclosure Inspections, Anemometer Readings, Neg Air Readings 

Materials and Equipment Delivered (Including Equipment Mobiilized and Demobilized (Attach Tickets)

Notifications to SCAQMD and DTSC:

Fill in with notification of activities that have the potential to result in the release of fugitive lead containing dust.

Fill in with substantive interaction which could have effect on project

Example – Level D PPE was utilized for the activities performed at the site.  AIS personnel held a Health & Safety Tailgate Meeting each morning will all workmen prior to work.  

Health & Safety Tailgate tings were also held for site visitors upon arrival.  No safety violations or incidents occurred. Peresonel pump readings or summary.

Equipment Utilized:

List all operated AIS and outside vendor equipment utilized 

Engine Runtime Hours + Fuel Usage For All Portable Equipment Engines

TODAY'S ACTIVITY SUMMARY:

Interaction with Exide and Regulatory Agencies:

Health and Safety Summary (including personal air monitoring):

Decontamination/DeconstructionExide Facility – Phase 1 Closure

2700 E Indiana Street, Vernon, CA

Weather:

Inspection Summary (Enclosure, Neg Readings, Anemometers, Equipment, Site)

Description of Today's Field Activities

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

7

Attachment 2-2

Waste/Bin Manifest Tracking Form

ATTACHMENT 2-2: WASTE BIN / MANIFEST TRACKING FORM

DATE:_______________________________

Bin ID Vendor DATE IN Truck ID DATE OUT Truck ID ConcreteC&D

DebrisHazardous

Waste Metal

Recycling Reuse Items AsbestosOrigin / UNIT # DESTINATION Profile #

MANIFEST/ TICKET # Notes :

TOTALS 0 0 0 0 0 0

Exide Technologies

Net Weights

2700 Indiana St, Vernon, CA

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

8

Attachment 2-3

Storage Area Inspection Form

                              Attachment 2‐3. Storage Area Inspection Form  Revised July 2017 

ATTACHMENT 2‐3: STORAGE AREA INSPECTION FORM 

LOCATION: __________________    DATE:  ________________    DAY:  ________________ 

             INSPECTOR:  ____________________________ 

CONTAINER TYPE /  ID NUMBER 

VISUAL CHECK PERFORMED 

LEAKS OR SPILLS PRESENT ON 

CONTAINERS OR CONTAINMENT 

FLOOR  NOTES AND ACTIONS TAKEN 

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO   

  YES  NO  YES  NO    

NOTE: Inspection should focus on each container, looking for bulging, expanding and/or hissing,  

leaking around vents, bungs or lids. 

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

9

Attachment 2-4

Pre-Loading Checklist

Attachment 2-4. Pre-Loading Checklist

Revised July 2017

ATTACHMENT 2-4: PRE-LOADING CHECKLIST

EXIDE TECHNOLOGIES

VERNON, CALIFORNIA

INSPECTION DATE: __________________ INSPECTION DAY: ________________

INSPECTOR NAME: _______________________________

NOTE: IF THIS INSPECTION HAS “NO” CIRCLED, THE TRAILER MUST NOT BE USED UNTIL REPAIRED!!!

Trailer Number

Is the

truck/trailer

visually clean?

Are hinges in

good condition?

Are the floor,

walls & tarp

free of any

holes?

Are two 6-mil

liners present in

the trailer?

Is the truck using

ultra-low sulfur

diesel (ULSD)?

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO NOTE: IF THIS INSPECTION HAS “NO” CIRCLED, THE TRAILER MUST NOT BE USED UNTIL REPAIRED!!!

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

10

Attachment 2-5

Truck Inspection and Decontamination Checklist

Attachment 2-5 Truck Inspection and Decontamination Checklist

Revised July 2017

ATTACHMENT 2-5: TRUCK INSPECTION AND DECONTAMINATION CHECKLIST

EXIDE TECHNOLOGIES

VERNON, CALIFORNIA

INSPECTION DATE: __________________________ INSPECTION DAY: ________________________

INSPECTOR NAME: __________________________

NOTE: IF THIS INSPECTION HAS "NO" CIRCLED, THE TRAILER MUST NOT BE ALLOWED TO BE SHIPPED WITHOUT CORRECTING THE "NO" !!!

Has visible dust and material been

removed from:

Is the truck and

trailer dry and not

dripping liquids

before entering

Truck Wash?

Trailer Number

Have liners been

secured over

wastes?

Is the trailer tarp

secured?

Are tarp securing

latches/straps in

good condition?

Trailer sides Truck and trailer

wheels and sides

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO YES NO

NOTE: IF THIS INSPECTION HAS "NO" CIRCLED, THE TRAILER MUST NOT BE ALLOWED TO BE SHIPPED WITHOUT CORRECTING THE "NO" !!!

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

11

Attachment 2-6

Truck Driver Sign-In and

Route Acknowledgement Form

ATTACHMENT 2‐6: Truck Driver Sign‐In and Route Acknowledgement Form 

Date

First Name Last Name Time In Time Out

Route Map 

Received 

and 

Reviewed

Truck 

Number

Trailer, Bin 

or Other 

Number

Manifest 

Number (if 

applicable Vendor Trailer Type

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

12

Attachment 2-7

Mitigation Measures Air Quality Checklist Form

For MM-AQ-1 and MM-AQ-2 Items

ATTACHMENT 2-7: MITIGATION MEASURES AIR QUALITY 1 AND 2 (MM-AQ-1; MM-AQ-2) CHECKLIST

EXIDE TECHNOLOGIES

VERNON, CALIFORNIA

DESCRIPTION OF OFF-ROAD

EQUIPMENTMODEL NO. SERIAL NO.

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

YES NO YES NO YES NO YES NO YES NO

Explanation for no answers:

Explanation for no answers:

USE ELECTRIC-

POWERED CRANES

WHERE TECHNICALLY

FEASIBLE? YES/NO

MM-AQ-2: 100% OF CONSTRUCTION EQUIP. INCLUDING ON-ROAD TRUCKS

Explanation for no answers:

Explanation for no answers:

Explanation for no answers:

Explanation for no answers:

HAVE USEPA TIER 4

ENGINES? YES/NO

MM-AQ-1: 100% OF

ALL OFF-ROAD

EQUIPMENT

USE CLEAN DIESEL

(<15 PPM SULFUR) &

OXIDATION

CATALISTS &

PARTICULATE

TRAPS? YES/NO

MAINTAIN

EQUIPMENT IN

GOOD WORKING

ORDER?

YES/NO

RESTRICT IDLING OF

EQUIP TO A MAX. OF

5 MINUTES WHEN

NOT IN USE? YES/NO

Attachment 2-7 TO DMP 12JUL2017 PAGE ___ OF ___ Attachment 2-7 to the Data Management Plan

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

13

Attachment 2-8

Mitigation Measures Cultural and Historic Responses Checklist

Form For MM-CHR-1 and MM-CHR-2 Items

ATTACHMENT 2-8: MITIGATION MEASURES CULTURAL AND HISTORIC RESPONSES 1 AND 2 (MM-CHR-1; MM-CHR-2) CHECKLIST

EXIDE TECHNOLOGIES

VERNON, CALIFORNIA

DESCRIPTION OF WORK ACTIVITY AND LOCATION WHERE PREHISTORIC OR

HISTORICAL ARCHEOLOGICAL RESOURCES OR HUMAN REAMAINS ARE

ENCOUNTERED.

TIME AND DATE

TIME:

DATE:YES NO YES NO

TIME:

DATE:YES NO YES NO

TIME:

DATE:YES NO YES NO

TIME:

DATE:YES NO YES NO

TIME:

DATE:YES NO YES NO

Explanation for YES answers:

MM-CHR-2: STOP WORK IN AREA IF

HUMAN REMAINS ARE ENCOUNTERED.

Explanation for YES answers:

Explanation for YES answers:

Explanation for YES answers:

Explanation for YES answers:

HAVE PREHISTORIC OR HISTORICAL

ARCHAEOLOGICAL RESOURCES BEEN

ENCOUNTERED? YES/NO

MM-CHR-1: STOP WORK IN AREA IF

PREHISTORIC OR HISTORICAL

ARCHAEOLOGICAL RESOURCES ARE

ENCOUNTERED.

USE CLEAN DIESEL (<15 PPM SULFUR) &

OXIDATION CATALISTS & PARTICULATE

TRAPS? YES/NO

Attachment 2-8 TO DMP 12JUL2017 PAGE ___ OF ___ Attachment 2-8 to the Data Management Plan

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

14

Attachment 2-9

Equipment Noise Controls Form

ATTACHMENT 2-9

MITIGATION MEASURES NOISE MONITORING: CONSTRUCTION EQUIPMENT CONTROLS FORM (MM-NV-1)

EXIDE TECHNOLOGIES – VERNON, CA

PAGE __ OF __

Attachment 2-9 Equip Noise Controls Form 12JUL2017

TO BE COMPLETED FOR EACH PIECE OF ENGINE-POWERED EQUIPMENT/MACHINERY UPON ARRIVAL AT SITE

YES NO YES NO

Explanation for NO answers:

YES NO YES NO

Explanation for NO answers:

YES NO YES NO

Explanation for NO answers:

YES NO YES NO

Explanation for NO answers:

YES NO YES NO

Explanation for NO answers:

DESCRIPTION OF MOBILE/STATIONARY ENGINE

POWERED EQUIPMENT OR MACHINERY

MODEL NO. SERIAL NO. EQUIPPED WITH

SUITABLE EXHAUST AND

AIR-INTAKE SILENCERS

EXHAUST AND AIR-INTAKE

SILENCERS IN WORKING

ORDER

YES NO YES NO

Explanation for NO answers:

Phase 1 Closure at Exide Facility American Integrated Services, Inc.

Vernon, CA Data Management Plan

15

Attachment 2-10

Noise Monitoring Form

ATTACHMENT 2‐10 

MITIGATION MEASURES NOISE MONITORING FORM (MM‐NV‐2)

EXIDE TECHNOLOGIES ‐ VERNON, CA

PROJECT NAME: EXIDE ‐ VERNON MONITORING LOCATION:

DATE: MONITORING OBSERVER:

Type: II Sound Level Meter  Brand: SoftdB

Model: Piccolo Serial #:

Calibration Check:

Approximate 

Ambient Level:

Time Monitoring Location (A or B)

Time

Additional Monitoring Location 

(near equipment or offsite 

sources)

Typical 

Ambient Level:

Logged Data Reviewed and Confirmed

Signature: Name:

Observed Project 

Peak Levels:

Results (dBA)Activity & Photodocumentation

If noise exceeds 85 dBA for > 5 minutes, additional measurements, observations, photo/video documentation will be 

recorded. If measurements indicate that the maximum sustained noise level generated by the deconstruction 

equipment and activities at the Exide Facility exceeds 85 dBA the contractor will change site activities to reduce the 

noise.  Steps may include one or more of the following: 1) reduce the number and/or types of equipment operating 

simultaneously outside of the building; 2) erect partial sound barriers around the noisy equipment; 3) erect a temporary 

noise barrier along the property line between the Exide Facility and the adjacent industrial building; and/or 4) use 

quieter equipment or processes.

Results (dBA)

SAMPLE FREQUENCY FOR NOISE: Monitoring will be conducted a minimum of every two hours at neighboring 

properties on days of new or excessive noise generating activities.

ACTION LEVEL FOR NOISE/SOUND: ≥85 dBA sustained for 5 minutes at A) 3800‐3840 East 26 Street or B) 4010 East 

26th Street.  

Monitoring Details

Activity

A) 3800‐3840 East 26 St

B) 4010 East 26th St

Instrument Information

Monitoring Position: Microphone located 4 to 5 feet above ground and at least 3.5 feet from any walls or barriers.