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TRANSCRIPT
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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.