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Home My WebLink AboutPost project submittals ' ' Pt�ST PRC�JE�T SU�MITTALS � _ � FOR � PIPE� RESIDEN�E � � � � � � 1 �NVIRONMENTAL INC . 1 1 CINDY P1PER RESl;QEN�� ' '1125 SF�RING H1LL R�A[� � LONC LAKE, MN I JQB#A022Q3 � _ � _ ' TABLE OF CONTENTS � � , 1 . CONTRACTOR S LICENSE � 2. NOTIFICATIONS & PERMITS � 3. CERTIFICATE OF INSURANCE � 4. ABATEMENT PLANS � 5. DAILY SITE LOGS � 6. DAILY SIGN IN/OUT LOGS � 7. ENCLOSURE ACCESS � 8. AIR MONITORING LOGS � 9. WASTE MAN I FESTS � 10. WORKER'S CERTIFICATES � � � � � � � ..__ . . .,"'. ._.. ._...f .. .._. __..._. ..... . ..... ...."'",r _ ' ' ' _ ' ' ' _ .... .. ... _ _ . . . . . . . . . . . .. . _,. .... .......,_ . �. .:.s. , . . � ��.. � � _ �. .t. . . , . '� . ,. . . . . . . _ . . ., . .. f Vr .. . ' � . . 1" . ? �,r ,. - . . . - . ` . . ■ . . E A }�'`��lr�y r � } .� ' . . .�. . . . :M�.�neso�� - Health '� � •, l '.S �y � y � q ti. � ,�� . ' . . a. _ li D� G {� _ ' . .. ,� 2� T. _ � l� � . � � < e � : . �� = r. .-� � � � �, . �, '� r ,�;y� �„ �,,,,�, '� � - -�`.��. ,,` , , . . . . .. � _ . : . , , . '; _ �. . . . : . �= �""'�,,�;� �'-, ■ AY�� ,�,�.,.iow...... Yw -,�T , ��Y i .• ,w+"� ` °�( ' ,^� '` '��, � � �� , License Num. ber. AC,� , - S� '��,� �, �� ,�;I� e� ��.'-.Feb ru a ry 6, 2002 , .. ;; � .. .�. , �,{, 't � l��_' �, °', ,��: � �°' "� }', ; ; , �i.� w.....� -.w � ��y � 1" . 8 �..�� :1�1 ��.��'"�~Yr� �'��,��7,� �4��p�� r� •�' . . - I^+,-•~ y.k � ,�� , ' q� .0 �, �� . . - , '� . . �,� � � � .ZO t: �, �. :�' 1�� :,� .. � . } '-} � `•'.. , . . 4 ,� � i.`� " }, ��t' .t.r',j� ... . . . �- . � r' � •._� ,' �.wl - �� . .. . .. . . ,. :�� _ ,�� ' �onm�n�tal,.:lnc.�: � =� � ��. :�, �. �, ��:. � : . a , � � � .� � � � �. V. ,�, ��' �` , � � : � �.,. A,y� .� . � .. . ' .� . �.� . . . � ' . � �� , 'R�^". t � �� M :E� � # � � , - � -� =� }} � � : ;,� .: � � :,�y : �,,,,�,� � , ,: 'Y a . '. r " � x "ir; .�""'rw' Y.�"�' 4�. . . . .: ;,�t � r.. . �. _ - : �' r w �� „ � ;,.r: ...��"''+� . � � �:z... � . ° .:,�F'+e „�� . . - ,�. `e, ;:�, '^::� '�:� ��. ..rr.�.t_..�..,,,,M ,� � �. . ,� � ,� 3 . • ..� �.. 4� . � . ' , f .:� ` _ �. . c r 1F j /� , ;' - �f : .. r+� 1{ �i /:��r�l�l I� j' �~� � . ] i� �� 1 �~ .. �� . ' . . . t L�MI'�. .' �fA�+�"«'4d.Wi+'„"'✓ Y.' �r'`' "w ' ' :�� . �' . •�� ,� ;�x . ��• '� ..�.. �h . . . k � �� ,�.�.r„��i.µ �- ia �`. 4:,�c. r..`"',•. •� `�%� t . . .. - .... ,v �. ,� �y 74..�,. � . . :�� • . I�l�',`., n Yr.r.. 5� �'�.. ' ..w4r ;�:•r.uw., �ly.:��' � *i - � . ., � , . � . . � This licen �� I�cc�l �� : �� 0 x �i -,��; 2003. � � � K ,�{�;: �- � . � � �► ,:, 4..�.-a. � -, �:� �';;�� ' j` , �\f i��1L Yfi�. � , � H ,� �J �, . . . ` � . a '� ..�•� Y'"' � j :. R�.� �`� A:i � � .. j' f. :: � . ; . � .:�,` , tf '�ti t� ...+� ��c � F 'h.,'�' . , . � ' � ,�� .-' �'} � r�, .:� ��! " � . � . y � ��'Y e � � '� `��~� �� '�,� � q � `L��. �� . P�trsttant to�ttittesota Statt�tes, section•144:�tii� �,. � , � '.:-'� , = � ' � � :' �nuy be susneiided or_revoke�i for fail.ccre tv'cond�s . � ' ' :. ` .� <� , �, , '��r�;�r ►•elated ivork�n compliance with applicab�e'regulatro�t - '�- ' � ,�'��'"� �. <�� -g{ :`1,.�' . .. � � . .. � . j t 9 .,e = �+��!iu��. �. . � .� . . . _. .; . ;: : _ '.. . .. .. . .. j .'. `r e.O`� . Ashes�as=rela�Ed work.mccst be,contlucted accordr.ng to' tnhesota , � , , ,: �, . .- ; ,.'�-!'-� �:-. - � � Statutes"sectibns:326.70 to 326:81 aitd-Mi.nnesota'Rul ' ' ' ` " " `µ '�� - ` � �-Patricia��4: Bloom ren Dire tor .:. ,. , , , k fh .t , f � r : . , pans 4620.00q to 4620.3724 '4 t „`` ti; sf � : ,' , � � � Division�of Environmental Health A � µ. � , . , .., , .. ' . . j � . .. . . . . . . . . . ' . , , . ' - . . .. . . . . . � � �� a� o3 Minnesota Pollution Control Agency/ Minnesota Dept. of Health Minnesata Notification of Asbestos Related Work M i N N e s o T a Pollution , Contro� �Original �Amended# � Cancellation Agency DEPARTMENTorHEAITH �Residential XQ Nonresidential �bestos Abatement Contractor License#: 593 Building Owner: me: Veit Environmental, Inc, Name: Ms.eindy Piper Address: 23801 Industrial Boulevard AddresslLocation: 2505 Willow Drive Suite 100 ty, State, Zip: Rogers, MN 55374 City, State, Zip: Hamel,MN 55340 ontact Person: Roger pokken Contact Person: one Number(s): (763)428-2819 Phone Number(s): 763t473-2603 r IVlonitoring Contractor License#: Building Information: ame: Techtron Engineering, lnc. Building Name: Residence dress: 640 E. Main Street ' Address/Location: 1125 Spring HiII+Road City, State, Zip: Long Lake, MN City, State, Zip: Anaka, MN 55303 Counry: Hennepin �ntact Person: Mike Badnar Phone Number(s): one Number(s): 763/712-9502 Size of Bldg (sq ft): 5,OQ� Age of Bldg.(yr.) 5a ' xQair sampling analysis only Number of Floors Including Basement Level(s): � � Present Use of Bldg.: Unoccupied Prior Use of Building: Residence 1. T e of Project: check all that apply) Renovation x�Demolition Abatement �Encapsulation [� Permanent Enclosure , Emergency(#7 must be completed to validate and Emergency) Using MDH Demolition Abatement Rules (Minn. R. 4620.3585) 1 Amount(s)of RACM (Regulated Asbestos Containing Material)to be abated: friable nonfriable � 400 : Linear feet on pipes _ _ __ _ _ _ __ � `:'Square ft. on faciliry components (e.g. tanks, boilers, ceilings, ceiling tiles, flooring) Ceilings Cubic feet off facility components if linear or square footage cannot be determined. � Asbestos Abatement Activity Dates: a. Precleaning Work Area to Final Visual Inspection: Start: 9l16/02 End: 9/20/02 1 b. Dates when RACM will be Disturbed: Start: � 9/16/02 End: '9/20/02 c. Workshifts, time and days (e.g. 7AM to 3PM Mon-Fri) Monday-Friday 7AM-4PM ,, Building Inspection: Priorto a renovation ordemolition,all building musf be inspected by an MDH accredited inspector. a. Company and/or individual that conducted the building inspectior�: Owner � b. Procedure, including analytic method, used to determine the presence of RACM: PLM Analysis � Description � Location of RACM to be abated (including floor#and room#): emoval of asbestos insulated pipe and fittings from Iower and sub level of`residence.: �� . ' �� „ � a ^ y �� 'k f- Y � ,,. �escribe in detail the following procedures SPECIFIC TO THIS SITE: �ussasR�ra�s' ' a. Asbestos abatement emissions control procedures: � . " < � � 'see attached sheet ; ; , _ �= � � � �� r. _; ` ._-°� ;. .;;.. �a�,� z �. _� ... :. b. Waste handling emission control procedures: . : �. �� ,' ., . : see attached sheet ' _ , , ;. , , �. #; � ��,�� ,� �.... � c. Description of procedures to be followed in the event that ur expected RACM is found or Cat N nonfriable�� i ACM becomes crumbled, pulverized,or reduced to a powder: Y � ,. �� see attached sheet " -. ; ' �- ��: ��.�- ."� , d. Desc�iption of work practice, including specific abatement procedures and techniques to be used: '" see attached sheet ` ----- 7. For Emergency Renovation/Demolition Abatement Projects: Telephone MDH and MPCA for guldance on fhls opBon , a. Date and hour of emergency: N/A b. Description of the sudden and unexpected event: N/A ' c. Explanation of how the event caused unsafe conditions or would cause equipment damage: N/A �8. Waste Transporter(s)Information: 9. Waste Disposal Information: Transporter Name: Veit and Company ' Landfill Name: Elk River Landfilt Transporter Contact: Don Rachel Owner/Operator: Wast�e':Managerr�ent . � ;�: ' � Transporter Address: 140Q0 Veit Place . Address/Location: 22460 Highway iB8 NW City, State, Zip: Ro ers, MN '55374' City, State, Zip: :Efk River, MN;55330 Phone Number: 763 428-2242 Phone Number: (612)4412464 �= " � . ' ' 10. Permit Fee: (Check the one that applies) �$35 permit fee � For all residential projects with less than 260 linear and 160 square feet but more than 10 linear&6 squar�feet of RACM. OX 1% permit fee Total Cost of Project: $7,500.00 1 For all projects, residential and nonresidential, with more than 260 lineal or 160 square feet of RACM. Attach a signed copy of the bid acceptance document or other cost verification document. Does this 1% permit fee include air monitoring costs? yes x' no ' Is this a"Time and Materials" Project? yes no I certify that an individual trained in the provisions of Federal Regulations 40 CFR Part 61, Subpart M (a MinnesotaSite Supervisor)will be on-site during the asbestos abatement project. ' I certify that the above information is correct and I am a bonafide r�presentative of the abatement contractor or building owner and have autho y o enter into agreements for my employer. 1 Signature of Contractor and/or Owner: ' !� = Date: ° 8/22/2002 ` ' Ro er pokke Send a copy of this notice to: Send a copy of this notice, permit fee and cost verification to: � Asbestos Coordinator Asbestos/Lead Compliance Unit Minnesota Pollution Control Agency Minnesota Department of Health , Metro Districts-Regular Facilities Section P.O. Eox 64975 520 Lafayette Road North St. Paul, fy1N 55164-0975 St. Paul, MN 55155-4194 Received at/east 5 ca/endar days before the beginning of Postmarked or delivered at least 10 working days(Mon.-Fri.) the project. � before RACM disturbance for all projects. ' For Questions Call: For Questions Call: 651-296-6300 or 1-800-657-3864 651-215-0900 Revised 3/00 � �ros Abatement Emissions Control Procedures: � /- �{11 openings will be sealed with 6mi1 polyethylene.All heating,ventilation ai�d air conditioning quipment will be shut down.Critical barriers,walls,floors,and immovable objects within the work ,�� area will be covered with 6 mil polyethylene.Electrical power will be locked out.A pressure differential system will be established to prevent fiber release from the work area.Personnel and equipment decontamination chambers will be erected. Glove bag and/or mini enclosures may be , utilized as permitted by regulations. 6b. Waste Hauling Emission Control Procedures: , All asbestos containing material will be placed in properly labeled barrels or double 6 mil poly bags, placed in a locked container,and transported to an EPA approved landfill for�lisposal. , 6c.Description of procedures to be followed in the event that Asbestos Co�►taining Materials is found or previously non friable Asbestos Containing Material becomes c��umbled,pulverized or reduced to powder: , In the event that unexpected Asbestos Containing Material is found or disturbed the area will be evacuated,the material will be wetted with amended water,and clean up will be done by trained ' personnel. Air quality will be sampled following clean up to assure clean air. 6d. Description of planned demolition or renovation work,and specific abatc,uent or other method(s) � that will be used: The work area will be prepared as described in 6a. Following area preparatio:��he material to 1 be abated will be thoroughly wetted,then removed and placed in barrles or double 6 mil poly bags. 1 � 1 i T � i 1 1 � i .----- � M 1 N N E S 0 T A Minnesota Minnesota Pollution Control Agency / Pollutlon co^tro� Minnesota Dept of Health Agency DEPART oF EA AMENDED NOTICE OF INTENT TO PERFORM ASBESTOS RELATED WORK OR NOTIFICATION OF ASBESTOS RELATED WORK UNDER AN ANNUAL NOTICE (CI CLE"ANNUAL" IF APPLICABLE) AMENDMENT# � 1 and/or ANNUAL PERMIT# ASBESTOS ABATEMENT CONTRAC BUILDING INFORMATION Company Name: Veit Environmentai Building Name: Residence Address: 23801 Industrial Blvd. Address: 1125 S rin Hill Road City, State, Zip: Rogers, MN 55374 City, State, Zip: Lon Lake, MN Telephone Number: (763)428-2819 Telephone Number: AMOUNT OF RACM TO BE ABATED ASBESTOS ABATEMENT ACTIVITY DATES Linear Feet on Pipes: 400 Start Date: 09/16/02 Square Feet: End Date: 09/20/02 Cubic Feet: Work Times/Days: 7AM-4PM, MON-FRI See Below Description and Location of RACM to be abated (include floor#and room#): Removal of asbestos insulated i e and fittin s from lower and sub level of residence. Emission Control Procedu�es to be used: Ot ional Information (including waste transporter of landfill): ff site until further notice. i I certify that the above information is correct and I am a bonafide representative of the asbestos abate � contractor or building owner and I have the authority to enter into agreements for my employer. Signature of ContractorlOwner: '� Dat . 09/16/02 1 Roger ken, Project Manager MPCA FAX - (651) 215-1593 MDH FAX - (651) 21 - 5 ' ' 1 ' �z� � M I N N E S O T A Minne ota Minnesota Pollution Control Agency / Pollution , Control Minnesota Dept of Health Agency DEPARTMENToFHEALTH AMENDED NOTICE OF INTENT TO PERFORM ASBESTOS RELATED WORK OR NOTIFICATION OF ASBESTOS RELATED WORK UNDER AN ANNUAL NOTICE (CIRCLE "ANNUAL" IF APPLICABLE) AMENDMENT# 2 and/or ANNUAL PERMIT# SBESTOS ABATEMENT CONTRACTOR BUILDING INFORMATION Company Name: Veit Environmental Building Name: Residence Address: 23801 Industrial Blvd. Address: 1125 S rin Hill Road City, State, Zip: Rogers, MN 55374 City, State, Zip: Lon Lake, MN Telephone Number: (763)428-2819 Telephone Number: AMOUNT OF RACM TO BE ABATED ASBESTOS ABATEMENT ACTIVITY DATES Linear Feet on Pipes: 400 Start Date: 09/16/02 Square Feet: End Date: 09/20/02 Cubic Feet: Work Times/Days: 7AM -4PM, MON-FRI See Below Description and Location of RACM to be abated (include floor#and room#): Removal of asbestos insulated i e and fittin s from lower and sub level of residence. Emission Control Procedures to be used: r Changed or Additional Information (including was ran porter of landfill): On site from TUE, 9/17/02 from 7AM -3:30PM until further n ' I certify that the above information is correct and I am a bonafide representative of the asbestos abatement contractor or building owner and I have the authority to enter into agreements for my employer. Signature of Contractor/Owner: /'�,(�fi /Gis—� Date: 09/16/02 Rog Dokken, Project Manag MPCA FAX - (651) 215-1593 MDH FAX - (651) 215-0975 ' ' --�.. ='- M I N N E S O T A Mlnnesota Minnesota Pollution Control Agency / , Pollution Control Minnesota Dept of Health Agency DEPARTMENToFHEALTH AMENDED NOTICE OF INTENT TO PERFORM ASBESTOS RELATED WORK OR NOTIFICATION OF ASBESTOS RELATED WORK UNDER AN ANNUAL NOTICE (CIRCLE "ANNUAL" IF APPLICABLE) AMENDMENT# 3 and/or ANNUAL PERMIT # ASBESTOS ABATEMENT CONTRAC BUILDING INFORMATION Company Name: Veit Environmental Building Name: Residence Address: 23801 Industrial Blvd. Address: 1125 S rin Hill Road City, State, Zip: Rogers, MN 55374 City, State, Zip: Lon Lake, MN Telephone Number: (763)428-2819 Telephone Number: AMOUNT OF RACM TO BE ABATED ASBESTOS ABATEMENT ACTIVITY DATES Linear Feet on Pipes: 400 Start Date: 09/16/02 Square Feet: End Date: 09/20/02 Cubic Feet: Work Times/Days: 7AM -4PM, MON-FRI See Below Description and Location of RACM to be abated (include floor#and room#): Removal of asbestos insulated i e and fittin s from lower and sub level of residence. Emission Control Procedures to be used: Other ged or Additional Inform ' luding waste transporter of landfill): 1 n site from TUE, 9/17/02 from 7AM -3:30PM until further n ' e. Ladfill Chan e: Su erior FCR Landfill, Inc. 175 Coun Road 37NE Buffalo, MN 55313 Phone: 320-963- 8 I certify t ' ' ' a bonafide representative of the asbestos abatement � contractor or building owner and I have the authority to enter into agreements for my employer. Signature of ContractoNOwner: pl/� Dat . 09/17/02 � Roger okken, Project Man ger MPCA FAX - (651) 215-1593 MDH FAX - (651) 215- ' , , "�'—' � M 1 N N E S O T A Minne ota Minnesota Pollution Control Agency / Pollution , Control Minnesota Dept of Health Agency DEPARTMENToFHEALTH AMENDED NOTICE OF INTENT TO PERFORM ASBESTOS RELATED WORK OR NOTIFICATION OF ASBESTOS RELATED WORK UNDER AN ANNUAL NOTICE (CIRCLE "ANNUAL" IF APPLICABLE) AMENDMENT# 4 and/or ANNUAL PERMIT # 1 ASBESTOS ABATEMENT CONTRA BUILDING INFORMATION � Company Name: Veit Environmental Building Name: Residence Address: 23801 Industrial Blvd. Address: 1125 SNrin, Hill Road City, State, Zip: Rogers, MN 55374 City, State, Zip: Long Lake, MN � Telephone Number: (763)428-2819 Telephone Number: ' AMOUNT OF RACM TO BE ABATED ASBESTOS ABATEMENT ACTIVITY DATES Lmear Feet on Pipes: 400 Start Date: /16/02 Square Feet: End Date: 12/31/0 � Cubic Feet: Work Times/Days: -4PM, MON-FRI See Below Description and Location of RACM to be abated (include floor#and room#): Removat of asbestos insulated i e and fittin s from lower and sub level of residence. � Emission Control Procedures to be used: 1 Ot r Changed or Additional Information (including waste t nsporter of landfill): d date has chan ed to 12/31/02. Off site until further notice as of 12:30PM 9/20/20. Landfill Chan e: Su erior FCR Landfill, Inc. � 175 Coun Road 37NE Buffalo, MN 55313 Phone: 32 3-3158 1 certify t the above information is corre am a bonafide representative of the asbestos abatemen � contractor or ve the authority to enter into agreeme ts for my employer. Signature of ContractoNOwner: E�7U '�-�� Dat : 09/20/02 � Roger kken, Project Manager MPCA FAX - (651) 215-1593 MDH FAX - (651) 215-0975 ' � � Minnesota De �r _ent of Health Asbes -��e��t� � - --��t�� ermit �,.�� . �— .;�.�-� �.� . � X ��t�� :,¢��.. �:� R�. .�. � .. s� , . _ .. � � f:� Fk Permit Number: ,�. �� . F � - tember 0 2002 ^ �,: "� � � � � `� �, ' ,�,e � ��. � � � _�__��. n � � . � � ��p 9, - . �` �,r •� � ,�+ �. � .. �t ` -`,�- M1., . ,.� „ -� � ,.: � _ % -�, ; . � �..� ,.� �� . .. . . ,a ' '. �r . �,s'�� __. . ..s, _ � �� . ` �. `` > To: Ve�t Envtr�� 4 r� 'I c. - +� e No. 0593 ., �t�,, �.� i ��ls ;� ��,,. �� '� ` � � � �� ' �' �� ' � a� � ( �. ��g� � � ,�� .�� .ti F ' F i2� �.F t S t �' ��a �� y 1 � - �� .. �, �� ' � .f'�+: � .. '•� �, ( iY: ,£' . �",�. � �� . d P T � £' + *f �+ o. .. .... For the r¢� �� ,.� � � p •��=�2 �� . �� Hill Rd � , h R' �' � s � " : `"��. :,�� R� � ��" 4_ Located a �.� �p�rinAg '�'i ��on ��4j�. �t �� _`� ?� ,t� �- .; � � �� , , �.� � - ..��` . � " _ �� J� . . _, . "�� . .�, �� ,. '� �� _ , � � ,; . �: � . ��. � w .. , � . � ,. . . e _ _ ..._ -�. ,. �. ... M�,�,�. ..,f.�� _.,.. ...._._ _ _ _ -- ... �. Amount o - �b � � - -. , � ..4 ... '� � �i �I :. �- - ,� ... . o � . ��.� _ . .� 400 Li�i e ��.�. ~. � � �� nd ..,.n..y i� et � . �, �. � --� � �. �. a.. � m e ,....._�..�_ .� �...,� �..�.�..�. . , -. � .. .o- � -- � �.��..� ..�-�-=. -. .�. � . ,�..� w_�. . .. f� _ ., �� w �.. - __�..,�. .� � . _� _ � � � � , � ,.� � �. ..... _. _ �� . �. . �.� . � . � � � � � � �-_� �� . � ..... � _ .,�. . - � .� Activity Dates�'�� n� � ��Op � µ �� .*�� r. � � r,,.� r.�-�.a � �� {, �..,�. � � � � �. �� { � � �, � ,��„�,. „„ � •d� r� �� : , . - .s ; , � �. , . �,.,m.•,...�•�A,. � �,. ,,, � � ., �' ,� � � ,e, `'4„ .� ,� � � �,,; � � � � � � � -_� � ,+, � k ,: � � � ��-� � t- t`F� .e��;f ��,.� ' , '�., d,'. ��. � .,,� .� This permit must be posted m � �o`h�pi�uous� � . ,. , , �, �,,,,�,�,, �. ��eb.,, � ..._.� � , ,�, ° A,-� � .�,.. �1�t-�'`� p/ace outside fhe asbestos work ar�a� � .� . s a �'�-y' untll fhe asbestos-re/afed work is comp/et�� -�� _-�.�-..� � �•-� �'`�� Patricia A. Bloomgren, Director Division of Environmental Health Date: O6/22/02 Time: 11:12 AM To: Connie David @ 763.928.3574 Page: 002-009 CORD� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD,�,, o8�zz�zoaz �RODUCER (952)707-8200 FAX �952)890-0535 THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION 0 orne & Associates ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Gateway Boul evard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. nsville, MN 55337-2790 INSURERS AFFORDING COVERAGE v eo Veit Environmenta , Inc. �rvsuaeaa: American Int'1 Specialty Lines Ins. Co. 23801 Industrial Blvd ' �Ns�aeae: St. Paul Mercury Ins. Co. Suite LOO INSURERC: COI11111eNCe & Industry Ins. (Partners Spec.) Rogers, MN 55374 j irvsuaeRo: INSJREA E ERAGES 1}1E POLICIES OF WSURANCE LISTED BELOW HA E B ISSUED TO TNE INSURED NAMEDA90VE FOF THE POLICY PERIOD INDICATED.NOTWITFiSTANDING �REQUIREMENT,TERM OR CONDITIQN OFqN .Cp TRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR Y PERTAIN,THE INSURANCE AFFORD�D B�1! �ICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS,IXCLUSIONS AND CONDITIONS OF SUCH LICIES.AGGREGATE LIMITS SHOWN MAY NAV BE REWCED BY PAID CLAIMS. TR �EOFINSURANCE �CYNUMBER DATE MM D DATE M D LIMTS' GENERAL LJABILfTY ��8�86 �1 Ii �4�01�2�2 04/O1/2003 EACH OCCURRENCE S 1�Q(��00 X COMMERC!AL GENERAL LIABi L1TY i FIRE DAMAGE(My one 5ra) S SO,OOO CLAIMS MADE a OCCUR M�D EX?(Any one person) $ 5,QQ X Incl Asbestos/Lead I PEPSOMA'_&ADV INJURY S 1�Q�� Abatement Coverage NCLUDES CONTRACTUAL GENEaALAGGREGATE $ 9�QQQ�QQ GEN'L AGGREGATE U�AIT APPLIES PER: LIABILITY PRODUCTS-COMPp�P AGG S Z�OOO�OO acuc� yE�- LOC NCLUDES POLLUTION LIAB. AUTOMOBILE LIABILITY K06300672 O�F�OL�ZOOZ 04/O1/2003 ��gINED SINGLE LIMIT X ANY AUTO � (Ea aaidenp $ 1,QOO�00 AI10W�ED AUTOS � BODILYINJURY b SCHEDULED AUTOS (Per person) HIRED AUTOS BODILYiNJURY a NGN-0WNED AUTpg � (Per acddent) I PROP=RTYDAMAGE a '� (Fer acddenq GARAGE WIBILITY I AUTG ONLY-EAACCIDENT S ANY AUTO � OTI-ER TF-AN EA ACC S AUTG ONLY: AGG S EXCESS UABILfTV t�W606 08� 04��1�2��2 04/O1/2003 EACH OCCURRENCE S 5��0� X OCCJR �CLAIMS MADE I � , i AGGREGATE S S�OOO�OO i i. �� :I!1 � DEDUCTIBLE I j' I , '' II ' ;S X RETENTION $ lO�OO I � ,� S ' woaKeas con�er,sar�a�,nNo 96914 6 ' 04/O1/2002 04/O1/2003 X roav�nn�rs ea� ENPLOYERS LIABILITV i E.L.EACH ACCIDEVT S 1,OOO,OO � i E.L.OISEASE-EA=MPLOYEE a 1�OOO�OO I E.L.GISEASE-POLICYLIM:T $ 1�OOO,OO OTHER � I �ESCRIPTION OF OPERATIONS�LOCATION3/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPEpAL PROVISIONS E'Asbestos Abatement - lob �A02203 - Piper Residence. :ERTIFICATE HOLDER qpDIT10NAL INSURED;wsuRea�E7TeR: CANCELLATION , i SHOULD ANY�7HE ABdVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE I EXPIRATION DATE THEREOF,THE ISSUING COMPANY W ILL ENDEAV�i TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO 1HE LEFf, Cl flCly Pl pE'.1' BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATIQN OR UABILITY 2505 Willow Dt'7Ve �I �II� OFANYKINDUPONTHECONPANV,ITSAGENTSORREPRESENTATIVES. ' Hamel, MN 55340 I!i ; n i3I AUTHORQEDREPRESENTAIIVE �� (� �G, I I �� i - , '� Ii � Mar k Ka f OSSF 1 D 25S(7:9� � i ' 'i OO ACORD CORPORATION 1988 � !� � ' ' VEIT ENVIRONNIENTAL, INC. 23801 Industrial Boulevard, Suite 100 ' Rogers, Minnesota 55374 ' 7 POINT ASBESTOS ABATEMENT PLAN For: C..�,.�c�.�,—�J'd'°�'"` ' Proj ect Name: Q�r4 (� v�..�s� ' Contact Person: G�✓��«��l Phone: °'1 �,3-�r--i 3-- zt�o� Project#: - C� `Z-2 c�3 Date d• C�(_ j-�_ o � , Plans and Specs by: Contractor: ��- E�v• ��c , Job Supervisor:�! :,- !�,- ,-�2 ' State Certification#: S� 3 ' 1) Name and Address of Work Site: �+�'�r' ��tyer ' cc2.S Sp,•� ta�� Rr1', �-o�• G.c, 2) List the Asbe�s Work Areas i e.,(S tion room#,level, direction) �`1.�c w��e.�..� `��::i';�z1'� �.�ti(.:)>�.... ra..w=•[ C-��"w S c�y�c+.,.�1s�(. 3 u.�Q.1— R..3 c,-.�.�. ' 3 Descri tion of the amount of asbestos material to be removed enca sulated or enclosed: ) P � P � ' 4�'� +=� . v k- 'T"'�� W-t a.�.� �\1 W.rq�+ c,�.e� c:-ti.� ;t ty�" SL^ S.t. �j �! �ia.,� �i1c 4) Electrical and H.V.A.0 shut down and lock out schedule: I N� ' S) Description of local exhaust ventilation system to be used: �� Area of Containment: Length x Width x Height ' Cubic Feet of Containment: ' #of AFD's x Flow Rate = (60 minutes) x (Total CFM) / (Cubic Feet of Containment): ' 6) If the eshaust is not vented outside the building explain why: 7) See Attached Sketch ' r ' VEIT ENVIRONMENTAL, INC. 23801 Industrial Boulevard, Suite 100 ' Rogers, Minnesota 55374 DAILY SITE LOG , DATE• �- I l�- o � PROJECT• ' �`��-� �� ' • • n WORK AREA:��.:.r�.y,<;,,��.� /SITE ACTIVITY: D �=:,-� J.�+ o�� - ,e � � SITE: �..v ��-- � �,u c-� CONTAINMENT CONDITIONS:� , STI'E SUPERVI50�,r� � ��r�-�' ' CONIlVIENTS: ' ABATEMENT AREA NOTES: (Provide Time and Pertinent Information) f 2 ` �c� �'- �.�.. - ��,-��tie. �-��- t.��.--�G�,�u�,� c �,� ��_:c.�. rZ-�+G,�,t�!� • ' � a c p ,„,� j�''.r.�x �., �.�.�� T '�]+-�� -a _I��/3 �� t t .-}Sti r v r�.�. �� of3 ,C�� `��i A k.a � �!. �8C�k s'�'t�-} J�1, — ' ��Yc`+v' i� ►-+- Gie��'�� c� '�'. LJces��-a...3� r� ' l Oc:�' .•:,s•..-�— ! � Sr� Q ^B� �_��? �29 '-i.1.f�'.. k ' .Ci1+0 t' � ��• ,� �C�cA 1 1,�_ '�Yt,c=�� Dt u � ^k o �-t_�r fT�� ' ' � ' ' ' ' ' � � VEIT ENVIRONMENTAL, INC. 23801 Industrial Boulevard, Suite 100 ' Rogers,Minnesota 55374 DAILY SITE LOG , DATE: �'- f'1- v Z ' PROJECT:P� F�`^ l��.��r� PROJECT#: A -� ZZG� � WORKAREA: ��;s� ;...�,,.z_._..a- /SITEACTIVITY: �b,��,�-':�p� > F/��.-Tuz CONTAINMENT CONDITIONS: , SITE SUPERVISOR:��.,,r�.., 13 �•�.-t,...,�.�� ' COMMENTS: ' E ATIVE PRESSURE READINGS: N G ' TIME READING TIME READING TIME READING ' ' ABATEMENT AREA NOTES: (Provide Time and Pertinent Information) � `�c f�• �...-- !n vv�evv-t_ ��.,•� �.a u, -e,1-e. i.�;�1. v.0 w��r- �3 a.l�ka.'- 1,.1-� ' i� L� 3 "�+ •T it.�H9 l.J L C C)� . ��'4''..� I'� �... tJ�...��5�rr� �^.+��v-�� :.1 t ,� ltt t� � {- ' �� .v� %�_�,.�>- �!_Z +n.� �11 '�cp lc.e /k.c�... w ('�.": c� c'� j? �-^ ��.�n.� � c'7 �-) �.r-� y d f.---� i..- r4r`IC.+�,-- � ', l �-'�� , V�.� c-�� .. .. .� S (..� i'� �./`�:�✓�� _ "Z'. i S J� r�. — w-t s,..J :� 1 S°��o c..� ��it, e ��•�l G.1 e�.�.L... � f A.r-t__ ' �G+i T" i�..�-�s,t- v � ,�,?•�t^ �a.r�t:�G,�-�r f�•'.�� I C�r� w�.:l�-:��1�e-'-�_ �� S , • ' ' f" ' � VEIT ENVIRONMENTAL, INC. 23801 Industrial Boulevard, Suite 100 ' Rogers, Minnesota 55374 DAILY SITE LOG ' DATE: q' — t�—� �.'m IPROJECT: �:rJ�,— �..t�..�� PROJECT#: � � ca�-�c� 3 , WORK AREA: (�c��z„„�r_.h A��;�Nr�..,. /SITE ACTIVITY: j v� _ ;:f E`,,�' /��I-,�_�i3,.�j CONTAINMENT CONDITIONS: N% , � SITE SUPERVISOR Q,,r.; 1'�.t (��.,..��9 ' COMMENTS: � NEGATIVE PRESSURE READINGS: , TIME READING TIME READING TIME READING ' ' ABATEMENT AREA NOTES: (Provide Time and Pertinent Information) � I:C3C� H•1K.�.'� h)J�1��/`L .:n°� �::i!'] Lt�,�t�� G� C�a t Wr�r3[.er'� ,T� �.J •t� ' �.,.t,r�;� �-...�.cy( .� L..t `��( 1.�.: ��t;��z g . � � .� �\.� e�'1Q L.�. .l'�L:r' t_�'-�.� ��ce.....�C � P�. �iJ��G� •�� c'��-� r} •+�a�'- ' �� G r� a �.ti...- C7..� ....� c�r i��r-- J°.� i 1 s c �✓-��e 1- � �,. �t: i� , i C�;c��3 A .�.,.. — e t�1�,.� �- a c ..,i,,� c: ...c�r �, t r �o...,. �. --�'�..,,� f�il�-� �'�, ,✓�� 11�e� l�J-� �...i� �l �J 1`ci�O :v-�.i�i� � 01� Vl�. �`� l Uo-� �,. y � r ' �� :� .�I '. O t'� � �L. . .�� .,`;'. 1 f �+ �a Ic c 1 u t,.�� :� . ' 12 � c1 1�'-�+� — �a 1 �.A� '�-� `-v C��LC ��.f d`� � �:'1,y�c.. ;`�,�� E' c%a .�c� I�K.�+C: ��-. :7�U.r�-Q. �'%Z C� ). � . � �' �. l — o /�l i./t� '� � I ��, . . Ci �t+;,+� � ��+� O h- �r�t' �" cl :,.�f`�air�e 3' 3 �: �.� ., ��if�� i S l� I�i,�p.n-e G i �..�-� w3 •�� G �C`=+� tx j� 3..:.v 1' ��Z C�-� ' ' •.�� .� t ra �_-- fl �, �.�-t, �..usa�,'�•� ��""'[ � /i 1 IVEIT ENVIRONMENTAL, INC. 23801 Industrial Boulevard, Suite 100 ' Rogers, Minnesota 55374 DAILY SITE LOG , DATE: �l - i �%t-� L ' PROJECT: P.��- i,._v..�.:` PROJECT#: I� - ��z�� ' WORK AREA: �3�y.z +..-..�.�..�- /SITE ACTIVITY: (-�f o� n..� CONTAINMENT CONDITIONS: 1�3�� , � SITE SUPERVISOR: l p,r...,. IrS �. (�,1.--.�,.�F' ' COMMENTS: ' NEGATIVE PRESSURE READINGS: ' TIME READING TIME READING TIME READING ' ' ABATEMENT AREA NOTES: (Provide Time and Pertinent Information) ( �JO �- LW,- 1J,rs�v� n.-t ��,a �i+�-c� i..:�^F t. Z c7�{-..�r- u�n�K.��:`y � �.1- w�•��c r> 1 � p� W '�1 �.�a�..ea. ('�' .—t �.-..z�c n i o� ,�-� I�.�c .]•�.r- aJ o^k.er � . U 5�1�.�..�--1-G � cS �w.a.•�+..� ;�l�C� S � Y .rJ S �i. !h L�- `c"�-;.:Y '1 cr•ars.e1._ ��o r�i 1..'�Y,� ' �C3�., � �.�cf•.0 ,. i <.; j� CJ� . L'� .— �� .'+ �, ��rt�"� ��-�.L,"�. C� i..� ..'�„ �:...� ? '!✓pW �"� - ' � �U�� `r 5'� � i�. ,- � � a i� r3 a��s �,.,-�. D c�.-�. �:. �� /��v��_,.a- 2 I 3 d� , �n �r.�-rJ ', S c i. �� 11c-,�� E� _ � � l ea d A ,� i..s � w� i\ �c.. 1C..r 1:..L..L c L. . �Z: v C7 VU• 1.h.-- �2'�-�,r.n �'�U i�3�r L' [��u e.-,r,�,rY_2 a- i..J - l i �Q in e 1 10:ye7�� ' a� ...:� C�:� -:_-� �r!c�r- r:�..-_v � G....� 'i ( C ;-t_.'� „vD,/-�-E.-' - �Z 3 t� � bU c:� 1 r �.��> t c � c�t �...>-�a c_;.3', l� �,�a�..l �D� �e ;� ca �c.C:�1�-}e�; �� :`�j c�� t� y� � G;� �� -�o�-.r� Y�� ., ' 1��'V�. �{ a.i�� ` '�G v--t- �1 G� a r��' �'� 'T l�f' � i'��f'� a..J �l C��e-Lyt� ��Z-a� �,[ �i`r f�. •�. �. ' �S�• 3 e j�.�-t„ _ t,,.) u,P!CQ r 5 �v� �!v ca:^ �� c' � / ` � t/Y� �<r�T t,{`:� �,"�C.ZI`2 C,u r..r `�'v�.. "t-�„� C�G�y . ' ' VEIT ENVIRONMENTAL, INC. 23801 Industrial Boulevard, Suite 100 , Rogers, Minnesota 55374 DAILY SITE LOG 1 c _ . _ DATE: -1 -Z t� c.� -Z PROJECT. �� - Z.c�� ' WORK AREA:��S r�w`c...��- �r�5 T��S SITE ACTIVITY: ��,•�u�-� �'1 D,r�,- .f,�-. SITE: �',.a��.r- 1.t.c�4tc� ' r CONTAINMENT CONDITIONS:___�,?f,-� C r:=1� r�-,.I S T�� <<��,,� ' STTE SUPERVISOR:��r�.-, �4 Q j �f rcir.-;P r C��S: ' ' ABATEMENT AREA NOTES: (Provide Time and Pertinent Information) �' �O �� , a.-•_, ._ � r�r�� ...� �o b �,a�-e �.1 � i� 2 0 �'7-.ci-- t.J c1'� � ��t; �.1 ` �r `.��...-�- 'i''%a u r ?.'L.e .y. !�G7�.o s.._i � _� j C�� t� ts � v�- � Z L.�..� `i o �^ �.�,,o a .�c•� � .�r i cc( �� ---i-- ' �.v � ��i ( C:� ��#' �. a ..... � �.� � l�i<� s �!-A� �t��.� ��.,�C.,tc..,. � �i.hi v� �' v ri ��..ck:..� .�.� r r� � ri v�c� ��t n� ' i 1 � o� A . ;,,,�_— �� ,..� ,.�� ,,��,� u � �, �r � C � ...�-� �, �� c��,.� �� k �-Cs 0"�'!1 p � C �+"� C��Cp �, .,� �' � c-i.-.�.�.i ' `2' �Y� �. ..��- G:�:►- ��_,o G�n �3-4' �� -a,v� i' " '�/�l.la:- � �'{ c. � ' � � ' ' ' � � � r � � r � � � � � � � r � � � r VEIT ENVIRONMENTAL,INC. 23801 Industrial Boulevard, Suite 100 Rogers, Minnesota 55374 DAILY SIGN IN SHEET Date: �_ ��_�� Project#: p,-�3:�; Location: f�,��,�r h,,:a,` Supervisor:--�-t�y�,�t�.��.�.! d �y$ �S.` � F.n n 8 S f 7 f 4' ,. u�� .._ 4� � .. ��'4 � s'�` W Sv �. } �� q �� ay # r r� � �, ,} ,� � � -r g�� .: �„„ f -� �, � '�.,.} � t ,»� ns�'.;x�yn,�t..� A.`r 3` �s v,��,,�,�,Y�:.�r"'v ��,"�' ''.3,s'�T-;.*z`-"'.,.e€�`lx. °' ..,.�.�.�. :i< -+a•.,. K...., .. .. . . , ..,�. . .,. . _ � , ,>,,. , .. .. . � . . Tt+� � ,3 .t s i 1 n�' '�: ac' r , � Comments: , , � � � � � � r � � � � � � ■� � � � � � VEIT ENVIRONMENTAL, INC. 23801 Industrial Boulevard, Suite 100 Rogers,Minnesota 55374 DAILY SIGN IN SHEET Date:�- i -�_�,� Project#: 1�-vZZp j Location: t�.,,�- ;�yK�� Supervisor:"T� ,;L i�,,,.,,,,p 5 � ��iA � � s � ''e� . �#ek�� a e �3 � d� ��ir� � � ��J, �X"4L �1��M� � � �`,r� � a} s i m ' �F�u � �'�'i �� '�, �«,�, m s� ,t�3� �a i ,e,�, k .7..,s� s >,#.. .��. ,.�' ,i�� w ..r .r .• • _� <. , �.�,. ._ . ., .,w-, . ,_ r „ . .. ,. _ . . _ . ,. . ... . ,<. ri,.,.F � . - r, c. ,. , . i e <.t E-�-�.........,� �3 z 9: �� i : �o j 2 Z G� ; � c (� ,� i'� ' ' ., .' a� c� � l`. (Y� � 2.�c+ '3 `. 3t� ``. lZ Comments: � r � r � i � � � � � � � � � � r � r VEIT ENVIRONMENTAL, INC. 23801 Industrial Boulevard, Suite 100 Rogers, Minnesota 55374 DAILY SIGN IN SHEET Date: y_ ,�_�� Project#: A�v t«y Location: P,n�� y��,�",� Supervisor:—�n,,�y��«�A�, � � �� S��. �ra �#�a: �� P.e� � ��a a ,� � 3 , x� . . � � � � ��U� , , 9.: , .c;�s .b� �r� ,�� r : ,� . . � '�a,(� �� r i y.� � � /^� _ - „f� `s � -i� � ,.ri „o.;+5^ -��`"' .,%ar,�� k�,.'�"`i ,V� .a.M , , „<.�.r . . ..,. ,.. .... , i .- . ... ., . .., � , . ,., , . , . .. ,. , �. .�., . , . ., :�� . <z. , �,^. �. __ n ,( ��r' f1: c,� l i' oa i-z.�.va •3. -y� � � � 1�-�2a.�i� 1 ,� ; �r.-� ��d� j z: �� z �. s� � ;r� ��, �``... - .3- 7 = ) i t�.�o ► 2: ��o s • �� ,�.d � '-_.. �y Comments: �■■� � �. �■r � �■ � �. � � ■�. � � .� r � � � �. VEIT ENVIRONMENTAL,INC. 23801 Industrial Boulevard, Suite 100 Rogers, Minnesota 55374 DAILY SIGN IN SHEET Date:�• t� -c^z. Proj ect#: J��'2 z"� Location: i�.e��,- �1,0.•�< Supervisor: T�,Y,.t ylsl�..� �y � ��`,�,1�?� �� ,q ' � �� '��y � '�'` � � �fi�i: �� T� "�� r a ;q ,b�'Y �'"�a�.».�r: R �',�,.��, k �:�:, �.: ��* <°�:..r '�'�',��,,,. � * ,.:� s ,f .c X �, '�.;. ,��, s �aex �:: t ;�,. ,!,,,. �"r �, 7.4_`..�.� �'��r �.� a;u� -:,.r:._ �xa".,.4 , z . 'ia 3 :_'%""f �:.,a�'�" � '�s �f � +,r� �.__ �','�^.�,�. ��sF, ,��'�c �'� ,� v::"` R�. '�"s „'�" r�"� ��':4 �fi y a.d.Y,. s,... .� .::�r -.'�+. :� -r-., �,p� �� 7'w"� -u., r,�:� t is��-- ,.�g t'Pt.,�'W`$,?.� r��. �:t } s 3 ....,.,. �...�...� ,r .� .�. . >_, _. . � .„ ..., w,� .. .. . . - - .. .. ,.,. ... . . ..,.. ... _ .., .. , .... . , „ r �/ .J "��S-"'� "`"^�: (J� � '. b� �'Z`.L+C ��``„ �p -> � r. t(l�C'� �L�i. � j ��S �°Uc'� �l `.. �(� i Z'.O�z 3,3� ,� :'i�..t_�' . t ''' 7'�(.� �` C7U l'2: vC 3 ' c� '� /c� '� z.2 Comments: � � � �■■� � � �■ ■� r ■� �■ � a■� � � � � � � r VEIT ENVIRONMENTAL, INC. 23801 Industrial Boulevard, Suite 100 Rogers, Minnesota 55374 DAILY SIGN IN SHEET Date:�%�- Z v-�� Project#: /�-v Z z.a j Location:�;p�,_ E.1.r,,,,�,5� Supervisor:G�,,.i ��,}�� '. � I�TAME � �' � ��"s� '�E T� � '�C?Tt�L � AT�RE , F z� �'�}k �I �` � F $ � '"� � �" °` H3. �'�;^�a�4�� o � ,k31. �:i� q ,�� f �;! "Z.`�� "�' v� I 2� � S `( l !!'-.� 3� .� :t.�c� r z . oc� S , � �.,— ' =00 i�•:v� 1 Comments: ��o�-�0 3 • SUPERIOR NON-HAZARDOUS uper�o� WASTE MANIFEST c�st. #: s�te: - . � . Name �.� .... �� n-�.^ Generating Location�,rc��.�r- a��S z� �dress?S�� :...� �r-, i t Z.y 5�r-_�� I,.:i� ,�a , �,,,,,e � }�1�� - S-<_3 .:i o t. L. one No.M14� � ^ 'tl �l � ._ ZCp �' 3 P�of;�e No. o -o - a a o a - o • �� DE : yyASTE CODE WASTE DESCRIPTION GIUANTITY UNITS �DRUM BAG -�"' -, �, CARTON �`g�- � � �� -��c�."S,�r�3 t_.�ci� �� P-POUNDS t1 �-YARDS : ' �r-..,,� F-1 51�'��f-a�, _�J e�r�,- ".�. � � 5 �� TONS '� � ---' �_, C� OTHER -i�-�-i...-�� 1 '�-,1.. A c tx��. �.1�z� � �� , I hereby certify that the above tisted material(s), is(are) not a hazardous waste as defined by 40 CFR Part 261 or any appiicable state law.That �ch waste has been properly described, classified and packaged, and is in proper condition for transportation according to applicable regula- ns. - Zv -t� ,� :Z1� -� , THORI ED AGENT'S NAME (PRINT) DATE GNATU E � � � � � � � . me �t� i� �r. �. �v�r . Phone No. �� 3 � �f 2-� Z'�1�f dress?��:=i �y.�►:,�,� �r � �! �,�d.�' Y`�r,�r�-, :,... tv . �; ��'�y - . • � - . � 2�..— , �me �l � '� C�� Phone No. ��t--'`� �^ • ,� A .. Address / �� Driver's Name - '/ ��°�r� -� "�,--� �3"� ' vehicle's No. /� 3 ereby certify that the above named material was picked up at the Generator site listed above and delivered without incident to the disposal facility listed below. ' � , _ �,,3�G`L c. � ,� ��..�'z:'Z SHIPMENT DATE DRIVER'S SIGNATU DELIVERY DATE IVER S SIGNAT � � � � � �ite Name Superior FCR Landfill, Inc. Phone No. 800-963-3158 ddress 175 Co. Rd. 37 N.E., Buffalo, MN 55313 �ermit No. SW60 h►ereby certify that the above material has been accepted and that information presented on this document are true and accurate. AME DATE SIGNATURE White Copy-Generator retains at time of loading Ticket No. Tons ellow Copy-Hauler retains after delivery to landfill ink Copy-Landfill retains Yards Gold Copy- Facility mails to customer p `*,�`„ """'"',r- �"` � `.� ,. r,� ` �� .s ��` e.-� '� . ,„s`�""� a.�.h g �k , "�` , � _ �^ .,a� '� � � �` �;.. � , ° , d ^r� f ��t� �s'„'�� "'1. � � � � y�' . ... �� .�x � R�� . �"� � � �'`�' 6 ° ` �� >. � e.. � : �� /�,"°� >_ _.:_ _ _ ° _ _ _� � �. 4 t � �'.�,��._�,��`.^:,+"�,f'�«a�',s��'...�. ..x� ..s4,� �.+:.r�..',�s�v�� _ = e�b*�" � �'�' �;' � �� °-,„,.. �'�` �� ;,'� � � � �� t -7 .��.s' F . 1, �"�s� � '4�J��1' � t..� r � a � b, r'�pf �� w . � �, �'i � �t � �` � � � �'¢ � ��' �' '� �� l� tL �4`J L'-' #� � Q � �i '� �`e- � '.�J ' r �$ 1 � �� .��. ��•. � �° ��"�� ', .�� „� f� '� . a + 'd �{ � � i ; � �'� ` f r -♦ . ,�' _a ' `s ({ i. .�<-;i. M v .x. � '� �� fr ��. A S �y� �R. .� f P i�� W� �� Xr i' ;�F F a * £ "'�� , .» n� i� . ffi .{ �1,� . �" � f� ��#��,�,°� � �� 4 {� �t't �� f� �tt � �� i�t� � �, �� ;, , �� -* Ur � � � , d {` F r ��. ' �� .. ... .� ;&� �; �,'�--�i (� � i ."�, � i� � � o .i. � � s v '�f . ��e � f � P' � s � a �° � `�#} ` � �I � ��' �' r �� 3� r ' �; � �� 1 � �` � � � a �; x f �� fi S� � n "#�� S �yj t�� . .�. ! �� 4� s(( �� t�i� '3,L��. � d �. �5�, � il� � l .r �� :� � � 4 � �`fx'� � ' * � �' , � � � � � � � ' �� , �� # � �; � ' ' ; , � � � � _ �,.'� �� . Y' � T � # .0 � x .. ,r i`�� }` � � � � ;; �.�4 .p� `b_ �„'`w 'S 1 �� {'� � .�' � � �.. ,� ��- r � � ��. ��y�� : �� '� � .'.5 �i 3�a t j�� y,�. ��"^s,..-,- � :4 ��` �,�r al�� '' �,� ;R�. � "4� ,�, � � ��t ; � � �� , t ; _- g ' �, b � �' _: .. �<�'' � P��` s z'�.s`:'�,.x. , a' �a�°�.e� ,�'��_�: ,m�'t. ?�;,,;��,e..�":�""'.'�',,. . a . � m , - � ,.,. . .. .._ ._ _ . _. _. .... ___ _ .. '��t'� �' .i - � � _ �, . . - . _ .. szz-n:�+�,a � . � .�� _ � `�� ;s eeA�< � ,6 Za.'i f,� , '��.. m� Yi '�'t�s�.� M �,k5f.� ' ' NIINNESOTA OCCUFATI�NAL HEALTH ' 1661�t Anthom�p Avrnua St Paul,MN 55104 Telephone(6S1)646-0491 ' Namo of Employee�rr•.i �,� 1�}r�.n.� Social Securiry' # t�,_-_�- ��$' , Company U�� -F� � T�}V � PHYSICIAN'S�XAMINATIUN AND FINDINGS � {To be completed by Physician) T have examined the individual named above and finc�: (circle one) � No physical or medical z�easo�n to prohibit this cmployee from participario�in a � progra,m which may requixe th�use of respuatvrs. ' 2. Physical or medical reasvns require the followirig resixictions on participation in a program which may reqttize the use of respirators. ' ' ' 3. No respirator use is permitted for tb.is i�dividual at this time. 'Tt�e employce has been infonned b e{the undersigned physici.an)of the results of the medical examination, ' incroased rislc of lung cancer ' utable to the combined offect of smokixsg and ashestos exposurc. Yes No N/A ' Physician Signature ' Physician Name(Please typo or printj �� •�!=� Address 1661 5t Anthony Avcnue,St Paul,MN SS 104 , Phone Numb�r(615)-646-0�91 Date � / y c�/ � �-- ` ' , � 1 � � � � � � � � � � � � � � � i � � � . . . . �.... _. _ _ _ . .. _ ....� _ . _ _ . _ _ _ .� _ .__ ,1,,.. ��,� � _ _ ___ �_. ,�-� ..._.-- - ,�. ��, .�._,r�� :>� �� . �.� ,�' �. k .. �t • -:,�.� . . ... .� �,, r �__ _._ _ ,. . ._,, r.�...._ �.m . .,..� . __.._. .. ; f. . .. ,�rr-+-� . .�-� ' _��x�. - �CC3I��`e�RC3CI'IC)�i �.��iC�R��S• `�,-.�-�,� . }}}fff///$ `�°'�� EQuc,��v�r A��c�°��c��t� .�rrp�''x��vc w, �, � � � � 4 f � ' � �� # , � �� FUTNL7(:)��v'�4NNE..�+C3T:�Ai�il)�€C:3R�r�t� ��,.�xi�y��r► � �. ` > w,�.;�,,.�%�,y 235t►Ma;n Screee • Linn l.akes,MN 5503f3 � � t '""""'' t65A GS}b7#0 �C*� � �' This certif�es thac ;. � � � � �� ;� � �e��cr�,�►�r �cr�nvf�s � ---a _- __— _.._....._. � ��"��,�`i �� . _ !�satisf�.toril��c+mt�ed tk�reyucrc��r:u�tng anci skitE�as�rescribe�.t l�y che�`c�n�cucti:�n, . , kitE- � �� '$, � � Labc}n�a E,d�ui atic>ra>:A:�pren�icrs}u�+ar�d Traening Eund aE hiiinn�sc3ta and itiort#� t3akc>ta in c �� , ' � a�`�� C„� '�� , � , ASBESTO�'i GQ�ITRAGTORISUPERYISOR RE�E'�'i�ti"cR COURSE ltil2t!/01 0 �.�, m � � � "� This taurse is pe�mitt�sd by th+��tal+�+�f MM unrci+�►r lMinn Rt�tlaes 46?A.370�ta 4l's20.�7 — � h� � � r ---_ ...�, . ..._.,.., _ ..� � tp , eo�ur��.T�rce��rsasa,zasrrs�w , s , , � �I � ` .; in tsstimonp ther�c>f I�ave a�sxrc�:ny�i�s�ature t�Es—�4�"itay uf --.--�..___.. __.._...._4CT..__.._ , 2c�. ��.__._..�'� � " .€-;., , "',.;�,�r?�'i. r�r�nr�.c�n-9�05t3:tteli._..._._ �..._�w,�,�.�_ '> •" eaur��;��.oCn�&M��tE�l�9C1t`�►��s,t��s+�Tw S Ex�+iracxsn � 2 . TEST D/�T�: 1012q�1f1 y, ti`: `� �., . , . ,, ,, »� , .. - .. _ • ,,._ „ , .., ; ,.� ,. ,: . ,,. . ,� � ,.. �.• _......-. �.�,._.�� ._...r v� �.._._.. � ,._.�..- �..._.. �=� _.....,.:� �.___��-� _.v i � � � � r �s r � � � � � � � � � � r � a � � �� z � � �` � s.� � „ : � �. � � � � � �i � x � �� a � � �� . � �. � °� � � � � � � �' � � � � � �. �� . o � � �; �' � � �„� � � � > � � � �,. .� � � � � � � � �: � �. a " � � ' x �� '� °' �� `t �. � y � � � � o � �� . Q � �� . �' � � �' � � � �,� � � a �� Q� � �� " ', � � 4 C1 � � � ��y �'ir ��,". +s � � �,A � � � N n � � � r � � � � h �'�' ��o ��.- � �.� � �� . � � ��: � � �.� � � �� 6 � {� � �o � � �. � � � �° �� ., .,, .. � � �.� � .�» ' . � ,�� ..�� ' � �- �: .. �- � � � � � �� f $t� +_ ^�....^-/��,��.- $ f, el'"`_"'\�� .. --�..-��...��'�,� s, µ_ r ;.,r ;` .s- , 'c�..�.-!{y.y. . �«��a� 1�+�s� ^"�� " ti.,,�. „� ,. .'� � .. �, tl . .�� '"Y '�`��'>eu i3- r,�. a ,��.Z#. �s,�'�. ,,� � ..`,�. F4 ' ��d�� ,�� ..��j°�'�'�'eftt.�� '� ie� �. .�,��1 �". �a�� ££ � q��. .� f ,� �� { ..r ��C..' . � � .� �y'`�'� / � . >; � ° . _ :_,s,..;,'!'. s� A�_y'�°�'�''l'9�'�-c'°;..s:��.�.,�s, �, '"�'�s��-^�„�» � ,: i- .. � . {J � .rs r-_ . �s ,—'.,an....a.... � v: r': ��s=o..e� .xx a' a'a,w+,� J' 1 ..s..w.�.rx,.�: f� --�..�'M-. �:�� ` ."_ � . . )%�, � � ��` . ..�.�, .,� . CO►�T aTI�.�,..7C'TIC�I� LABORERS `� � = v �� e�SE1YNqt . _ . � c • , _.. ,`,�p,GENfR,��. ��`` � ��' °�Z F1�UC��TI4N, �PPR�NTI�L``ES�TIP AN`I�`�7_":E�A7NING � ,� .. � g a '2 FUND OF l�✓�INNESO'TA�iAND NdRTH DAI{OTA ` '` � � `r�� , W�°'�,„�.A„�',',�� 2350 h�(ain Stre.et • Lfno Lakes,MN 55t�38 (fi51}6�3-6710 f'pf �,�' :� � � �;. � =s, Al�ER�C t Q �; o �� This c�r�ifies that � � � �, �, � � Y ��o � �ir, VINGERIT �TANNEHI�.L � °'s �a ' _� a0 m� a � n� F' � d S � o � g � � �� " �,�� - ��p "� . �t � a�� y �m G "1 s� � ��. ro o E � m ��,< k� ��w; ,�q' w ` s y � ¢ ;,�� C`s��toi•ily completec� rhe rec�ctirec� trainirt y and s l dlls a� � ,,�f 'a Q . �. b � �r�scr�be�l l�y thc C.onst.ructi.�7n � � � ��x ��•� . Labore"rs Eclucati�n, A.�pcer�ticc�shi 6� '"` ` ��o w '�� z �µ � � �ind Training.Fund of Min�i�sata anc� Norkh Da(cota ii� �� : �. �_;�---. L ��'�� r � ��. � ; • � .� , . � � ASBESTC?S WC)RKER RE�RESHER CQURSE - 5141Q2 �E :, _ - � �.__._�. e � o � —_.. � : � , � .� 'i'his aourse ls permitted hy the State of MN under Minn Rules 462t3.37Q� to 482D.37z2. �. �i '> f� Co p tes wi �- _.__ •� �� , it15�C'ZIIti7 -- — --__ � . ,..q� ,� Ul� �n testimony thereaf I have a£Cixed my si�nature this 4�H d,y Q� 1U1A1( 2�z y '°�� "� ;, . , � s � � �:�R ' �� . ..� � � ', �„r,. � C�RTIFICAI�N Q�,�?��_?�•V ,. ';�-` ,... E'<� ("�'`a.... r"�) _',�t ,,r, �+ ��j%�� ' � s.n�.0 � -�--- � '� � '' �': av�'aa �r�,fl��j�Expixafion Dat�: COURS� !_OCA'E!�'19`?,i'9�i��f�'1'`�..°!�#�tES, Nl1Nt1E50i`A � <�e<�W,.„�,:: �14lQ3 'T'�:�'T ttAT�: �14/0� , 1 �`: � � . �-. � - - �. � o. �:�==� . , .�- .f.�`a . . i .� . h '.�;.' : ; _ ' . . .. 9 t' ?ti � D � � tr� "�� ,�_ . , ' . _� � � _.�' - � � �-�-._-,---�.___--'��..i�''.:�__..,��•�----•�� ,, . : . ~ ---. � r � � � a�r � � � r � � � � � r � � � � ' NOW G�r� Occupat+onal Healrh Serv�cu ' PMY$ICIAN'S 4VRZTTEN dP'INIQN AsbestosfRespiratory Protectior� � baTe� `� �"� �� Frotn: NOW Care Medical Cente+rs, Inc ' �,�", EQrnpany:_ L.-� � �rQ�� ,_ � Patient name: �C � . � SoCi41 $eCuri#y n�Mber: u�✓��` ~ �� In accordance with the requ+rements af USMA ,�sbest�s 5'tandards t�nder 29 GFI� ' 1926.1141, the exQmining phys�ciar, wi�1 provide the employe� with a written apinian, whic� shalf contnin fhe �ollowinq: � This is to tertify, that x have exarnined the ab�ave r�nm�:�d patient and deterrnined an this date �'��-� "�,��a�nd in �cto�donc �wifh ihe `'• � O5�HA Standord 29, CFR 1�26.11�� the individual rct�,y ( G�rmaY t�at ( ) use u r�pirfltory device while per#orttt�ttg hislhe�r em�loyrrient 5�r'Vi�eS. , `C' results of rct examinat�on hov� nor ��'�+avc �( } dQtee�ted t� medica! he � tonditian w�ticFti wauld pi�ce the employ�e at an (ntr�t�sed risk of t�tateriaf , health impa�rment from exposure to nsb�stox; a►,d �n ��o�da�►ce w�#� asHa : require�ner�ts, z have +nformed the above named individ�al af the results ot � . his/h�r expasure to asbestos, Re.comtn¢ndations: S� 5'''`�-�Lt,. , 1 I rautinely ndvise all scre�ned p�tie+nts that c�ny d, gree c�f st�oking mny t�ave a. � seriaus ar�d cdverse syne�gistic relatiQnship with Qsbestos. - (company} artd each appl+cant m+�s1' determ�ne whether s�okers tshoutd be hired for asbes�os � position. , Th��com�lei�e medical writ vp;nion n t�e �above m d inci��vidu4t wi11 be forwarded to the emplo r pe�d4n inai inte+-pr to#io of any ariditianal med�cal ' dafic required by �'he m �c 1-ex �ne�. ' ' S�GN�O� � C'��• {�xotnin+n�Pt�ys+cian) � � 1 Job Name: �•��;—]-I-�,:1 z c_ TOOL BOX SAFETY MEETING �%— t�7- �`� Job Number: %4—ts��.c�7 The Right Safety Attitude Date of Training � Employees aze paid to get out production, and there can be no quarrel with the worker who gives his or her all toward this end. However, this dcesn't mean you have to take safety shortcuts, since statistics indicate that acciden[prevention and high production go together like peanut butter and jelly,or April showers and May flowers. Accidents cost money, and must be paid for by the company. This cost is not like the cost of materials, equipment, or wages. It is a total loss, to say nothing of the loss and suffering of the injured employee. There is no return for the company or the injured employee on money spent as the result of an accident. Look at it this way: An accident-free business is a profitable business. � When you buy a house, a car, or any luge item, you weigh the advantages and disadvanta;es before you invest your money. The same is true of investing your time and effort in safery, with one excepcion. You may decide to forego the expense of a new car, but you should not, in fact cannot,afford to forego your"safety investment." � A good safery attitude toward laws, rules, and housekeeping practices is the best way to protect yourself and your fellow employees from accidents. People with lackadaisical a[titudes about safery blame accidenu on the "law of avenges." But accidents don't just happen—they are caused. Most accidents happen as a result of an unsafe condition,a poor attitude,or both. People with bad attitudes are showing disregard for themselves and others. Just look at traffic accidents, for example. Research 1 shows that bad driving attitudes often cause unsafe accs,and unsafe acts ue involved in most accidents. The same is uue in your job. ' People who take chances—trying to repair machines while they are running, or removing a guard to make the work go quicker—are showing a bad safery attitude. You can never be smart enough or quick enough to beat the odds! � What about good attitudes toward safety? All of us are required to follow certain procedures in our jobs, but your best defense against injury is a good safery attitude. One way to build a good safety atticude is to learn your job well. Know the hazards and]rnow the safeguards. If you understand your work,you will have a better understanding of the importance of safe work practices and a good safety attitude. � Another indication of a good safety attitude is to set an example for others. If you see a piece of scrap on the floor, take the time to pick it up,because i[could cause an injury[o someone else. This may sound too simple to work, but it really dces. Safe attitudes are contagious. � If you run into a problem that you're not sure you can handle safely on your own, report it to your supervisor or manager, who is in the best position to correct the problem quickly. Another key to working and bemg safe is commumcation. Here's your chance co tell us what safery items you are concerned about. Tell us what hazards you have seen recendy. Is there a condition you know about which could cause an injury? Is there a suggestion you feel would help prevent an injury? It is pan of the company's safety attitude that you are in an excellent position to spot the signs of potential trouble. So all your comments will be reviewed and corrective action will be taken promptly. � COMMENTS: ' 1 EMPLOYEE SIG�ATURES SIG1vIFYING ATTENDANCE: �� '�::�'' �` r � � � . � ', .� � , ' � Tool Box Talks-TB03 ' � � n r-- j-1�,: �{ TOOL BOX SAFETY MEETING �- t " ' ' Job Name:��,#. c` LS � `�'"" Job Number: � — �Z t�> � Safety Attitudes Date of Training � Most of us had some type of safety uaining ducing childhood. We were taught to look both ways before crossing sueets and not to play with matches. As adults, we are warned by others and by the media not to smoke in bed,not to stay out in the sun too long, and not to drive while under the influence of alcohol. And yet, common as these safery rules may be, how many of us can cruthfully say that we have never turned a light on or off with wet hands, smoked in bed,gotten a sunbum,or driven home from a party after having a bit too much to drink? , Employees often neglect safery rules because they: • Are in a hurry. • Figure accidents always happen to others. � • Are resentful of their supervisors. Every time employees engage in unsafe acts, they are taking a gamble—betting that an accident will not occur. Is health, and possibly life itself,worth such a bet? 1 When employees ue aware of safery rules and break them anyway, we say they have unsafe atti[udes. Picture a technician who neglects to wear eye protection while working with harmful liquids that could splash the face. Think about a warehouse worker who knows that an object weighs too much to be lifted by one person, but nevertheless attempts to lift it without any help. These � employees are demonstrating unsafe attitudes. Safety officers may give excellent safety orientations,you may know all the safety niles, and you may be able to demonstrate the safe way to do a job. But knowing every safe rule ever written will not protect you if you fail to use that knowiedge daily on the job. The habic of doing things the wrong way is difficult to break,but it can be done. , The next time you aze about to break a safety rule, stop and think about what could happen to you, your co-workers, or your family. Imagine the pain, the inconvenience,and the lost time and money[hat could result. Then do the job correcdy, the safe way. At first you will be slowed down, but soon you will start to notice safety becoming a habit—and it will tum out to be one of the best habits � you have ever had,beca�se it will decrease your chances of joining those who are disabled or killed in accidents each year. Here are a few basic safery rules that should be practiced again and again until they become automatic: • Report all accidents to your supervisor, even though�they may seem minor at the time. Studying the causes of accidents poinu out ways in which they can be avoided in the future. • Practice good housekeeping to prevent slips and falls—your own or anyone else's. Clean up spills,and keep all areas—especially heavily traveled ones—free of clutter. � • Know which types of fire eztinguishers may be used safely on each class of fire. Use of the wrong type of extinguisher can cause serious injury. For example,you may receive a serious or fatal shock if you use water on an electrical fire. • pse good body mechanics when lifting and moving objeccs. Get help when you need it and let your legs rather than your back do � most of the work. • Wear eye protection when needed: when there may be flying particles or when working with acids or harmfW chemicals that might splash. 1 • Make sure electrical equipment is in good condidon before using it. Have defective cools, cords, or other equipment tagged for repair. Do not touch oudets, switches,or elecuical equipment with wet hands. Share your own safe attitude and habits wi[h your co-workers. You'll do this in a tactful way of course, but remembering that it's � important for their safery and your own. COMMENTS: 1 , ANCE: EMPLOYEE SIGNATURES SIGrTIFYING ATTEND �� I , �� ... � � > ��(•(' ' r ��c c�'-�l�r"� � � Tool Box Talks-TB02 � Job Name:�"� �•:— �v«3c TOOL BOX SAFETY MEETING � /�'i- c> � � Job Number:�1-vZ�z�s_s Wh3t 1S Safet}�? Date of Training ' What is safery? Is it someone with the title of safety inspector walking araund the job sice saying: "Don't do this. Don't do chat. Wear your hard hat. Replace that machine guard"? Dces safety mean danger and risk, or is i[protection from injury or damage? It is all these things,of course;but it is also a great deal more. Safety is a way of life—meaning that it is not something one should have to stop and chink about, bu[should be as familiar and about as automatic as breathing. Of course, breathing comes naturally from day one, but safery only becomes automatic as we gradually absorb the lessons leamed from parents,teachers,books,and our own trial-and-error experiences. ' Most of us have by this time reached the point where certain habits of safery are ingrained—such as looking in all directions before crossing at a busy intersection. But to ensure the securiry that comes from making safery a way of life, on and off the job,we have to pay the price—which is cheap, compared to the dividends. The price? It's the same as "how to get to Carnegie Hall," namely, practice, practice, and more practice. This means that until we ' have made safety a part of everything we do in our lives, we need to force ourselves to think how to do it in such a way that neither we nor anyone else will suffer harm as a result. This can be done. After all,consider the hazardous jobs many men and women work at every day without harm. On the other hand,consider some of the sports we watch, either live or on television, in which—let's admit it—some of the fascination , is the element of danger we know is present. Surely, no one steps onto the soccer field or into the racing car at the Indianapolis �speedway without years of practice and training in which safety awueness was an integral part. That preparation makes it possible to concentrate on che goals pf che particular game or race without consciously thinking about safery. But we Imow that acciden[s, sometimes dreadful ones, do happen on the field or the track, with severe injuries or even death as the � result. Dces that mean chat safety uaining and praccice are not enough to keep us injury free at ouc jobs either? Not necessarily. There's an element of competition in spotts—even those like moun[ain climbing or hang gliding, where you're competing only against nature or against your own previous accomplishment. And the athlete, having learned all the relevant safety lessons but also aware of the risks,chooses w take the chance and go fo�the win. � Here at work,however,we're all on the same team. We may want to surpass a former production record or make our widgets faster, beaer, and cheaper than Brand X—but we don't do i[by taking chances with our own safety and that of the co-workers who are our teammates. Inscead, we continue to think about safery whenever a work decision has to be made. We conscientiously observe the safery rules.and consciously pracdce the safe behavior we've leamed. We wear the safety glasses, clear the debris from the aisles, �" mop up spills prompdy,and read the label on any chemical we're going to use. If this hasn't already become automatic behavior, it will with further practice—and as with any accomplishment, some people may need more practice than others. At any rate, once we have all paid the necessary price of practicing safery, we wilt all share the dividend—a workplace in which the odds against our being injured on the job have become greater and greater. � CONIlVIENTS: , 1 O E SIGNATURES SIGNIFYING AITENDANCE: EMPL Y� � �y� ' �. ,; , � .� � r _ (� ` -z/��. '� ��, � 1 � t 1 ' Tool Box Talks-TB01 � TOOL BOX SAFETY MEETING ��" �' �v-- Job Name:��" '� v�-'-C� , Job Number: A -i' =2�-'.3 'Think Safety Date of Training Care and a[titude are two of the more imponant aspects of your job. They not only affecc the way you do your job, but also have a definite relationship to your mental as well as your physical well-being. Have you ever noticed how much energy you have for the things you enjoy doing, projects you are enthusiastic about? It has been proved thac people who perform their jobs with an assured attitude are more safery-conscious, work more efficiently, and have a heal[hier oudook. Safety means approaching your job with confidence, doing things the right way, the safe way, with concern for ' o[hers. A safe atcitude contributes to everyone's weil-being. If a proper attitude is noc maintained, job performance and qualiry of workmanship are likely to suffer. This in tum could result in a personal injury, inferior products, or damaged macerials. A person who thuilcs safety wi11 take the extra time to do the job correctly. , Even the people who buy the product you had a part in making could be affected, since a bad attitude can lead to poor workmanship— perhaps defective pares chat might malfunction, causing injury to the consumer. Have you ever has a bad day and felt guilty because the qualiry of your work was less than you're capable of! You also know how satisfying ic is to know that you've done a job well. When you do an admirable job and feel good about it, everything else seems to ' fall into place. Your job shouid not be "just a job"—it should.be an enjoyable experience. After all, you spend one-third of your life working, which enables you to support yourself—and possibly a family—and to take pleasure in the activities you like to do off the job. When you are enthusiastic about your job, and show concem and a positive attitude, you not only make a better employee but also , become a much more appreciaced individual. There is nothing as contagious as enthusiasm—if everyone makes the effort. Don't be someone who just"has a job." The proper attitude—the safe attitude—will show thac you care. A safe attitude can play a big role in all of our lives. By staying in the right frame of mind we can accomplish ail things we atcempt in 1 a safe manner. Remember,your atticude maccers to the company,to your caworkers,ultimately to your own health and self-esteem. COMNLENTS: ' EMPLOYEE SIGNATURES SIGNIFYING ATTENDANCE: . � � .� , .. �,.�- , � �s��'.�, . � .�-�?=�' � � � , . � ' � � Tool Box Talks-TB04