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ATC SITE SAFETY PLAN <br />I� <br />SIGN -OFF PAGE <br />I have read the Site Safety Plan and fully understand the hazards associated with the following <br />job: Ripon Unified School District <br />I will comply with the minimum safety requirements set forth in the Site Safety Plan. I agree to <br />notify the responsible employee of ATC should any unsafe acts be witnessed by me while I am <br />on this site. <br />PRINT NAME SIGNATURE DA'Z'E <br />Ll <br />Safety Plan approved by: <br />Drew Van Allen, Project Manager <br />• <br />PAGE 15 <br />Tom Lutterman, Site Safety Officer <br />