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SENT BY 1- 2-96 15 28 IT GWFS SAN JOSE- 916 361 3047 # 2/ 2 <br />Health and Safety Plan Approvals and Ackno wl d <br />ApPraysiLs <br />I have read and approved this HASP with respect to project hazards, regulatory requirements, <br />and iT procedures (please indicate if CIH or CHP). <br />Project Name Ar Project Number 5�3� <br />Prol�ct Manager / Date <br />Project/Location HSS f / Date <br />Region/Division HS Manager / Date <br />Corporate HS Director / Date <br />Certified Industrial Hygienist / Date Certified Health Physicist / Date <br />' Acknowledgements <br />The final approved version of this HASP has been provided to the Site Supervisor. I <br />acknowledge my responsibility to provide the Sire Supervisor with the equipment, materials <br />and qualified personnel to implement fully all safety requirements in this HASP. Y will <br />formally review this plan with the HS Staff every six months until project completion <br />Project Manager - L " , e. Date t ! 1 1 <br />I acknowledge receipt of this HASP from the Project Manager, and that it is my responsibili- <br />ty to explain its contents to all site personnel and cause these requirements to be fully <br />.implemented Any change in conditions, scope of work, or other change that might affect <br />worker safety requires me to notify the Project Manager and/or the Health and Safety <br />Representative. <br />Site Supervisor /` ' Date / / 7 <br />