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i <br /> I' <br /> i VII . HEALTH AND SAFETY PLAN APPROVAL/SIGN OFF FONT <br /> l• Site NameC ��C 5�acV I�c,, 2 . WOa r <br /> Work Location Address -775 <br /> S. `� o fi'r 9 5-.or7 <br /> (Street Address) (City) (State) (Zip) � <br /> F � <br /> I have read, understood, and agreed with the information set <br /> forth in this Health and Safety ) Plan (and attachments) and <br /> discussed in the Personnel Health and Safety briefing. <br /> Site Safety Signature <br /> Co-ordinator Date <br /> Name Signature Date <br /> I� <br /> i Name Signature Date <br /> Name Signature Date <br /> I� <br /> Name Signature <br /> I Date <br /> i Name Signature Date <br /> I� <br /> Name Signature Date j <br /> I� <br /> k Name Signl'ature Date <br />' <br /> Name Signature <br /> 1� Date <br /> Name Signature Date <br /> Name Signature Date <br /> Name Sign Date j <br /> E Name Signature Date <br /> I� k <br /> Name <br /> Signiture Date <br />'r Name <br /> Signature' pate <br /> e <br /> Name Signature' Date <br /> I� <br /> Name S igna,ture' <br /> 1� pate <br /> Name S igna'ture' Date <br /> 1 <br /> Name Signature' Date <br /> q fName Signature Date <br /> i!1 <br /> �F <br /> �f <br /> 25 of 40 �' <br />