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HEALTH AND SAFETY SIGN-OFF SHEET <br /> Farmington Rd and East Mariposa Rd <br /> Stockton, CA <br /> PSI PROJECT NUMBER: 575-270 <br /> 1 have read and understood the contents of this Health and Safety Plan and I agree that <br /> I will abide by its requirements. <br /> Name (Print) Signature Date Company <br /> 20 <br />