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i <br /> I <br /> i <br /> 0.0PLA4APPROVAL <br /> n, .e <br /> Tlie,undersigned.bas reviewed=arid approved this t-iealth and"Safet}! Plan prepared,fir the ShOP .1.0 <br /> Maintenance Station Well Destroct"ion Project,.as described,hereiti <br /> O <br /> CE <br /> e. <br /> D©uglas S �ratise,.CIH <br /> N1 MB4 Fi <br /> :-Gembini ,or-.sulti` Certified Iniiustri.al"Hygienist ;} 1 3 #�"H <br /> ABIH Cerkification`No. 21.23,Exp;.-June 1:,2015 <br /> y '1401 <br /> L VkSJ, y1 <br /> July 2,=210 _ .K �. <br /> Date <br /> i <br /> IRebecca S�Iva Sr;,Pr0 ieritist <br /> �: . <br /> Proj edfManag�er <br /> -7yi <br /> , <br /> The f6tl6-Miig personnq. includ i g subcontractors revolved with the:p rojeet�activiti.es have"reviewed; <br /> or received a copy of this Plait and Attachrhdnt A,and.agree to follbw'the Health and:;safety procedures <br /> desc� bed <br /> ,PrIni Name _ Tide. Sr nature Date � <br /> I <br /> k <br /> Shnp 10 MS,,Task, rderNo.,94 Caltrans Coiitftfdt.4d:06A1141:,hA 43 91:0076 <br /> Prnlcct NIP, 59.2(10-o6-y4 -T6- liily2p 1 , <br />