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3500 - Local Oversight Program
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PR0544129
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Entry Properties
Last modified
2/11/2019 4:57:02 PM
Creation date
2/11/2019 4:24:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0544129
PE
3528
FACILITY_ID
FA0001719
FACILITY_NAME
SUSD-STAGG HIGH SCHOOL
STREET_NUMBER
1621
STREET_NAME
BROOKSIDE
STREET_TYPE
RD
City
STOCKTON
Zip
95207
APN
11009004
CURRENT_STATUS
02
SITE_LOCATION
1621 BROOKSIDE RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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3 <br /> ATC f SITE SAFETY PLAN <br /> if <br /> i; <br /> i <br /> it <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards!llassociated with the following <br /> job: Stagy High School <br /> I� I <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. ai <br /> R .T NAME SxGNATM DATE <br /> . .. <br /> Ik <br /> I <br /> f <br /> �I <br /> I. <br /> �I <br /> Safety Plan approved by: <br /> Tom Lutterman, Site Safety Officer Jean a�Homsey,Branch Ma ager <br /> I <br /> i <br /> ; <br /> I, <br /> PAGE 15 <br />
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