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PLAN ACCEPTANCE FORM <br /> PROJECT HEALTH AND SAFETY PLAN s <br /> I have read and agree to abide by the contents of the Health and Safety Plan for the <br /> following project: <br /> ,t PROJECT TTME: <br /> r <br /> PROJECT NUMBER: <br /> 4� t1 <br /> Name (print) <br /> r <br /> Signature <br /> Date <br /> t� <br /> Place in project Health and Safety File before starting field work <br /> M !'a <br /> TCC12240 621/0002 <br />