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trr V <br /> APPENDIX A <br /> Agreement and Acknowledgement Statement <br /> Site Safety Plan Agreement <br /> GTI personnel have the authority to stop work performed by out <br /> subcontractors at this site if any work is not performed in <br /> accordance with the requirements of this Site Safety Plan. <br /> All Groundwater Technology, Inc. project personnel and <br /> subcontractor personnel are required to sign the following <br /> agreement prior to conducting work at the site. <br /> 1. I have read and fully understand the Site Safety Plan <br /> and my individual responsibilities. <br /> 2 . I agree to abide by the provisions of the Site Safety <br /> Plan. <br /> Name Signature <br /> Company Date' <br /> ( (e, y <br /> Name Signature <br /> Company Date <br /> Name(\/J S ign-57ure' <br /> Comp y {. Date <br /> "Name _ Signature <br /> f <br /> Company _ Date <br /> Name Signature <br /> Company Date <br />