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Y <br /> ►a <br /> i GASCO Gasoline,Station January 30, 1991 <br /> Project No. 3-30054-31 Page A-12 <br /> ,5iGRI.01TIF EAU <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> -- groundwater recovery well construction 749 East Charter Way, Stockton, California. <br /> I will comply with the minimum safety requirements set forth in the Site Safety Pian. I <br /> agree to notify the responsible employee of Exceltech should I witness any unsafe acts . <br /> on this site. <br /> Print Name Signature Date <br /> Safety Plan approved by: <br /> r, Office Safnty Coordinator Project Supervisor <br /> 1 <br /> } <br /> 6� <br />