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S <br /> .. . ;x �' •fie • �� <br /> GASCO Gasoline u <br /> StationJanuary i 1991 <br /> 1}'ogq Y <br /> Project • 10z. <br /> xz� <br /> Page A-12 <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> groundwater recovery • • . a East CharterStockton, <br /> I will <br /> I Y. <br /> comply with the minimumrequirements <br /> fthe Site Safety Plan. I <br /> orth Print Name Sign�t—ure Y. <br /> agree to notify the responsible employee of Exceltech should I witness any nnsafe acts <br /> on this site. <br /> Dateto • <br /> /f <br /> •"_4 R1 -rf i <br /> J ` <br /> s <br /> . J"Safety 7 <br /> approved <br /> Office Safety <br /> 1 <br /> CoordinatorProject Supervisor ' <br /> Ir + <br /> r <br /> 1 1, <br />