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' I<raza 1 & ASSOCIATES , 1NC . <br /> GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING <br /> CONSTRUCTION TESTING AND INSPECTION <br /> 1 <br /> KRAZAN & ASSOCIATES, INC. <br /> ' HEALTH AND SAFETY PLAN <br /> FIELD PERSONNEL RELEASE FORM <br /> I, do hereby confirm that I have read and understand the health and <br /> ' safety plan for Project Number 01495262, Safeway Stockton Meat Packing Facility located at 1111 Navy <br /> Drive in Stockton, California. I do agree to follow this plan, and to make every effort to make the work <br /> ' place safe. I will report any health or safety hazard that I observe to the Safety Task Leader, Project Safety <br /> Officer, or the Project Director. <br /> I do agree to defend, indemnify, and hold harmless Krazan & Associates, Inc., its owners, <br /> employees, representatives, clients, and the property owner for any accidents, sickness, or injuries resulting <br /> ' from the violation, alleged violation, or non-compliance of this Health& Safety Plan. <br /> 1 <br /> ' Name: Title: <br /> ' Signature: Date: <br /> ' KRAZAN&ASSOCIATES,INC. <br /> Offices Serving the Western United States <br /> 95262.HSP <br />