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1 <br /> AGREEMENT AND ACKNOWLEDGMENT SHEET <br /> Treadwell & Rollo personnel have the authority to stop field activities at the Site if any activity is <br /> ' performed in an unsafe manner or not in accordance with the requirements of the HSP All <br /> Treadwell & Rollo project personnel are required to sign the Agreement and Acknowledgment <br /> Sheet prior to conducting field activities at the Site <br /> AGREEMENT ATD'ACKIVO,WI1`EDGIVIENTrSTT <br /> A EMENT, <br /> I have read the HSP and fully understand my responsibilities and agree to abide by <br /> the provisions of the HSP. <br /> ' Date Date <br /> ' Name Name <br /> ' Signature Signature <br /> lieDate Date <br /> Name Name <br /> Signature Signature <br /> Date Date <br /> ' Name Name <br /> Signature Signature <br /> Date Date <br /> Name Name <br /> ' Signature Signature <br /> ' Site Health&Safety Plan 08/14/03 <br /> TREADWELL&ROLLO, INC <br />