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{ _ <br /> ✓S. MIN <br /> r`q' <br /> wa <br /> i Quik Stop Markets November 1, 1990 <br /> Project No. 349132-31 Page 8 <br /> 4 <br /> �-� ATTACHMENT A <br /> S.I,.,QN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> groundwater monitoring well installation project at the Quik Stop facility located at <br /> i 3555 W. Hammer Lane, Stockton, California. <br /> I will comply with the minimum safety requirements set forth in the Site Safety flan. I <br /> agree to notify the responsible employee of Exceltech should any unsafe acts be <br /> witnessed by me while I am on this site. <br /> Print Name Signature Dat <br /> I <br /> C � <br /> 1 <br /> �.t <br /> Safety Plan approved by: <br /> Office Project Manager <br /> r <br />