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HOLLY
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2421
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3500 - Local Oversight Program
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PR0545285
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Entry Properties
Last modified
2/3/2020 12:37:25 PM
Creation date
2/3/2020 11:47:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545285
PE
3528
FACILITY_ID
FA0006068
FACILITY_NAME
PALADIN MILEAGE CENTER
STREET_NUMBER
2421
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2421 HOLLY DR
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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Tags
EHD - Public
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F l <br /> y 3 <br /> X <br /> A TC ASSOCIates SITE SAFETY PLAN <br /> .SIGN-OFF PAGE <br /> I have read ;the Site Safety Plan and fully understand the hazards associated with the <br /> following job; Gemelos-Paladine Mileage Center <br /> r <br /> I will comply*ith the minimum safety requirements set forth in the Site Safety Plan. I agree <br /> to notify the responsible employee of ATC should any unsafe acts be witnessed by me while I <br /> am on this site. <br /> « ME' ``SIGNATURE' <br /> PRINT;NA <br /> b <br /> Ir4 <br /> I <br /> i <br /> i <br /> , <br /> X <br /> F <br /> Safety Plan approved by: <br /> Jeanne Homsey, Project Manager John Sellman, Site Safety Officer <br /> I <br /> I <br /> PAGE 15 <br /> I <br /> I <br />
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