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"aKraian & ASSOCIATES , INC . <br /> FGEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING <br /> CONSTRUCTION TESTING AND INSPECTION <br /> F <br /> KRAZAN&ASSOCIATES, INC. <br /> HEALTH AND SAF TY PLAN <br /> FIELD PERSONNEL RELEASE FORM <br /> F <br /> I do hereby confit i that I have read and understand the health and <br /> safety plan for Project Number 01494276, Boston Market Re taurant Iocated at 514 Kettleman Lane in Lodi, <br /> California. I do agree to follow this plan, and to make every effort to make the work place safe. I will report <br /> any health or safety hazard that I observe to the Safety Task Leader, Project Safety Officer, or the Project <br /> Director. <br /> I do agree to defend, indemnify, and hold harmless Kr zan&Associates, Inc., its owners, employees, <br /> representatives, clients and thero er <br /> p p ty owner for o any ac idents, sickness, or injuries resulting from the <br /> violation, alleged violation, or non-compliance of this Healdk & Safety Plan. <br /> I <br /> i <br /> i <br /> Name: Title: I <br /> I <br /> Signature: Date: .i <br /> Fik <br /> Fil <br /> Lt <br /> M <br /> - 1 <br />