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' 11. 0 SITE HEALTH AND SAFETY PLAN APPROVAL/SIGN OFF FORMAT <br /> o SITE NAME <br /> o WORK LOCATION ADDRESS (Street Address) <br /> ' (City) (State) (Zip) <br /> ' I have read, understood, and agreed with the information set forth in <br /> this Health and Safety Plan (and attachments) . <br /> an Date <br /> Site Safety Signature Company <br /> Coordinator <br /> ' Name Signature Company Data <br /> Representing <br /> ' <br /> Name Signature Company Date <br /> Representing <br /> Signature Company Date <br /> Name Representing <br /> Name Signature Company <br /> Date <br /> Representing <br /> Signature Company Date <br /> ' Name Representing <br /> Signature Company Date <br /> Name Representing <br /> ' Signature Company Date <br /> Name Representing <br /> Signature Company Date <br /> Name Representing <br /> 9 <br />