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a + ¢ <br /> wow=, 9 <br /> Subcontractors present and number of employees for cath: <br /> f <br /> Subcontractor narnc Number present <br /> E � . <br /> x _ <br /> 2. <br /> 3 <br /> Comments: <br /> g <br /> Send the completed checklist to CHSO.Sacramento office. Place a copy ill the project <br /> We. f <br /> Reviewed by CHSO: <br /> Signature Date <br /> t <br /> i _ <br /> '-Is follow-up with site safety office required? YES NO <br /> eJ <br /> t <br /> Items_ _ <br /> 1 <br /> Date follow-up completed, <br /> r I _ <br /> April 19SS <br />