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n <br /> 1 <br /> Subcontractors present and number of employees for cacti: <br /> Subcontractor name Humber present <br /> 1. <br /> 2. <br /> 3. <br /> Comments: <br /> Send the completed checklist to CHSO,Sacramento office. Place a copy in the project <br /> i fele. <br /> 3 <br /> Reviewed by CHSO: <br /> s Signature ©ate <br /> 6 <br /> Is.follow-up with site safety office required? <br /> YES NO <br /> I <br /> ! Items: <br /> E � <br /> ---------- <br /> Mo w---u-p <br /> follow-up completed. <br /> April 1988 <br /> F , <br /> t . <br />