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1/= OK NA =Not Applicable <br /> Appendix D: Health and Safety Briefing/Site Orientation Record <br /> This is to verify that I, the undersigned, have been provided with a site (orientation) briefing regarding the safety <br /> and health considerations at 4421 Giannecchini Lane, Stockton, California. I agree to abide by my employer's site- <br /> specific safety and health plan and other safety or health requirements applicable to the site. <br /> NAME (PRINT) SIGNATURE COMPANY DATE <br /> AEI Health&Safety,Injury&Illness Prevention Plan Page 21 of 25 <br /> June 24, 2011 <br />