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1%W `"W' <br /> r <br /> RESNA <br /> r <br /> SITE SAFETY PLAN <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> following job: Manteca Unified School District (Project No. 150107.01) <br /> r <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I <br /> r agree to notify the responsible employee of RESNA should any unsafe acts be witnessed by <br /> me while I am on this site. <br /> r <br /> PRINT NAME SIGNATURE IDATE <br /> r <br /> r <br /> r <br /> r <br /> r <br /> Safety Plan approved by: <br /> r <br /> .. Tom J. Lutterman, Branch Safety Officer Greg Stahl, Project Manager <br /> r <br /> Date of Signature Date of Signature <br /> r <br /> PAGE 12 <br /> r <br />