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Linden School District April, 1995 <br /> Site Specific Safety Plan Well Installation <br /> WES Project No 4062-R <br /> I <br /> SIGN OFF PAGE <br /> 1 have read the Project Safety Plan and fully understand the hazards associated with the sod <br /> boring,sampling and well installation activities at the Waterloo School project <br /> I will comply with the minimum safety requirements set forth in the Project Safety Plan I <br /> agree to notify the responsible employee of WES should any unsafe acts be witnessed by me <br /> while I am on this site <br /> Print Name Signature Date <br />