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Project ID: 'bI c1q®� j Page d <br /> . Fm I p)e Acknowledgement <br /> n 0n;e34 <br /> We,the undersigned, acknowledge that we: <br /> have received health,safety,and work procedure training relevant to this job: <br /> • have read the Site Health and Safety Plan and related documents for this Project: <br /> wiN comply with all requirements and procedures outlined in the Site Health and Safety Plan and <br /> related documents: and <br /> are signing this acknowledgement without coercion. <br /> SI nature Name Date Signed <br /> Atameda Caxny PWO(Omenta 170) <br />