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EMERGENCY INFORMATION <br /> (Post at Phone on Job Site) <br /> Emergency Phone: <br /> Fire Department: <br /> Medical Emergency CPR: <br /> Address of Nearest Hospital: <br /> Phone: <br /> Telephone Number to Summon Help: <br /> (Must be posted at Service Station By Phone) <br /> COPY OF THE ABOVE EMERGENCY INFORMATION MUST BE POSTED IN WORK <br /> AREA and/or Passenger Cab Door of Vehicle on Job. <br /> I certify that the preceding information has been posted as required by NLPA 631. <br /> Signature of Qualified Person <br /> Print Name Date: <br /> Page 2 of 2 <br /> 5n <br />