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CAL _ SERVICES <br /> ENVIRONMENTAL INC <br /> 4s <br /> TAILGATE SAFETY MEETING FORM <br /> Date Time Job Number <br /> CIient <br /> Site Locations <br /> Scope of Work <br /> SAFETY TOPICS PRESENTED <br /> Protective Clothing/Equipment <br /> Chemical Hazards <br /> iPhysical Hazards <br /> Special Equipment <br /> Other <br /> Emergency Procedures <br /> Hospital Phone Ambulance Phone <br /> Hospital Address and Route <br /> ATTENDEES <br /> NAME PRINTED SIGNATURE <br /> Meeting Conducted By <br /> . Name Printed Signature <br /> Project Safety Officer Protect Manager <br />