Laserfiche WebLink
November 2021 <br />Project No. 21-6640 <br />Page 6 of 8 <br /> <br />All site personnel have read the above plan and are familiar with its provisions. <br /> <br />FIELD MEMBERS NAME/AFFILIATION SIGNATURE <br />SITE SAFETY OFFICER Daniel Villanueva / Evan <br />Schmidt <br /> <br />FIELD TEAM MEMBER <br />FIELD TEAM MEMBER <br /> <br /> <br /> <br /> <br /> <br /> <br />ROUTE TO HOSPITAL <br />FACILITY NAME: Dameron Hospital: Emergency Room <br />ADDRESS: 975 South Fairmont Avenue, Lodi, CA 95240 <br /> <br />PHONE: +1209334-3411 <br /> <br /> <br /> <br />