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PES Environmental, Inc. <br /> APPENDIX A <br /> Agreement and Acknowledgment Statement <br /> Site Safety Plan Agreement <br /> All PES project personnel are required to sign the following agreementrip or to conducting <br /> work at the site. <br /> 1. I have read and fully understand the SSP and my individual responsibilities. <br /> 2. I agree to abide by the provisions of the SSP. <br /> Name Signature <br /> Company Date <br /> Name Signature <br /> Company Date <br /> Name Signature <br /> Company Date <br /> Name Signature <br /> Company Date <br /> Name Signature <br /> Company Date <br /> 148400101H002.doc A-1 <br />