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916-631-1317 Gettler-Ryan Inc. <br />Ll <br />02: 0.m. 10-05-2009 5/7 <br />EMERGENCY ROUTES: Nearest emergency hospital (location shown on attached <br />map): <br />Doctors Hospital of Manteca <br />1205 E North Street <br />Manteca, CA <br />209-823-3111 <br />_Directions to nearest Hospital• <br />See attached map. <br />I have read and understand the Site Safety Plan for Madsens Sunrise Dairy. 1 will report all incidents <br />and near misses in accordance with G -R policy. I have assessed the current site conditions and feel it <br />is safe to proceed with assigned tasks. Compliance with this Site Health and Safety Plan constitutes <br />a general permit to work. <br />Date: <br />Name (print). <br />NOTE ANY UNUSUAL CONDITIONS AT SI <br />(DATE & CONDITIONS) <br />Signature: <br />