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r . \o-1 lei <br />Ground Zero Analysis, Inc. <br />SITE SAFETY PLAN <br />SIGN -OFF PAGE <br />I have read the Site Safety Plan and fully understand the hazards associated with the <br />following job: Woolsey Oil, Inc, Cardlock Facility, 1501 W. Charter Way, Stockton, CA <br />I will comply with the minimum safety requirements set forth in the Site Safety Plan. I <br />agree to notify the responsible employee of GZA should any unsafe acts be witnessed by me <br />while I am on this site. <br />PRINT NAME SIGNATURE DATE <br />Safety Plan approved by: <br />John P. Lane, Safety Officer <br />PAGE 12 <br />