Laserfiche WebLink
i _' <br /> ", <br /> 'i,� :. .?i•.3w{�aa�... ,''.� <br /> y„ z" . -..�. y,'�,-�::..e ;�'w ;�% _, y� •,�'�a :s "Yc� r"-n r,_ 1�..�'�.V -a"�,_. ��� -,�x y q � y"a, t„�;-��i"�T!��...':'�w <br /> 0 <br /> 3 s:��� ;5�i < ' -zY-.. r,..r. Y: ! -w„ .� �.x.s,i. „rr,:�,�"'.k 6e..,a:stt. . � -:n.ns ..a .4a' •.rv.u� 3.p� �.i� w <br /> APPENDIX A <br /> reettient and Acknowled event Statement <br /> Site Safety inaLn Agreement <br /> GTI personnel have the authority to stop work performed by out <br /> athis site if <br /> n <br /> performed in <br /> subcontraetorshtherequirementsow1t <br /> fthisSiteSafety Plan. <br /> accordancWit <br /> All Groundwater Technology, Inc. project personnel and <br /> subcontractor personnel are required to sign the following <br /> agreementrip or to conducting work at the site. <br /> 1. I have read and fully understand the Site Safety Plan <br /> and my individual responsibilities. <br /> 2. I agree to abide by the p4igna <br /> isions of the Site Safety <br /> r�Plf�an. <br /> Name r <br /> - <br /> S� Date <br /> Company <br /> '0' <br /> Name <br /> Signature <br /> / <br /> Date <br /> Comp <br /> Name Signatu e r <br /> Company — J bate <br /> Name Signature <br /> t <br /> Date <br /> Company <br /> Name Signature <br /> Date <br /> Company <br /> t <br /> 3 <br />