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VVIAO/aa MUM LIST YAS U- GROUNI)IFATER i�j q l5 <br /> Ii E1 YrrtrolgrRllM FIasElt�Isntr tyi Plan. SOu2hlmrad 14117, Sl a c klem. CA. <br /> . Pau f oarflo Haallh and Plan In1limmmon .duh. i see <br /> AGREEMENT AND ACKNOWLEDGEMENT SHEET <br />++ Fluor Darriai GTI personnel have the authority to stop field Ocrw ties at Oft ske if any ac&4 ir.not <br /> I Perromwd in ardance v,Ath the requirements of this RP HASID. All Fluor Daniel GTI project <br /> J personnel,subcontractor pemonnel,and vWitars are required to qn the Agreement and <br /> Acknowledgement Sheet prior to conduc ling field edMes at tlhTs alta. <br /> =ZMA �� <br /> , 6 �r IS�' ' „ ■�i�Y1lffp44.1FW "°. =+I{ <br /> � <br /> 1. I have reviewed and fully understand Part A of this RIP HASP and my respansibilltlas. <br /> 2. 1 am aware th=additional.standardind health and saw informatlon Is available for <br /> :me in Part 13 of this RP HASP. <br /> 1 l areo to abide h the provisions of the RP HASP. <br /> Name ;?4 Gt r Si ratur s <br /> Company Date <br /> Name ,J � SI nature <br /> Carry Dula .( <br /> r <br /> Name S natura <br /> Corn Date <br /> Name S natura <br /> C.OmMky Data <br /> Name Signature <br /> C�xnMny Date <br /> I <br /> E <br /> t <br /> f <br /> no" 4TI <br /> rW1G629 <br />