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QST ENVIRONMENTAL <br /> HASP ACKNOWLEDGEMENT <br /> Project BFS Property No.127434 Site Former Bnd estone/Firestone <br /> 400 N. El Dorado Street, Stockton, <br /> Project Number 6448090 Site Location California <br />' I acknowledge that I understand the requirements of this HASP, and agree to abide by the procedures and <br /> limitations specified herein I also acknowledge that I have been given an opportunity to have my questions <br />' regarding the HASP and its requirements answered prior to performing field activities Health and safety training <br /> and medical surveillance requirements applicable to my field activities at this site are current and will not expire <br /> during on-site activities <br />' Signature Employee Number Date <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br />' I acknowledge that I have verified that the employees listed above have fulfilled the health and safety training <br /> requirements for this site I have also verified that the above employees have fulfilled the medical surveillance <br /> requirements and any client requirements to participate in a substance abuse screening program for this site and do <br /> 4not have any medical restrictions that would prohibit them from working at this site <br /> 1PToject Manager's Sr nature Date <br />' RFS Property No 127434-Swcktm-6498090-September 23 1998 <br />