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17 0 <br /> M'02'1990 c.7"-44 O'MEL+JEhY 3 WERE L.R. <br /> . w <br /> aWF0 tlit IUd3l Col uftaw, Inc. <br /> T Hec*h and Why Ply <br /> Acceptance Sheet <br /> This form is to be completed by cacti person, to work on the subject site. Complete and <br /> return to the project's Health and Safety Officer. <br /> - Job Number <br /> CUrnt Project <br /> Data <br /> i; <br /> w I have read and understand die contents of the above indicated Health and,Safety Plan <br /> i -- and agree to perform my work in accordance with it. <br /> �- signed <br /> print n7.i"Ie <br /> -- company/office - <br /> date <br />