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RESNA 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: City of Tracy, 11th Street construction, Tracy, 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 RPSNA should any unsafe acts be witnessed by <br /> me while I am on this site. <br /> _P'RIlv'I`NAME _.:SIGNATURE DATE <br /> s , tit r-2- <br /> SafetyPlan approved by: <br /> Branch Safety Offic oject Manager <br /> PACE 13 <br />