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a�- <br /> --kms <br /> ' WIII%Environmenlal Cotaultants, Inc. <br /> Ilealth &Safety Plan <br /> Page: 9 <br /> WHr, Enviralvnetual COItSullanfs, Inc. <br /> Health and Safety Plan <br /> Acceptance Sheet <br /> 5� <br /> This form is to be completed by each person to work on the subject site. Complete and <br /> return to the project's Health and Safety Officer. <br /> job Number <br /> Client Project <br /> Date <br /> I have read and understand the contents of the above indicated Health and Safety Plan <br /> and agree to perform my work in accordance with it. <br /> i <br /> ` signed <br /> I <br /> print name <br /> company/office <br /> I date <br />