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A CAssoc SITS SA TY PL" <br /> SIGN-OFF PAGE <br /> I have read the Site Saftl ►Pita and My understand the hazards associated with the Wowing <br /> job: City of StocMon F-We Station No.3 <br /> I will comply with the ininimm ety n-q--u +i menb,set'forch in the Site Safety nin. I agme to <br /> notify the responsible employee tATC should any unfit sets bb vitu sed by me while I am <br /> on this site. <br /> r <br /> ..:i_.:'Ji' r r:.�.. .,.:.. vv:^i;?::}.:it::i::^�:.:?i:tii: '• •�•^',;:•'+��,+'�''+,'.�."� <br /> Safety Plan approved by. <br /> Jeanne Homxey,Project Mana W Tom Lutterena n,Site Safety Offixer <br /> PAGE 15 <br />