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DCM CONSTRUCTION & SERVICES, INC. <br /> HASP ACKNOWLEDGEMENT <br /> Project Location Project Number <br /> Marigold Shell <br /> Phase 1 OPW-EVR 6131 Pacific Ave. Stockton,Ca 8124 <br /> Installation <br /> Project Manager: Jeff Deakin <br /> Supervisor/Foreman: Pat O'Mara <br /> I acknowledge that I understand the requirements of the HASP, and agree to abide by the procedures and <br /> limitations specified. I also acknowledge that I have been given an opportunity to have my questions concerning <br /> the HASP and its requirements answered prior to performing field activities. Health and safety training, and <br /> medical surveillance requirements applicable to my field activities at this site are current and will not expire during on-site activities. <br /> SIGNATURE NAME DATE <br /> I have provided subcontractors who will be performing field activities on this site with a copy of this HASP. I <br /> have also informed the subcontractors that OSHA ' 29 CFR 1910.120 applies to their site field activities. <br /> Project Manager Signature Date <br />