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I hereby certify that I have read and understand the safety andshealth guidelines contained in the <br /> Health and Safety Plan for: <br /> 1 � <br /> Project Name: <br /> Job No: <br /> Employee Name: <br /> Signature: <br /> r i � <br /> Date: ! <br /> In case of emergency, please contact: <br /> 'i <br /> (Name) <br /> i <br /> j <br /> k <br /> (Number) <br /> C <br /> C <br /> ' k <br /> 1 <br /> 1 f <br /> I <br /> +9 <br /> 1 <br /> wcDP-N:1ConsnllingldalalSMre"mjecfstPf1778407.aa.dac B-1 <br /> 1 r 1217100 <br /> i L <br /> a <br />