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ATC SITE SAFETY PLAN <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the following <br /> job: Diesel Performance <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I agree to <br /> notify the responsible employee of ATC should any unsafe acts be witnessed by me while I am <br /> on this site. <br /> PRTNT NAME4 SIGNATURE DATE <br /> Safety Plan approved by: <br /> Tom Lutterman,Site Safety Officer Jeanne Homsey,Project Manager <br /> PAGE 15 <br />