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E <br /> WOODWARD-CLYDE HEALTH AND SAFETY PLAN <br /> COMPLIANCE AGREEMENT FORM <br /> PROJECT: FEMA Petroleum Storage Tank Removal, Replacement, and Site <br /> Assessments <br /> s <br /> CLIENT: Federal Emergency Management Agency k <br /> i d <br /> LOCATION: 5451 East Harding Way, Stockton, California E <br /> PROJECT NO.: 8054 <br /> 1 <br /> I <br /> I, (printed name) , have received a copy of 1� <br /> the Health and Safety Plan for the above-referenced project. I understand the contents of the < <br /> ii I i <br /> r 1 <br /> L' an and agree to com 1 ,!with all its provisions. I <br /> � t r Y. r understand that I can be'prohibited from I <br /> working on the project for violating any of the safety requirements specified in the plan. <br /> tSigned: ' <br /> Lr i <br /> Signature Date <br /> 1 <br /> Company <br /> I <br /> r� 1 <br /> L " <br /> 8050z:%edth%054Ntah}p-appendh d D-5 <br /> I <br />