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! lii <br /> 4 <br /> L' WOODWARD-CLYDE HEALTH AND SAFETY PLAN <br /> u COMPLIANCE AGREEMENT FORM <br /> 1 ii i <br /> PROJECT: FEMA Petroleum Storage Tank Removal, Replacement, and Site I{ <br /> r Assessments E <br /> CLIENT: Federal Emergency Management Agency <br /> J <br /> LOCATION: 5451 East Harding Way, Stockton, California <br /> PROJECT NO.: M4 <br /> I, (printed name) , have received a copy of <br /> the''Health and Safety Plan for the above-referenced project. I understand th,e contents of the <br /> plan and agree to comply;'with all its provisions. I understand that I can be;prohibited from <br /> working on the project fo`r violating any of the safety requirements specified in the plan. <br /> C <br /> I� <br /> Signed: <br />� 11 II <br /> L Signature Date <br /> 1 <br /> Company <br /> 1 <br /> 805ft: 18054\sahsp .ppendh d D-5 <br /> l� k <br />