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i; <br /> tWOODWARD-CLYDE HEALTH AND SAFETY PLAN 1 COMPLIANCE AGREEMENT FORM I <br /> I <br /> PROJECT: FEMA Petroleum Storage Tank Removal, Replacement, and Site liil <br /> Assessments <br /> - i <br /> CLIENT: Federal Emergency Management Agency E <br /> LOCATION: 5451 East Harding Way, Stockton, California <br /> k <br /> i <br /> PROJECT NO.: 8054 <br /> If <br /> I, (printed name) , have received a copy of I� <br /> the Health and Safety Plan for the above-referenced project. I understand ttie contents of the <br /> plan and agree to comply with all its provisions. I understand that I can bd prohibited from ! I <br /> working on the project for violating any of the safety requirements specified in the plan. <br /> L Signed: <br /> r <br /> rr <br /> L•f <br /> Signature Date <br /> Company <br /> 80s0z.%eaM%B05a"hv-.ppen&h a D-5 <br /> �; s <br />