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C <br /> t <br /> WOODWARD-CLYDE HEALTH AND SAFETY PLAN <br /> L COMPLIANCE AGREEMENT FORM <br /> rr PROJECT: FEMA Petroleum Storage Tank. Removal, Replacement,. and Site <br /> L �! <br /> Assessments <br /> CLIENT: Federal Emergency Management Agency <br /> LOCATION: <br /> 'f <br /> 'I <br /> PROJECT NO.: 8054 <br /> L, I, (printed name) have received a <br /> i� <br /> copy of the Health and Safety Plan for the above-referenced project. I understand the <br /> contents of the plan and agree to comply with all its provisions. I understand that I can be <br /> prohibited from working on the project for violating any of the safety requirements specified <br /> in the plan. <br /> l.� <br /> Signed: <br /> ,y <br /> I <br /> Signature Date <br /> L <br /> i <br /> Company <br /> i <br /> i <br /> 8050 zAhca1th%8054\s�o <br />