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• HEALTH AND SAFETY PLAN REVIEW/TAILGATE SAFETY MEETING <br /> By signing below, I certify that I have reviewed the Site Specific Health and Safety Plan, and <br /> that I agree to abide by all requirements of the Plan, including all PPE requirements <br /> understand that if I have any questions I should discuss them with my Supervisor, or contact <br /> the Health and Safety Department I further understand that I have the "Right to Refuse" <br /> unsafe work, subject to the conditions of the company policy By signing below, I also hereby <br /> certify that I am free of drug and/or alcohol impairment, have attended the Tailgate Safety <br /> Meeting for this specific project, and in all ways prepared for work <br /> Print Name Sign Name Date <br /> Avalon Environmental Consultants 9627-001-2 <br /> Kashmar Singh Joes Truck Stop <br /> October 20, 1998 Lathrop, California <br /> r <br />