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RESNA <br /> SITE SAFETY PLAN <br /> SIGN-OFF PAGE <br /> Ihave read the Site Safety Plan and fully understand the hazards associated with the <br /> ' following job: EKHOLM PROPERTY, 1702 JACKSON STREET, ESCALON <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I <br /> agree to notify the responsible employee of RESNA should any unsafe acts be witnessed by <br /> me while I am on this site. <br /> PRINT NAME SIGNATURE DATE <br /> Safety Plan approved by: <br /> 1 <br /> Branch Safety Officer Project Manager <br /> PAGE 13 <br />