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Ground Zero Analysis, Inc. <br /> SITE SAFETY PLAN <br /> SIGN-OFF PAGE <br /> I have read the Site Safety Plan and fully understand the hazards associated with the <br /> following job: Ta lored Tours 330 Kettleman Lane Lodi tA. <br /> I will comply with the minimum safety requirements set fo th in the Site Safety Plan. I agree <br /> to notify the responsible employee of GZA should any unsafe acts be witnessed by me while I <br /> am on this site. <br /> PRINT NAME S1GNAT"UI2E DATE <br /> q <br /> i <br /> Safety Plan approved by: <br /> John P. Lane, Corporate Safety Officer <br /> PAGE 12 <br />