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y <br /> .. Pombo Property <br /> Soil&Groundwater Sampling <br /> ' Health and Safety P an <br /> Acceptance Sheet <br /> This form is to be completed by each person to work on the subject s te. Complete and return to the project's Health <br /> and Safety Officer. <br /> Job Number <br /> Client Project <br /> Date <br /> I have read and understand the contents of the above indicated Healtl i and Safety Plan and agree to perform my work in <br /> accordance with it. <br /> Signed <br /> Print Nai ne <br /> Compare /Office <br /> Date <br /> 13 <br /> i <br />