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SAN FRANCISCO FRENCH BREAD,STOCKTON, CA SECOR Project No. 50090-011-03 <br /> (ATTACHMENT S) <br /> SECOR <br /> HEALTH AND SAFETY PLAN ACKNOWLEDGMENT AND AGREEMENT FORM <br /> (All SECOR and subcontractor personnel must sign.) <br /> I acknowledge I have reviewed a copy of the Health and Safety Plan for this project,understand it,and agree to comply with <br /> all of its provisions. I also understand I could be prohibited by the Site Health and Safety Officer or other SECOR personnel <br /> from working on this project for not complying with any aspect of this Health and Safety Plan: <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> Name Signature Company Date <br /> H:\SFFB\STOCKTJNV NCOLNIHS <br />