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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: Manteca Equipment Rental, 616 S. Main St., Manteca, CA <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 GZA should any unsafe acts be witnessed by me <br /> while I am on this site. <br /> PRINT:NAMl✓ SIGNATURE - DATE <br /> Safety Plan approved by: <br /> lj�' 4111-�— <br /> John P. Lane, Safety Officer <br /> PAGE 12 <br />