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SUBCONTRACTOR PLAN ACCEPTANCE FORM <br /> The following subcontractors have been hued to perform work during this operation All <br /> employees of subcontractors hued to perform work with the potential for exposure to <br /> hazardous waste shall meet the requirements of 29 CFR 1910.120. <br /> Name* West Hazmat, Dnlling Company Tel No: (916) 638-7276 <br /> Address- 3233 Fitzgerald, Ranc-ho-Corodova—California 95742 <br /> Authorized Representative:Veraha m <br /> Services Provided: Drilling d Well InsWIation <br /> Contract No. P.Q. No. Date: <br /> Name: Tel No. <br /> Address- <br /> Authorized Representative: <br /> Services Provided: <br /> Contract No Date: <br /> For Subcontractor: COM is informing the subcontractor on this project of the known <br /> potential for encountering hazardous materials during this field investigation. The <br /> subcontractor will indemnify and hold harmless from and against all loss, damage and <br />• expense arising out of the work to be performed by the subcontractor at the site where <br /> hazardous materials may be expected. <br />