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/1,�Clayton <br /> GR6UP SEA VICES <br /> ATTACHMENT A <br /> SAFETY COMPLIANCE AGREEMENT FORM <br /> Site <br /> Project No.: <br /> 1 the undersigned, acknowledge that I have attended the safety meeting, and received a <br /> copy of this site-specific safety plan I have read and understood the safety plan, and do <br /> agree to adhere to the requirements specified by it I understand that I may be prohibited <br /> from continuing work on the project for failing to comply with this safety plan <br /> ' <br /> Signature g Company Date <br /> (Print name below) <br /> f <br /> 1 <br /> Meeting Conducted by. <br /> r <br /> 15L0SA_NW0M)ATANEr r\ProjT022631Heahh&Safety Plan doe <br />