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HEALTH AND SAFETY PLAN <br /> Lustre-Cal Nameplate Corp. <br /> Lodi, California <br /> PROJECT HEALTH AND SAFETY FIELD MEETING FORM <br /> Date: Time: Project No.: <br /> Project Name: <br /> Location: <br /> Meeting Conducted by: <br /> Topics Discussed: <br /> Physical Hazards: <br /> Chemical Hazards: <br /> State of California Safe Drinking Water and Toxic Enforcement Act of 1986(Proposition 65)information for <br /> the Site: <br /> (Applicable warning is checked) <br /> ❑ WARNING: This area contains a chemical known to the State of California to cause cancer. <br /> ❑ WARNING: This area contains a chemical known to the State of California to cause birth <br /> defects or other reproductive harm. <br /> Personal Protection: <br /> Decontamination: <br /> Special Site Considerations: <br /> Emergency Information: <br /> Hospital Location: <br /> Attendees <br /> Name/Company(printed) Signature <br /> Meeting Conducted by: <br /> Signature <br />