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Health and Safety Plan <br />June 7, 2018 <br />Page 2 <br />SITE SAFETY SIGNATURE SHEET <br />The following site personnel have read the Health and Safety Procedures attached and are familiar with its <br />provisions: <br />NAME (print) SIGNATURE DATE <br />Site Safety Officer <br />Other Site Personnel <br />Plan prepared by: <br />Plan reviewed by: <br />Plan reviewed by: <br />(Project Manager) <br />(Corporate Safety Manager) (date) <br />(date) <br />(date) <br />Vx, -4 <br />CONDOR <br />