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ATC Associates SrrE SAFETY PLAN <br /> SIGN-OFF PAGE <br /> I have read the Site Safety PIan and fully understand the hazards associated with the following <br /> job: Fire Station #2 <br /> I will comply with the minimum safety requirements set forth in the Site Safety Plan. I agree to <br /> notify the responsible employee of ATC should any unsafe acts be witnessed by me while I am <br /> on this site. <br /> PRINT NAME SIGNATURE DATE <br />• <br /> Safety Plan approved by: <br /> Jeanne Homsey,Project Manager Alex Flores, Site Safety Officer <br /> r ' <br /> PAGE 15 <br />