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Site Health and Safety Plan <br />Petroleum Related UST Removal <br />By signing below, I certify that I have reviewed this Site Health and Safety Plan, and that I agree to abide by all <br />requirements of the Plan, including all PPE requirements. I understand that if I have any questions, that 1 should discuss <br />them with my supervisor, or AES management staff. I further understand that I have a "Right to Refuse" unsafe work, <br />subject to the conditions of Company Policy. By signing below. I also hereby certify that I am free of drug and / or alcohol <br />impairment, and in all ways prepared for work." <br />NAME (Print) SIGNATURE S. S. DATE <br />B <br />