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M and M Automotive %"e 1%001 November 1994 <br /> Site Specific Safety Plan Soil Boring/Sampling <br /> WES Project No. 4070-T Well Installation <br /> SIGN OFF PAGE <br /> I have read the Project Safety Plan and fully understand the hazards associated with the soil <br /> boring,sampling and well installation activities at the M and M Automotive project. <br /> I will comply with the minimum safety requirements set forth in the Project Safety Plan. I <br /> agree to notify the responsible employee of WES should any unsafe acts be witnessed by me <br /> while I am on this site. <br /> Print Name Signature Date <br />