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♦ F <br /> I <br /> �t1 <br /> r J: <br /> Lill <br /> GROUNDWATER 'r <br /> SIGN � ®FF SHEETS <br /> ❑ TECHNOLOGY, INC. <br /> W. <br /> This Is to certify That I have road,fully understand and agree to comply fully with the attached Health and Safely flan furnished to me by <br /> Groundwater Technology,trtc.for the above project. <br /> NAME .y <br /> SIGNATURE COMPANY DATE <br /> �5A <br /> d•',i <br /> �t <br /> .d <br /> y <br />