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ATTACHMENT 1 <br /> HEALTH &SAFETY APPROVAL FORM <br /> WORK ASSIGNMENT. GROUNDWATER MONITORING WELL INSTALLATION <br /> U-HAUL FACILITY#709-50 <br /> 2701 North Wilson Way <br /> .Stockton, California <br /> L+� <br /> I have read, understand, and agreed with the information set forth in this Health and Safety Plan and will follow the <br /> direction of the Site Health&Safety Officer(SHSO) <br /> Field Team Member NameSi tore _Company Date <br /> \J <br /> S'tv L"e L✓a-&4 7�1. <br /> _euL_, <br /> Approvals '" � ;71-, <br /> Site Health &Safety Officer(SHSO.) Co--ml2an Date <br /> - . e—, /—*e� <br /> ( h/O� <br /> Field Team Leader <br /> Health &Safety Program Coordinator <br /> I <br />