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r <br /> ME <br /> ,W— MI <br /> a <br /> 1.72 /HIL i a COMUU)MHGRWOM l ORM <br /> Site:Project No.: <br /> I the undetsigned, acknowledge that I have aitende.d the; safety m efing, and <br /> received a copy of the site sv.ety plan. (have read and understood this safely plan, <br /> and do agree to asserfively adhere to the specifications within.l understand that t may <br /> be prohibited tom continuing work on the project for failing to comply with this safety <br /> plan. <br /> Signature/(Names Printed) Company Date <br /> 4 } <br /> { } <br /> c ) <br /> Meeting Conducted By: <br /> Signature <br />