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�y <br /> TPE SITE SAFETY PLAN <br /> HEALTH AND SAFETY COMPLIANCE STATEMENT <br /> I have received and read a copy of the pro3ect Health and Safety <br /> Plan. I understand that I am required to have read the <br /> aforementioned document and have received proper training under <br /> the occupational Safety and Health Act (29 CFR, Part 1910. 120) <br /> prior to conducting site activities at the site. <br /> Signature Title Date <br /> Signature Title Date <br /> Signature Title Date <br /> Signature Title Date <br /> I <br /> I ' <br /> � I <br /> I I I <br /> II <br /> I I i <br /> 1 ¢ I <br /> I i I <br /> I r � <br /> f I 1 1 I i <br /> I <br /> I <br />