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HEALTH AND SAFETY PLAN APPROVAL/SIGNOFF FORM-FORM 23 <br /> Site Name: TDD#: <br /> Stockton—S Airport Way-2135-Phase I/II TBA 0006/1302-T6-R9-18-01-0002 <br /> I understand,agree to,and will conform to the information described in this HASP(and attachments)and discussed in <br /> the personnel health and safety briefing(s). <br /> Name Signature Date <br />