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Ground Zero Analysis, Inc. <br />HEALTH AND SAFETY PLAN <br />SIGN-OFF PAGE <br />I have read the Health and Safety Plan and fully understand the hazards associated with the <br />following job: JM Equipment #507.2 <br />I will comply with the minimum safety requirements set forth in the Health and Safety Plan. <br />I agree to notify the responsible employee of GZA should any unsafe acts be witnessed by me <br />while I am on this site. <br />PAGE 11