Plan Acceptance Form

Summary of Activities

Activities to be performed at CSSA under this health and safety plan consist of site mapping, geophysical surveys, drilling, well installation, and sampling of soil, rock, and water at twenty-eight CSSA SWMUs. All work will be performed in level D or level C at the oxidation pond or other high priority SWMUs, as defined by this plan.

Acceptance

I have read the health and safety plan for the field activities listed above at Camp Stanley Storage Activity and agree to abide by the rules and guidelines contained therein.

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Original signatures will be filed in the Parsons Engineering Science contract file, 728487.01000. Copies will be retained by the Project Manager.