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SAFETY COMPLIANCE AGREEMENT <br /> McCollum's Excavating LLC <br /> PROJECT No.: <br /> PROJECT TITLE: Nancy and Mason <br /> Mines <br /> PROJECT TASK: Puff the Nancy Mine and remove equipment Reseed the Nason <br /> Mine <br /> I Cindy McCollum (print name) have <br /> reviewed a copy of the Safety, Health and Emergency Action Plan (SHEAP) for the <br /> above referenced project. I have read the SHEAP and agree to comply with all the health <br /> and safety requirements contained therein. I understand that I may be prohibited from <br /> working on the project for violating any of the Plan requirements. <br /> SIGNATURE: DATE: <br /> NOTE: This form must be submitted to the Project Manager. <br /> BEC Mine Closure Project August 8, 2022 <br />