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Operations Manual

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A4 Signature form<br />

Form : “Operating instructions have been read and understood”<br />

I hereby declare that I have received instructions about the Diesel Hammer prior to starting work.<br />

I have read and understood the operating instructions, particularly the safety instructions.<br />

Date Print Name Company Job Location Signature<br />

When any questions arise concerning instructions or safety related matters please call the<br />

appropriate manufacture for assistance.<br />

111 Berry Road<br />

Houston, TX 77002<br />

Tel. (713) 691-3000<br />

Fax (713) 691-0089<br />

E-mail: info@bauerpileco.com<br />

www.bauerpileco.com<br />

<strong>Operations</strong> <strong>Manual</strong> December 2012<br />

97

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