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Safety Training Record z <br /> Date:. 0D- 05 RECEIVED <br /> Type(s) of Training:PqClass^room Lecture ( I Tabletop Exercise [ ] Hands On [q�e14"90� <br /> Instructor(s) Name: A61- Y i P4 A/to i.c, 8AN innoinN Cnt JTY <br /> OFFICE OF EMERGENCY SERVICES <br /> Hours of Instruction: o'T. hpvt--'s <br /> Summary of TrainingTopicsDiscussed: j�1L�JL 4XLJ o �/n a ,z� W�, <br /> l_ubQ�pLT t"I C6L4o a1- r4-AIQC 4nw <br /> (� t Ire Q7Ctil��utSS —WRay�fd �1xn +,CAa d <br /> A cT )4j' <br /> Record of Attendance: <br /> Mame (Print or <br /> Type) Signature Date <br /> Gf <br /> l7 �6 <br /> E�t►1m(a-l>ulr S€ rc vi c� �.�i` ��/��S�C-.ml✓/ , — — <br /> K�c.[C_ ✓'VL <br /> JVI tt h / rvJY C' K ri <br /> Attach additional recores of attendance as reeded <br /> Accident prevention reduces human suffering, time and monetary losses, <br /> from a practical standpoint it is good business. <br /> Rev. 416/99 <br /> Id ZZLb£9t,60Z nedaa olny suenr <br />