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Nic,a, �o WC - <br />EMPLOYEE ACKNOWLEDGMENT FORM <br />I have received my refresher training and read my copy of the Injury and Illness <br />Prevention program for the Lodi News -Sentinel which included: Fire Prevention, <br />evacuation, emergency assistance for medical & fire, hazard communications, and <br />proper communications with employees. <br />TA�-' C R 'L <br />Lodi News -Sentinel IPP <br />Revised 3/27/17 <br />(0 1 I --s- l <br />Date <br />