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JUL-26-2007 00:04R FROM: 70:9536268 P.5 <br /> Safety Training Record RECEIVE® <br /> Date: JUL 2 5 2008 <br /> Type(s) of Tralning;Vlassroom Lecture [ ] Tabletop Exercise ( ] Hands On [ ] FleltOA0UIN COUNTY <br /> ft4iMERGENCY SERVICES <br /> Instructor(s) Name: W-41 LVPfdl <br /> Hours of Instruction: 1151ftlo < <br /> Summary of Training Topics Discussed: <ALLS SQS <br /> Record of Attendance: <br /> Name (Print or Type) Signature Date <br /> z o <br /> � oFf <br /> J <br /> c n - 7-f- <br /> 7- eel <br /> r-f7- zy <br /> -o <br /> f)-t2 ly 7-211 0 <br /> i 'I JKI�Cd �U <br /> r SR 4� 12— <br /> Attach additional records of attendonca as needed <br /> Accident prevention reduces human suffering, time and monetary losses, <br /> from a practical standpoint it is good business. <br /> Rev. 4/0/99 <br />