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Safety Training Record of Attendance <br /> Course Name: Date: it— Q _ I <br /> Facility Name: � ' � SS � Instructor' Name: <br /> My l �/ <br /> Facility Address: CERS ID: <br /> Type(s) of Training: _ Classroom Lecture —Tabletop Exercise _ Hands on <br /> Field Exercise G <br /> Summary of Training Topics Discussed: <br /> - E M.e rog gP lc y -C fRcm sse <br /> Hvw -tv &X. _QnyA p U S 1\I <br /> ' rnQ�r c V-.es cfisre rucedu f2S <br /> UvuC\;O+i pMUdur2s 1ILMVEIVED <br /> DEC 0 6 2018 <br /> EN4RMIT11ONMETAL HEALTH <br /> RVICES <br /> Name Position Signature <br /> DU" Ie <br /> v <br /> Attach additional records of attendance as needed <br /> REV 11/29/2018 San Joaquin County Environmental Health Department CUPA Programs <br />