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" Safety Training Record <br /> RECEIVE® <br /> Date: 1, <br /> Type(s) of Training:( ; Classroom Lecture [ I Tehlet//op Exercise ] Hands Or ( j Field Exermo 1 1 ZOOS <br /> Instructor(s) Name: Y y s L4= �«`l' ?' ' SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> Hours of Instruction: ?'oo in 9'y5 Alm <br /> Summary of Training Topics Discussed: !e44�et �i'E' / <br /> oorj 1,11 t?irL� <br /> J/ii1 f ✓ter - -�+TCzs3 0' /h� D 2/ayv .t7 n: 3 <br /> t+PYI]- <br /> y / <br /> Record of Attendance: <br /> 'I Name (Print or Type) Signature Date <br /> i <br /> i <br /> j <br /> i <br /> I <br /> I i <br /> I <br /> i <br /> i I <br /> i <br /> I <br /> �I <br /> Attach accittomi records or attendance as neeeec <br /> Accident prevention ;educes human suffering, Yme and monetary tosses, <br /> from a practical standpoint it is good business. <br /> Rev. 316/99 <br />