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0 Safety Training Recoro RECEIVED <br />Date: f /O �j MAY 13 2005 <br />Type(s) of Training: IX] Classroom Lecture [ ] Tabletop Exercise [ ] Hands On r,p¢® ERVICes <br />Instructor(s) Name: /� <br />Hours of Instruction: <br />Summary of Training Topics Discussed: fvDror��a/.✓ ��o/c��/v eJ <br />Record of Attendance: <br />Name (Print or Type) <br />Signature <br />Date <br />DLL � UN-5kE) A5 <br />1)rW <br />AILX MACIAS <br />�DTy(D s Pos <br />t 011 <br />ioLCD <br />Tole�a <br />Drir�/ <br />%l .i sEo G. Qutnr i E�(� <br />Q 5 /4L"D AJ <br />�'.ZK S, POOL <br />G�1,nitpn Ak Z)9 -,S <br />ci ja ` <br />G 40C -C to 9 O*S7r cc a <br />L RC b riff <br />r)J <br />Attach additional records of attendance as needed <br />Accident prevention reduces human suffering, time and monetary losses, <br />from a practical standpoint it is good business. <br />Rev. 4/6/99 <br />