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Mitch (209) 369-2197 p. 2 <br /> RECEIVED <br /> Safety Training Record APR 1 <br /> -7 � 2007 <br /> Date: I= i LEI otfi10E0FEMERUjE L'uurv)r <br /> Type(s) of Training:[ j Classroom Lecture Tabletop Exercise �U YSEgyI(:E <br /> [ j p [ j Hands On [ ) Field Exercise <br /> Instructor(s) Name: nod mlhAI AGIVYISPyl - uh K-� <br /> Hours of Instruction: L 1 <br /> Summary of Training Topics Discussed:. i�/aouaI pill <br /> Yl '{1CI�1 k 1� G ✓eo CAYIJ <br /> rrt��r� C I-('Lo <br /> Record of Attendance: <br /> Name (Print or Type) Signature Date <br /> T0r1 -t {arr15,� l1 C <br /> 7k /7`L'21VL�'/✓C� <br /> Attach additional records of attendance as needed <br /> Accident prevention reduces human suffering, time and monetary tosses, <br /> from a practical standpoint it Is good business. <br /> Rev. 4/6199 <br />