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VALLEY DRILLING <br /> SAFETY TRAINING RECORD <br /> December 1 , 2014 <br /> In Office Training <br /> This form documents that training topics below were presented <br /> to the listed participants. By signing below, each participant <br /> acknowledges receiving this training. <br /> Topics discussed: Evacuation procedures, evacuation location, <br /> how to alert all employees of evacuation. Locations of <br /> evacuation maps, fire extinguishers, first aid kits and spill kits <br /> Trainer: M� tblr I-`- Trainers Signature:z-���`4I� <br /> Participants: <br /> Name: �I i k r HAw',t f 1-1? Signature 4 i-' tiiDate ) <br /> Name: Signature _ Date <br /> Name:("one//vrn a✓ sb Signature L Valu qac Date + <br /> Name:1�f`LY� /✓9r Y� Signature' R Date !-- <br /> Name: Date—LILLLLf- <br /> I � o <br /> Name: i Signature <br /> Name: Signature Date <br /> RECEIVED <br /> DEC 112014 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />