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Safety Training Record <br /> Date:—"1 <br /> Types) of Training:( ] Classroom Lecture [ ] Tabletop Exercise <br /> [ ] Hands On [ ] Field Exercise <br /> ►nstructor(s) Name: 1/Ak�1b y Q yuQ <br /> Hours of Instruction: <br /> r. <br /> Summary of Training Topics Discussed: Cn <br /> � _ 1 // 1NAe � <br /> D <br /> > La <br /> jj �/�•t t if— <br /> L lila i.. /? hn7 � , T1 � (•�� <br /> 1 rc <br /> Record of Attendance: <br /> Name (print or Type) Signature <br /> Date <br /> c e a t( �0 1_S <br /> i n ( l 12,5 <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. 416/99 <br />