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, . . <br />�1 Safety Training Record <br />Date.: <br />1 <br />Type(s) of Training* lassroom Lecture [ J Tabletop Exercise [ J Hands On )<Field Exercise" <br />Instructor(s) Name: <br />Hours of Instruction: —`~ Zi(Jl,:r 3 -41 <br />Summary of Training Topics Discussed:. �+ O��i�� �vlaY�(� ��'y�lS O'�A <br />Ord <br />1 0 1i'M2,i , ' 3M W IWIMIMMUS WR <br />• <br />Name (Print or Type) <br />Signature <br />Date <br />`w S `-t' & g jA F�_ <br />' <br />t <br />CA-Sw Ste. <br />Mt v V Qd <br />M, <br />is <br />1' <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 />