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Date: 67lo(,( IT Safety Training Record <br /> Type(s) of Training:[ j Classroom Lecture [ ] Tabletop Exercise Hands On [ j Field Exercise <br /> Instructor(s) Name: _ t��l(ntMvV Gf SU1 Cki �2 U � S (� L t{9,llkIC/D 12 <br /> Hours of Instruction: <br /> 2 <br /> Summary of Training Topics Discussed: 5'�Et Jae �'( Gtec�►-�lw� ;'z. 4tw <br /> frc c luc r r Kz+ n^i k�� D. /-�'✓t S rSva i�e� i,�;f i•� 5fi -4 k?cy ez'�-s "'f <br /> 1 yl "c.t . �CU kSr_T_��S , 6►LS ✓ul1 <br /> c�[ Qvc�tiaa�.cv� aizt , d" fi d Ylc� l en'te►� e�S�he <br /> �' ��vn��,�,ice.S Yya-t tn,���•.v� t�w�e d� w�t� I(� '✓-c �rti ���� f_v�Qt�v�-r``l� <br /> 0 <br /> Record of Attendance: <br /> Name (Print or Type) Signature Date <br /> UIzCil� N'�s;� �{l�~ �✓A MA- <br /> f <br /> RECEIV <br /> DEC 2 0 2018 <br /> "nUNMEWAL HWrH Attach additional records of attendance as needed <br /> PERMIPSERVI�ES <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 /> e <br /> 1 <br />