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Safety Training Record <br /> Date: P 2/f -Z <br /> Type(s) of Training:( ] Classroom Lecture ( ) Tabletop Exercise rj Hands On Field Exercise <br /> Instructor(s) Name: ��hctwtnu<<�I '��A� ► l�� ��S �✓y� �l�/�l/��`�����Ltq <br /> Hours of Instruction: �- <br /> r Summary of Training Topics Discussed: Sc;cC engi.14fVv; L-{ <br /> � t rec-�'cts �v �rw2�cVc( rtiu�1�►►��5 inc�vcl'-� �•�t(' nod Liwii-,ed tsc d►� ' t►' �1 <br /> +�Yc�\c 2 5. �vty�hn C fi O✓\ L,eca1cS i s�'I `I LvL c eCt11L V 'e1K L wka4 0 <br /> Record of Attendance: _ <br /> Name (Print or Type) Signature Date <br /> n MIS <br /> D Attach additional records of attendance as needed <br /> a MIRONMENTAt HEALTH <br /> PERMITISERMESccident prevention reduces human suffering, time and monetary losses, <br /> from a practical standpoint it is good business. <br /> Rev. 4/6/99 <br /> I I <br />