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(M <br /> Attachment 3 <br /> SUBCONTRACTOR TRAINING AND MEDICAL SURVEILLANCE RECORD <br /> Subcontractor <br /> Address <br /> Employees Assigned to Protect <br /> t <br /> I certify the above employees assigned to this project have received training and medical surveillance <br /> according to the Health and Safety Plan and the Occupational Safety and Health Administration Standard <br /> on Hazardous Waste Operations and Emergency Response(29 CFR 1910 120) <br /> Name(prmted) <br /> *Signature <br /> Title <br /> Date <br /> . *Subcontractor Field Supervisor or Manager only <br /> SECOR Internatconul Incorporated 19 HASP-geoprob, <br />