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VANDER BEND Form 6.2.2,F-703 <br /> Training Log Revision:4 <br /> Procedure(s) <br /> Title Number Rev <br /> Vanderbend Stockton - Emergency CRS0002331 1 <br /> Response/Contingency Plan <br /> Good Documentation Practices 4.2.3,WI-03 4 <br /> Topic (If no document involved)- <br /> Type of Training: ® Classroom/Group training <br /> ❑ Self-read External Other: <br /> Training Notes: <br /> Language of training (if not English) Duration of training (optional): <br /> Sign below ONLY if you fully understood the training provided <br /> Firme abajo SOLAMENTE si entendiste completamente el entrenamiento <br /> Chi " ten dufdi d5y ne"u ban hieu viec huan lu en du`dc can ca <br /> Employee Name No ployee Signature Date <br /> RAMIREZ, JUAN 1116 �t> / q <br /> I- <br /> CICINELLI, KEN 3358 <br /> Vt <br /> Supervisor/Manager/Trainer to fill in (if training was a "CLASSROOM" type): <br /> All listed aboveoPassed ❑ Failed <br /> Training effectiveness check (select below): Q►f�,'� <br /> ( 31rainee/s provided correct answers to questions Passed a written test above score <br /> ❑ Trainee/s were observed performing the task correctly <br /> Trainer : Lewis Howell Signature: Date: <br />