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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 k' ten dutdi d5y neu ban hieu viec huan lu en dutdc cung ca <br /> Employee Name Employee Signature Date <br /> GOMEZ, RAMON E 2151 <br /> MARTINEZ, ARMANDO 3363 <br /> .tq <br /> CORTEZ, JESSICA 3371 ca <br /> _ I <br /> GAPUZ, WILLIAM 3291 q.- 15_ �q <br /> ROMERO, CLAUDIA 3279 <br /> TORRES, CRYSTAL GUTIERREZ 3280l� S <br /> ALVARADO, MIGUEL 3413 laic) <br /> SERVIN, FRANCISCO 3089 <br /> J'. <br /> -1 <br /> Supervisor/Manager/Trainer to fill in (if training was a "CLASSROOM" type): <br /> All listed aboveTzrpassed ❑ Failed <br /> Training effectiveness check (select below): <br /> D'frainee/s provided correct answers to questions LPITassed a written test above N°& score <br /> ❑ Trainee/s were observed performing the task correctly. <br /> Trainer : Lewis Howell Signature: Date: <br />