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-a- VANDERBEND Form 6.2.2,E-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 du'6ri d6y neu ban hieu viec huan lu en durdc cung ca <br /> Employee Name Employee Signature Date <br /> GUTIERREZ, JOSUE 2617 5�lq <br /> GUTIERREZ, DAVID 3099 <br /> GUTIERREZ, FERNANDO 3136 <br /> JACOBO, ARMANDO 3227 <br /> MALDONADO-VALENCIA, FRED 3400 <br /> MARTINEZ, BENJAMIN 3414 o I l Cf <br /> -DA (-I-oo4 QuJtirl /'rA 9ga3 � /5 r <br /> W 1511 Cf <br /> Supervisor/Manager[Trainer to fill in (if training was a "CLASSROOM" type): <br /> All listed above [�assed ❑ Failed <br /> Training effectiveness check (select below): <br /> Trainee/s provided correct answers to questions loPassed a written test above v score <br /> ❑ Trainee/s were observed performing the task correctly <br /> Trainer : Lewis Howell Signature: Date: 5AA <br />