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i <br /> SUPER STORE INDUSTRIES <br /> SUPER STORE Environmental Health & Safety Department, Turlock & Lathrop <br /> I N n u a 7 n 1 E e <br /> TRAINING ROSTER <br /> DIRECTIONS:TRAINER COMPLETES TOP PORTION OF FORM. PARTICIPANTS PRINT AND ALSO SIGN THEIR NAME. RETURN COMPLETED FORM TO EHS DEPT. <br /> SUBJECT: 4?-- <br /> TRAINING METHOD: (circle) Audio PPT Video (Zer8V OJT Computer Other <br /> DAY/TIME: b ,2 _" 11 6s.36 LENGTH OF TRAINING: / ✓,� <br /> TRAINER NAME & SIGNATURE: <br /> PLEASE READ: My signature certifies that I attended this training and I understood the information presented. <br /> I know I can ask questions at any time to increase my understanding of the sub act. <br /> NAME (please PRINT) lJOB TITLE DEPARTMENT IGNATUR <br /> Z1 cd JAM ;,T FCJPZx4LI Ffi l=2cEz� <br /> 4' 4 O �' vaq e ; <br /> Q L t1q q <br /> SSI Training Roster 05292019 kw v2 PAGE 1 <br />