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Airgas <br /> an Air Uquide company TRAINING PARTICIPATION RECORD <br /> Place of Training: <br /> Location: Stockton LCO2 Training Performed By: Ryan McGinnes <br /> Department: LCO2 M'1 1 c-E Company(if not Airgas): <br /> Type of Training: <br /> Classroom/ evacuation drill <br /> Key Training Requirements/Topics Covered: <br /> Ammonia Awareness/ HMBP Awareness /SDS/ Environmental Awareness <br /> Participants: <br /> ID# Name (Printed) Signature Date Passed <br /> (Y/N)/Test <br /> Score <br /> 1 L 1 ZC)6 Devon Schauer -Zz-tq ,f(A <br /> 130IToy Jerry Warren 04 <br /> / (.i Zl-Z Joseph Dolihite _ i-zziS 1IfA <br /> I59 ` b David Orona <br /> 161 S y1 <br /> Jason Avalos fJ IV, <br /> ll o I b Adan Araya Z / A <br /> 161133 Courtney Belcher 77 -1-z1�tc 044 <br /> ISq 657 lose Mancilla V114 <br /> 6io�,s 1 <br /> Ricky Ballmes Z N/A <br /> r61Y6� <br /> Tommy Xiong 7-zzi5 tJ <br /> '�Ma�M ` �i�Nes Q�ar`� Mara�u✓ � — -7-Z-L-> <br /> Perso Verifying Training (Name/Title Signatu Date <br /> 3030 Navy Drive Stockton 95206 <br /> Company Address (non-Airgas) Street City Zip Code <br /> _ Check here if page <br /> 2 is not required <br /> Controlled Procedure DPC 3.11F-4 <br /> Revision: 1 <br /> Page 1 of 2 <br /> 7/1/2017 <br />