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Airgas. <br /> an Air Liquide company TRAINING PARTICIPATION RECORD <br /> Place of Training: <br /> Location: Stockton LCO2 Training Performed By: Ryan McGinnes <br /> Department: LCO2 AQ-'1 LE Company(if not Airgas): <br /> TVl3e of Training: <br /> Classroom/ evacuation drill <br /> Key Training Requirements/Topics Covered: <br /> Ammonia Awareness / HMBP Awareness/ SDS / Environmental Awareness <br /> Participants: <br /> lD # Name (Printed) Signature Date Passed <br /> (Y/N)/Test <br /> Score <br /> 1 b 1 ZD6 Devon Schauer -Z2,tq 'J(A <br /> 13oYoq Jerry Warren -Zit9 IJM <br /> 6izn Joseph Dolihite i.ZLiS ifs <br /> IS9 <br /> David Orona <br /> Jason Avalos <br /> Adan Araya <br /> /6133 Courtney Belcher <br /> ISq 657 Jose Mancilla V/14 <br /> 6101os1 Ricky Ballmes Z <br /> /f)61y61 <br /> Tommy Xiong 1-zz-IS I✓/�- <br /> YMdy\ IVIgES ZdVA MAnakt✓ -7- Z-7-- <br /> Person 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 3.1F4 <br /> Revision: 1 <br /> Page 1 of 2 <br /> 7/1/2017 <br />