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ARCHIVED REPORTS XR0004323
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3500 - Local Oversight Program
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PR0544686
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ARCHIVED REPORTS XR0004323
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Last modified
7/23/2019 11:47:02 AM
Creation date
7/23/2019 11:34:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004323
RECORD_ID
PR0544686
PE
3528
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
02
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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TRAINEE/OBSERVER AGREEMENT FORM <br /> Flour Daniel GTI is committed to providing a safe working environment for all employees In addition, Flour <br />' Daniel GTI will comply with CAUOSHA requirements for employee safety training prior to working on any <br /> hazardous site <br /> The following section is to be tilled out by trainee <br /> Agreement between <br /> and Flour Daniel GTI <br /> Name (pnnt/type) SS# <br /> Because we have your safety in mind,you will be considered a trainee until all training criteria are met This <br /> ' means you must complete all training requirements prior to performing work activities on-site As a <br /> requirement of the training program, you will be asked to visit Flour Daniel GTI sites as an observer You <br /> must be supervised on all of these site visits <br /> ' As an on-site observer trainee,your signature below indicates your agreement to these restrictions <br /> ' You may not <br /> 1 Perform work functions of any type <br /> 2 Handle any equipmentttools and/or supplies of any type <br /> 3 Enter any hazardous or HZ areas <br /> I agree to adhere to the above conditions in all instances while on-site as a trainee/observer <br /> tSignature Date <br /> ' This section is to be filled out by supervisor <br /> As supervisor to the above trainee, 1 agree to the above restrictions and agree not to request him/her to <br /> perform activities contrary to those restrictions <br /> ' Signature Date <br /> FLUOR DANIEL GTI Q5 <br />
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