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r i <br />f'6 <br />5 <br />8 <br />—9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />21 <br />22 <br />23 <br />24 <br />25 <br />26 <br />27 <br />28 <br />29 <br />30 <br />tartt (Printed <br />Ail MEW <br />Signature 01-114- Date <br />(D) )3)2tAr <br />lam Emergency Response Employee Attendance Roster <br />Facility Name: fsiiec C &v1Prem/6 tor- t),(\ d <br /> <br />Training Subject: Emergency Response for Emergency Response and Action Plans <br />READ TIIE FOLLOWING BEFORE SIGNING <br />1 acknowledge that I have received Emergency Response Training on the subject listed above. During this training, I was made aware of guideline for responding to a fire <br />or explosion (including use of portable hand-held fire extinguishers). a release of hazardous materials, natural disasters and facility emergency situations. I was informed <br />of the facilities evacuation assembly point. I also understand that the facility alone is responsible for environmental and safety issues at all facilities and that, should l have <br />any questions or concerns on such matters, I should address them to my supervisor. <br />Signature <br />ek_ 5 V.,,ko 0A-- <br />‘v ol 114 , ,e_c_14 <br />P---6-• vvwd\k...\1`..r— 1---e_.---, <br />'7,P -of ...or ........ , <br />5'97/44Ce- P • _..: ...! <br />Omekr -5- cck2--t i -tee( kl — — <br />4 4 ev- se ev ig... m.4014,3c-te- <br />Q* 6v , -re c i el 4. <br />Li.tWAI a i -Z .afff 1-E,fil <br />M; Ke C.-krcS6ert -Tech %, .1, 41/ <br />si-e ve o YL;Ni,e, vqi 'Te Gil , <br />trigi 5 c 07-7 're& <br />1-06,7 <br />IIIII <br />C -r-E- 1.1c 4 <br />i & ,r , ,410),---• <br />Gui•- <br />-e-,f-lx-eit ext. v-z2,, -reck a . , ,,, <br />V LE p.9 V.v Er-A . "AL& , k <br />1..:Ag b C. vt " IF/ <br />- 114041 Tr- <br />, <br />I c,ertity that I conducted Emergency Response_ ining in accordance with Federal and State Requirements with the above listed employee. <br />Printed Name Job Description <br />Page 1