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Page <br />Facility Name: <br />Trainirvect:/-16:4-3,:."4.7,.%1, v 47 i'Llzt,:_kik;Q <br />et <br />Conducted By: ti_eniv, f;A <br />- iv/ ) e /1.1/f/ ( <br />l(ci c(111?,t, /ill )6/ <br />91,1olg f' <br />-L. <br />. Date: Er <br />I acknowl READ 'UDE FOLLOWING REFORE SIGNING <br />edge that I <br />a facilities and that, should I have any questions or concerns on such matters, I should address ,.10171 to m supervisw <br />a general overview olthe subject antrld, IN <br />contact m <br />Itifljtigob <br />s have received training on the subject listed above I understand that this trait trig was only <br />issues at y <br />ii upervisor with any questions or concerns that I have regarding it I also understand HI the facility al alone is responsible for rink/ma im 1 i <br /> <br />2 7-7/4 -7 <br />1 - <br /> <br />vSlitkij LAVN- qrf <br />Printed Name Job Description <br />Li:J/2, <br />Loa- --r-ccH <br /> <br />5 ! s te-Nie rt ef41 <br /> <br />c1.11, 6 ; <br />I <br />°AiLe_4.4-- ----- --- --"Tr- <br />-------- ^-1 rc 0 -fei ,241,_ _ 'its <br />2_ \'t It_i_j_t4 t..-,i V•ii- --.i.e'?-C. <br />10_,.f:- ,5_11.-144" 1 ".,//,4LiCC- J)ifeC-Crtii7-- <br />r -,, — i---- - Teda _._ <br />vkA_vuk LA. rc <br />4 <br />E l <br />4 <br />5 "re [AA 4 <br />Tt <br />10 <br />h. 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 />31 <br />32 <br />33 <br />34 <br />35