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UNIFIED WESTERN GROCERS (ETP01-0279) <br />Module:Classroom Training Roster <br />o. t _T/712006 <br />STARTClass Name: - Under -ground Storane Tank Attendant Trainina ?,4044 •: <br />END <br />Stockton, CA <br />L1VL� jL iaL _ CSS ' <br />Print instructor Name Instructor Si nature <br />/f 76 6 <br />Instructor Emp No. <br />By my signature, I am certifying that I have the authority to sign on behalf of the Contractor and that I have verified with the applicable trainee(s) supervisor(s) that <br />the absences from training noted above are excused. <br />Contractor's Signature for Absences <br />UNI26C <br />TRAINEE NAME <br />(Print Last, First) <br />IJK*YJqM <br />millylivil-.1=1 <br />EMPWYEET <br />I EXT <br />TRAINEE SIGNATUR (INK) <br />SUPERVISOR NAME <br />(Print Last, First) <br />A ' ✓ <br />ME <br />L1VL� jL iaL _ CSS ' <br />Print instructor Name Instructor Si nature <br />/f 76 6 <br />Instructor Emp No. <br />By my signature, I am certifying that I have the authority to sign on behalf of the Contractor and that I have verified with the applicable trainee(s) supervisor(s) that <br />the absences from training noted above are excused. <br />Contractor's Signature for Absences <br />UNI26C <br />