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I(PA Emergency Response Employee Attendance Roster <br /> Facility Name: Gtr <br /> Training Subject: Emergency Response for Emergency Response and Action Plans <br /> READ Till".rOLLOW[NG[tEFORE SIGNING <br /> ac,ufm+dodga[hal I Iowa received Emergency Response Training nn the subject lis,ed above.During this training.I was made owara al guideline for responding to a lire <br /> or axplaa+an(including use of parlNble hand-held lire extinguishers).a rolease a}hazardous materials,natural disasters and facllily emergency sitaatlOns. I was informed <br /> Gil the lacitilios evacuatow assembly point. I also underslaixt that the facility alone Is responsible for environmental and safety issues at all Iacllities and that,should i have <br /> any quoslions or concerns on such matters,I should address them to my supervisor. <br /> Print_ed Name .lob Descri tion Si nature <br /> 5 Al OL t- <br /> Q <br /> Ifl -!r+eVCh 17 j2Vtr4 <br /> 13 <br /> 14 <br /> I s - CO �S - <br /> r` <br /> V <br /> 16 <br /> 19 <br /> 20 <br /> 21 JU - -- <br /> 22 <br /> 23 <br /> 24 _� r <br /> 25 <br /> 26 <br /> 27 <br /> 28 <br /> 29 <br /> 30 <br /> I caddy that I cdrnducled Emergency Rospons ning in accordance with Fedorat and Stale Requirements with the above listed employee. <br /> M�Gonant(Printediof signature Dale <br /> Page <br />