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XPO Training Verification Form <br /> This form is intended to record personnel that require new/updated training on the listed document(s)and as verification training is complete. <br /> Employee(s): Upon completion,enter your initials and date trained. If additional assistance is needed,please notify your supervisor. <br /> Document Name: PR050218: Chemical Management—Spill Notification Training <br /> Rev. Number: RVO1 <br /> Department: Safety <br /> Repository Location: SharePoint <br /> Employee , Employee Employee <br /> Printed Name ID# Shift Initials I Trained Date <br /> I r 00(o I // -7- <br /> Lu? 1411 - i <br /> �f d 3 Q 2 zJ <br /> Thr' w1� A M) Y/"/// <br /> 100 t.83 Z./- CA <br /> s kRo 6,rfS c 2 /I- Z- zo <br /> j STJL <br /> 0 27Y 2v <br /> rid C <br /> I fL l <br /> 0 kA <br /> r <br /> I certify that the personnel listed above ceived t tr ' g as indicated on this form. <br /> Trainer/Supervisor Name: Date: <br /> The official record of training and retention of this document are addressed on the program record retention matrix. <br /> NOTE:Training verification may be distributed and received complete via email,in lieu of a signature or initials and date at the <br /> discretion of facility management.In such cases,it is not necessary to print this form. <br /> FORM1601A-Training Verification Form(By Item)Rev06 Printed 7/2/2020 5:00 AM <br />