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01/01/2005 00:07 12094737016 JACKINTHEBOX486 PAGE 03 <br /> r <br /> Safety Training Record <br /> bate: Un[ p2) <br /> Type(a) of Tralning:1 I Classroom Lecture ( ] Tabletop Exercise I I Banda On ( ] Field Exerclae <br /> Instructor(a) Name: <br /> Hours of Instruction: <br /> Summary of Training Topics Discussed: SG S 5 iwc/e i-d Alrn�,�rij..f s' tC ZL'r�/ u z rwG lciu, �Y <br /> rz C�'" 7IG'SIC JJ <br /> tie. ,, .✓(i,�.j <br /> Ft4word of Attendance. <br /> Name (Print or Type) Signature bate <br /> �4 <br /> Q .f <br /> ' 7 30 - 21 <br /> Attach addit cul reaorde of ettsndnnoe u needed <br /> Accident prevention reduces human suffering, f/me and monetary losses, <br /> from a prooNcal standpoint K is good business. <br /> Rev. 4/6/99 <br />