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Form No. <br /> Training Record Form TRN-04F <br /> Training Course: Ammonia, System and RMP Overview Lesson Plan Rev.: 1 <br /> Qualified Trainer: Mardy Kazarian Training Date: October 06, 2022 <br /> Employee Name: Employee M Employee 5ignatureM Trainezl <br /> Initials <br /> l <br /> re n <br /> n NSiLk���•-L <br /> 0) A signature in this column indicates that the trainee acknowledges taking this course. <br /> ---M An initial in this column indicates that the Qualified Trainer acknowledges that the trainee has participated in the course and has <br /> passed the test. <br /> Rev. 0(January 13, 2015) <br /> Approved by: Allen ArmstL ng Page 1 of 1 <br />