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Training Record Form Form No. <br /> TRN-04F <br /> Trainin Course: <br /> 9 �/11��rc ✓l L., �S _��± s-� DC Lesson Plan Rev.: <br /> Qualified Trainer: (��.�� L� C ��.�}�5 �-�e Training Date: i Z <br /> I <br /> Employee Name: Entpir e : Employee Signature(') Trainers <br /> Initials <br /> �� i�►`1����_- I���� L�.�v [�.uSa�N;�L-�' !!'��'er :�L .e��:�. �f <br /> L <br /> ,rte <br /> I <br /> A signature in this column indicates that the trainee acknowledges taking this course. <br /> '2) 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 (March 23,2015) <br /> Approved by: Allen Arrnstrany Page 1 of I <br />