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Training Record Form Form No. <br /> TRN-04F <br /> Training Course Lesson Plan Rev_: i <br /> Qualified Trainer: 1, 1 1 T , 1 '� �. <br /> 11�L\ L 14 i�5� �2 I Training I]ate. -z- <br /> Employee <br /> Employee Name: � �: Employee Signature!'} Trainer <br /> IL: <br /> � I Initials(2) <br /> �l? �� ���� ;-;tie✓ �z -- <br /> i <br /> I <br /> i <br /> l <br /> (l} A-swuiaEllie 111 this coiuipil i5ldlcates that the tralne:4 acn?owledgas taking this coarse. <br /> An initial in this colmm indicates that the Qualified Trainer actmoNvled-es that the trainee has participated in the course and has <br /> passed the test. <br /> _,w. 0 Qviaretl 3; 201 j} <br /> Approved by: Alleu 7-inst-rong, <br /> Pa-e 1 of 1 <br />