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Training Record Form Form No. <br /> TRN-04F <br /> Training Course: i Lesson Plan Rev.: <br /> Qualified Trainer: 6Training Dat s- <br /> Employee Name: E-mpk)ye&4P- Employee Signature(l) Trainer <br /> Initials } <br /> V <br /> A signature in this column indicates that the trainee acknowledges taking this course. <br /> '27 <br /> 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 2'),2015) <br /> Approved by: Allen Armstrong Page I of 1 <br />