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��O LU.STRE* CAL <br /> 715 South wild Ave. Lodi, CA. 95240 <br /> 800-234-62641 Fax 2D9-370-169D <br /> wvrw.lustrecal.Gom <br /> Training Sign-In Sheet <br /> Date:A n I IV Time: "U Presenter(s): T I D_ 9 <br /> Subjects Covered: Department hazardous Waste Managemnt (Title 22, Section 66262.17) <br /> ❑ Handout-- Attach copies please. <br /> ❑ Video Shown — Title: <br /> ❑ Work Area and Equipment: Safety Training <br /> Proficiency: I attest that the Associate is proficient in their required job skills <br /> Signature: J.'�' <br /> Print blame Signature <br /> 1. M YlO WWnOQ <br /> 2. <br /> JMW - P&W <br /> 7. 0/ PZ6 I M q 0 MI(I <br /> v� <br /> $. G)SLUVC, Al <br /> 10.� - 1 1 1 <br /> I'll. TL I ILL <br /> .— <br /> 6 2 0 L,�� -Iv <br /> OMS-4.916 Rev. C <br />