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Safety Training Record <br /> Date: RECEIVED <br /> Type(s) of Training:[-I-Classroom Lecture [ ] Tabletop Exercise [ ] Hands On [ 1 Field Eg&�se <br /> Instructor(s) Name: Q-2LWMA C?JSN Utt Z y Lt1 <br /> SATd d BA$HIN-@@fily'p� <br /> Hours of Instruction: <br /> OFFICE OF EMERGENCY SERVICES <br /> �—^, +r�c�K2_C <br /> Summary of Training Topics Discussed: .Nk&Z4� 4* ! !lw jo Sg1hLL <br /> ��'w,�tt tYv3 pal C6 o2iyAKe SAd� AiD CLEA s ujp b KC--&P iR $AFS <br /> Gas 02 �Rr' Hui �a��1 Cx�Ef1GF�ly sw�TC►+ l_cc.4?kF6A <br /> �'FHF S16+2E �a�D CA��- 9-�-I• Anl� LE'i ?ItEAA krto� 6+JEFA i \iQPfl�D <br /> Record of Attendance: <br /> Name (Print or Type) Signature Date <br /> 1�W,2s kin <br /> -OtK--2( <br /> Attach additional records of attendance as needed <br /> Accident prevention reduces human suffering, time and monetary losses, <br /> from a practical standpoint it is good business. <br /> Rev. 4/6/99 <br />