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GL S/b/0 /,h/C <br /> 3�y t4'Hwl 9 9/4CMrOO C4 <br /> Safety Training Record9S,� <br /> Date: i�'1/�i2�1�25^2uor� <br /> Type(s) of Training:[, Iassroom lecture [ ] Tabletop Exercise [ ] Hands On (gip Field Exercisa�/CD <br /> Instructor(s) Name: S O WA VC)hA eJ s r�Gt 4 iiHR4 1 2003 <br /> Hours of Instruction: -J,— H01-kC?S _ bAnwjMAwwUr4w <br /> YSERNCE <br /> Summary of Training Topics Discussed: 489 <br /> pil R(3SoR13ur4 sgoa R,an c(�A.Ato k o /nr sA,^c S7'a9RAagklS <br /> &&Alae ;K 1.10 h P nviC ac n c / [.evo& 926, SP,Y L o RG— <br /> yn M C,Frs t y Sw .t1 at,%O L A CL C- r <br /> Lei T��t� VmoW w � 1iAPPc� <br /> Record of Attendance: <br /> Name (Print or Type) Signature Date <br /> MR��t S •�Gt+ 3'�S�63 <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 />