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SAFETY TRAINING LOG <br />I certify that the employee listed below received Safety Training in the subject(s) as indicated. <br />Department Date of Training�e I14b <br />Subjects(s) �AstL SR�-f4 P,2-6Ge--P0aL <br />Titles) of Film(s), video(s) or stide pies:ntat on(s) >howa to urnployee: <br />❑ Attached is an outline of the specific items discussed in this training program, along with sample <br />handouts, if any. C <br />(1/�^rA�Sr1 �RMn7A ►��S <br />Instructor's Ne (Please Print)-- <br />Signaw <br />(In ructur <br />Employee Name P....Pmn <br />kA — —_ .AInn_..,.o <br />Date <br />Employee S <br />1 1 ib\ %do <br />RECEIVED <br />APR 2 ' 2018 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />