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SAFETY TRAINING LOG <br />I certify that the employee listed below received Safety Training in the subjcct(s) as indicated. <br />Department 4� Date of Training *11-,011B <br />Subjects(s) 'bAS\C SArE-%'A 'Ttzr..aiZb <br />Title(s) of Film(s), video(s) or slide presentation(s) shown to employee: <br />.Attached is an outline of the specific items discussed in this training program, along with sample <br />handouts, if any. <br />Instructor's Name (Please Prim) M AKS sN ;�A M IJ S <br />Signature <br />(In: <br />Employee Name in....r,hn <br />Date + I is \% `b <br />RECEIVED <br />APR 2 3 2018 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />