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Safety+ Training Record <br /> Date: IL 119 <br /> Type(s) of Tiainfatgq 1 ,01a,&sroom Lecture [ I TelAetop Exerolse t ) HAnds On ( i Field Eke.ralse <br /> tnot.ructor(s) Name: GwiqcLM { <br /> Hou•ra of Ins-.ru.ction: <br /> Surnrna-ry of Training TQpi.ns D(-cussed: r 1lo�e` WC'r9- 8%-SSusJ �,-� -�►�a��t <br /> .T h�z�►�do� .resat ' t�� I,.,�edta <br /> Q <br /> 4._ <br /> o lllgk CICctSQJ 90-eexoyl0 �arJ Kmd,,L*-e S 4,q, <br /> fta r'd of AM—lenManoe: <br /> Nome (Print or Type) Signature Date <br /> ► i� <br /> S: i I vC` P- u r -7h <br /> 7 <br /> Attach addilional records of attendance as needs <br /> Accident prevention reduces Fryman suff6rlrig, time ari-d rhon:sfa:ry losses, <br /> from a ppictical standpoint it is good business. <br /> Rev. 4l6Y99 <br />