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Recieved by Nick Loehrer on 9/13/2019 (END) <br /> 4tCHEMSTATION, Safetv Meeting Agenda <br /> Training Sign-In Sheet Trainer/Entrenador: Translator: (if applicable) <br /> Date/Fecha:9/6/2019 Kevin Worley <br /> Start Time/Nora de Inicio: Safety Topic/Tema de Seguridad: Company Name: <br /> 12:30 Golden Gate Nut <br /> Time Finished/Nora que finalizo: Chemical Safety Training <br /> Method of training:(check all that apply) <br /> ❑ Verbal A Video <br /> ❑ Audio ❑ Other: <br /> ATTENDEES: <br /> Name/Nombre: - -- ._Signature/Firma: Date/Fecha: <br /> ?--�is vP�� �n� v ;cw�C� i__..._ ,• <br /> r]a Zo k 7 <br /> Z <br /> l- a Jill <br /> lr? <br /> 17 <br /> Z <br /> v <br /> t <br /> Li 6 f <br /> PS t <br /> L <br /> f <br /> \ V1CA ' � 1 �A t` r1w <br /> 744 <br /> By signing this form I am certifying that I attended this meeting on the date,time,and location specified;that the meeting covered all the topics <br /> described on this form;that I understood the material;and that I had the opportunity to ask questions to seek clarification of all items I did not <br /> understand. <br /> Al firmar este formulario estoy certificando que asisti a esta reunion en la fecha,hora y lugar especificados;que la reunion cubrio todos los <br /> temas que se describe en esta forma;que entendia el material;y que tuve la oportunidad de hacer preguntas para aclarar todos los puntos que <br /> no entiendo. <br /> TRAINING VERIFICATION <br /> Verified by: Verification Date: Comments: <br /> Effective Date:01/01/18 Revision Date:05-17-18 <br />