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Safety Training Record <br />Date: 12 -1 �- o <br />Type(s) of Training:[ I Classroom Lecture <br />Instructor(s) Name: cv, <br />Hours of Instruction: <br />Summary of Training Topics Discussed: <br />Record of Attendance: <br />Tabletop Exercise Hands On Field Exercise <br />Name (Print or Type) <br />Signature <br />Date <br />Is s0-' ' Lit,7 <br />)Z <br />c� V.— Vic v) k7"' --s <br />13.0 <br />uy e r\ kSi A 2--e r__ <br />C1 A� -t' -z- <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 />