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CHSP Training Roster Form Page 1 of I <br />RR/DD <br />03 85 <br />Sender's Initials FhcM <br />[ <br />UPS Course Code UPS Course Title Center/Dept Name Location <br />—StocktonFO1 94 ]Fuel Drop Cert Stockton <br />Employee ID Training Date Employee Last Name Employee Signature Comment <br />(mm/dd/yy) (Print Clearly)j. <br />F- <br />F- F <br />F- <br />F - <br />First Time <br />Training Instructor? <br />Instructors (Check if "Yes") <br />0023346 [10 414 406 F- <br />wpv of this Gornpleted f(,,)vm ir) r C <br />. M a <br />�JSP Cornpharice n <br />Form last revis,,�,,,d 28, 2004 <br />http://p2rarhO.inside.ups.comlempservlcontentlHRISIGEMSITmglCHSP%2OTraining%20Roster—G8.htm 10/14/2005 <br />