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Module: Module Name/Type of Training: <br />UNIFIED WESTERN GROCERS (ETP 01-0279) <br />Classroom Training Roster <br />H rs: 0.5 Date: <br />Class Name: - Underground Storage Tank Attendant Training START TIME: / 6' ours END TIME: 4"2, <br />Stockton, CA <br />Oe-tVer lt 0. AIZAI�L <br />Print instructor Name <br />Instructor gignature Instructor Emp No. <br />By my signature, I am certifying that I have the authority to sign on behalf of the Contractor and that I have verified with the applicable trainee(s) supervisor(s) that <br />the absences from training noted above are excused. <br />Contractors Signature for Absences <br />LIQ <br />TRAINEE NAME <br />(Print Last, First) <br />JOB <br />EMPLOYEE <br />NUMBER <br />EMPLOYEE <br />EXT <br />TRAINEE SIGNATURE (INK) <br />A <br />SUPERVISOR NAME <br />(Print Last, First) <br />SPERVISOR <br />EXT <br />2-5o7a <br />ell - <br />3 <br />4 <br />5 <br />GizeF <br />P71 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />wo <br />Oe-tVer lt 0. AIZAI�L <br />Print instructor Name <br />Instructor gignature Instructor Emp No. <br />By my signature, I am certifying that I have the authority to sign on behalf of the Contractor and that I have verified with the applicable trainee(s) supervisor(s) that <br />the absences from training noted above are excused. <br />Contractors Signature for Absences <br />LIQ <br />