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UNIFIED WESTERN GROCERS (ETP 01-0279) <br />Classroom Training Roster <br />Hrs: 0.5 Date: _ /2 (�- c? 6 <br />Class Name: Underground Storage Tank Attendant Training START TIME: DE -Y 6 hours END TIME: ®C = `� �• <br />Stockton, CA <br />0 C I V M .")- IVL-7qt,�- P,&' <br />Print instructor Name Instructor Signature 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 />Contractor's Signature for Absences <br />UNI26C <br />TRAINEE NAME <br />Print Last, First <br />JOB <br />EMPLOYEE <br />NUMBER <br />EMPLOYEE <br />EXT <br />TRAINEE SIGNATURE (INK) <br />- <br />SUPERVISOR NAME <br />Print Last, First <br />SPERVISOR <br />EXT <br />(: JA ^J F <br />2 <br />3 <br />4 <br />5 <br />6 <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 />0 C I V M .")- IVL-7qt,�- P,&' <br />Print instructor Name Instructor Signature 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 />Contractor's Signature for Absences <br />UNI26C <br />