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UNIFIED WESTERN GROCERS (ETP 01-0279) <br />Classroom Training Roster <br />Hrs: 0.5 Date: _ Q <br />Class Name: Underground Storage_ Tank Attendant Training START TIME: 0 3b" hours END TIME: ate' -Zs` <br />Stockton, CA <br />2 <br />TRAINEE NAME <br />Print Last, First <br />JOB <br />EMPLOYEE <br />NUMBER <br />EMPLOYEE <br />EXT <br />TRAINEE SIGNATURE (INK) <br />SUPERVISOR NAME <br />(Print Last, First) <br />SPERVISOR <br />EXT ^� <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 />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 />