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Facility Name : y > � 7 .J <✓ . .,� ► �� � /� c . , / <br /> TraininSufject : VE,"tr <br /> Conducted By : 1 (` ,>< � �? c I,� � Date : �- <br /> - <br /> I acknowledge that I h <br /> READ '(114F f OLI ,OWIN ( ; ItI?hORb: SIGNING <br /> contact m su have received training on the subject listed above . I understand that this training was only a general ovorvIow <br /> bl lhtt ttUh ru .t % ui'1 Ihul I r ; lurNlrl ) <br /> Y Pervisor with any questions or concernsthatI have regarding It . I also understand that the lacility alone is res(xwisiblo for onvironmonlol !uul r . rlr ,ly ' <br /> Issues at all facilities and that, should I have any questions or concerns on such matters , I should address thom to m suprirvlsor , <br /> 1 Pri ted Name b Description Si ature <br /> 3 <br /> 4 <br /> 5 S%f �,ie <br /> N CAwo C._-_-_ <br /> 10 <br /> 11 <br /> 12 <br /> La <br /> 13 LL <br /> e, JOY <br /> 14 Ck <br /> _'15 i C —I � --- -- — -- - - - - -- - _ <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 _-- - - - — - - <br /> 21 <br /> - - - - - I <br /> 22 - . - <br /> 23 - <br /> 24 <br /> 25 -- -- - - - -- - - -- -- -- j <br /> 26 <br /> 27 <br /> 28 <br /> 29 -- - ' <br /> 30 <br /> 31 <br /> 32 <br /> 33 <br /> 34 <br /> 35 <br /> Page <br />