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AMERICAN <br />SAFETY& <br />HEALTHINI <br />INSTITUTE <br />ASHI-Approved Certification Card <br />Authorized Instructor (print Name) <br />Registry No. <br />6-26-2012�D�+t 6-26-2014 <br />nV; <br />aj U " 20-T.71'47 <br />/�eviirraati000n Data <br />it -I �( 3.i.' <br />'--mg Canter Phone No. <br />Training Cemer 1.0. <br />.e C..rse requirements as <br />aut1honz d ASHIInstructor! Certification does not guarantee future performanc id N:sure a <br />credantialing. Course content assists in astlsfying the information and training requirements of the <br />U.S. Department of Labor (OSHA, MS A) and other agencies. Certification period may not exceed <br />12 months from class completion date. <br />F <br />