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InMA <br /> INNOVATIONS <br /> I <br /> Training/Update Form <br /> Name of Update/Training: Annual Safety Training <br /> ❑■ Training ❑ Update <br /> Department: Quality Control <br /> Retraining on Topic Required: 9 Yes ❑ No Retraining Date: Annually <br /> Name of Trainer: Imelda Fernandez <br /> Date Training is Going to be Performed: 09/30/2024 <br /> Employee Name (Print) Employee# Employee Signature Date <br /> 1 Bustillo, Esrarle 80149 <br /> 2 Garcia Garcia, Reina 80190 lIzelL46 movc;c _ a. ZoL' <br /> 3 Gonzalez, Carmen 80144 <br /> 4 Gonzalez Flores, Ruth 80255 sec-, <br /> 5 Manzo, Carla 80128 �• Zc�J <br /> 6 Torres Estrada, Lourdes 80175 nx 2es <br /> 7 Vasquez, Brenda 80174 <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 /> NOTE:By signing this document,you are agreeing that you understand and are competent in the aforementioned traininglupdate. <br /> Signature of Trainer(Training has been performed): Date: <br /> Rev. 4.27.17 <br />