Hazard Training

Mid Michigan Materials Location Visiting*
- Betchel: MSHA Pit #20-02675
- Burgess: MSHA Pit #20-03516
- Wilson: MSHA Pit #20-00784
- Vella MSHA Pit #20-00872
Date*
MM slash DD slash YYYY
Visitor*
First Last
Company
Visitor Signature*
Trainer

I certify the above training has been completed.
Duration of Training

5 minutes.
Person Responsible for Health and Safety Training

I certify the above training has been completed.
Email
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P 810-327-6251