Jac Form
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CALIFORNIA FIRE FIGHTER JOINT APPRENTICESHIP COMMITTEE Training Reporting Form
MONTH/YR DECEMBER 2002
NAME PORTOLAN, KEN
DEPARTMENT LONG BEACH FIRE
DATE
Primary Subject
Specific Area of Study
Type Of Training
Dept. Use Only
SSN
ASSIGNMENT 10A
HRS
COMMENTS
TOTAL HOURS
EMPLOYEE
SUPERVISOR
INSTRUCTOR OF RECORD
MONTH/YR DECEMBER 2002
NAME PORTOLAN, KEN
DEPARTMENT LONG BEACH FIRE
DATE
Primary Subject
Specific Area of Study
Type Of Training
Dept. Use Only
SSN
ASSIGNMENT 10A
HRS
COMMENTS
TOTAL HOURS
EMPLOYEE
SUPERVISOR
INSTRUCTOR OF RECORD
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