foodsanitation form

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					Please report the following information regarding your training to Georgia Tech. This will help us
determine the impact of our training.

Company Name

Trainer

Date of Training

# of people trained


Please check below to indicate affected group(s): Check all that apply
   Food Processing
   Sanitation
   Poultry
   Maintenance
   Combined Session

Please fax this form to (404) 407-9053 or email it to jim.howry@gtri.gatech.edu along with a roster of
attendees. Please attach additional sheets as needed.

				
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