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rials and instructions provided by the manufacturer/grantee of the equipment used to encode
analog signals; or
( ) C. An independent training course (e.g., trade school or technical institution) recognized by the
manufacturer/grantee of the equipment used to encode analog signals; or
( ) D. In lieu of the preceding training requirements, the operator(s)/maintainer(s) is (are) under the
control of a supervisor trained in accordance with _________ (circle one) above.
I agree to provide ______________________ (telco’s name) with proper documentation to demonstrate
compliance with the information as provided in the preceding paragraph, if so requested.
_________________________________Signature
_________________________________Title
_________________________________ Date
Transcribed and sworn to before me
This ________ day of ________, ________
_________________________________
Notary Public
My commission expires:
_________________________________