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Water/Wastewater
Operator Training Records
Name:
________________________________ Date Issued: ________________________
Certificate Classification(s):
______________ Date Expires: _______________________
Certificate Number(s):
___________________ Renewal Hours Required: ____________
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Contact Hours |
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Date(s) |
Training
Program/Description/Sponsor |
Water |
Wastewater |
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Please track training on this form and submit to
MPCA or MDH with the renewal form when renewing a water or wastewater
certificate. |