02/14/2000 13:57 9048260450 PITTMAN ROOF SERVICE
Dick Pittman Roof Services
"We've Got You Covered!"
1365A Old Mouklrie Rd.
St Augumne. F. 32086
Stae Cerifted CCC 0035629
Phone : (904) 824-1327
FAX #: (904) 82o-0450
FEB 1 4 2000
CITY OF ST. AUGUSTINE
Pages including cover sheet
If you do not receive all of the paSs, please call (904) 864-1317
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02/14/2000 13:57 9048260450 PITTMAN ROOF SERVICE PAGE 02
Please complete one registration form for each attendee. Full payment must accompany form.
Refunds are not available unless cancellation notice has been given at least 72 hours prior to seminar date.
Cancellatlins with less notice are only eligible for 50% credit toward a future seminar.
Day One: Worker or Refresher Training Two-Day Training Competent Person
FRSA members $130 FRSA members $250
Non-FRSA members $150 Non-FRSA members $295
(8.0 hours C.E. including safely & business praclicks.) (16 0 hours C. E includes safely & business practices.)
If your Workers' Compensation insurance is provided by the FRSA-SIF One registration fee is
paid by the FRSA-SIF Please check here if your company is a member of the FRSA-SIF
ONE LOCATION ONLY!
Hawthorn Suites. Orlando, 2000
April 7th or April 7-8th RSA
Refresher Yes _No (l
Name of attendee Attendee's contractors license #
Phone: ( ) Fax: )
Enclosed is my check made payable to: FRSA Education Foundation for the above date.
Please charge to my credit card: Visa Mastercard American Express
Card # Exp. date:
Cardholder's name (Print):
Seminar location and overnight accommodation information:
Note: Attendees should make hotel arrangements at least 3 weeks prior to seminar date.
All classes begin at 8:00 a.m and end at 5:00 p.m. Registration begins at 7:30 a.m.
April 7-8, 2000: Ilawtborn Suites, 7450 Augusta National Blvd., Orlando, Fl 32822. (407-438-2121).
Ask for the FRSA room block rate of $89.
*A.M, refreshments will be provided. The hotel does not serve lunch. There are many restaurant. nearby.
Return this form with payment to: FRSA Education Foundation, P.O. Box 4850, Winter Park. FL 32793.
Fax form with credit card information to: (407) 679-0010, Antction: Barbara
If you have questions, call Barbara at FRSA (407) 671-3772. cxt. 123.
02/14/2000 13:57 9048260450 PITTMAN ROOF SERVICE PAt
THE FRSA EDUCATIONAL & RESEARCH FOUNDATION
AND RETRA TRAINING SERVICES
THE TWO-DAY ASBESTOS COMPETENT PERSON
CIL (( )I RH S I APPROVAL FOR DAY I # 04A0003-2 -B / DAY It #04 A0003-22-B,
DADE COUNTY COURSE APPROVAL #1)067
April 7-8, 2000, Orlando
ONE LOCATION ONLY
Completion of te entire two-day course fulfills the following training requirements
"OSHA "Competent Person" federal requirement for work involving removal and/or
disturbance of Class II asbestos-containing roofing materials (shingles, BUR, etc.).
*Florida Asbestos Abatement Laws training requirement for "Onsite Roofing Supervisor"
who must be present for work involving removal and/or disturbance of Class II asbestos
containing roofing material (F.S. 469.004(3) ).
Extra Bonus: Full course completion earns 16 hours of Continuing Education for Florida
registered or certified contractors and meets the State requirement for one (1.0) hour of
Workplace Safety Training and Business Practices.
Completion of the first day only fulfills the following requirements:
*OSHA initial S-hour course requirement for all employees involved in the removal and/or
disturbance of Class II asbestos-containing roofing materials
*OSHA annual 8-hour refresher training for all employees working with Class II Asbestos
Containing Roofing Materials (F.S. 469.004 (3)). Must have previously completed
FRSA's Two-Day Asbestos Training Course.
Any person who has completed the FRSA TWO-DAY Asbestos training program within a year,
can recertify with DA Y ONE as a refresher. Day One also meets Workplace Safety training and
Business Practice requirements.
REGISTRATION ON REVERSE SIDE. REGISTER TODAY!
FULL REFUNDS ARE ONLY AVAILABLE WITH 72 HOUR ADVANCE NOTICE.
CANCELLATIONS WITH LESS NOTICE ARE ONLY ELIGIBLE FOR 50% CREDIT
TOWARD A FUTURE SEMINAR.