PureVista Training Verification

    [ ] By checking this box and submitting this form I confirm and agree, on behalf of myself and the Company identified above (the “Company”), that (a) the information I am submitting is correct, (b) I have carefully reviewed all instructional materials associated with PureVista™ as well as the Terms and Conditions, (c) such instructional materials are provided for general safety guidance only and therefore additional safety precautions shall be taken as circumstances may warrant when using, storing, handling or disposing of any PureVista™ product, (d) all others within the Company having access to any PureVista™ product shall be required to review these materials and complete the above form, (e) it is my responsibility to revisit this page for updated information, and (f) neither review of these materials nor completion of this form shall be deemed a certification by PureLine Treatment Systems, LLC or PureLine Solutions, LLC, or any of their respective affiliates, of my qualification, competency or skills.
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