
64202023L5-1B © 2004 ADTRAN, Inc. 7
Smart 16e Shelf User Manual
( ) D. In lieu of the proceeding 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 in the preceding paragraph, if so requested.
_____________________ Signature
_____________________ Title
_____________________ Date
Subscribed and sworn to before me
This _________ day of ___________________, 20__
_______________________________________
Notary Public
My commission expires: _________________________
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