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TRAINING RECORD <br />Quik Stop Market Number: .A S <br />Employee Name (Print): 1—I A R B/-1 A -T f at 3 it ea %c1 L - C <br />Purpose of Training: New Employee/Initial Training <br />New Assignments or Changes in Operating Equipment or Routine <br />Vf Annual Refresher Training <br />Topics Covered: <br />Hazardous Materials Management <br />Hazardous Materials InventorylLocation (Part I, HMMP, aka, Business Plan) <br />—4/ Workplace Health Hazards and Physical Hazards <br />Location and Use of Material Safety Data Sheets (MSDS) <br />L/ Methods for Safe Handling of Hazardous Materials <br />V Emergency Response Procedures and Regulatory Requirements (outlined below) <br />Emergency Response <br />—�L Emergency Response Plan/Consolidated Contingency Plan (Part II, HMMP) <br />Procedures for Coordination with Local Emergency Response Organizations <br />V Use of Emergency Response Equipment and Supplies <br />V Communication and Alarm Systems <br />/ Response to a Release or Tlueatened Release of Hazardous Materials <br />V Response to Fires, Explosions, or Earthquake Related Ground Motion <br />Hazardous Waste Management <br />✓ Hazardous Waste Determination, Accumulation Time & Quantity Limits <br />Release Contingency Plan (Integrated with Consolidated Contingency Plan, above) <br />Storage Area and Container Management <br />TT✓ Containers Properly Labeled, including EPA ID Number <br />✓ Conducting & Recording Weekly Inspections <br />i Manifest Requirements for Off -Site Transport & Disposal <br />Underground Storage Tank Operation (Conducted by the Designated CST Operator) <br />V Operation of the UST System Consistent with "Best Management Practices" <br />V Facility Employee's Rale with Regard to the Leak Detection Equipment <br />Facility Employee's Role with Regard to Spills and Overfills <br />v Whom to Contact for Emergencies and Leak Detection Alarms <br />Certification: <br />I acknowledge that I have received and completed training in the subjects above, so indicated by my initials <br />on the lines provided. <br />Tra' a Si�ature T Date <br />Training verified by G; i o' //-" —l'Y <br />Instructor Date <br />o d 86£:60 L l Zl unr <br />