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TRAINING RECORD <br />Quik Stop Market Number.J2S-2 <br />Employee Name (Print): 6OL[ V- 1`a H in A N <br />Purpose of Training: New Employee.Rnitial Training <br />New Assignments or Changes in Operating Equipment or Routine <br />Annual Refresher Training <br />Topics Covered: <br />Hazardous Materials Management <br />V Hazardous Materials InventorylLocation (Part I, HMMP, aka, Business Plan) <br />— V Workplace Health Hazards and Physical Hazards <br />�i Location and Use of Material Safety Data Sheets (MSDS) <br />Methods for Safe Handling of Hazardous Materials <br />be Emergency Response Procedures and Regulatory Requirements (outlined below) <br />Emergency Response <br />,L Emergency Response Plan/Consolidated Contingency Plan (Part II, HUMP) <br />Procedures for Coordination with Local Emergency Response Organizations <br />-/ Use of Emergency Response Equipment and Supplies <br />—rte Communication and Alarm Systems <br />V Response to a Release or Threatened Release of Hazardous Materials <br />,_ 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 />/V Storage Area and Container Management <br />Containers Properly Labeled, including EPA ID Number <br />V Conducting & Recording Weekly Inspections <br />V Manifest Requirements for Off -Site Transport & Disposal <br />Underground Storage Tank Operation (Conducted by the Designated UST Operator) <br />r . Operation of the UST System Consistent with "Best Management Practices" <br />V Facility Employee's Role with Regard to the Leak Detection Equipment <br />✓ Facility Employee's Role with Regard to Spills and Overfills <br />_�/ Whom to Contact for Emergencies and Leak Detection Alarms <br />Certification: <br />i acknowledge that I have received juld. completed raining in the subjects above, so indicated by my initials <br />on the lines provided <br />Trainee Signatomf Date <br />Training verified by_ <br />Instruct r Date <br />y,d g6£:60 L l Z L u n r <br />