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ON-SITE STATION TRAINING FORM <br /> ANNUAL REFRESHER TRAINING VERIFICATION <br /> C; <br /> FOR FACILITIES LOCATED OUTSIDE OF CALIFORNIA <br /> Site Number 1 LO Dealer <br /> Street Address 0 C Q <br /> City, Zip Code 01 0 <br /> Employee Name (Print) �roV�t <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas (please initial): <br /> Initial Date <br /> Hazardous Materials Management <br /> 1. Which materials at the station are hazardous <br /> 2. Where these materials are stored <br /> 3. How these materials are to be handled, stored and dis osed of <br /> p, What Material Safety Data Sheets (MSL)h) are and where they are kept at the station o <br /> 5. Emergency res onse procedures <br /> Waste Mana ement Procedures <br /> 1. The correct mans ement for products in the station 0 <br /> 2. Pro er labelin of wastes <br /> 3. The importance of manifesting or having a receipt for all hazardous materials that leave the <br /> site em to ees are not to si hazardous waste manifests <br /> S ill and Leak Ree once D 0 <br /> 1. Location of spill res onse a ui ment 4 0 <br /> 2. Location of a ill or leak contact list,reporting rocedures 0 <br /> 3, Location of erne r enc fuel shut-off switch <br /> (P Io WO <br /> v —IOSoc, Sec. #or Emp. ID # / ate <br /> Employee nature (P/ o5 <br /> Training verified by Date <br /> Dealer/Instructor <br /> ;MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00961 <br /> I <br /> Rev. 1012004 --,--------- --- _ <br /> To •d wd 92: zo aooz-11 -wnr <br />