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ON-SITE STATION TRAINING FORM <br /> ANNUAL REFRESHER TRAINING VERIFICATION <br /> FOR FACILITIES LOCATED OUTSIDE OF CALIFORNIA <br /> Site Number Dealer <br /> Street Address y, AM <br /> City, Zip Code �� <br /> Employee Name(Print))EV]\y4&.1Q_ wFl <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 Mana ernent G l0 <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 /> 4. What Material Safe Data Sheets MSDS are and where the arc KWP' <br /> the station <br /> 5, Emer enc res onse procedures <br /> Waste Maaa ement procedures <br /> 1. The correct mane ement for roducts in the station <br /> 2. Pro er lobelin of wastes <br /> 3. The importanee of manifesting or having a receipt for all hazardous materials that leave the <br /> site(employees are not to sio hazardous waste manifests <br /> Spill and Leak Respons !i <br /> 1, Location of ill response equipment <br /> 2. Location of spill or leak contact list,re ortin rocedures <br /> 3. Location of emergency fuel shut-off switch <br /> N ale <br /> Employee ature Soo Sec.#or Emp.ID# <br /> 77�1K.rrK �►" <br /> Training verified by Date <br /> Dealer/Instructor <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY in 6i, <br /> A' <br /> 7_o 'j WU es:: ze 600Z-T T-Nnr <br />