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ON-SITE STATION TRAINING FORM <br /> ANNUAL REFRESHER TRAINING VERIFICATION <br /> (� FOR FACILITIES LOCATED OUTSIDE OF CALIFORNIA <br /> Site NumberI ,, L�'Il\� Deale <br /> �Wr <br /> Street Address qo <br /> City, Zip Code! 1 <br /> Employee Name(Print) <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 disposed of <br /> 4.What Material Safe Data Sheets MSDS are and where the are ke tat the station <br /> 5. Enter enc res onse rocedures <br /> Waste Mana ement Procedures <br /> 1. The correct mane ement for products in the station <br /> 2. Pr er labelin of wastes <br /> 3, The importance of manifesting or having a receipt for all hazardous materials that <br /> site em to ees arc not to sign hazardous waste manifests <br /> Spill and Leak Response <br /> 1. Location of spill response a ui ment <br /> Z. Location of Mill or leak contact list,reeporting orocudurcs <br /> 3, Location of emergency fuel shut-off switch <br /> PAC <br /> Employe <br /> Employe gnature /3 Soc. Sec. #or Emp. ID# �P' O$ l <br /> Training verified by Dealer/IInsstructor [ Date <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY db�6t <br /> i <br /> �e d� ws t2: zo sooz-ii-Nnr <br />