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ON-SITE STATION TRAINING FORM <br /> ANNUAL REFRESHER TRAINING VERIFICATION <br /> FOR FACILITIES LOCATED OUTSIDE OF CALIFORNIA <br /> Site Number ao Dealer <br /> Street Address /4600 66'" / lit ,fir — <br /> City, Zip Code 4 o� 9533 d <br /> Employee Name(Print) Rob e r't W a r l <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 �a <br /> 1. Which materials at the station are hazardous R W �® <br /> 2• Where these materials are stored 2ww iG <br /> 3, How these materials are to be handled stared and dis used <br /> A, What Material Safety Data Sheets MSDS are and where they are ke tat the station <br /> 5. Fmer enc res ons- rocedures <br /> Waste Mana ement Procedures Rki <br /> 1. The correct mane -ment for roducts in the station /n OS <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 Res once <br /> 1. Location of s ill res onse a ui ment <br /> 2, Location of s ill or leak contact list TO ortin rocedures <br /> 3. Location of Omer enc fuel shut-off switch <br /> crJG /al°B <br /> Soe. <br /> Sec.Tar or Emp, 1D# Dat <br /> Employee S ature � 6 (o 0, <br /> Training verified by ate <br /> Dealer/Instructor <br /> !MAINTAIN THIS FOPM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY Atl961 <br /> bF7 'd Wtl LE: zo 6002-TT-Nnr <br />