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1..� <br /> ON-SITE STATION TRAINING FORM <br /> ANNUAL REFRESHER TRAINING VERIFICATION <br /> FOR FACILITIES LOCATED OUTSIDE OF CALIFORNIA <br /> Site Number 1w-5r, <br /> Dealer <br /> Street Address ` <br /> City, Zip Code <br /> Employee Name(Print) {40 A <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 they are kept at the station <br /> 5. Einer enc res onse--- <br /> Waste Mann ement Procedures <br /> 1. The correct man- ement for roduct! in the station <br /> 2. Pro er labelin of wastes <br /> 3. The importance of manifesting or having a receipt toy all hazardous materials that leave the t , <br /> site em to ees are not to si hazardous waste manifests 'V <br /> SIDRI and Leak Res onse <br /> 1. Location of!Pill response equipment <br /> 2. Location of spill or leak contact list reporting rocedures <br /> 3. Location of emer enc fuel shut-off switch ;, r <br /> Q� <br /> m loyee ign <br /> Soc. Sec.#or Emp, ID# Date <br /> arj — v ZOO- <br /> Training verified by — D e <br /> Dealer/Instructor <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00961 <br /> n.,. nnnna __._�_—..... . <br /> s0 •d we eS: ZO 6002-TT-Nnf <br />