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Process Specialties, Inc. <br />ACKNOWLEDGEMENT OF EMPLOYEE'S ANNUAL HAZ MAT SAFETY RECERTIFICATION <br />Name: Josh Hoover <br />Job title: Facilities Technician / Chemical Tech <br />By signing each individual course below you acknowledge that you have received, reviewed and <br />understood the information contained in each copy of the Process Specialties Annual Safety <br />Recertification Program. All questions and concerns have been addressed and/or answered by the <br />safety trainer. <br />IIala `0►`LeXele 1L'Z1:1 <br />Hazardous Communications program <br />What is Hazardous Waste <br />Understanding Hazardous waste Regulations <br />How Chemicals Can Harm You <br />Sources of Information: MSDS and More <br />Hazard Evaluation and Control <br />Noise Health Effects and Controls <br />Ergonomics <br />Chemical Protective Clothing <br />Fire Incompatibles <br />Workers Rights <br />Emergency Response and Planning <br />Strategies to Improve Health and Safety <br />on the Job <br />Human Factors <br />Recognizing Hazardous Materials <br />Emergency Response Contingency <br />Plan including Spill Control Response <br />Trainer Signature: <br />FPSI Salely\TrainingT,rsl Responders Training Course AcknoWedgmenl REV02 7-152011 <br />Signature: <br />Title: <br />Date: <br />Date: <br />