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• • <br /> SPECIAL TRAINING REQUIRED(Mark a°C°on the box ror training the client is to provide) <br /> X Site Orientation X Hazard Communication X Evacuation Procedures _Emergency Response <br /> Contractor ._ PPE Use('Type) _ 40.Hour HAZWOPER <br /> _ConfiinedSpace Entry .._DOTAwarcnecc/Function _ Other(Type) <br /> HAZARD CONTROL <br /> _ Fixed£ycwash/Shower _Portable Eyewash/Shower _First Aid Kit _ Spill Kit <br /> X Decon Supplies _Fire F_xtinguishers Non-Sparking'rools X Drum Dolly <br /> Grounding Cables _Portable Lights _ Pallet Jack _Absorbent <br /> _Monitoring(Type) <br /> SITE DIAGRAM <br /> NOT TO SCALE <br /> APPROVALS <br /> Safety&Health Manager Date: <br /> Operations/Field Supervisor: Date: <br /> Acknowledgements: <br /> Name(Print) Signature Date <br />