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SPECIAL TRATN1NG REQUIRED(.Mark a"C"on the box for training the client is io provid.c) <br /> X Site Orientation X Hazard Communication Xy�F'vacuation Procedures _Emergency Response <br /> Controctor W'I'PE Use(Type)L.G✓� •/ 40.Hour 1-1A.7-WOPI R <br /> Confined Spa.cc Entre `DOT Awareness/function _ Other(Type) <br /> HAZARD CONTROL <br /> Fixed Eycwash/Shower —Portable Eyewash/Shower _First Aid Kit _ Spill Kit <br /> X Decon Supplies _Firef:xtinguishers _Non-Sparking Tools X Drum Dolly <br /> Grounding Cables _Portable Lights Pallet.lack _Absorbent <br /> _:Monitoring(Type) <br /> SITE DIAGRAM <br /> . <br /> Na r4 SCAi,i, <br /> APPROVALS <br /> Safcty&Hcalth Manager Date: <br /> Operations/Field Supervisor; Date: <br /> Acknowledgements: <br /> Name(Print) Signature Date <br />