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" M-LK0 <br /> OEM lRKrsMd-Alw— H Ay I[epal�o■ <br /> LKQ of StaCkton California <br /> Emergency Action Plan <br /> POLICY ACKNOWLEDGEMENT <br /> I have reviewed the Emergency Action Plan (EAP) for Enter Facility Name I agree to <br /> adhere to this policy and acknowledge I have been trained on my duties and <br /> responsibilities during an emergency. <br /> �2- Icy 1$ <br /> Signature o Facility anagen Date <br /> Signature of Dep ent Manager fbate <br /> Sign a of Depart nt Maler Date <br /> K-kr 12116, <br /> c <br /> Si tune of Department Ma ager Date <br /> 1 •tom ►'L l Q r <br /> Sig ature of DepartmOnt Manager f Date <br /> Signature department Manager Date <br /> Signature of Department Manager Date <br /> SigRtu <br /> of Department Manager Date <br /> figof Department Manager Date <br /> 27 <br />