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SPECIAL TRAINING REQUIRED (Mark a "C" on the box for 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 />_ Confined Space Entry DOT Awareness/Function Other (Type) <br />HAZARD CONTROL <br />Fixed Eyewash/Shower Portable Eyewash/Shower First Aid Kit Spill Kit _ _ _ <br />X Decon Supplies _X_ Fire Extinguishers____ Non-Sparking Tools 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