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® TRAMNXNG RECORD <br />Quik Stop Market Number; 55 at z $ <br />Employee Name (Print): SAQ4RAtk S. Czt(.1— <br />Purpose of Training: New Employeoidnttial Training <br />New Assignments or Changes in Routlne/Equipment <br />Annual Refrcsher Training <br />Topics Covered: <br />Hazardous Materials Management <br />S*4 hazardous Materials Inventory/Location (Part 1, P)MMP, aka, Business PIan) <br />,%a Workplaco Health Hazards and Physical Hazards <br />V% Location and Use of Material Safety Data Sheets (MSDS) <br />'8L Methods for Safe Handling of Hazardous Materials <br />Emergency Response Procedures and Regulatory Requirements (outlined below) <br />Emergency Response <br />s� Emergoney Response Plan/Consolidated Contingency Plan (Part 11, HMW) <br />Procedures for Coordination with Local Emergency Response Organizations <br />85 Uso of Emergency Response Equipment and Supplies <br />sK Communication and Alarm Systems <br />Response to a Release or Threatened Release of Hazardous Materials <br />�^ Response to ncs, Explosions, or Earthquake Related Ground Motion <br />Hazardous Waste Management (Not Applicable at Stores with only CO2 or Propano) <br />� Hazardous Waste Determination, Accumulation Time & Quantity Limits <br />M Release Contingency Plan (Integrated with Consolidated Contingency Plan, above) <br />SS Storage Area and Container Management <br />-&-._ Containers Properly Labeled, including EPA ID Number <br />-S Conducting & Recording Weekly Inspections <br />W- • Manifest Requirements for Off -Site Transport &c Disposal <br />Certification: <br />I acknowledge that 1 have received and completed training in the subjects above, so indicated by my initials <br />on the lines provided, <br />S. bot 'Ao 2. t Su•� c 2 �i <br />ainee Signa Date <br />Training verlfled by t _& 24 <br />Inatruc For Date <br />1] <br />