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TRAINING RECORD <br />0 <br />0 <br />Quik Stop Market Number. 550 k25 - <br />Employee Name (Print): A M A( k7 1 K G 1 L I- <br />- <br />Purpose of Training: New Employec/Initial Training <br />New Assigmncuts or Changes in RoutinelEqu ipment <br />Annual Refresher Training - <br />Topics Covered - <br />Hazardous Materials Management <br />Hazardous Materials Inventory/Location (Park I, IIMMP, aka, Business Plan) <br />Workplace Health Hazards and Physical Hazards <br />Location and Use of Material S afcty Data Sheets (MSDS) <br />Methods for Safe Handling of Hazardous Materials <br />kk Emergency Response Procedures and Regulatory Requirements (ou#iined below) <br />Emergency Response <br />lA- Emergency Response Plan/Consolidated Contingency Plan (Part IL IiMIVIP) <br />{� Procedures for Coordination with Local Emergency Response Organizatians <br />Use of Emergency Response Equipment and Supplies <br />Communication and Alarm Systems <br />Response to a Release or Threatened Release of Harardous Materials <br />Response to Fires, Explosions, or Earthquake Related Ground Motion <br />Hazardous Waste Management <br />AAA- Hazardous Waste Determination, Accumulation Time & Quantity Limits <br />A�k_ Release Contingency Plan (Integrated with Consolidated Contingency Plan, above) <br />A Le Storage Area and Container Management <br />Containers Properly Labeled, including EPA. ID Number <br />Coodncting & Recordiug Weekly Inspections <br />�L Manifest Requirements for Off -Site Transport & Disposal <br />I acknowledge that I have received and completed training in the subjects above, so indicated by my initials <br />on the lines provided4�10� y <br />202.1 _Z1w.e I�A <br />Signature Date <br />Training verified by �— e'}t 3u�� u <br />r Date <br />