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TRAINING RTCORI) <br /> Quik Stop Market Number: <br /> Employee Name(Print): ..� ''� �� �... ?,� � r. .j ,° �`; 1116,x` <br /> Purpose of Training: New Employee/Initial Training <br /> New Assignments or Changes in Routine/Equiprllcnt <br /> "' Annual Refresher Training <br /> Topics Covered: <br /> Bav*us Materials Management <br /> Hazardous Materials Inventory/Location (Pail I,HMMP, aka,Business Plan) <br /> a� Workplace Health Hazards and Physical Hazards <br /> Location and Use of Material Safety Data Sheets(MSDS) <br /> _Methods for Safe Handling of Hazardous Materials <br /> Emergency Response Procedures and Regulatory Requirements (outlined below) <br /> Emergency Response s <br /> Emergency Response Plan/Consolidated Contingency Plan (Part 11, HMMP) <br /> - —Procedures forCoordination with Local Emergency Response Organizations <br /> — Use of Emergency Response Equipment and Supplies <br /> r.. <br /> � <br /> Communication and AIarnl Systems <br /> Response to a Rclease or Threatened Release of Hazardous Materials <br /> — —Response to Fires, Explosions, or Earthquake Related Ground Motion <br /> Hazar ous Waste Management(Not Applicable at Stores with only CO2 or Propane) <br /> Hazardous Waste Determination,Accumulation Time&Quantity Limits <br /> —sr ^—Release Contingency Plan(Integrated with Consolidated Contingency Plan,above) <br /> —Storage Area and Container Management <br /> Containers Properly Labeled, including BPA ID Numbcr <br /> —Conducting&Recording Weeldylnspections <br /> Manifest Requirements for Off-Site Transport&Disposal <br /> Y <br /> F <br /> G <br /> Certif cation; <br /> I acknowledge that I have received and completcd training in the subjects above, so indicated by my initials <br /> it <br /> on the lines provided- <br /> Trainee <br /> rovidedTrainee Signature Date <br /> TrainingverifiedUy <br /> Instructor Date " <br /> r <br /> i <br /> A� <br /> l <br />