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TRAININQ RECORD <br /> Quik Stop Market Number: <br /> Employee Narne(Print): �'';�4 <br /> Purpose of Training; New Employee/Initial Training <br /> Now Assignments or Changes in Routine/Equipment <br /> Annual Refresher Training <br /> Topics Covered: <br /> Hazard tis Materials Management E <br /> Hazardous Materials Inventory/Location (Part I,HMMP, aka,Business Plan) <br /> Workplace Health Hazards and Physical Hazards <br /> Location and Use of Material Safety Data Sheets(MSDS) <br /> Methods for Safe Handling of Hazardous Materials t <br /> Emergency Response Procedures and Regulatory Requirements (outlined bclow) ti <br /> Emergency Response <br /> Emergency Response Plar3/Consolidated Contingency Plan (Part ll, HMMP) i <br /> Procedures for Coordination with Local Emergency Response Organizations ! <br /> Use ofEmergency Response Equipment and Supplies <br /> Communication and Alarm Systems <br /> Response to aRelease or Threatened Release ofI-Iazardous Materials <br /> Response to Fires, Explosions, or Earthquake Related Ground Motion <br /> Hazards Waste Management(Not Applicable at Stores with only CO2 or Propane) <br /> -Hazardous Waste Deternliiiatlon,AccuniulationTime&Quantity Limits <br /> Release Contingency Plan(Integrated with Consolidated Contingency Plan, above) <br /> Storage Area and Container Management i. <br /> Containers Properly Labeled, including BPA ID Number f <br /> Conducting&Recording Weekly Inspections <br /> Manifest Requirements for Off--Site Trans port&Disposal <br /> i.. <br /> CeEtlflCat3011: <br /> !i <br /> s; <br /> t <br /> v <br /> I acknowledge that Ihave received and completed training in the subjects above, so indicated by my initials <br /> on the lines provided. <br /> Trainee Signature ® r Date F <br /> l <br /> Trainingverifiedby � ' ,.', <br /> - Iris rector <br /> Date <br /> x <br /> l+ <br /> 3; <br /> :i <br /> �l <br />