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TRAiNI r TRF, ORil <br /> Quik Stop MarketNuntber; <br /> Employee Name(Print): '`° <br /> Purpose of Training: New Employee/Initial Training <br /> New Assignments or Changes in Routine/Equipment <br /> Annual Refresher Training <br /> Topics Covered: <br /> Hazardous Materials Management <br /> Hazardous Materials Inventory/Location (Part I,HMMP, aka,Business Plan) <br /> Workplace Health Hazards and Physical Hazards <br /> k,/, Location and Use of Material Safety Data Sbeets(MSDS) <br /> Methods for Safe handling of Hazardous Materials <br /> Emergency Response Procedures and Regulatory Requirements (otatlined below) <br /> Emergency Response <br /> Emergency Response Plart/Consolidated Contingency Plan (Part Il, I-MMP) <br /> Procedures forCoordinationwith Local EmergencyResponse Organizations <br /> Use ofEtnergency Response Equipment and Supplies <br /> Conununication and Alarm Systems <br /> Response to a Release or Threatened Release of Hazardous Materials <br /> s ' Response to Fires, Explosions, or Earthquake Related Ground Motion <br /> Hazardous Waste Management(Not Applicable at Stores with only CO2 or Propane) <br /> Hazardous Waste Determination,AccunntlationTime&Quantity LiInits <br /> Release Contingency Plan(Integrated with Consolidated Contingency Plan,above) <br /> Storage Area and Container Managcnient <br /> Cotatainers Properly Labeled, including BPA ID Nutn€ier F <br /> Conducting&Recording Weekly inspections <br /> Manifest RequirementsforOff--Site Transport&Disposal <br /> u <br /> Certification: <br /> 1 <br /> I acknowledge that I have received and completed training in the subjects above, so indicated by my initials <br /> on the lines provided. <br /> C <br /> Trainee Signature Date <br /> s d: <br /> Trainingverifiedby ��.. ,1 11 y� - i< <br /> tInstructor <br /> Date <br /> r <br /> t <br /> t <br />