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IIZAD NG RECORD <br /> Quik Stop Ma&et Number: E <br /> Fmployee Name Q?x> ): <br /> Purpose of Tra%ing: New Employeellnitial Training <br /> New Assigomeuts or Changes in Roufinc/quip ent <br /> ✓ AmMual Refresher Tmnmg <br /> Topics Covered: <br /> Hazardous Materials Management <br /> BHamrdous Matin als IuveutorylLocation(Part I,MvRIP,aka,Business Plan) <br /> ✓ Workplace Healih Hazards and Physical Hazards <br /> L�I- Location and Use of Material Safety Data Sheets(MSD S) <br /> Methdds for Safe Handling of Hazardous Materials <br /> Emezgency Response Procedures and REgu3atnry Requirements(outlined below) <br /> Emergency Response <br /> ✓'" I�nergea�yResponse Plaa/Consolxdated Cnnt��encyPlau(Paztl[,IINII1�) <br /> v-'- Procedures for Coordinatinnwith Local Emergency RespomoOrganizations <br /> Use of Emergency Response Eqnkmied and Supplies <br /> ✓ Communication and Almm Systems <br /> Response to a Release or Tkuatened Release of Hazardous Materials <br /> Response to Fires,Explosions,or F.aAgaake Related Ground Motion <br /> 1Ua73r&-us Waste Management <br /> J Hazardous Waste Doterni%nation,Acumnulaton Time&Quantify Limits <br /> ✓ Release Contingency Plan(.integrated with Cansolidated Contingency Plao,above) <br /> Storage Anes and Container Management <br /> CodameEs Properly Labeled,iac din a EPA ID Number <br /> Conducting&Recording Weeldy Inspections <br /> Manifest Requirements for Off-Site Transport&Disposal <br /> Certiftration: <br /> I acknowledge that I have received and eompletedtauung m the subjects above,so indicated by my initials <br /> on the lines provided. <br /> Trainee SkaRtnxe - baste <br /> Trafiiiug verified by <br /> t +,ctor Date <br /> 4 <br />