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i <br /> TRAINING RECORD <br /> I <br /> I <br /> I <br /> Reportable Materials:W2_Propane Catwash Chemicals Fuel_ <br /> Qui k Stop Market Nutnher: <br /> Employee Name(Print): <br /> Putpo.5e of Training: New Etnploycelit itiai Training <br /> New Assiglimenta or Changes in Routine/Equipment <br /> Annual Refresher Training <br /> Tol}ics Covered: <br /> Hazardous Materials Managgemeni <br /> r Elarar ous Materi da InventorylL x-ation (Part I,HMMR akd.Business Plan) <br /> --,r Wori:p�ace Health Hazards and Physical Hazard,, <br /> f Location and Use of Material Sarety Data Sheets(SDS) <br /> 7--Methaxls for Sit€eHandlinb of Hazardous Materials k <br /> / Enx:rgency Response Pr(x)edures and Regulatory Reyuireme L%(outlined below) <br /> Emergency Response <br /> Ensereency Response Plan/Consolidated Contingcncy Plain (Fart 11, t-IMMP) <br /> �__Prn(edurcti for Ctxirrlinaiiisn with Local Emrrgc-itey Response QrganizatioriN' <br /> Use ofErnergency Rt;sponse Equipment and Supplies <br /> / Comintlnication and Alarm Sys etas <br /> / Response to a Release:or T reatcned Release of Hazardous Materials. <br /> I" Retiput st: to Fire~. Explosions, or Earthquake Related Grrntn'M(xion <br /> iiurst�tous Waste Managcment (Not Applicable at Stores with only CO2 or Pttrpane) <br /> / Hazaninus Wa%teDetermination.Accumulation Time&Qua ifityLimits <br /> Release Contingency Plan{integrated with Consolidated Contingency Pian.above) <br /> f Storage Area and Container Management <br /> Contaiiiers Properly Labeled. including BPA ID Number <br /> Condtneting&Recording Weekly inspections <br /> f ManilvsIRequirements forOff-Si(cTransport aDisposal <br /> Certification; <br /> 1 aCIGIiUW1C(15A that F liayc nC-c]Ved and t-A)mpleled.training in the subjec:ls abovc,so indicated by Iny Initial~ <br /> on the lines provided <br /> CY 2 <br /> rain •Sigm ure l] Le <br /> Training veri�iedby <br /> 7 <br /> Instructor pate <br />