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J',HAIl ILG RECORD <br /> Reportable Matcriais: CO2_Propane Carvvash Chemicals_Fuel— <br /> Qui k Stop Market Number- <br /> uel_QuikStopMarketNumber:5,;- p � <br /> Employee Name{Prini3: <br /> Purpose arTraininb: _New Employee/Initial Training <br /> New Assignments or Clian2*cti in Routine/Equipment <br /> Annual ReEmsher Training, <br /> Topics Covered; <br /> Hazau-dous MalcrWs Mana-ement <br /> / Hazank)us Material~Inventory/Location (part L HMHIP.aka.Business Plan) <br /> �Worlcpiau:c Health Hazards and Physical Hazards <br /> Localion and Usc ol'Matenal Salcty Data Slicets(SIDS) <br /> Methods For Safe Handling of Hazardous Material~ <br /> .—Emergeoc:y Response Prficedures and Reguhuory Requirements (outlined below) <br /> Em7ency Responsc <br /> Emergency Response Plan/Consolidated Contingency Plan(Part fl, HMivIP1 <br /> Procedures lior C(mrdinal'ron with Local Einurgeney Response Organizations <br /> tions <br /> _[ase of Emcrgcncy Re-4ponsc UILdpntcnt artd Supplies <br /> f Cnnununicatinn and Alarm Systems <br /> ResIN)me to a Release or Threatened Release of Raza rcious Materials <br /> Rcs1vase to Fires. Explosions, or Earthquake Related 01.OLIIICI Motion <br /> Hazardous Wash Management {Not Applicable at Stores with only O2 or Prupane) <br /> Hazardous Waste Detefmination,AceumulutionTime&QuantityUrnils <br /> Relcase Cotttingk ancy Plan(Integrated wills Consolidasled Contingency Plan.above) <br /> Storage Area and Containcr Manacentent <br /> Containers Properly Utheled, including I3PA ID Numhcr <br /> Condul ring&Recording Weekly Inspections <br /> MantiE'ttat Requimments,forOff-SitcTratnsporl&Disposal <br /> Certification: <br /> I acknowledge that l liave recceived amd completed training in alae.vubjeCls above.no inclicatW by qty imuuls <br /> on the line' r ovided. <br /> Tratn''eiSlnaitnrl <br /> Trainingveriiiedby <br /> irts[rucEvr Dale <br />