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'1'ZUDING RE COW) <br /> Qu7t Stop Msai:ct Number. <br /> Employee Name(Ihint): + <br /> Purpose of Tlain g: New Lttyployeellnitiai•IYaining <br /> Ncw Assiguments or Chwiges in RDuliodl;quipwent <br /> ZAnnual Reftresher Training <br /> Topics Covmr,& <br /> Hazardom Mxtcriah ltfanagement <br /> �,Z Muxrdous Matmials Iuvcntory/L.ocation(Pmt I,lIIviMl',aka,Business Plan) <br /> IZ Workplace Health Hazards and Physical Iards <br /> Location and Use of NI.lterial Safcty Data Shcets(MST)S) <br /> . � Mcthiods for Safe Handling of Hazardous Materials <br /> - — Emergency Response Procedures and Regulatory Requirements(nmlined below) <br /> Em cncy Response <br /> Emergency Response Plan/Consolidatcd Contingency Plan(Part D4 ID,2VO) <br /> Procedtn-es for Coordination with local Emergency Response Organizations <br /> Use of Emergency Response Equipment and Supplies <br /> Communication and Alarm Systems <br /> Response to a Release or Threatened Release of Hazardous Materials <br /> Response to Fires,Explosions,or hazthquake Related Gxound Motion <br /> 'a rdous waste Management: <br /> ✓✓ Hazardous Wasu Dctcrmina:ioq Accumulation Ti ue&Quantity Limits <br /> �i Release Contingency Plan(Integrated with Consolidated Contingency PIau,above) <br /> Stotagc Area and Container Management <br /> Corriamcrs Properly Labeled,including II'A ID Number <br /> Conducting&Recording Weekly Inspections <br /> Manifest Requirements for Off-Site TrwLTort&Disposal <br /> Certification: <br /> I acknowledge that I have received and completed training in the subjects above,so indicaled by my initials <br /> on the(llincs provided <br /> Trainee S tine Date <br /> Training verified by <br /> crop ' Datb <br />