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"W <br />Safety Data <br />Manua <br />Sheets <br />I <br />Employee Acknowledqemen# Form <br />When you sign this form, you are confirming that you ha <br />hazardous chemicals, (2) how to read and understand pr <br />where SDSs are located, and (3) how to properly handle <br />to. You are also confirming that you know the Safety Dat <br />for reading and referencing at any time. If you have any I <br />answer them before signing this form. <br />been trained about: (1) how to identify <br />Juct warning labels and SDSs and <br />id use the chemicals you are exposed <br />Sheet Manual and SDSs are available <br />iestions about this, have your manager <br />DATE <br />PRINT EMPLOYEE NAME <br />EMPLOYEE SIGNATURE <br />4' <br />l o <br />c (Q Ho 0 e:- <br />IV'C <br />c, f <br />�vin r'S <br />C <br />� <br />4 <br />2 <br />C' r) Gl P nle i fL <br />6 <br />Ma <br />Y <br />This sheet may be reproduced for inte nal use only. <br />31 <br />© 2013 Ecolab USA Inc. All rights reserved. <br />FSS061413. <br />