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Emnlovee Traininij Attendance Roster <br />cU_W_r, RGENCYRIsSPONSE <br />Q D.EALE'R.S'HIP 1VAME MQ -sl -1 ' U W <br />REAbTH FOL.L ING BEFORE SIGNING <br />I acknowledge that I have received Hazard communication Training. During this training I was made generally aware of hazards <br />associated with chemicals present at the dealership, steps I can take to reduce these hazards, and typical responses in the event of an <br />emergency. I eras also made aware that chemical specific information is available to me In the form of product labels and Material <br />Safety Data Sheets (MSDSs). I understand that I may review the dealership's Hazard Communication Program and h4SDSs any time <br />during my work shift. <br />I also acknowledge that I have received emergency response training. During this training 1 was made aware of guidelines for <br />responding to a fire or explosion (including use of portable hand-held fire exiingulshers), a release of hazardous materials, and certain <br />natural disasters. 1 was also Informed of the dealership's evacuation assembly point. <br />I understand that the dealership atone is responsible for environmental and safety issues at all dealership facilities, and that I should <br />contact my supervisorwilh any questions or concerns that 1 have about these matters. <br />3 <br />4 <br />s <br />6 <br />7 <br />8 <br />9 <br />10 <br />E <br />(' <br />21 <br />✓� 40 2 <br />2 <br />r_L 'Ri(;rnAfrll'P. <br />I certify that I rductd Hazard Commuuni[cation/Righl•to"Kn wan m rgen Re ponse training for the above listed employees.119/0 <br />1 l�' <br />In r amo) 6II nC -�� <br />Mn <br />liqI <br />� • ! ��1.3!'/ir' ./.ter <br />an <br />_ <br />r _„�•11110FAW1 <br />91 <br />I certify that I rductd Hazard Commuuni[cation/Righl•to"Kn wan m rgen Re ponse training for the above listed employees.119/0 <br />1 l�' <br />In r amo) 6II nC -�� <br />Mn <br />