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EMERGENCE' RESPONSE ACTION PLAN <br /> Sanborn Chevrolet <br /> R"I If-. <br /> M m7 <br /> EMPLOYEE TRAINING CERTIFICATION <br /> '.I I ; 21G,i <br /> E-NV!F0 F.'E.N7A!4;EALTI4 <br /> I hereby acknowledge that I have received information on facility emergency response procedures so that I can be <br /> better prepared for certain facility emergencies,including a release or threatened release of a hazardous material. <br /> Specifically,I received information on the at least following: <br /> • Spill/Release Response Plan(chemical handlers only) <br /> • Fire/Explosion Response Plan, including use of hand held fire extinguishers <br /> • Evacuation Procedures <br /> • Response plan for first aid and flood <br /> • Tornado Response Plan <br /> I understand that I should contact my supervisor should I have any questions or concerns about the information <br /> presented. <br /> Ngnature <br /> � ' " r j� { <br /> �, :,-_c^, t' ivy <br /> <'r- <br /> Print Name <br /> ']- (`7 <br /> .11 <br /> Date <br /> cc: Employee File <br /> Emergency Response Action Plan- Sanborn Chevrolet <br /> 1110 vALL <br /> Page 13 <br />