Laserfiche WebLink
CALIFORNIA ON-SITE STATION TRAINING FORM <br /> ANNUAL REFRESHER TRAINING VERIFICATION <br /> Site Number Dealer nn <br /> Street Address 1 3 N E L c5 <br /> City,Zip Code S 0 C K 7 U ry �(g 2 4 .z. <br /> Employee Name(Print) L'U15, y f rv' <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas (please initial): <br /> Initial Date <br /> Hazardous Materials Management(Hazardous Materials Management/Business Plan) <br /> 1. Which materials at the station are hazardous t- <br /> 2. Where these materials are stored L v' <br /> 3. How these materials are to be handled,stored,and disposed of <br /> 4. What Material Safety Data Sheets(MSDS)are and where they are kept at the station <br /> 5.Training topics included in the HMMP, including review of MSDS and the emergency <br /> response plan <br /> Waste Management Procedures <br /> 1. Procedures in the service bay <br /> 2. The correct management for products in the station ( . <br /> 3. Proper labeling of wastes <br /> 4. The importance of manifesting or having a receipt for all hazardous materials that leave the <br /> site <br /> Spill and Leak Response(Spill Response Plan) <br /> 1. Location of spill response equipment <br /> 2. Location of spill or leak contact list,reporting procedures L—V <br /> 3. Location of emergency fuel shut-off switch L-V ' <br /> �//Training <br /> Employee Signature Social Sec.Number ate <br /> verified by Q / r f <br /> Dealer/Instructor e <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY <br /> 00969(REV.012000) <br />