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CALIFORNIA ON-SITE STATION TRAINING FORM <br /> ANNUAL REFRESHER TRAINING VERIFICATION <br /> Site Number J 7 I T Dealer cG'rj O L U 19(" <br /> Street Address 3 XCtil �• (��`�"`M24-k- C0. <br /> City,Zip Code G�-t CA <br /> Employee Name(Print) <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 Od% ` for <br /> 2. Where these materials are stored <br /> 3. How these materials are to be handled, stored,and disposed of <br /> 4.What Material Safety Data Sheets SDS are and where they are kept at the station is <br /> 5.Training topics included in the HMMP,including review of MSDS and the emergency <br /> response Rlan <br /> Waste Management Procedures <br /> 1. Procedures in the service bayQti•- <br /> 2. The correct management for products in the station <br /> 3. Proper labeling of wastes .Z6 <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 s ill response equipment <br /> 2. Location of spill or leak contact list,reporting rocedures -Aol <br /> 3. Location of emer enc fuel shut-off switch <br /> GG 3 <br /> Employee Signature Social Sec.Number Date / <br /> Training verified by, <br /> Dealer/Instructor Date <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00959 <br />