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EMERGENCY RESPONSE ACTION PLAN <br /> Clutch & Brake Xchange <br /> EMPLOYEE TRAINING CERTIFICATION <br /> I hereby acknowledge that I have received information on facility emergency response procedures so that I <br /> can be better prepared for certain facility emergencies, including a release or threatened release of a <br /> hazardous material. 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 PlanEarthquake Response Plan <br /> I understand that I should contact my supervisor should I have any questions or concerns about the <br /> information presented. <br /> Signature <br /> Print Name <br /> Date <br /> cc: Employee File <br /> Emergency Response Action Plan— Clutch&Brake Xchange 1110 vALL <br /> ©KPA, LLC Page 13 <br />