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' 1—x�1�N---1VG lt 'CORD <br /> Quik Stop Market Number://6 51_ 1 Q- <br /> Employee Name(Print) <br /> Purpose of lhtining: New Employee/Initial Training <br /> Now Assignments or Changes in Routine/Equipment <br /> Annual Refresher Training <br /> Topics Covered: <br /> Hazardous Materials Management <br /> —= Hazardous Materials Inventory/Location(pan I HNC Business Plan) <br /> v Workplace Health Hazards and.Physical Hazards <br /> y Location and Use of Material Safety Data Sheets(MSDS) <br /> Methods for Safe Handling of hazardous Materials <br /> Emergency Response Procedtues and Regulatory Requirements(outlined below) <br /> Emergency Response <br /> Emergency Response Plan/Consolidated Contingency plan(part II,HMAfp <br /> Procedures for Coordination with Local Emergency Response Organizations <br /> —J� Use Of Emergency Response Equipment and Supplies <br /> Communication and Alarm Systems <br /> ® v Response to a Release O Threatened Release of Hazardous Materials <br /> Response to Fires,Explosions,or Earthquake Related C round Motion <br /> Hazardous.Waste Management <br /> Hazardous Waste Determination,Accumulation Time&Quantity Limits <br /> Release Contingency plan (Integrated with Consolidated Contingency Pl <br /> Storage Area and Container Management above) <br /> Containers Properly Labeled, including EPA ID Number <br /> Conducting&Recording Weekly Inspections <br /> Manifest Requirements for Off-Site Transport&Disposal <br /> Underground Storage Tank Operation(Conducted by the Designated UST Operator) <br /> � Operation of the UST System Consistent with"Best Management Practices" <br /> ._ Facility Employce's Role with Regard to the Leak Detection Equipment <br /> Facility Employee's Role with Regard to Spills and Overfills <br /> Whom to Contact for Froergencies and Leak Detection Alarms <br /> Certification: <br /> I acknowledge that I have received and completed training In the subJects above so ' <br /> On the lines provided. <br /> indicated by a{y initials <br /> Trainee Si ;� � 2.� <br /> Training verified by Date <br /> strr _.._........_... <br /> Date <br /> • �I <br />