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' UAOLNG ul roan <br /> Quik Stop Market Number: J`�`J 117 6 <br /> Employee Name p'rint): Sv H M A R€ T n <br /> PuTPOse of Thining: _� 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 <br /> Workplace Health Hazards and Physical Hazards H�UVT <br /> aka,Business Plan) <br /> Location and Use of Material Safety Data Sheets(MSDS) <br /> t� Methods for Safo Handling of Hazardous Materials <br /> Emergency Response Procedures and Regulatory Requirements(outlined below) <br /> i <br /> Emergency Response <br /> Emergency Response Plan/Consolidated Contingency Plan(Part II,FIMMp <br /> ✓ Procedures for Coordination with Local Emergency Response Organizations <br /> Use of Emergency.Response Equipment and Supplies <br /> Communication and Alarm Systems <br /> Response to a Release or'l'hreatened Release of Hazardous Materials <br /> Response to Fires,Explosions, or Earthquake Related Ground Motion <br /> Hazardous.Waste Management <br /> Hazardous Waste Determination, Accumulation Time&Quantity <br /> ✓r Release Contlngency pl¢n (Int Limits <br /> egrated with Consolidated Continency Plan, above) <br /> Storage Area and Container Management <br /> —t-'4 _ 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--� Facility Empioyce's Role with Regard to the Leak Detection E practices,, <br /> -�-�- Facility Employeo's Role with Regard to Spills and Overfills Equipment <br /> Whom to Contact for Emergencies and Leak Detection Alarms <br /> Certification: <br /> I acknowledge that I have received and cornPleted <br /> on the lines provided. trainhrg in the subjects above so <br /> indicated by my initials <br /> Cut eh#r M91, <br /> ainee S1gn e -I ,Z� <br /> t. Training verified by.._c.. Date <br /> �or <br /> Data <br />