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Training Attendance Sheet

Subject: • - DOT HAZMAT Training • - GHS Training

Date of Training: a3/J8/Zo-z_\ ,

Employee Name:

Print Signature

JeJfer y bu YVYt et -S~

Trainer: (1d; ~]S[ Signature or Trainer.

North AmericanWrehous~' 6800 West 68th Street Bedford Park, IL 60638

Location of Training: North American Warehouse, 6800 West 68th Street, Bedford Park IL 60638 Location : Warehouse/Office

Training Material Used: 49 CFR Department of Transportation

Additional Reference Material Used: 29 CFR OSHA

GA-r-y-- ld.e-1/ DOT - Hazardous Matedctls IVlanagemenl: Qu i,~

1. Which of t he followlng is I\JOT a component of Hazmat Employee tra ining requ ired by the DOT? a. Function Specific Train ing h. Safety Tra ining c. Secu1·if·y /1w;;ire 11 e~s Train ing

@) H,1zarduus Was te Cod ing

'£ . Which Code of Federal Regulation (CFH) coi1ta ins t ile l-lc1zardous IVlaterials !~eg1,1latio 11 s'? a. 40 CFR

@ 49 CFR c. 29 CFR

3. List the Hazard Class or Division that corresponds to the following hazardous material: bin -AAZAR'b . HiAi~i'm,ClASS/DIViSION

Miscellaneous (} Dangerous When Wet l-{, .1 01cidizer 5,1 Corrosive <is Poison Liquid {,,.,. ( Flammable Gas a, I

4. What are-the acceptable packing_groups for each type of cbiitairier?

I ! 1 ½:cm 5. The Hazardous Materials Table:

a. Is organized into 10 Columns b. Is found in 49 CFR 172.101 of the Hazardous Materials Regulations

(y Both 'a' and 'b' d. Neither 'a' ·or ~b'

6. Packing Group l·r.epresents the highest level of danger. (!) F

7. A "G" in Column 1 ohhe Hazardous Materials Table indicates that: a. Trade names must be added to the basic description

@ One or more technical names must be added to the basic description c. Nothing must be added to the basic description

8. Which hazard would take precedence between a Division 3 - PGII and a Class 8 liquid - PGII? __....3..c.-_ 9. The basic description of a hazardous material must include:

a. The proper shipping name b. The hazard class/division and any subsidiary hazard class/division c. The identification number and packing group (Packing Group if applicable} {!) All of the above .

10. A Salvage Package is a special package into which a damaged, defective, leaking or non-confo~lll\ng hazardous waste package is placed for the purpose of transporting for recovery or disposal. (2) F

:::31'" -~ ,-= - -TRADEBE . Pg 85

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l:JAry ld-ftl I 1 l. Wh ir.h ni ,he fo 'lowing j,· NOl . , ... . . . . . _ ' ·' ,11 , aaclrnonal sh1pp111rs clesr. rq, , 1011 , rn11 po nent f,P.r the I l;1z,1rcl<111•, Ma~c.:ria ls

Regulations,

@ Emergency Response Gu ide II p DOT Special Permit c. "Waste" Designa tion cl. Reportab le Quantity

/ 17. .. Which term is defined as a Hazardous Material that is listed in Appendil< A of t he l-lazmat Table 172.101 and

~ ~ uanti,y, in one .pa. ckae;e, that meets or ei<ceeds the repor ta ble! quantity level df'!fi11ei:J in the arpe1 ,dil(? c1 Ha z;i rrJous Wr1,tr b. I la1a rdo1 1s '.-> ulisL-111 rr• r. Nn 11 -8ulk P:irk.-1gP

H . When a hazardous material and a non-hazardous materi;i l are cifiscr ibed on the same sh ipping pr1per, t he hazardous materi al ent ries must be:

a. Listed first

b. Entered in a contrasting color or highlighted c. Identified by an "X" (or "RQ" if applicable) in a column headed "HM" immediately before the prop.er

shipping name. @ Any of the above

14. A DOT Hazard Class/Division Diamonds is considered a "Marking" per the DOT regulations. T Ci) 15. DOT markings must be:

a. Durable b. Written in English l!:\ Displayed on a background or in a contrasting color to the package the information is placed on V All of the above

16. A bill-of-lading can be used to ship hazardous waste. t!!!) (v · / 17. If a waste contains more than one hazardous material, what must you reference to determine the priority of

the hazard classes? d"\ A 2016 ERG (Emergency·Response Guide) book

v Segregation table . c. Hazardous materials table

D Precedence of Hazards Table

18. List the three types of Hazardous Waste Generators?

¼Ca ,, SGC:a l vsc1 19. Identification numbers must be displayed on each side and each end of a bull< packaging that has a capacity

of 1,000 gallons or more. (v F

·11 in the blanks: Hazard Class or

~ 111: T RADEBE

Pg 86 Page 2 of 2

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