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SITE PERSONNEL AND CERTIFICATION STATUS <br /> WESTQN <br /> Name j/1,.,o dvi r -VC aft --PC" I q:p Name <br /> Title tel 5: T- Title <br /> Task(s) 1j Z Task(s) <br /> Certification Level or Description Certification Level or Description <br /> m <br /> I�i� <br /> rl� wclical Current Ll Training Current ❑Medical Cunent ❑Ttarning Current <br /> LJ Fit Test Cunent(Oust I ❑Fd Test Current(Ouart I ❑FR Test Current IOual 1 ❑Fit Tis!Current Puard) <br /> Name Name <br /> Title Title <br /> Task(s) Task(s) <br /> Certification Level or Description Certification Level or Description <br /> ❑Medical Current ❑Training Current ❑Medical Current ❑Training Cunent <br /> ❑Fri Test Current(Dual 1 ❑Fil Test Curreril(Quant) ❑Ft Test Current IOual) E]Fit Test Current(Quart) <br /> Name Name <br /> Title Title <br /> Task(s) Task(s) <br /> Certification Level or Description Certification Level or Description <br /> ❑Medical Cunent ❑Training Cunent ❑Medical Current ❑Training Cure rt <br /> ❑Fit Test Current(Oual 1 ❑Fit Test Current{Quant I ❑Fe Test Current lOual 1 ❑Fit Test Cunent(Quant) <br /> Name Name <br /> Tile Title <br /> Task{s} Task(s) <br /> Certification Level or Description Certification Level or Description. <br /> ❑Mod"Current ❑Training Cunont ❑Meditzl Curint ❑Training Curnsnt <br /> ❑Fit Test Current Proal I ❑Fd Test Cunent KkmnL) ❑Fir Test as"Kkw4 ❑Fd Tess Current fOusrlta <br /> Name <br /> Name. <br /> Tide TWO <br /> Task(s) Task(s) <br /> Certification Level or Description Certification Level or Descnptlow <br /> ❑seedical Current ❑Training Current ❑Medicar Cunent ❑Training Curren <br /> ❑Fit Test Current(oral I ❑Ft Test Current(Quart) ❑Fit Test Current Pual I ❑Fd Test Curerd(Ouant) <br /> Name Name <br /> Title Title <br /> Task(s) Task{s} <br /> Cerdficatron Level or Description Certification Level or Description. <br /> ❑Medical Cunent ❑Training Current ❑Medical Current ❑Training Current <br /> ❑Fd Test Current(guar) ❑Fa Test Current(Quant 1 ❑Fd Test Current(Dual] ❑Fit Test Current(OuanL) <br /> MEDICAL CURRENT Training All personnel including vwofs entering the exclusion or contamination reduction zones must have eertrraeatiens of completion of training in <br /> accordance with OSHA 29 CFR 1910 29 CFR 192611910 of 20 CFR 1910 120 <br /> Frr TEST CURRENT Respirator Fit Testing All persons including Asitors entering any area requiring the use or potential use of any negatnc pressure resparator must have <br /> had as a minimum a quatdalrve nit fast administered in accorpance with OSHA 20 CFR 1910 134 or ANSI wdl'in me Last 12 months it site conditions requite the use of a full <br /> face negative pressure air purifying respirator tot prorecton from Asbestos of Lead employees must have had a quantriatne ht test administered according to OSKA 2C CFR <br /> 1910 1002 or 1025 wthin the Iasi 6 months <br /> i. TRAINING CURRENT Medical Monitoring Requirements All personnel Pnciuding visrtors entering the exclusion or contamination reduction zones must be certified as <br /> medically fit Lo woM and to wear a respirator it appropriate in accordance vnth 29 CFR 191C 2C CFP 1926/1910 of 29 CFR 1910 120 <br /> The Site Mealth and Safety Coordinator rs responsible for verifying all certifications and 5t tests <br /> ! <br /> .,.:rCCra e —eel .a- c3 e-,r �a7A �� _ <br />