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Large Quantity Generator Hazardous Waste Training Record 1,2 <br /> Facility Name: Instructor Name: <br /> Facility Address: Instructor Qualification s3: <br /> Type(s) of Training:' _Classroom Lecture —Computer-Based _On-the-job <br /> Employee Name: Job Title:' <br /> Job Description:6 <br /> Facility personnel hazardous waste management and emergency response training, relevant to their job,within <br /> 180 days of hire and refreshed annually(Title 22 California Code of Regulations(T22CCR)§66265.16(b and c))' <br /> Required topics(check off covered topics) <br /> ❑ Hazardous waste contingency plan review and implementation,T22CCR§66265.16(a)(2) <br /> ❑ Identification and segregation of incompatible hazardous waste or product,T22CCR§66265.16(a)(2) <br /> ❑ Prevention, mitigation, abatement and notification procedures,emergency equipment, and emergency systems,T22CCR§ <br /> 66265.16(a)(3) <br /> Other topics,as applicable(check off covered topics) <br /> ❑ Procedures for using, inspecting, repairing and replacing facility emergency and monitoring equipment,T22CCR§ <br /> 66265.16(a)(3)(A) <br /> ❑ Key parameters for automatic waste feed cut-off systems,T22CCR§66265.16(a)(3)(B) <br /> ❑ Communications or alarm systems,T22CCR§66265.16(a)(3)(C) <br /> ❑ Response to fires or explosions,T22CCR§66265.16(a)(3)(D) <br /> ❑ Response to groundwater contamination incidents,T22CCR§66265.16(a)(3)(E) <br /> ❑ Shutdown of operations,T22CCR§66265.16(a)(3)(F) <br /> ❑ Self-protection measures,T22CCR§66265.16(a)(3)(G) <br /> ❑ Accident prevention methods,T22CCR§66265.16(a)(3)(H) <br /> General awareness training required for all personnel, required every 24 months (T22CCR§66265.16(a)(4)(A)) <br /> Check off covered topics <br /> ❑ Description of the facility <br /> ❑ Overview of the facility operations subject to hazardous waste control law and regulation <br /> ❑ Security and safety considerations related to hazardous waste <br /> Function-specific job training for all personnel involved with hazardous waste management activities, required <br /> every 24 months (T22CCR§66265.16(a)(4)(B)) <br /> Check off covered topics <br /> ❑ Overview of hazardous waste control law and regulation and site-specific procedures applicable to employee job tasks and <br /> functions. <br /> Training for personnel engaged in hazardous waste shipping, required triennially (T22CCR§66265.16(a)) <br /> Check off covered topics <br /> ❑ Training commensurate with their responsibilities to meet the requirements of Title 49 Code of Federal Regulations§ <br /> 172.704. <br /> Signature of employee (or certified):' Date of Training: <br /> Page 1 of 2 version: Sept 22, 2020 <br />