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Employee Name:—a( Training Record <br /> Ii Start <br /> Job Title: Date: f �. Transfer Date: Termination Date: <br /> VV <br /> Job Description (i.e.,specific waste handling duties): Emergencies Labels Com atibility/Storage Manifests/Receipts <br /> I1r/1+y/�{1 '�L//�`r/�11 ��J� 0 � <br /> �JY• , 1Y • 1 Y .LI ' {�/� �+� J.I� V •4 •� •V V 4 y V .O V 'y W G� r/ y <br /> O L .Q U <br /> `u` <br /> UU�V►1� A/-1 <br /> Y J i� C � C ^� bD a�� pr C� L °� a Cly ai A E ❑ <br /> I }li o 'a C� a; s. 3 �+ oL c a� � �+ L �� e_ u L C � � x C' O <br /> w d v ani e E as w = o oc R e 1r �j R = o U o A a w <br /> o .b f/] p �"' y R i. w <br /> •CC � G F O L p O V CC R V CC O ^ V V S. � R O COC <br /> Employer-Place an"X"on the appropriate box(es)on this line to X �( J �( <br /> show annual training required for this employee's job duties. -4 �r /� J� x <br /> Class Name/Description Date Employer-Place an"X"below the box corresponding to each subject covered by training class. <br /> 1 <br /> Purpose This form has been designed to assist hazardous waste generators in documenting the training of persons handling hazardous waste as required by 22 CCR, Sections <br /> of This 66262.34(a)(3)and 66262.34(d)(2). The reverse side of this form may be used to address other training(e.g.,OSHA-mandated Right-to-Know training,etc.)laws or <br /> Form regulations require you to provide to facility personnel. <br /> UN-074 www.unidoes.org 1/2-03/12/09 <br />