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Employee Name: Training Record <br /> Start <br /> Job Title: Date: Transfer Date: Termination Date: <br /> Job Description (i.e., specific waste handling duties): Emergencies Labels Com atibility/Stora a Manifests/Receipts <br /> I <br /> O 6 6> ry+ h y v U CL o <br /> U <br /> f1i a`a d sem. O Q v 7 A r e'"a o C 4 <br /> p o 8 o ar d O t: <br /> Q <br /> W U W A. W o�; Q <br /> w c Q A C S w o enc o U U o e a 3 y <br /> 8 <br /> > a as 3 d a r <br /> E E E o L c o u ea u w o ` E c o ca is w <br /> w <br /> Employer- Place an"X"on the appropriate box(es)on this line to <br /> show annual training required for this employee's Job duties. - I! <br /> Class Name/Description Date Employer-Place an"X"below the box corresponding to each subject covered by training class. <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 rovide to facility personnel. <br /> UN-074 www.unidocs.org 1/2-03/12/09 <br />