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l.arge Quantity Generator Hazardous Waste Training Record i <br /> Facility Name AYE CdIV1 ,( r lnstrul tutamr <br /> � u �y fV"1f <br /> Facility Address; '32 69 0 <br /> GJ ��,� � lnstruttar ua4iiiraliuns; <br /> 1}Qelxl L)rTmining: C'iassraism [.ccture Cornpttter�Based Cyn-the job <br /> I�,III pl 3yec Name: � � � � Jab Tidy. <br /> Joh fksrriiatinn- <br /> Farilih-personnel har.:trdous waste management and emergenc► response training.relevant to their <br /> joh.uiihin l$[l da}-s of hire and refreshed annually[[rtlr 22 C amorniu c'rxle if Rrgu[aul+In 11220 -Rle 66-265 I6[b <br /> and o i <br /> Uslulrcd tames cch El'c • d IQDK,[ <br /> • I[arm+Jllus waStC Cnnlrngenc%plan resrctti:tnd mkplcmcotaluna. 1'22('Cftk r1rrZ65 Nag2i !-1� <br /> • ldcnlrficatlun and.cgrrgrnion k,f inc�Omrat&C hvardnus ua.tc Or pr;-JUCL 122C'C'R4 66265 16ag.2) <br /> • PrLventnln,rnmgahuh,allatemc rr and nrnsfi4alll+n prnCcdURs.CmCTgenc4 cglnprmnL and cnx;rgency sysiems, MCCR4 L� <br /> 4hor11 Ii.S-as wilLNC lL�kcLk Of LLiyered tl+llicst <br /> • 1'r�iacdurn lur alsm'.inspe+xmg,repalrrnl;and rc{+lacmg lkilit}emergency surd mortnanng equipmcnL r x'Ry I1626; imaI <br /> {.iIiAl <br /> • K,c%paranrcitm for automatic waste 1r�j viul-olTsysttms,122CC'R:bh263.16[a1[3011 <br /> • Ctmnmun+wirnm kir alarm systcrus, 122('t'Ei§66265 I(+;I)(3)(C'I L— <br /> • Respsutx to fins„r cstrlaswns,122C'C R§b6265 I6[aK3 K 17)*,� <br /> i Xcspx�nw to grnund%ater cxmtaminmon utc adti:nu. 122C'CR§66263 IfAa1t30 L i <br /> • Shuldotitin lll'.spcnLmms,'12X'C1t§66165 1 N 011 F 1 6--- <br /> Self-PI'llectiM <br /> ---Selt=prntectrvn mcasums,122CL R4&355 160I(31(G I ti� <br /> * Accident preverrlaon methol&, I2ZCC'R 66265.16(a)ox 111 ti <br /> General awareness training required for all personnel,required erern 24 months [122CCRp 66`65 Ma) <br /> iOU <br /> Umck Q11 Wit red Lky <br /> * Ikscrlptllm of[he l'acilita-', <br /> s t h wYrtCw of Ihr t:�dily alkcrntrcxrs subjccl Ila harardoaGy w�+tc cnnm+!Imp acid regulalnnt� <br /> • Secant,,and Safer}i on5ideranans relined to Ilarsrdouti waste &.-- <br /> • <br /> Fu"i ion-Specific job training ror all 1mrsonnel involved with hazardous Haste managemenl aCtivities, <br /> required every 24 months (V-12C CR§45626; 161a1W[Tbi <br /> fleck n(f coi creel uspacs <br /> s 1 rvtn ecu of hazwdote,x sicac a rvnnll laa and mgulation and tide-ipecifk prtnxdure>applicable Co cmplo)ce job nasl,s aril <br /> lanowns <br /> i <br /> 'I'rxining for personnel engaged in hazardous waste slopping,required triennially 022(`C'R§66265 Ma11 <br /> PIT -u <br /> � !rv+aarnE commensutalc u 6th lilecr tr�ponsihilHacs lu merl the reywrrmenl�of lIllc-l�C'l+ltc+rt'I-rsieral ke�ulataslnti;Z 17Z 7t�3 �� <br /> • <br /> Signature of employee(or certified I' L7tttr of 7rsining <br /> I/ILi � <br /> This training form is Provided for the convenience of San Joaquin <br /> County businesses and can be used to document hazardous waste <br /> generator employee training. Businesses can choose to use a different <br /> form, San Joaquin County Environmental Health Specialists, during <br /> an inspection, may ask for more training documentation above and <br /> beyond what is reported on this form. Refer to Title 22 California <br /> Code of Regulations sections 66262.34 and 6620165.16 for the complete <br /> regulations. <br />