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"Irge Quanfil► Gencraleu' hazardous Wasle Training Record <br /> 1'AGII1SY tiitl111C' 4TW4iCAM y +. <br /> `Ir'�'{ .�.I�I ;Jf'[f+ �� <br /> �n,ti.(, t,lsnli�lr,r Name.r. <br /> haciht} Addres,: <br /> <Rt I1IslnXlorQtl;sklfrcutiolf5' 04.rrc Mies <br /> . 09 gsag) <br /> ryprlsi nf'l raining- (1)"RXIIIi l.rr;ure Computer--Based On-1116]h <br /> Ir-ntplr,}ccN;tnrc � ,y Job Title, U.-V <br /> r <br /> lob f]escripliol <br /> M'l <br /> Farilit► Personnel hat.ardnuy WaMe InAll4gemenl punk entergeno response Irainirip,,relevanl to their <br /> jab."ithin 180 da"of hire nisd refreshed nnnuail} i I iiic??C-ahlomin C'udc afRc�ul.ln+m5('1 22C VRl.�W67 Inlb <br /> And 1�F) <br /> l�uuueti roniti5 1•t art La 4t' ,1 1'41 <br /> ■ 11;var0oa %6alc con tin}xlln plan rs,l,:„and aiq,lcnlelllallnll,'f?_'I{ R}6r,2fi5 lhfau2l / <br /> I&DIl'Nalion and icgrcpatnm l,t me Unlpallhlc 1111r:l&UN Matti'of piocluk:1, 122('(.Rfi 056116;1NOL21 V <br /> • l'rrs Cnlll,n,Ililllgalrnn.7lhaten,ei ll LN1d 1k,t FYllalli+ll plxei{n74�-L`nILIl;c1,C{Cyal[11,1C111.and CRDC f�'Cniy 54"StCmS, 122C{'R� 1f <br /> r,t,?6+IMaiY31 <br /> 41<It,tt,H1iL� . Il I chcCl l t' <br /> • N-PxLdurc%for using.mipcctm2.rcpainug and repi;Ising 1acdNi elnvrLwnr�and memnminccqulpntcrll.12-1('k'R4 66265 IA(s} <br /> 011A) <br /> • kc}pariunctm for ftU10Malic IASSU fctdru!„Yl x5,ttinis.'f22Ct R�M$20 If,(a10)Y131 <br /> • {'„rnniuntirahnngor alarm 122tVR§60+265 If;Iclu iYtC'I LI-I <br /> ■ Int-WISckiIlrt!;-Vipk,11nr15- I22L['R§6626516(MI3YIDi V <br /> Re-,Fx-iriw lis^^1mundm aicr Ci,,It711nrniitwn Irk rdenLs. MCC R.6 W,20.1 Ma)[.;Yt <br /> a Sltuili,Mil01 nperrurmti-I22FLVk§60'65 15ta11.31IF1 <br /> • Self-proteetrnn lncasuas. I22CCR§W(,5 1fl{aii tilt 11 ' <br /> • .+4ccidznl ptcacnlion methods,'1':2{L'kt r,f%265 Imarl d 111 <br /> • <br /> Central awareness traininl-- mitii red for all persannel.required cNen 24 months (T?2(-:CR§66265 If4a) <br /> I-i OD <br /> !'heck teff CO'L o cd Wyiss <br /> ■ l)tslslplPori efthe facdn► V/ <br /> a lhen lew oil'the latent;aperaunn±e uhiecttil hvxdout,+:Chir cumin}[lul,and xgu[auon V, <br /> a Secunn arrd saf'ctti comidcraln,ns repand to hacardous watilc <br /> a <br /> Function-specific job training for all personnel involved mith hazardow,Hnste management Activities, <br /> required every 24 months (1'_2CLR# i%265 16{atl4l(l3)i <br /> C-hcck r+ft Lx,t crcd Pop 1 <br /> • r h er4lrx of 3tarardnu5 aastr r nnvnt fau and rcgulallon and sllc-specific prncrdure,appiicat+lc Iu alipEo%ec job tacks avid%r” <br /> functions <br /> ■ <br /> Training for personnel engaged in hazardous waste shipp)in4g,required trienniall► (i22('CRq 66265 16(* <br /> khcc�Off co+'C(e4;9= <br /> • t rarnmg commensurate with their resprmslblhucs to meet Lhc lequlremcnLs nil n1c 49 C'o&(if I7cdtral Regulaunns§ 172.704.'/ <br /> a <br /> Signatum of canplo)ec(or certified): , Date of Training: <br /> F <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 Coun”, 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 66265.16 for the complete <br /> regulations. <br />