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Large Quantity Generator Hazardous Waste Training Record 1,2 <br /> Facility Name: Instructor Name: <br /> Love's Travel Stop See attached document <br /> Facility Address: Instructor Qualifications3: <br /> 1553 Colony Road Ripon, CA 95336 See attached /Trained <br /> Type(s) of Training:4 _Classroom Lecture —Computer-Based VOn-the-job <br /> Employee Name: Job Titles <br /> See attached roster See attached roster/NA <br /> Job Description:6 <br /> See atttached roster <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(x)(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 /> El <br /> Signature of employee (or certified):' Date of Training: <br /> See attached roster/all this material was covered during the training session <br /> Page 1 of 2 version: Sept 22,2020 <br />