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FLarge Quantity Generator Hazardous Waste Training Record 1,2 <br /> Facility Name: Instructor Name: <br /> e eA(-d y 7Y{-_s Sc- D ( c-\ � <br /> FacilitV Address: Instructor Qualification s3: <br /> 1 Y 1 S H 0 � P Qv_ ik_ � <br /> Type(s)of Training:' _Classroom Lecture —Computer-Based _ - e-job <br /> Employee Name: Job Title:5 <br /> Job Description:b <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 /> Q zardous waste contingency plan review and implementation,T22CCR§66265.16(a)(2) <br /> L�'J,/Identification and segregation of incompatible hazardous waste or product,T22CCR§66265.16(a)(2) <br /> L� Prevention, mitigation,abatement and notification procedures,emergency equipment,and emergency systems,T22CCR§ <br /> 66265.16(a)(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 /> Q��ey 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 /> L'Response to fires or explosions,T22CCR§66265.16(a)(3)(D) <br /> sponse to groundwater contamination incidents,T22CCR§66265.16(a)(3)(E) <br /> Ef Shutdown of operations,T22CCR§66265.16(a)(3)(F) <br /> If-protection measures,T22CCR§66265.16(a)(3)(G) <br /> ��e <br /> Accident prevention methods,T22CCR§66265.16(a)(3)(H) <br /> 171 <br /> General awareness training required for all personnel, required every 24 months (T22CCR§66265.16(a)(4)(A)) <br /> Che k off covered topics <br /> PT'Description of the facility <br /> 2-0--verview of the facility operations subject to hazardous waste control law and regulation <br /> Ccurity and safety considerations related to hazardous waste <br /> El <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 /> verview 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 /> 1R-104. <br /> Signature of employee(or certified):' Date of Training: <br /> Page 1 of 2 version:Sept 22,2020 <br />