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Employee Name:_ � �i z Start Training Record <br /> Job Title: Technician Date: Transfer Date: Termination Date: <br /> Job Description (i.e., specific waste handling duties): Emergencies Labels Com atibili /Storage Manifest s[Receipts <br /> Handles hazardous waste while servicing vehicles 3 d a <br /> and cleaning the shop area;places waste in = d o y <br /> •V L E <br /> appropriate storage containers while awaing pickup a a 3 a _ <br /> i w <br /> by licensed hazardous waste transporter. ° aa° <br /> a � oVa aL. c <br /> o Cr Cro03 F' Q c <br /> Employees are to notify management immediately a. F a 3 = a o o F E y <br /> >, T h h A G C C p G R <br /> in the event of an accidental spill/release of w E = o = ° 3 <br /> U U o 0 <br /> m v u ° W E o o Z p " R a �, <br /> hazardous waste °,10 c w F •o m E a v d <br /> ea z ,! 3 N i o h u <br /> U a ¢ a w 3 x U 3 a. <br /> Employer-Place an"X"on the appropriate box(es)on this line to X MX <br /> X X X X X X X X X X X X X X X X X X X X <br /> show annual trainingre uired for this employee's job duties. —� <br /> Class Name/Description Date Employer-Place an"X"below the box corresponding to each subject covered by training class. <br /> Hazardous Waste Handler Training X X X X X X X X X X X I X X X I X X I X X X X X X X X <br /> PurposeL66262.34(:a)(3) <br /> s formas 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 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 lationequire you to provide to facility personnel. <br /> UN-074 www.unidocs.org 1/2-03/12/09 <br />