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Employee Name: _ l,n(!� h2ac'co Training Record <br /> Start <br /> Job Title: Technician Date: Transfer Date: Termination Date: <br /> Job Description (i.e., specific waste handling duties): Emergencies Labels Com atibility/Stora=e Manifests/Receipts <br /> T = _ <br /> Handles hazardous waste while servicing vehicles E _ <br /> and cleaning the shop area;places waste in a d e a L o w d y <br /> L <br /> appropriate storage containers while awaing pickup w U w yy a = <br /> ca s°. c Q °v o G y a <br /> by licensed hazardous waste transporter. o a o L i 9 a a = <br /> t a = c <br /> :3 L E <br /> Employees are to notify management immediately — y <br /> W U w a d F o y 3 x o o y F E <br /> > V, u V G d LD ,r H L O. <br /> in the event of an accidental spill/release of w o o a _ U y w <br /> a w E- E i E <br /> hazardous waste ,��, ,��, d 4 3 N o <br /> R <br /> Employer-Place an"X"_on the appropriate box(es)on this line to X X X X X X X X X X X X X X X X X X X X X X X X <br /> show annual training required 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 kk—k-MS X X X X X X X X X X X X X X X X I X X X X X X X X <br /> Purpose This form has 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 66262.34(a)(3)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 regulations require you to provide to facili ersonnel. <br /> UN-074 www.uniducs.org 1/2-03/12/09 <br />