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SITE PERSONNEL AND CERTIFICATION STATUS WESTON Name: Title: S, +6 C3 ole iS Name: Task(s): S.-t V d'5 'rt Cj�fii C+YZ Title:sk s Certification Level or Description: L<-- / D 5„�a c°i vrsc; Certification Level or Description: �Mediul torten( (F�� tJTrain,ng Current ❑Mod"Current/ ❑Training current �_'_�/ L.!Fit Test Current(pusL) ❑Fit Test Cuent(0uany ❑Fit Teat Current �/ ) o Name: T�-tr-�t't ��q �r u+C).'?�! t0ai1' Fit Tes1 er,renf(Ouar.) Title: 14l to`ncr t� �. t' Name: Task(s): j V e S 7 ,' c%�,t�� Title: Certification Level or Des ction:i Task(s): � �/ rv;*,/- Certification Level or Description: L7 Medical cuff" Current ❑Training TramIng Currant MedicaTraining Current❑Fit Test Current to".) C3Fit Test Curtest(0uaru.l ❑Fit Teat cuff"foual,) Name: ❑FA Test Current(Quem Title: Name: "r Task(s): Title: Certification Level or Description: Task(s): Training Current Certification Level or Description: ❑Me0¢al Current Q "r ❑Medica!Current ❑Training Current 13 Fd Telt Cumin lOuai.) ❑Fit Test Current IOwnt.l ❑Fit Test Cumnt IOual) Name: FA Test Current(Quant.) .. Title: Name: Task(s): Title: Certification Level or Description: Task(s): `.Awl Certification Level or Description: � ❑Medica Cumin ❑Training Current 0 Medical Cunem ❑Training current ❑FA Test Current(Quaid ❑F"Test Comm PQuantl 13 Fit Test Current Katy.) Name: 13 FA Test Cunrem(0„em4 Title: Name: Task(s): Title: Certification Level or Description: Task(s): Certification Level or Description: .... 13 Medica Current ❑Training Current ❑Medical Cunm e ❑Training Cumnt ❑FA Test Current(Oua1.) ❑FA Test Current(Quaid.) 0 Fit Test Current Name: f0uy.l ❑FA Test Conant XkjaM.) Title: Name: Task(s): Title: Certification Level or Description: Task(s): Certification Level or Description: ID medic-al Curtest ❑❑ Training Current ElMedicalCurrentCurrent ❑Training Cuff" FA Test Curtest(Oual.l ❑FA Test Current fouant.) FA Test Current(Oual r ) ❑F"Test Cuff"M1OUantl MEDICAL CURRENT. Training: All personnel,including v+snors.entering the ex accordance with OSHA 29 CFR 1910 29,CFR 1925/1910 or 20 CFR 1910.120. UusWn or contamination reduction zones must have certirKw-ons of completion of trainetg in FTT TEST CURRENT.Respirator Fit Testing: All persona.including NSAors,ascan area had as a minimum,a gWIRatM fit ng arty requiring the use or 00lerA,ai use of lest.administered,n accordance with OSHA 20 CFR 1910.134 d ANSI within the last 12 any ne'9atne piesstrre resara:d must have conditions face negative pressure,as purifying respirator for protection from Asbestos or Lead,em momtst, M sits 1910.1002 or 1025 within the last 6 months. Dloyees must have sad a OuamAatne fit test,administrelure the use of a fur, ered according to OSmA 20 CFR TRAINING CURRENT.Medical Monitoring Requirements: All personnel,Including wlitors,entering the exclusion d contam,natan reduction tones must be certified u -,.. memcalty fit to"M and 10 wear a respirator.A apoIn accordance accordance with 29 CFR 1910.20 CFR 1926/1910 d 29 CFR 191 C.120. The Site Hearth and Safety Coordinator,s responsible for verifying ail cenif"ions and fit tests. B-f -Tr �f_ �2-