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Employee Name: .,�v/A/ U /V Training Record <br /> _2=nn __ <br /> Start <br /> Job Title: /Lr Date: Z L-1-2Urransfer Date: Termination Date: <br /> FDescriptioniption(i.e.,specific waste handling duties): Emer encies Labels Com atibili /Stora a Manifests/Recei is <br /> ager- <br /> .1e but are not limited to: E .5ervisor of Northam CA�peralions of emerger%equipmentuse °s7 times nlv+aste liquids ° { g p ° iv d .a <br /> 'Waste inspection procedures c '� c •O �° cx 9 d a+ a ` E '� a 'e •=' m a n ° <br /> 'Prevention of accidental releases E.� `o 'a F +� r d <br /> ^Manifests ' V W a, w ° F ° $ a R y`^ o rdo., .9 ° " c <br /> d 3 d F E <br /> � r x <br /> o o C E W m ,,gam F o q 9 0 <br /> a <br /> Employer-Place an"X"on the appropriate box(es)on this line to x <br /> show annual training rr uircd for this ernlovice's job duties, —> <br /> Class Name/Description Date Employer-Place an"X"below the box corresponding to each subject covered by training class. <br /> 1st QT All Hands Meeting <br /> 1-Global Harmonization Standard <br /> 2-Fall Protection <br /> 3-Injury/Illness Prevention Plan (IIPP) <br /> 4-Spill Prevention Control(SPCC) <br /> 5-Emergency Action Plan <br /> Purpose This Form has been designed to assist halardous waste generators in documenting the training of persons handling hazardous waste as required by 22 CCR,�r lions <br /> of This 66262.34(a)(3)and 66262.34(d)(2)4 The reverse side of this form may he used to address other training(e.g.,OSHA-mandated Right-to-Know training,etc.)laws or <br /> Form rceulalions rc uird vnu to pmvidv 10 P:rtility pcmomtcl. <br /> UN-071 www.unidocs.org 1/2-03/12/09 <br />