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Employee Name: /" '/kms I f IPC�4_OAI Training Record <br /> off,' Start 7 <br /> Job Title:��/v0 !l' /Sv Date: 0 001-2Qransfer Date: Termination Date: <br /> Job Description(i.e.,specific waste handling duties): Emergencies Labels Com atibility/Stora a Manifests/Recei is <br /> Shop Supervisor- <br /> a o <br /> m � ., e <br /> Dupes 1ndude but ora no,[limited to E .5 v U' c <br /> 'Knrs•vleGge ore rwtgency equipment usev c E 3 4 <br /> •Accumufetran dates of waste liquids a a w d U v g <br /> :Wase ins• an procedures <br /> Preventioacodental releases °' a RvC o S <br /> E a a <br /> Manifests E 3 " � am <br /> Cc <br /> .E LL r <br /> j-3 <br /> V w a: w ; H e ,;, 3 � rz c � •,; � � rn c. <br /> W <br /> a •o" U <br /> e W F E e « d d E C: i^ w <br /> E <br /> Employer-Place an"X"on the appropriate box(es)on this line to show annual training required for this employee's job duties. � ae VI a. Wfl <br /> Class Name/Description Date Employer-Pl+ce an"X"brdow 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 /> I <br /> 3-Injury/Illness Prevention Plan(IIPP) <br /> 4-Spill Prevention Control(SPCC) <br /> 5-Emergency Action Plan <br /> Purpose This fo17n 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 reuulalions rt .m YOU to pnovide to i'militt•personnei. <br /> UN-074 www.unidoes.org 12-03/12/09 <br />