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SITE PERSONNEL AND CERTIFICATION STATUS-FORM 21 WESTON Name:Brian P.Reilly Name:Greg Roussos Title:Project/Field Manager Title:Team Member Task(s): 1-2 Task(s): 1-2 Certification Level or Description: Certification Level or Description: ®Medical Current ®Training Current ®Medical Current ®Training Current ❑Fit Test Current(Qual.)N/A ❑Fit Test Current ❑Fit Test Current(Qual.) ❑Fit Test Current (Quant.)N/A N/A (Quant.)N/A Name:TBD Name: Title:Team Member Title: Task(s): 1-2 Task(s): Certification Level or Description: Certification Level or Description: ®Medical Current ®Training Current ❑Medical Current ❑Training Current ❑Fit Test Current(Qual.) ❑Fit Test Current ❑Fit Test Current(Qual.) ❑Fit Test Current (Quant.) (Quant.) Name: Name: Title: Title: Task(s): Task(s): Certification Level or Description: Certification Level or Description: ❑Medical Current ❑Training Current ❑Medical Current ❑Training Current ❑Fit Test Current(Qual.) ❑Fit Test Current ❑Fit Test Current(Qual.) ❑Fit Test Current (Quant-) (Quant.) Name: Name: Title: Title: Task(s): Task(s): Certification Level or Description: Certification Level or Description: ❑Medical Current El Training Current ❑Medical Current ❑Training Current ❑Fit Test Current(Qual.) ❑Fit Test Current ❑Fit Test Current(Qual.) ❑Fit Test Current Quant.) (Quant. Name: Name: Title: Title: Task(s): Task(s): Certification Level or Description: Certification Level or Description: ❑Medical Current ❑Training Current ❑Medical Current ❑Training Current ❑Fit Test Current(Qual.) ❑Fit Test Current ❑Fit Test Current(Qual.) ❑Fit Test Current (Quant.) (Quant.) Name: Name: Title: Title: Task(s): Task(s): Certification Level or Description: Certification Level or Description: ❑Medical Current ❑Training Current ❑Medical Current ❑Training Current ❑Fit Test Current(Qual.) ❑Fit Test Current ❑Fit Test Current(Qual.) ❑Fit Test Current Quant. Quant.) TRAINING CURRENT-Training: All personnel,including visitors,entering the exclusion or contamination reduction zones must have certifications of completion of training in accordance with OSHA 29 CFR 1910,29 CFR 1926,or 29 CFR 1910.120. FIT TEST CURRENT-Respirator Fit Testing: All persons,including visitors,entering any area requiring the use or potential use of any negative pressure respirator must have had,as a minimum,a qualitative fit test,administered in accordance with OSHA 29 CFR 1910.134 or ANSI,within the last 12 months. If site conditions require the use of a full-face,negative-pressure,air-purifying respirator for protection from asbestos or lead,employees must have had a qualitative fit test,administered according to OSHA 29 CFR 19 10.1001 or 1025/1926,within the last 6 months. MEDICAL CURRENT-Medical Monitoring Requirements: All personnel,including visitors,entering the exclusion or contamination reduction zones must be certified as medically fit to work and to wear a respirator,if appropriate,in accordance with 29 CFR 1910,29 CFR 1926/1910,or 29 CFR 1910.120. The Site Health and Safety Coordinator is responsible for verifying all certifications and fit tests. 22 of 23