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Large Quantity Generator Hazardous Waste Training Record 1.2 <br /> Facility Name: Instructor Name: <br /> 5 tocl��-✓ - <br /> Facility Address: Instructor Qualifications3: <br /> Seel 3 A, C, /C ��- <br /> Type(s) of Training:' _Classroom Lecture Computer-Based _On-the-job <br /> Employee Name: Job Title:5 <br /> Job Description:' <br /> �•.� ..� S <br /> Facility personnel hazardous waste management and emergency response training,relevant to their job,within <br /> 180 days of hire and refreshed annually(Title 22 California Code of Regulations(T22CCR)§66265.16(b and c))' <br /> Required topics(check off covered topics) <br /> O'Hazardous waste contingency plan review and implementation,T22CCR§66265.16(a)(2) <br /> Bldentification and segregation of incompatible hazardous waste or product,T22CCR§66265.16(a)(2) <br /> 21--prevention,mitigation,abatement and notification procedures,emergency equipment,and emergency systems,T22CCR§ <br /> 66265.16(a)(3) <br /> Other topics,as applicable(check off covered topics) <br /> 91'-Procedures for using,inspecting,repairing and replacing facility emergency and monitoring equipment,T22CCR§ <br /> 66265.16(a)(3)(A) <br /> ❑ Key parameters for automatic waste feed cut-off systems,T22CCR§66265.16(a)(3)(B) <br /> B—Communications or alarm systems,T22CCR§66265.16(a)(3)(C) <br /> E'Response to fires or explosions,T22CCR§66265.16(a)(3)(D) <br /> R-Response to groundwater contamination incidents,T22CCR§66265.16(a)(3)(E) <br /> ❑ Shutdown of operations,T22CCR§66265.16(a)(3)(F) <br /> ❑ Self-protection measures,T22CCR§66265.16(a)(3)(G) <br /> ❑ Accident prevention methods,T22CCR§66265.16(a)(3)(H) <br /> General awareness training required for all personnel, required every 24 months (T22CCR§66265.16(a)(4)(A)) <br /> Check off covered topics <br /> O-Description of the facility <br /> B-Overview of the facility operations subject to hazardous waste control law and regulation <br /> 2-Security and safety considerations related to hazardous waste <br /> Function-specific job training for all personnel involved with hazardous waste management activities,required <br /> every 24 months (T22CCR§66265.16(a)(4)(B)) <br /> Check off covered topics <br /> 2'—Overview of hazardous waste control law and regulation and site-specific procedures applicable to employee job tasks and <br /> functions. <br /> ❑ <br /> Training for personnel engaged in hazardous waste shipping,required triennially (T22CCR§66265.16(a)) <br /> Check off covered topics <br /> O'Training commensurate with their responsibilities to meet the requirements of Title 49 Code of Federal Regulations§ <br /> 172.704. <br /> Signature of employee(or certified):8 Date of Training: <br /> Page 1 of 2 version:Sept 22, 2020 <br /> Scanned with CamSc� <br />