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Large Quantity Generator Hazardous Waste Training Record 1,z <br /> Facility Name: a Instructor Name : <br /> " s <br /> Facility Address : '7 Instructor Qualifications3: <br /> Type(s) ofTraining :^ _ Classroom Lecture —Computer- Based On-the-fob <br /> Employee Name : p IJob Title,' <br /> Job Description :6 <br /> C,.8d6 'Sal)lu. <br /> � <br /> Facility personnel hazardobs wa to management and emergency response training, relevant totheir 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 /> Uq Hazardous waste contingency plan review and implementation, T22CCR§ 66265 . 16 (a)(2) <br /> ❑ Identification and segregation of incompatible hazardous waste or product, T22CCR§ 66265.16(x )(2) <br /> ❑ 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 /> ❑ 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 /> R Communications or alarm systems, T22CCR§ 66265. 16(a )(3)(C) <br /> JR Response to fires or explosions, T22CCR§ 66265. 16(a )(3)( D) <br /> ❑ Response to groundwater contamination incidents, T22CCR§ 66265. 16(a )(3)(E) <br /> Pi Shutdown of operations, T22CCR§ 66265. 16(a)(3)(F) <br /> ❑ Self-protection measures, T22CCR§ 66265 . 16(a)(3)(G) <br /> O. Accident prevention methods, T22CCR§ 66265 . 16(a )(3)( H) <br /> El <br /> General awareness training required for all personnel, required every 24 months (T22CCR§ 66265. 16( a)(4)(A)) <br /> Check off covered topics <br /> ❑ Description of the facility <br /> 0 Overview of the facility operations subject to hazardous waste control law and regulation <br /> 0 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 /> ,W Overview of hazardous waste control law and regulation and site-specific procedures applicable to employee job tasks and <br /> functions. <br /> ri <br /> Training for personnel engaged in hazardous waste shipping, required triennially (T22CCR§ 66265. 16(a)) <br /> Checkoff covered topics <br /> ❑ Training commensurate with their responsibilities to meet the requirements of Title 49 Code of Federal Regulations § <br /> 172. 704 . <br /> Sign tureof mpl ye (orcertified ) :e Date of Training : <br /> 7 <br /> Page 1 of 2 version : Sept 22, 2020 <br />