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Large Quantity Generator Hazardous Waste Training Record i, 2 <br /> Facility Name Instructor Name : <br /> Facility Address : � , C �,jJ ) 1 % Instructor Qualifications3 : <br /> II, ez <br /> Type (s) of Training :4 Classroom Lecture _Computer- Based On-the-job <br /> Employee Name : Job Title :5 <br /> Job Descriptio nos <br /> f <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) )7 <br /> Required topics (check off covered topics) <br /> 0 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(a )( 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 /> Communications or alarm systems, T22CCR § 66265 . 16(a )(3)(C) <br /> Response to fires or explosions, T22CCR§ 66265 . 16 (a)(3) ( D) <br /> ❑ 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 /> iU 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 /> ❑ Description of the facility <br /> R Overview of the facility operations subject to hazardous waste control law and regulation <br /> a 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 /> LK Overview of hazardous waste control law and regulation and site-specific procedures applicable to employee job tasks and <br /> functions. <br /> 11 <br /> Training for personnel engaged in hazardous waste shipping, required triennially (T22CCR§ 66265. 16(a )) <br /> Check off covered topics <br /> ❑ 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 ) :e Date of Training : <br /> r <br /> Page 1 of 2 version : Sept 22, 2020 <br />