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Employee Name: LAA', _ Training Record <br /> Start <br /> Job Title: Technician Date: Transfer Date: Termination Date: <br /> Job Description (i.e.,specific waste handling duties): EmerMRencies Labels Corn atibility/Storage Manifests/Recei is <br /> q <br /> Handles hazardous waste while servicing vehicles a E y y h <br /> and cleaning the shop area;places waste in <br /> appropriate storage containers while awaing pickup3 w U 2 9 .4 <br /> by licensed hazardous waste transporter. o ° W a z E w a o <br /> U c of <br /> Employees are to notify management immediately w a. w E- o ti 3 y a a o P E <br /> in the event of an accidental spill/release of w v c a Z o <br /> hazardous waste y VD ;w U <br /> a E E E <br /> Employer-Place an"X"_on the appropriate box(es)on this line to X X X X X X X X X X X X X X X X X X X X X X X X <br /> show annual training required for this employee's job duties. —* <br /> Class Name/Description Date Employer-Place an"X"below the box corresponding to each subject covered by training class. <br /> Hazardous Waste Handler Training lt-�T_ X X x F X X X X X X X X X X X X X X X X X X X X <br /> Purpose This form 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 6626234(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 regulations require you to provide to facilipersonnel. <br /> UN-074 www.u"idocs.org 1/2-03/12/09 <br />