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Employee Name: 3'et�& i z Training Record <br /> Start <br /> Job Title: Technician Date: Transfer Date: Termination Date: <br /> Job Description (i.e.,specific waste handling duties): Emer encies Labels CompatibilityStorage Manifests/Receipts <br /> 2 = <br /> Handles hazardous waste while servicing vehicles E F y y y u <br /> and cleaning the shop area;places waste in > £ A L o w y <br /> 3 _ a r, <br /> appropriate storage containers while awaing pickup o a N d w x <br /> by licensed hazardous waste transporter. o A E 9 3 ° c E a _ z c a <br /> a o a E r v o ° a $ 9 < a a U e n c <br /> Employees are to notify management immediately W o w o. w v �- a ti 3 _ a o a Z Q F E <br /> F H H <br /> > �• o c. N o ? a C O a w W <br /> in the event of an accidental spill/release of w o o = a 5 s U * x 3 N <br /> i Y E °7 U' E — <br /> hazardous waste _ ;w L w F a= w ` <br /> E E E o i c o A m co+ = u E s c ,� ac o m <br /> Employer-Place an"X"on the appropriate box(es)on this line to X X X X k <br /> 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 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 /> __L_JLL ___J__L_L_L LL__ <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 66262.34(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 facility personnel. <br /> UN-074 www.unidocs.org 112-03/12/09 <br />