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Employee Name: Training Record <br /> Start <br /> Job Title: Technician Date: Transfer Date: Termination Date: <br /> Job Description (i.e.,specific waste handling duties): Emergencies Labels Com atibili /Story a Manifests/Receipts <br /> Q <br /> Handles hazardous waste while servicing vehicles 3 y <br /> .- n a « <br /> and cleaning the shop area;places waste in d L E o c S h <br /> v a Q <br /> appropriate storage containers while awaing pickup o o w 3 e z 3 <br /> by licensed hazardous waste transporter. E c ° F d b � y ; a <br /> a a L a <br /> $ V a a, C E `? d °«' E L a CZ c <br /> a o a i E 3 <br /> Employees are to notify management immediately = <br /> in the event of an accidental spill/release of y a s uw°. s r 3 « <br /> hazardous waste a �' oE <br /> > a d d a <br /> +toX <br /> Employer-Place an"X"on the appropriate box(es)onthis lin 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 `k k-7-' s 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 /> 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 facilitj personnel. <br /> UN-074 www.unidoes.org 1/2-03/12/09 <br />