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Employee Name: c1 <br /> y �; _,,�< 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 atibility/Stora a Manifests/Receipts <br /> V! /1 <br /> Handles hazardous waste while servicing vehicles d d y <br /> and cleaning the shop area;places waste in y d L E o d a d L <br /> N r <br /> a o• o 3 - a� . « a <br /> appropriate storage containers while awaing pickup U <br /> by licensed hazardous waste transporter. E E __ c ° F z E a A p <br /> c v o s Or- e ,°, F- Q a R U e vi a <br /> Employees are to notify management immediately W a. �: v �- 0 <br /> in the event of an accidental spill/release of _ _ E t a _ A W = o 5 <br /> hazardous waste i° C w F E :2 E n E <br /> •V Y Y CJ u L 3 O N }' O h v. > > <br /> E E ELT <br /> 0 <br /> w �: w a < z x ¢ x 3 U a ¢ ci w 3 x 3 a <br /> Employer-Place an"X"on the appropriate box(es)on this line to <br /> show annual training required for this employee's job duties. -a 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 /> Class Name/Description Date Employer-Place an"X"below the box corresponding to each subject covered by training class. <br /> Hazardous Waste Handler Training 17-15 X FX 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 facilipersonnel. <br /> UN-074 www.unidocs.org 1/2-03/12/09 <br />