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Employee Name:_Al ytz.o � ._ 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 /Stora a Mani fests/Recei is <br /> o <br /> Handles hazardous waste while servicing vehicles £ C 4 a <br /> 3 <br /> and cleaning the shop area;places waste in £ a L e h d a Z E- <br /> d N <br /> d � <br /> CL m N a+ ti. <br /> appropriate storage containers while awaing pickup o o w y a s w x 3 <br /> by licensed hazardous waste transporter. Ea <br /> .a � q � c <br /> Q fl a v a E s, = L _ E u t �' g 2 o <br /> W O P tom. E V r d E C c a y v y <br /> Employees are to notify management immediately W W a �: a o E <br /> in the event of an accidental spill/release of w' oU C S 3 <br /> hazardous waste w E�' E Y w v w L <br /> Q a+ a e <br /> R E E E `oa i c o u a ea = o <br /> W w W W . < y x ¢ x = 3 U ¢ ¢ a w 3 x o 3 a <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 trainingrequired 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 _ _ 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 /> LL-1 tl-L ..L 1 <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 /> LIN-074 www.unidocs.org 1/2-03/12/09 <br />