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Employee Name: [Aen,4Training 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 ge Manifests/Recei is <br /> I b � <br /> Handles hazardous waste while servicing vehicles y <br /> and cleaning the shop area;places waste in £ v o N r <br /> 3 x <br /> appropriate storage containers while awaing pickup o a w 3 x A. <br /> by licensed hazardous waste transporter. = t G <br /> oo Ir E v s o 1 c a F Q c z U a C a <br /> Employees are to notify management immediately U w A. w = d F o z <br /> in the event of an accidental spill/release of C = o 0 = ° <br /> w u aCi a o - E c a a a •• U p ° U <br /> hazardous waste E <br /> e`a S E E `o <br /> w w .a ¢ o, x ¢ x 3 v ¢ ¢ <br /> Employer- face an"X"_on the appropriate box(es)on this line to X X X X XMXX <br /> 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 A 1-17-1.5 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(aX3)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 1/2-03/12/09 <br />