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Employee Name: gaining Record <br /> Start <br /> Job Title: Date: Transfer Date: Termination Date: <br /> Job Description (i.e., specific waste handling duties): Emergencies Labels Com atibility/Stora=e Manifests/Receipts <br /> M ✓1 <br /> H 2�1 d = <br /> Handles hazardous waste while servicing vehicles 3 G d I : y <br /> �. _ r- <br /> and cleaning the shop area;places waste in ; v a v °' Q o y <br /> 3 = x d t <br /> appropriate storage containers while awaing pickup o o a U w <br /> by licensed hazardous waste transporter. 1= c F d d d x <br /> g a a v a d L E u e C4 o <br /> o U c c " P F n I- c <br /> Employees are to notify management immediate) a r = _ ¢ Ci <br /> fY 9 y U w a w d 0 1 3 ce o w g 1 <br /> N ry„ — 07 O h F. <br /> u U cCJ o ��— <br /> in the event of an accidental spill/release of _ _ _ = E LZ <br /> hazardous waste �° _ £ L d E w _ d <br /> d „ ea a <br /> q E E E <br /> Eace an"X"on the appropriate box(es)on this line toX X X X X X X X X X X X X X X X X X X X X X XXraining r uired for this employee's job duties./Deseri lion Date Employer-Place an°°X"below the box corresponding to each subject cgvered by training class. <br /> Waste Handler Training 4t-17- 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 /> tt <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 re ulations require you to provide to facilipersonnel. <br /> IIN-074 www.unidocs.org 1/2-03/12/09 <br />