certificate of employee training |
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Name of Carrier: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Driver's Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Operator's Driver's CDL/License No.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Dates of Training: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Signature of driver acknowledging completion of training program: |
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Driver: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | Date: . . . . . . . . . . . . . . . . . . . . |
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I certify under penalty of perjury under the laws of the state of Washington that the employee named above received training in proper collection, transportation, and disposal of biomedical waste: |
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Signature/Title: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | Date: . . . . . . . . . . . . . . . . . . . . |
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County where signed: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
[Statutory Authority: RCW
81.04.160,
81.77.030 and
80.01.040. WSR 01-08-012 (Docket No. TG-990161, General Order No. R-479), § 480-70-441, filed 3/23/01, effective 4/23/01.]