CERTIFICATE OF EMPLOYEE TRAINING | |
Name of Carrier:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
Driver's Name:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
Operator's Driver's CDL/License No.:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
Dates of Training:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | |
Signature of driver acknowledging completion of training program: | |
Driver:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | Date:. . . . . . . . . . . . . . . . . . . . |
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: | |
Signature/Title:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | Date:. . . . . . . . . . . . . . . . . . . . |
County where signed:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Wash. Admin. Code § 480-70-441
Statutory Authority: RCW 81.04.160, 81.77.030 and 80.01.040. 01-08-012 (Docket No. TG-990161, General Order No. R-479), § 480-70-441, filed 3/23/01, effective 4/23/01.