Fillable PERSONNEL TRAINING FORM (Mississippi)

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PERSONNEL TRAINING FORM (Mississippi)

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If requested, submit form to Water II Branch Manager, ECED, MDEQ, PO Box 2261, Jackson, MS 39225
PERSONNEL TRAINING FORM
READY-MIX CONCRETE GENERAL PERMIT
Facility Name: _____________________ Coverage Number: MSG11__ __ __ __
Instructions:
Personnel responsible for implementing and/or complying with the requirements of the RMCGP shall
receive initial and periodic refresher training. Initial training shall be provided within twelve (12) months of issuance or
reissuance of RMCGP coverage and prior to performing responsibilities under the coverage. Refresher training shall be
provided annually. The trainee(s) and trainer shall sign and date this form. [2020 RMCGP ACT5, T-9]
Describe the contents of the training or attach the training to this form and indicate “Attached.”
Trainer Name (printed) Trainer Signature Date
Trainee Name (printed) Trainee Signature Date
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PERSONNEL TRAINING FORM (Mississippi)

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Completed 22 June 2021

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