"New Hampshire Wps Training Records" - New Hampshire

New Hampshire Wps Training Records is a legal document that was released by the New Hampshire Department of Agriculture, Markets & Food - a government authority operating within New Hampshire.

Form Details:

  • Released on December 1, 2016;
  • The latest edition currently provided by the New Hampshire Department of Agriculture, Markets & Food;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Agriculture, Markets & Food.

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Download "New Hampshire Wps Training Records" - New Hampshire

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NEW HAMPSHIRE WPS TRAINING RECORDS
Address of Training Location
_________________________________
_________________________________
Agricultural / Handler Employer’s Name
Date of
Employee
Employee Printed
Employee Signature
Training
License
Training
EPA
EPA Document #
Training
ID #
Name
Type
Number of
Method
Approved
or Approval # of
Worker or
Pesticide
Used
Training
Materials Used
Handler
Safety
Materials
Trainer
Used
The undersigned attests that all training was conducted in accordance with the provisions of 40 CFR Part 170, the “Worker Protection Standard”
_________________________________
_________________________________
Signature of Pesticide Safety Trainer
Printed Name of Pesticide Safety Trainer
-Agricultural Workers & Handlers must be trained once every 12 months
-This record must be kept on the Agricultural Establishment for 2 years from Date of Training
December 2016
NEW HAMPSHIRE WPS TRAINING RECORDS
Address of Training Location
_________________________________
_________________________________
Agricultural / Handler Employer’s Name
Date of
Employee
Employee Printed
Employee Signature
Training
License
Training
EPA
EPA Document #
Training
ID #
Name
Type
Number of
Method
Approved
or Approval # of
Worker or
Pesticide
Used
Training
Materials Used
Handler
Safety
Materials
Trainer
Used
The undersigned attests that all training was conducted in accordance with the provisions of 40 CFR Part 170, the “Worker Protection Standard”
_________________________________
_________________________________
Signature of Pesticide Safety Trainer
Printed Name of Pesticide Safety Trainer
-Agricultural Workers & Handlers must be trained once every 12 months
-This record must be kept on the Agricultural Establishment for 2 years from Date of Training
December 2016