Cal. Code Regs. Tit. 19, § 2550 - Administrative Forms

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(a) The following forms shall be utilized in the administration of the California Hazardous Substances Incident Response Training and Education Program as designated in section 2540:

(1) Training Course Notification Form (HM 100);

(2) Class Schedule Form (HM 130);

(3) Student Course Evaluation Form (HM 140);

(4) Course Roster Form (HM 150);

(5) Course Manager Course Evaluation Form (HM 160);

(6) Hazardous Materials Proof of FRO Competencies Form (HM 170) (rev. 8/99)

(7) Course Audit Report Form (HM 180);

(8) FTF Inspection Report Form (HM 190);

(9) CCR Acknowledgment Receipt Form (HM 200);

(10) Teaching Verification Form (HM 220);

(11) Haz Mat Specialist Evaluation Record (HM 230);

(12) CSTI Application Form

(13) CSTI Statement of Physical or Medical Qualification Form (HM 280) (rev. 9/04)

(14) CSTI Statement of Physical or Medical Qualification for APR Form (HM 280 C) (rev. 4/04)

(15) CSTI Injury and Accident Form (HM 290) (rev. 9-07)

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Notes

Cal. Code Regs. Tit. 19, § 2550

1. New section filed 7-8-91; operative 8-7-91 (Register 91, No. 46).
2. Amendment of section and forms filed 5-12-94; operative 6-13-94 (Register 94, No. 19).
3. New subsection (a)(6), subsection renumbering, new subsections (a)(13)-(15), new forms HM 170, HM 280, HM280C and HM290 and amendment of NOTE filed 12-18-2007; operative 1-17-2008 (Register 2007, No. 51).

Note: Authority cited: Section 8574.20(a), Government Code. Reference: Section 8574.20(b), Government Code.

1. New section filed 7-8-91; operative 8-7-91 (Register 91, No. 46).
2. Amendment of section and forms filed 5-12-94; operative 6-13-94 (Register 94, No. 19).
3. New subsection (a)(6), subsection renumbering, new subsections (a)(13)-(15), new forms HM 170, HM 280, HM280C and HM290 and amendment of Note filed 12-18-2007; operative 1-17-2008 (Register 2007, No. 51).

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