ࡱ> JLI#` %(bjbjmm **" ||||4M0rVVVV4\///////$?1h3/--"--/||VVm0iii-|8VV/i-/ii$+l/V PvFwI.`/00M0 /`A4eA4l/A4l/4)vTiD7)))//Y)))M0----$  ||||||  STATE OF MAINE DEPARTMENT OF ENVIRONMENTAL PROTECTION John Elias Baldacci David Littell Governor Commissioner TRAINING PROVIDER COURSE NOTIFICATION Please complete the following course notification and mail or fax the information to the Environmental Technician at least 10 calendar days prior to the first day of the training course. Unless arrangements have been made with the Department no courses will be authorized without receipt of proper notification. Any course changes, including cancellations, must be mailed or faxed to the E/T as soon as possible, but no later than 7:00 a.m. the day of the course. Name of Training Provider  FORMTEXT   Telephone #  FORMTEXT   State of Maine License #  FORMTEXT   Type of course:  FORMCHECKBOX  Asbestos  FORMCHECKBOX  Lead Course Title  FORMTEXT    FORMCHECKBOX  Initial  FORMCHECKBOX  Refresher Location of training  FORMTEXT   Date(s) of Training:  FORMTEXT   Hours of training: Begin:  FORMTEXT   End:  FORMTEXT    FORMCHECKBOX  Check if the instructor is also taking the course exam Number of trainee's  FORMTEXT   Student to teacher ratio for hands-on activities:  FORMTEXT   to  FORMTEXT   Name of primary instructor:  FORMTEXT   Secondary instructors:  FORMTEXT   Note: Submit copy of course schedule describing subject matter and allotted time for secondary instructors. Date Notification submitted  FORMTEXT      / FORMTEXT      / FORMTEXT       Mail or fax to: Sandra Moody, Environmental Technician Maine DEP/BRWM 17 SHS Augusta Me 04333-0017 Fax: (207) 287-6220  HYPERLINK mailto:sandy.j.moody@mai78LVWZ  1 2 0 1 2 K L M W X Y ӮœŽzœŽfœŽ'jh MhOJQJU^J'jh MhOJQJU^Jh Mh4=C>*OJQJ^J#h Mh MOJQJ^JmHnHu'jh MhOJQJU^J!jh Mh MOJQJU^Jh Mh MOJQJ^Jh Mh4=COJQJ^J hQ5 hY~5 h4=C5h4=C(78[{ | } 2 3 / ^`$ <a$$a$"($( - . / 0 > ? ݤ앺wcwQw;+j|h MhCJOJQJU^J#h Mh MOJQJ^JmHnHu'jh MhOJQJU^J!jh Mh MOJQJU^Jh Mh MOJQJ^Jh Mh4=CCJOJQJ^J+jh MhCJOJQJU^Jh Mh4=COJQJ^J+jh MhCJOJQJU^Jh Mh MCJOJQJ^J%jh Mh MCJOJQJU^J? @ B K L Z [ \ ^ j k  ДЇvbvPvv$a$^ P0^P`0 p^p` ) * > ? @ G H R S T "#-./JK®š†r^'j h MhOJQJU^J'jF h MhOJQJU^J'jh MhOJQJU^J'jh MhOJQJU^J'j:h MhOJQJU^Jh Mh MOJQJ^Jh Mh4=COJQJ^J!jh Mh MOJQJU^J#h Mh MOJQJ^JmHnHu$;<SUV`abNPdfh®š†xd'j h MhOJQJU^Jh Mh4=C5OJQJ^J'j2 h MhOJQJU^J'jD h MhOJQJU^J'j h MhOJQJU^Jh Mh MOJQJ^Jh Mh4=COJQJ^J#h Mh MOJQJ^JmHnHu!jh Mh MOJQJU^J"hrtvx((( ( (!(%(®šϐ}iZVh4=Ch Mh4=C0JOJQJ^J'j~h Mh4=COJQJU^JU!jh Mh4=COJQJU^JhBOJQJ^J'jh MhOJQJU^J'j h MhOJQJU^Jh Mh MOJQJ^Jh Mh4=COJQJ^J!jh Mh MOJQJU^J$jh Mh MU^JmHnHu8Vd"(#($(%($a$ ne.gov sandy.j.moody@maine.gov (/ =!"#z$% DText1= DText23 DText37 tDeCheck1tDeCheck2DText4; tDeCheck3tDeCheck4DText5< DText6; DText71 DText8' tDeCheck5DText9 DText10 DText11! DText12< DText13: vDText14vDText15vDText16DyK sandy.j.moody@maine.govyK >mailto:sandy.j.moody@maine.gov8@8 Normal_HmH sH tH DA@D Default Paragraph FontViV  Table Normal :V 44 la (k(No List 0>@0 Title$a$54B@4 Body Text$a$0U@0 Hyperlink>*B*@V@!@ FollowedHyperlink>*B* % % *78[{|}23/ij+,?LM=>  cdeu" # & 0000000000000000000000000000000000000000000000000000000y0P78[{|}23/ij+,LM=>  cdeu& y0y0y0y0{0y0y0y0y0y0{0y0y0{0y0{0y0{0y0y0{0{0y0{0{0y0{0y0{0y0{0{00{0y0y0{0y0{0y0{0y0y0{0y0y0y0y0y0y0y0{0{0 ? h%( / %( $( 0LX-/?K[)GS".J;Ua'39;GMO[a % FFFG$G$FG$G$FFFFG$FFFFFFFFXl,b$mϲ8ʍb> U@(  VB   C D"B S  ?j% xxtText1Text2Text3Check1Check2Text4Check3Check4Text5Text6Text7Text8Check5Text9Text10Text11Text12Text13Text14Text15Text16 _Hlt30324788L/KG"U';O &  1.@\*K<:Nb & V \4V 5 V  ]4!V j  `J$]v;*]v]-]vD0]v-'6< .'<]v{>]vBf@]v2A<YL]v]nP<xR]v1S]vn V aX J+_]v1(_]v8U#a]v!Ec]v0e]v_o]v :u]vIv~w]vCw]vTKz<H|]vN~]v;]vhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJOJQJo(qhh^h`CJqhh^h`CJOJQJo(qhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJOJQJo(qhh^h`CJqhh^h`CJqhh^h`CJq hh^h`OJQJo(hh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJOJQJo(qhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJq hh^h`OJQJo( hh^h`OJQJo(hh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJqhh^h`CJq-n VaX>j @L}CiIv~w5 $QYLX^B M0]-H|;*_oC7.'<xR;J+_`J$apsCw!Ec#D,D0{>- :u1(_5S80eN~ i;1SBf@8U#a]nP2Au{TKz-'6< M--E>4=CQ MBY~! & @#( % P@PPP@UnknownGz Times New Roman5Symbol3& z Arial;Wingdings"qh/G& IF\\24d  2HX(?Y~*%TRAINING PROVIDER COURSE NOTIFICATIONBRWM-Solid WasteOIT-                           ! " # $ % & ' ( ) * + , Oh+'00 <H h t  (TRAINING PROVIDER COURSE NOTIFICATIONBRWM-Solid Waste,Training Provider Course Notification.dotOIT4Microsoft Office Word@Ik@h'@B>@:U7w\՜.+,D՜.+,X hp   Maine DEP ' &TRAINING PROVIDER COURSE NOTIFICATION Title 8@ _PID_HLINKSAxJg:mailto:sandy.j.moody@maine.gov   !"#$%&'()*+,-./012345678:;<=>?@BCDEFGHKRoot Entry FPzFwMData 1Table5WordDocument**SummaryInformation(9DocumentSummaryInformation8ACompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q