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&Ov"( tk,(os Bt-l3-s <br /> STORAGE TANK SYSTEM <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br /> For use by Unidocs Member Agencies or where approved by your Local Jurisdic tion <br /> Authority Cited: Title 23,Div. 3, Ch. 16 California Code of Regulations(CCR) <br /> Facility Name:— CVN(un <br /> Facility Site Address: <_0 \ Vl City: —W AKLy (A <br /> a <br /> Section 2715 2715 of Title 23, California Code of Regulations, requires that Designated UndergroundStorage Tank Operators <br /> provide training to facility employees who have responsibilities associated with the operation and/or maintenance of <br /> underground storage tank (UST) systems.This training must be provided by July 1, 2005, and every 12 months thereafter. <br /> For facility employees hired after July 1, 2005, the initial training must be provided within 30 days of the date of hire. At <br /> least one of the facility employees present during operating hours must have current training.This training must include, but <br /> is not limited to,the following items as specified in 23 CCR Sections 2715(t)(1)and(2): <br /> Operation of the UST system in a manner consistent with the facility's Best Management Practices; <br /> x The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan; <br /> 14 The employee's role with regard to spills and overfills as specified in the written UST Response Plan; <br /> C6 Name(s)of contact person(s)for emergencies and monitoring equipment alarms; <br /> ❑ For facilities that are not routinely staffed, facility employee responsibilities as specified in the training program <br /> approved by the local UST regulatory agency. <br /> 23 CCR§ 2715(f)(3)requires that a list of employees who have been trained by the Designated Underground Storage Tank <br /> Operator(s)be maintained on-site,or off-site at a readily-available location if approved by the local agencyand provided to <br /> the local agency upon request.Completion of this form will satisfy UST training record keeping requirements.The following <br /> employees have been trained as required by 23 CCR Sections 2715(f)(1)and(2): <br /> Facility Em to ee Name Trainin Date - Hire Datet r ' Name2 <br /> x �, /,y/il" jui 20l ti� � <br /> x Wi CU '` �'�bl s w/ /r' -72Gi� _ �Ck <br /> -L ) t y <br /> N +c Yi 7�/ <br /> 2,LO)/ <br />