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FACILITY EMPLOYEE TRAINING RECORD <br />Facility Name: �—Eleven 32190 <br />Facility Site Address: <br />4943 S. State RT 99 <br />City: Stockton <br />Section 2713 of Title 23, California Code of Regulations, requires that Designated Underground Storage 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 every 12 months and the initial training must be <br />provided within 30 days of the date of hire. At least one of the facility employees present during operating hours must have <br />current training. The training curriculum includes: <br />Operation of the UST system in a manner consistent with the facility's Best Management Practices; <br />The employee's role with regard to UST monitoring equipment as specified In the written UST Monitoring Plan; <br />The employee's role with regard to spills and overfills as specified in the written UST Response Plan; <br />Name(s) of contact person(s) for emergencies and monitoring equipment alarms; <br />9 The employee's role with regards to hazardous materials and hazardous wastes. <br />Review of the CO2 safety procedures. <br />Review of the Storm Water Pollution Prevention Program <br />Review of the Hazardous Materials Business Plan (HMBP). <br />Review of the material data safety sheets (MSDS). <br />Review of the procedures outlined in the Emergency Response Plan. <br />The following employees have been trained: <br />Facility Employee Name <br />Signature <br />Hire Date <br />*Facility <br />Start Date <br />Training <br />Date <br />Trainer Name' <br />r^m <br />91a��Oa <br />Iaa�Oa <br />lD 1p/ld' <br />Har c Rcnsev%oye <br />'Facility Start Date — This is the date an existing employee started working at this facility. An existing employeo w <br />possibly received training, at a different facility wider the control of the same owner/operator. s.. <br />'Toner must he a curte t Designated UST Operator for the facility at the time of training. <br />JUL 0 9 2018 <br />ENVIRONMENTAL <br />HEALTH DEPA.RTPJF=NT- <br />