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FACILITY EMPLOYEE TRAINING RECORD <br />Facility Name: 1-11 25 2-19 O -1-11 <br />Facility Site Address: Ta `I'5 S. S t -U �6z lr. CVG_ City: S k-oL (---t-o <br />Section 2715 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. 'I he training curriculum includes: <br />Q Operation of the IJST system in a manner consistent with the facilitv's Best Management Practices; <br />p/ The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan; <br />[s( The employee's role with regard to spills and overfills as specified in the written UST Response Plan; <br />Cr1� Name(s) of contact person(s) for emergencies and monitoring equipment alarms; <br />[JI//The employee's role with regards to hazardous materials and hazardous wastes. <br />f�/�yReview of the CO2 safety procedures. <br />tY Review of the Storm Water Pollution Prevention Program <br />Ip"/ Review of the Hazardous Materials Business Plan (HMBP). (� <br />6f/ Review of the material data safety sheets (MSDS). <br />lfl' 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 Namet <br />jNAk,C�G Rdl <br />"'-'- <br />1—I -IS <br />6 1-, <br />1�ay1y„h,2w„I�e <br />Kivaln C1�an+%aV <br />h <br />�'Z OZ <br />?.74(, <br />KAy��hn K0.M^K l� <br />C <br />Al <br />3-15 <br />4-7-1-4 <br />2 <br />9-2-� <br />Co X111 <br />Ki; kfdn <br />NAK <br />- <br />-2 <br />ko l r)n �&nflc�k <br />0. <br />0,6' <br />2-b -L <br />M0.rk RgSmuSse <br />i <br />ad��l-18 <br />I” Rr^SmusS e1� <br />p <br />U <br />�algll� <br />G19�11 <br />Si��l? <br />Mgr1C R0.Smvlsi>1 <br />.1 . <br />311511 <br />31111} <br />3/�j1�MAr�c <br />RwSmuS$<h <br />*Facility Stan Date — This is the date an existing employee started working at this facility. An existing employce is one who was hired, and <br />possibly received training, at a different facility under the control of the same owner/operator. <br />lIJl i, 1 L,10 <br />' Tminer must be a current lk-signated LIST Operator for the facility at the time of training. <br />ENV!RONME'NTAL <br />- ------HEALF'i DE?ART{MENT---- <br />