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CALIFORNIA ON-SITE STATION TRAINING FORM <br /> Site Number Manager Name <br /> Street Address <br /> City,Zip Code <br /> Employee Name(Print) <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas lease initial): <br /> Initial Date <br /> UST S stem Operations <br /> 1. The types and locations of the tanks at the station <br /> 2.For electronic monitors dailv monitoring check log and alarm to <br /> 3. For electronic monitors,who to call in the event of an alarm <br /> Hazardous Materials Management(Hazardous Materials Mana ementBusiness Plan <br /> 1. Which materials at the station are hazardous <br /> 2. Where these materials are stored <br /> 3. How these materials are to be handled,stored and disposed of <br /> 4.What Material Safety Data Sheets SDS are and where they are kept at the station <br /> 5.Proper use of Fire Extinguishers <br /> 6.Training topics included in the HMMP, including review of MSDSs and the emergency <br /> response plan <br /> Waste Management Procedures <br /> 1. The correct management for products in the station <br /> 2. Proper labeling of wastes <br /> 3. The importance of manifesting or having a receipt for all hazardous materials that leave the <br /> site store personnel are not to sign hazardous waste manifests <br /> Spill and Leak Response (Spill Response Plan <br /> 1. Location of spill response equipment <br /> 2, Location of spill or leak contact list,reporting ocedures <br /> 3. Location of emeMengy fuel shut-off switch <br /> Inventory Reconciliation <br /> 1. How to perform accurate fuel inventory control <br /> 2. Follow-up of gasoline inventory overage/shortage variance <br /> 3. Reporting and maintaining inventory records and fuel delivery receipts <br /> Daily Self Inspection* <br /> 1. Type and operation of vapor recovery equipment at the facility <br /> 2. How to perform daily inspection of equipment <br /> 3. Procedures for non-compliance equipment to out of order ,complete maintenance to <br /> Record Keeping(Maintenance, monitor,testing,wastes inspections, inventory,permits trainin etc <br /> 1. Location where records are kept <br /> 2. Types of records maintained at the facility/length of time each record should be kept <br /> Employee Signature Soo. Sec.#or Emp, ID# Date <br /> Training Performed By <br /> Designated Operator Name Certificate# Date <br /> *For facilities within the jurisdiction of the South Coast Air Quality Management District,the training provided to <br /> employees must be certified by the agency. <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00982 2/05 <br />