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CALIFORNIA ON-SITE STATION THING FORM <br />ite-Number <br />treet Adtim <br />ity, Zip Cot <br />mployee Na <br />NEW EMPLOYEE A'INING VERIFICATION A <br />000ar <br />6000 <br />acknowledge that I have received and understand environmental compliance training in <br />ha fnllnwina nranc (nlpacp, inion )_ <br />Employee Signature <br />r � <br />Training verified by <br />Social Sec. Number <br />Date <br />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 TH'E ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00957 <br />Initial Date <br />_ <br />IST System Operations <br />'4 Ile, _ <br />_ _ <br />The types and locations of the tanks at the station <br />Al k , <br />The type and operation of the leak detection system <br />f / <br />For electronic monitors, daily monitoring check. -Io., and alarm to <br />iazardous Materials Management (Hazardous Materials Management/Business Plan) <br />Which materials at the station are hazardous <br />/ <br />Where these materials are stored <br />A / <br />How these materials are to be handled, stored, and disposed of <br />i. What Material Safety Data Sheets I IqSDS) are and where they are kept at the station <br />A � 4� <br />Training topics included in the HMMP, including review of MSDSs and the emergency <br />esponse plan <br />_ <br />Naste Management Procedures <br />Procedures In the service bay <br />;. The correct management for proriwcts in the station <br />�< <br />i. Proper labeling of wastes <br />' /< , <br />_ <br />t. The importance of manifesting or :having a receipt for all hazardous materials that leave the <br />:ite <br />a � , �< <br />_ <br />ipili and Leak Response (Spill Response Plan) <br />I. Location of spill response equipment <br />'.. Location of spill or leak contact list, reportinrocedures <br />/< , <br />3. Location of emergency fuel shm[-aff switch <br />I A, /< , <br />Inventory Reconciliation <br />L How to perform accurate inventury control <br />?. Follow-up of gasoline inventory overage/shortage (variance) <br />/ <br />3. Reporting and maintaining inventory records <br />< <br />Daily Self Inspection* <br />1. Type and operation of vapor recover a ui rnen t at the facility <br />Z. How to perform daily inspectio i of equipment <br />3. Procedures for non-compliance equipment (tag out of order), complete maintenance log <br />I k r< , <br />Record Keeping (Maintenance, monitor, testing, wastes, inspections, inventory, permits, training, etc.) <br />1. Location where records are kept_ <br />_ <br />Z. Types of records maintained at the facility/ length of time each record should be kept <br />Employee Signature <br />r � <br />Training verified by <br />Social Sec. Number <br />Date <br />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 TH'E ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00957 <br />