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• 0 <br />3-19-09; 1:53PM;RYDER TRUCK STOCKTON ;2099433340 # 4/ 6 <br />UST Callforniz TmInIng Form <br />Sita Number. I l Site marne: 21,rl � <br />Employee Name (Pruic,\xts'n A, City: CST <br />UST Systarn Operations <br />1. Tt types and locations of the tanks at that station <br />2. The .type and operation of the leak detection system <br />3. For electronic moni ors, daily monitoring alarm log <br />Materials management (f iazardous materials AAarragernendBusimess Plate) <br />1. What materials at the station are hazardous with respect to tiro fueling station <br />2. gear these materiels are handled, sacred and disposed of <br />3. What Material Safety Hata sheets (MSDS) are and where they are kept at ifre station <br />eVII and Leak Response "it Response Man) <br />?. Lcca&m of 900 response equipment <br />2. Lcwbion of spill or leak contact W reporting procedures <br />Z. f acarian of emargen^_y ?ue3 shut-off svAtchls <br />4. Location of any Are e�g0shers <br />SnvOweory Racenciiimumn <br />1. im'rpWmnoe of inventory con" <br />2. ro6oww-up of gasp its inver ry over2ge/sPorcrge (variance) <br />3. Repo." and maintaining imrentoy records <br />Recorei Keeping jUalnibenance, rnoaftir, tes*V, wrasbM lamPOCdOns, inverrboey, Prertnhs trairiiM, aft.) <br />1. L +on where records are kepi <br />2. Types of records maintained at the facility/ length of time each record should the kept <br />acknowledge Vhat / have n beeiv" and understand emrirorrr"ePAW comPEMCa valrefing trr V6vG afsrrw® areas: <br />Empkrfee Signattae: �� ----w�-�- ' �_ Da <br />- I V, �� <br />Designated Operator Signature: ��� Data: /L G'! <br />