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S (D UNDERGROUND STORAGE TANKSYSTEM v 1GNATED OPERATOR FACILITY EMPLOIY' N EE,Tp(AtNING 0) ror ace m'limdors Alamber A moles or n here approved bYy'oW Laeal Judsdiclian Authority ed Tirte 23,piv 3,Ch l6 California Code ofR tom luck) 7ity Natne: p ' it y Site Addres-v: Q g Air Ci lin&WVUW Stange Tank Upetators $action 2715 0(Title 23, Cuhfumia Code of Rcaulations, requires that Designated Tank eipera of homing to (aerhty employees who hacc responsibilities associated with the operation and/ onacoRee For C— d erground storage tank(UST)systems.This naming must be provided by July 1,2005,and every 12 moa ace D lliry employees hired after July I,2005,the initial Iminine must be provided within JO days oPthc date of hire.At lean N d the facility employees present during rat opeing hours must have current mining. This training must itrelue. t isnot buD W.the following items as specified in 23 CCR Sections 2715(fxl)and(2): TJ = Operation of the UST system to antimatter consistent with the facility's Rest Management � Practices: •-' . The employee's role with regard to UST monitoring equipment as specified in the wntteo UST Monitoring Plat; U) (D " The employee's role with regard to spills and overfills as specified in the written UST Response Plan: M N ame(s)of contact person(s)for emergencies and monitoring equipment alarms; _ for facilities that are not routinely staffed,facility employee responsibilities as specified in the training program < approved by the local IST regulatory agency. n §2715(8(3)requires that a list of employees who have been mained by the Designated Underground Storage Tank m CD O{xtator(s)he maintained on-cite.of off-site at a readily-available location Taooroved by the local aeencv,and provided to 0, local agency upon request.Completion of this form will: lisfy UST training record keeping requirements.The following : -Ph, < ployees have been trained as required by 27(` ejttcy.ji 715(8(1)and(2): O s (� (A W � Ittacil' Em to Name ramig�D-ate Hire Date T_rai N " ; Oo 3 rn cn CD - - Q r - � - � - m m o - — - - - - U) n z U -r J W (C'anllnueA an revarae) 1 U `7ffhINA after (105 tar iAn i, t dye utr,w St Trainer itwit tlruacm DcmpnanN 1.-.�1 ntr.tnvn wt anaoung rb Ut wx w.anidtKsn U711 J/OS _ t 'UNas-1n N "4= 0 x;