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�u UCL is Ur iU: 4ca tiftorda reSt (209 ) 744-0116 P. 1 <br /> Afforda-Test <br /> 416 2-nd Street LUST Facility <br /> Galt, Ca. 95632 Employee Training Form <br /> 209 744-0112 800 524-9087 Fax 209 741-0116 <br /> ' <br /> Site Name Training Date <br /> �35 �1'UL�In � <br /> Adrlrecv Z y 3 f ^_MAY)�t).C/�_lnl.� Trainee <br /> City Hire Date <br /> UST System Operations <br /> 1. The types and locations of the tanks at that station <br /> 2. The type and operation of the leak detection system <br /> 3. For electronic monitora, daily monitoring alarm log <br /> Hazardous Materials Mzna$jament(Hazardous Materials Management/Business Plan) - - <br /> 1.What materials at the station are hazardous with respect to the fueling station <br /> 2. How these materials are handled, stored and disposed of <br /> 3. What Material Safety Data Sheets (MEDS) are and where they are kept at the station <br /> Spill and Leak Response(Spilt i2ezponse Plan) <br /> 1. Location of spill response equipment <br /> 2. Location of spill or leak contact list,reporting procedures <br /> 3. Location of emergency.fuel shut-off switth/s <br /> 4. Location of any fire extinguishers <br /> Inventory Reconciliation <br /> T. Importance of inventory control <br /> 2. Follow-up of gasoline inventory overagelshortage(variance) <br /> 3. Reporting and maintaining inventory records <br /> Record Keeping (Main. mance, monitor,testing,wastes, Inspections inventory, permits training,etc_) <br /> 1. Location where records pre kept <br /> 2. Types of records maintained at the facility/length of time each.record should be kept <br /> I acknowledge that 1 have received and understand environmenfai cofnpliance training In the above areas; <br /> Employee Signature. ��'" Date:_ J b'' b , C=- 7 <br /> Manage+SSignature: 116 -62 Date: i <br /> 0 -7Designated Operators Signature: Date_ <br />