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CALIFORNIA ON-0-TTE STATION TRAINING FORM -AN'N'UAL REFRESHER <br /> �. ../ <br /> Site Number 1205 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 System Operations <br /> 1. The types and locations of the tanks at the station <br /> 2.For electronic monitors, daily 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 MSDS are and where they are kept at the station <br /> 5. 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 rocedures <br /> 3. Location of emergency fuel shut-off switch <br /> Inventory Reconciliation <br /> 1. How to perform accurate fuel inventory control <br /> 2. FoHow-up of gasoline inventory overage/shortage(variance) <br /> 3. Reporting and maintaining inventory records and fuel delivery receipts <br /> Record Keeping (Maintenance, monitor, testing,wastes inspections,inventory,permits, training, 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 Employee. ID# Date <br /> Training verified by <br /> Designated Operator# Date <br /> MAINTAIN THIS FORM TIRE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00959 rev ]/o5 <br />