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JUN-9-2006 12:35 FROM:CIRCLE K <br /> 8584116 TO:19512705121 P.7/11 <br /> CALII„)RNIA Oi4-SITE'STATION TRAIPIING—ORM (� <br /> Site,Number_ Uo S Manager Name PA0.rt4 —,�—o \\ <br /> Street Address I (oq7 GCg5.1�— L—a tk(e p C �t 51 5 3 C VV <br /> City, Zip Code L—A{ re) {�, I 9 5 3-so <br /> Employee Name(Print <br /> ) <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas lease initial): <br /> UST System Operations Initial Date <br /> 1. The types and locations of the tanks at the station Jar 6 2 d <br /> 2. For electronic monitors, daily monitoring check log and alarm to 28 d <br /> 3. For electronic monitors, who to call in the event of an alarm Z� <br /> Hazardous Materials Management LHazardous Materials Management/Business 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 8 Q <br /> 4. What Material SaTery Data Sheets SDS are and where they are kept at the station 28 p <br /> 5. Training topics included in the HMMP, including review of MSDSs and the emergency <br /> response plan K f} 6/zQ j0 <br /> Waste Management Procedures <br /> 1. The correct management for produp.ts in the station A Z <br /> 2. Pro erlabelin of wastes KPC Z$ <br /> 3. The importance of manifesting or having a receipt for all hazardous materials that leave the <br /> site store ersonnel are not to si hazardous waste manifests K A <br /> S ill and Leak Resonse fciin Reponse Plan <br /> 1. Location of ill res onse a ui merit b p <br /> 2. Location of ill or leak contact list reporting rocedures �ry <br /> 3. Location of emerLency fuel shut-off switch K 2 p <br /> Inventory Reconciliation <br /> 1. How to perform accurate fuel inventory control <br /> 2. Follow-up of gasoline inventory overage/shortage variance <br /> 3. Reporting and maintaining inventory records and fuel delivery receipts— <br /> Daily <br /> ecei isDail Self Ins ection' <br /> 1. Type and operation of vapor recovery equipment at the facility <br /> 2. How to perform daily inspection of equipment <br /> f< o <br /> 3. Procedures for non-compliance equipment to out of order), complete maintenance to pt o <br /> Record Keeping (Maintenance, monitor, testing, wastes, inspections, inventory, permits, trainin etc. <br /> 1. Location where records are ke t kR 2 C <br /> 2. Types of records maintained at the facility/length of time each record should be kept K A— (o 1Z <br /> Q <br /> Employee Signature Soc. Sec.#or Emp. ID# D ate <br /> Training Performed By -A f it , a,,,,r, 4�- c" ( Zdll( <br /> Designated Operator Name Certificate# D ate <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 THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY 00982 2/05 <br />