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T0:19512705121 P.2.7 <br /> CALL RNIA ON-SITE STATION TRAINING ORM <br /> Site Number 1 QS <br /> Manager Name A- <br /> a a <br /> Street Address I �o q l7 & �� ��•a� <br /> City, Zip Code a X153 -zn <br /> Employee Name(Print' <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas lease initial): <br /> UST S stem O eratioos Initial Date <br /> 1. The es and locations of the tanks at the station <br /> 2. For electronic monitors, dail monitorin check to and alarm to M <br /> 3. For electronic monitors, who to call in the event of an alarm <br /> Hazardous Materials Management Hazardous 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 dis osed of <br /> 4.What Material Safe Data Sheets I IVISIM) arc 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 Man ement Procedures <br /> 1. The correct management for products in the station rc� <br /> 2. Proper labelingof wastes <br /> 3. The importance of manifesting or having a receipt for all hazardous materials that leave the <br /> site store ersonnel are not to signhazardous waste manifests <br /> Sill and Leak Response (Spill Response Plan) <br /> 1. Location of s ill 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 r'�d <br /> 2. Follow-up of gasoline inventory overage/shortage variance <br /> 3. Reporting and maintaining inventory records and fuel delivery receipts <br /> Daily Self Inspection* <br /> 1. Type and o eration of vapor recov equipment at the facility <br /> 2. How to perform daily inspection of equipment <br /> 3. Procedures for non-compliance equipment to out of order),complete maintenance to <br /> Record Keeping (Maintenance, monitor, testing, wastes, inspections, inventory, permits, training, etc. <br /> 1. Location where records arc kc—t <br /> 2. Types of records maintained at the facility/length of time each record should be kept <br /> E�,ployee Signature Soc. Sec, #or Emp. ID# Date <br /> Training Performed By <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 2i05 <br />