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1c:43 rKUM:CIRCLE K 8584116 TO:19512705121 <br /> P.3,7 <br /> CALi.—JRNIA ON-SITE STATION TRAININ,, , 'ORM <br /> Site Number ,,yy <br /> Manager Name <br /> Street Address_ �O y !U t�l,V11 by-, A�C. 4 e I <br /> City, Zip Code L&:- t cup (A 41 1">S Zs U <br /> 1" <br /> Employee Name (Print) a nn -w C 'x r1,tL,%. , <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas lease initial): <br /> OST System Operations Initial Date <br /> I. The types and locations of the tanks at the station _- .� <br /> 2. For electronic monitors, dailV monitoring check log and alarm tog nA a 4 -2 ? <br /> 3. For electronic monitors,who to call in the event of an alarm k <br /> Hazardous Materials Management (Hazardous Materials Management/Business Plan <br /> 1. Which materials at the station are hazardous Z <br /> 2. Where these materials are stored <br /> 3. How these materials are to be handled stored, and disposed of �p/ <br /> 4. What Material Safety Data Sheets SDS are and where they are kept at the station j <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 labelingof 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 a ui ment a <br /> 2. Location of spill or leak contact list, reporting rocedures ru I ,2 <br /> 3, Location of emergency fuel shut-off switch ;) <br /> Inventory Reconciliation <br /> 1. How to perform accurate fuel inventory control $ <br /> 2. Follow-up of gasoline inventory overs a/shorts a variance ah <br /> 3. Reporting and maintaining inventory records and fuel delivery receipts C <br /> Daily Self Inspection* e <br /> 1. Type and operation of vapor recovery equipment at the facili 2 ' <br /> 2. How to perform daily inspection of equipment <br /> 3. Procedures for non-compliance equipment(tag out of order),complete maintenance to �;t <br /> Record Keeping aintenance monitor, testing, wastes, inspections, inventory, permits,tr ruin etc. <br /> 1. Location where records are kept /7,7 -2 <br /> 2. Types of records maintained a he facility/length of time each record should be kept <br /> / <br /> (� -2 dS <br /> Employee Signature Soc. Sec. #or Emp. ID# D ate <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 2m <br />