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RECEIVED <br /> OCT 28 2011 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> CALIFORNIA ONSITE STATION TRAINING FORM - NEW EMPLOYEE TRAINING VERIFICATION <br /> Site Number Dealer <br /> Street Address D �� Tj ( � v <br /> City,zip Code 33o <br /> Employee Name(Print) , b� <br /> I acknowledge that I have received and understand I nvironmental compliance training in <br /> the following areas lease initial); <br /> Initial Date <br /> UST System operations <br /> _ <br /> 1. The t es and locations of the tanks at the station AT7t t <br /> 2. The t and o ration of the leak detection system <br /> 3. For electronic monitors,daily monitoring chcckA and alarm to u- <br /> Hazardous Materials Mana ement Hazardous Materials Me a ement/Bualness Plan <br /> 1. Which materials at the station are hazardous ( t <br /> 2. Where these materials are stored _1 <br /> 3, How these materials are to be handled stored, and dis Deed of / - t{_r <br /> 4. What Material Safety Data Sheets(MSD�are and where they are k t at the station _I <br /> 5. Training topics included in the HMMP, including review of MSDSs nd the emergency <br /> response plan <br /> Waste Management Procedures v <br /> 1. Procedures in the service ba 1 <br /> 2. The correct mane ement for products in the station <br /> 3. Proper labeling of wastes _�� <br /> If 4. The importance of manifesting or having a receipt for all hazardous aterials that leave the <br /> site �`7 <br /> S 01 and Leak Response (Spill Response Plan `^�/ V <br /> 1. Location of s ill res onse equipment <br /> -- - t <br /> 2. Location of ill or leak contact list to ortin ....duras _ <br /> 3. Location of Omer me fuel ehutwff switch r <br /> lnvento Reconciliation 14-1 <br /> — <br /> 1 How to perform accurate inventory control ` <br /> 2 -Follow-un of gasoline inventory overs e/shorta a variance f_ -41 <br /> 3. Reporiin and maintainin invent. records <br /> Daily Self luspectton" <br /> L Type and operation of vapor recovery equipment at the facility ( ^t <br /> 2, How to perform daily inspection of aqui ment <br /> 3. Procedures for non tom lienee equipment(tag out of order),com le a maintenance Iolt <br /> Record Kee In (Maintenance, monitor testW wastes Inspections inventor ermits trainin tc. r <br /> I. Location whore records are ke t t k h <br /> 2. T s of records rained at the facilit /len th of time each fetor, should be lcept <br /> f. t namro Socia Soc. Nuir Lber bate <br /> Tramingveri ed by <br /> Dealer/instructor Date <br /> For facilities within the juriadiction of the South Coast Air Quality M agement District, the training provided to <br /> employees must be certified by the agency. <br /> MAINTAIN TU\D <br /> LO 'd W" 47-. TO IT07-S7-100 <br />