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CALIFORNIA ON-SITE STATION TRAINING FORM -ANNUAL REFRESHER <br /> Site Number ©$ Manager Name <br /> �G 1p <br /> Street As <br /> City,Zip Code (fit <br /> Employee Name(Print) D <br /> I acknowledge that I hav received`aad understand a Ivironmental compliance training in <br /> the following areas lease initi81).6l __ <br /> - Initial Date <br /> UST S stem Q tions <br /> 1. The s and locations of the tanks at the station <br /> 2. For clectronie monitors,dail monitorin check to and alarm to <br /> 3. For electronic monitors who to call in the event of an alarm <br /> Hazardous Materials Maga emegt Hazardous Materials M Menton Business Plan <br /> 1. Which materials at the station are hazardous— <br /> 'r" <br /> e7erdous a <br /> 2. Whom these in teriais are stored <br /> 3. How these materials are to be handled,stored and dis aad of <br /> 4, What Material Safe Data Shoats MSDS aro and where they are kpt at the station _ <br /> 5.Training topics included in the HMMP, including review of MSDSe d the emergency <br /> response plan U <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 r aterials that leave the <br /> site store personnel am not to sian hazardous waste manifests 7a <br /> Spill and Leak Response (Spill Response Plan <br /> 1. Location of spill response Nuipment <br /> 2. Location of spill or leak contact list reportiM procedures <br /> 3. Location of emergency fuel shutoff switch <br /> Inventory Reconciliation — <br /> 1. How to perform accurate fuel inventory control <br /> 2. Follow-up of gasoline inventory ova alshorta a variance <br /> 3. FMrtina and maintaining inventory records and fuel delivery race <br /> i <br /> Record Kee Maintenance,monitor,testing,wastes, ins ons inventory,permits tramiq etc. <br /> 1. Lo whore records are kept J <br /> 2. T s o records ntained at the facili /len of time each reco should be k t <br /> iD 2 z0// <br /> Em oyoe Si re Employee. ID# Data <br /> Training verified byo <br /> Designated Operator# Date <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACUM 00959 re troy <br /> !0 'd WN 9Z: T0 1T0Z-S7-1-)0 <br />