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CALIFORNIA ON-SITE STATION TRAINING FORM - NEW EMPLOYEE TRAINING VERIFICATION <br /> Site Number 1.705- __Dealer <br /> Street Address <br /> City,Zip <br /> Employee Name(Pnm)� <br /> I acknowledge that I have received and understand c nvironmental compliance training in <br /> the following areas lease Initial): <br /> UST System Operations Initial L Date_ <br /> I. The types and locations of the tanks at the station �O <br /> 2• The t e and o reration of the leak detection system <br /> 3. For electronic monitors daily monitoring check log and alarm to 1+ <br /> Hazardous Materials Management(Hazardous Materials Me a emen_t/Business Pian <br /> 1. Which materials at the station are hazardous <br /> 2. Where these materials ere stored <br /> 3. How these materials are to be handled,stored,and disposed of <br /> 4. What Material Safety Data Sheets MSDS are and where they are Dt at the station <br /> 1 5. Training topics included in the HMMP, including review of MSDSa i nd the emergency <br /> res once !an [i <br /> Waste Management Procedures <br /> 1. Procedures in the service bay <br /> 2. The correct management for products in the station <br /> 3. Proper labeling of wastes <br /> 4, The importance of manifesting or having a receipt for all hazardous i i—aterials that leave the <br /> 1. LocRea once(Spill Response Plan)S iladLeaknon 7^'T <br /> res rise equipment <br /> merit <br /> 2. Location of a ill or leak contact list reporting rocedures <br /> 3. Location of emergency fuel shut-off switch <br /> Invento ReconeWation <br /> I. How to pWorin accurate inventory control <br /> 2. Follow-up of gasoline inventoryovers e/shorta c variance <br /> _3. Reporting and maintaininginventory nventory records <br /> DailSelf Insction* <br /> L1. Type and operation of vapor recovery equipment at the facilit <br /> L How to perform daily inspection of equipment <br /> 3. Procedures for non-compliance a ui merit to out of order com let maintenance to <br /> Record Kee in Maintenance monitor testin wastes ins cc Iona inventoryi permlts in etc <br /> 1. Location where records are k t <br /> 12 Type o ecord ffatntaino a facilit /len hof time each reco should be kept <br /> Empl !$nature Social Sec. Nu bar Date <br /> Training verified by .. S:'Wr7V/^UG ,ry, r <br /> Dealer/Instructor Date <br /> •For facilities within the jurisdiction of the South Coast Air Quality Mai agement District,the training provided to <br /> employees must be certified by the agency. <br /> MAINTAIN Tilrc PnDai�vc r.►rnr....•.... ...--_ _- _ _ <br /> 90 *J W" 9Z[ 10 IT9Z-SZ-110 <br />