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UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br /> For rue by ibridors Alemher Agencies orwhen approved by3»nr Local✓nrisdecrian <br /> Authority Cited: reel,23.Di,..3.Ch.16 California Code ofRegulatimu(CCR) <br /> Facility Name: valley Pacific Petroleum Lodi Plant and Cardlock <br /> Facility Site Address: 930 E victor Road City: Lodi <br /> Section 2715 of Title 23,California Code of Regulations,requires that Designated Underground Storage Tank Operators <br /> provide training to facility employees who have responsibilities associated with the operation andor maintenance of <br /> underground storage tank(UST)systems.This training must be provided by July 1.2005,and every 12 montes thereafter. <br /> For facility employees hired after July I,2005,the initial training must be provided within 30 days of the date of hire.At <br /> least one of the facility employees present during operating boors must have current training.This training must include,but <br /> is not limited to,the following items as specified in 23 CCR Sections 271 Sit)(])and(2): <br /> © Operation of the UST system in a manner consistent vvith the facility's Best Management Practices; <br /> ® The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan: <br /> El The employee's role with regard to spills and overfills as specified in the written UST Response Plan: <br /> M Name(s)ofcontaet pemn(s)for emergencies and monitoring equipment alums' <br /> ® For facilities that arc not routinely settled,facility employee responsibilities as specified in the training program <br /> approved by the local UST regulatory a ency. <br /> 0 Site Safetyty SPCC ® Emergency Response Plan <br /> 23 CCR§27151f)(3)requires that a list of employees who have been trained y the Designated Underground Storage Tank <br /> Operator(s)be maintained on-site,or off-site at a readily-available location if approved by the local agency,and provided to <br /> the local agency upon request.Completion of this form will satisfy UST training record keeping requirements.The following <br /> employees have been[mined as required by 23 CCR Sections 2715(ft(1)and(2): <br /> Facility Employ"Name Training Date Hire Date' Trainer Name <br /> Mike Eli.. <br /> F - (f,ir ti 5/o C .O Ib <br /> "cIwo <br /> V3iy,014 <br /> W,f 's /z 3-Z- 17 5 „ <br /> 4vWAj 3 --," 27 acl5 <br /> 3,- o <br /> -1,ltnC� t71A5A&e-V4rZ V/7(1-7 .0 pal " <br /> PT UJAgE V7,11 1 <br /> Doae- %Vee 3'y'l 3l - , 1 5 " <br /> (Conanaed on reverse) <br /> 'lrhirw afar July 1.2005 <br /> Tmimrr moa be n cumht O txg UST[pact"far roc r Puby at am 11 eorrmmag. <br /> UNA61-to —v .oalaoc rax OMM$ <br />