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UNDERGROUND STORAGE TANTO SYSTEM <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE TRAiNTNG RECORD <br /> /%or use by Untdocs Member Agencies or where approved hy,ynar/,nC(4l.ha99dieiian <br /> Authority Cited* Tir/e 23, Div 3, Ch //Califoraiu Cale ofRegrdations(CCR) <br /> FaeilityName: Qa%c�i ��eeil — <br /> Facil[tySiteAddress: -7O 2 E sttem–jYe City: <br /> Section 2715 of Title 23, California Codc of Regulations, requires that Designated t underground Storage Tank Operators <br /> provide training to facility cmployocs who have responsibilities associated with the operation motor rnainlcnmttc of <br /> underground storage tank(UST) systems. This training must he provided by July 1,2005,and every 12 months thereafter. <br /> For facility employees hired atter July 1, 2005,the initial training must be provided within 30 days of dw dais of him, At <br /> Icest tate of the facility employees prmem during operating haus must have current training.This training must include,but <br /> is not lit�uJted to,the following iaelns es spacifled in 23 CCR St�;lious 2715(t)(I)atd(2): <br /> B' tion of the UST system in a mannor�vnsistunl with the facility's Bcst Managemen[Practices; <br /> mpltryee's tale with regard to UST monitoring equipment as spaified in rhe writtrn C15T Monitoring Plan; <br /> �Tr <br /> mpl ' le with reg¢rd to spills and overKllsasspcciKcd in the wtten(ISTResponse Plan;tm; pexsuu(s)for t.-mergencics and moniaxing equipment alarms;Ffacilities that are <br /> not <br /> routinely staffed,tacility employee responsibilities as spcclKed in the training program <br /> approved by the luteal 1151regulatory agency. <br /> 23 CCR§2715(fx3)requires that a list of employees who have been trained by the Designated Undergrotuad Storage Tank <br /> Operator(s)be maintained on-site,or ofi site at a readily-available Incation it,aaproved by the loc�il ageency,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 trained a5 required by 13 CCR Sections 2715(f)(1)and(2): <br /> Facility EgnplksM Name Trainivig Date Hire Date' Trainer Noe <br /> W/aL7/Q -- <br /> Hdouedanreverse) <br /> 'Cb�hucd aftcrrJuh I,2005. <br /> 77aintr mU9t be a narzat DevgtorM L19T 11�%'�:tlu lu aur fatality ut the trtrx:nrtrnininp„ <br /> UN-061-1/2 wi.w.nnidacs.ort 07MAK <br /> ST/2T'8 ££7£I39b602:01 :Wojj £0:£0 9002-b0-130 <br />