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2015-02-23 10:29 Safeway 1769 2094615559 >> P 4/10 <br /> Designated Underground Storage Tanis(UST)Operator <br /> Facility Employee Training Record <br /> Facility Nama:Safeway Facility Address: 2808 country Club Blvd, Stockton,CA 95204- <br /> Person Conducting Training:Ryan Casey Phone;(408)971.2445 Dntd:51M/12 <br /> ICC Certg057554-U0 Exp Date:9/15112 <br /> Instructions <br /> Section 7215 of TOIe 23,California Code of Regulations.requires that Designated Underground Shrrage Tank Operators provide traini <br /> to faosty employees who nave reeponsibilit"associated with the operation and/or maintenance of underground storage tank(UST) <br /> systems.This training must be provided by July 1,2005,and every 12 moths thereafter.For facility employees hired after Jury 1,200 , <br /> pts initial training must be provided within 3o days cribs date of hire.At least one Of the facility employees present during operating <br /> hours must how current training. this training must include,bvl is not Ifmlted lo,the follovAng terns as specified in 23 CCR Sections <br /> 2715(f)(t)and(2): <br /> 11 Operation of ft UST system in a manner consistent with the facility's Best Ma0e9emeal Pradiees; <br /> M The employee's role with regard to UST motoring equipment as specified In the wdtion UST Monitoring Plan; <br /> IS The employee's role With regard to spills and overfill as specified In the written UST Response Plan: <br /> I'B Nams(s)of contact person(s)for emerganGes and monitoring ecupment alarms. <br /> • For facilities that are not mutlnely staffed,fad ity employee responsibttiues as specified In the training program approved <br /> by the local UST regulatory agency. <br /> 23 CCR 2715(1)(3)requireb mat a list or employees who have been trained by the Designated Underground Storage Tank Operalw(s <br /> b6�; <br /> itained on-slit,or off-alto at a readily-evailablo lucaicn if approved by the local agency,and provided to the local agency upon <br /> pletion of this lomlwill safisfyUST training record keeping requirements.The following employees have been trainedby 23CCRSections 2715(f)(1)and(2yTraining Report <br /> orte Fire Date Trained Da Trainer Nama Comments E ro Do <br /> o l / 817111 Dave Thomas 7/12 <br /> erry / / 7/141D1 Dave Thomas714112 <br /> 3/16110 8111111 beve Thomas 11/12 <br /> Julia Poliick 5116107 8111111 Dave Thomas 811/12 <br /> Sandra Harbaugh ! 1 9113111 Dave Thomas 913112 <br /> Dominic G Boylton ! 1 12/22/11 Bryan Lundien 1,122112 <br /> Miguel Delgada 7121108 1124/12 Bryan Lundien 1 24/13 <br /> Kelvin Perry / / 5114/12 Ryan Casey 14/13 <br />