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Designated Underground Storage Tank (UST) Operator Facility Employee Training Record Facility Name:Safeway Facility Address: 2808 Country Club Blvd. Stockton, CA 95204- PersonConductingTraining:R an Casey Phone:(408)971-2445 Date:5/1A/12 ICC Cert$057554-UC Exp Date:9/15/12 Instructions Section 7215 of Title 23,California Code of Regulations,requires that Designated Underground Storage Tank Operators provide training to facility employees who have responsibilites associated with the operation and/or maintenance of underground storage tank(UST) systems.This training must be provided by July 1,2005,and every 12 months thereafter.For facility employees hired after July 1,2005, the initial training must be provided within 30 days of the date of hire.At least one of the facility employees present during operating hours must have current training.This training must include,but is not limited to,the following items as specified in 23 CCR Sections 2715(f)(1)and(2): Q Operation of the UST system in a manner consistent with the facility's Best Management Practices; The employee's role with regard to UST moitoring equipment as specified in the written UST Monitoring Plan; Cit The employee's role with regard to spills and overfills as specified in the written UST Response Plan; IB Name(s)of contact person(s)for emergencies and monitoring equipment alarms; EX For facilities that are not routinely staffed,facility employee responsibilities as specified in the training program approved by the local UST regulatory agency. 23 CCR 2715(f)(3)requires that a list of employees who have been trained by the Designated Underground Storage Tank Operators) be maintained on-site,or off-site at a readily-available locaion if approved by the local agency,and provided to the local agency upon request.Completion of this form will satisfy UST training record keeping requirements.The following employees have been trained as required by 23 CCR Sections 2715(1 and(2): Training Report Employee Name Hire Date Trained Dat Trainer Name Comments Expire Dat Omar Paramo / / 6/7/11 Dave Thomas 6/7/12 Mark Bradberry / / 7/14/11 Dave Thomas 7/14/12 Lisa Tam 3/16/10 8/11/11 Dave Thomas 8/11/12 Julia Pollick 5/16/07 8/11/11 Dave Thomas 8/11/12 Sandra Harbaugh / / 9/13/11 Dave Thomas 9/13/12 Dominic G Boytton / / 12/22/11 Bryan Lundien 12/22/12 Miguel Delgado 7/21/08 1/24/12 Bryan Lundien 1/24/13 Kelvin Perry / / 5/14/12 Ryan Casey 5/14/13