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2012-07-50 10:32 2600 2098302954 » P 212 Designated Underground Storage Tank (UST) Operator Facility Employee Training Record Fnoilily Nome:Safeway Facility Addrgs8, 1604 Wast 11Th, street Tracy, CA 95376 Peirson Conducting Trainiriu: Phone: Data: ICC Oen. I'-x)Date; Section 7215 of Title 23,Califomia Code of Regulations,requires that Designated Underground 9lorage T2nk Operators prowde training ! tp fac➢Ity employers who have remponsibildee aaeoolated vAh the operation and/or maintenance of Undefgrounci btoivge tank(LIST) I systems.This training must be provided by July 1,2006.and every 12 months themafter, ror feritity employees hired after July 1,2005, the initial training must be provided within 30 drays of the dates of hire,At leant one of the facility employees present during operating hours must hava current training,This tralnirig must indtide,but is not limited to,the following Items as specified in 23 CCR Sections 2715(f)(1)and(2): C dperatlon of the UST syutam in a manner consistent with the facility's 8*4t management Practicoo: ❑ The employee's role with regard to UST rnoitoring oquipment as specified in the written UST Monitoring Plan; U The employee's rete with regard to spills and overfills as specified in the wrilwn UST Reeponse Plan; L Narna(s)of contact person(a)for ernergenelct and monitoring equpmant ataims; 11 For facilities that are not routinely staffed,facility employee razwslbilities as specified in the training program approved fry the loCal UST regulatory egency. 23 COR 2715(f)(3)requires that a list of wrrployees who have been(rained by the Oesignated Underground Storage Tank Operators) be maintained on-site,or offsite at a readily-available tocaion if approved by the local agency,and provided to the local agongy upon request Completion of this form will satisfy UST training raeord keeping requirements.The following emptoyeas have bean trained as required by 23 CCR Sections 2715(f)(1)and(2): Employse Mame Hire Date Trained DO Trainer Name comments Expire Data Emmanuel R 1126/12 �j �• c11 Chito Espafza William Kaufman / ! 7 a -uis CBstelianos 1 1 6/12/11 Dave TI cads _ 81'12112 . ealbir K Sian ! 1 1114111 Bryan Lundlen _ 1114112 Jakob 011marn / 1 1114111 Bryan Wridlen 1114112 Valerie Cross I I 2/7112 Bryan Landien _ 217113 Maria Lara 1 1 312/12 Bryan Lundien 312113 Richard R Martinez 1 / 513112 Ryan Casey 5/3113