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N it 2012-07-30 10:32 2600 2098302954 >> P 2/2 Designated Underground Storage Tank (UST) Operator --- Facility Employee Training Record Facility Name Safeway Facility Address: 1804 West 11 Th. Street Tracy, CA 95376- Person Conducting TralniriqPhone, Date: icc cert: Exp Date: Section 7215 of Title 23,California Coolie-of Regulafioi;s, requires that Designated Underground Storage Tank Operators provide training to facility employees who have responsibilites associated with the operation arid/or maintenance of underground storage tank(i systems.This training must be provided by July 1,2006.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(0(1)and(2). C! Operation of the UST system in a Manner consistent with the facility's Best Management Practices; 0 The employee's role with regard to UST moitonag equipment as specified in the written UST Monitoring Plan, Lj The employee's role with regard to Spills and OvOffills as specified in the written UST Response Plan; D Name(s)of contact person(s)for emergancler,and monitoring equipment alarms, 0 For facilities that are not routinely staffed,facility employee responsibilities as specified in the training program approved by the local LIST regulatory agency, 23 CCR 2715(f)(3)requires that a list of employees who have bean trained by the Designated Underground Storage Tank Operator(&) be maintained on-site,or off-site at a readily-available l0ciiliort K 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(f)(1)and(2): FIRM TWIII Employee Name Hire Date Trained Dat Trainer Name Emmanuel R Comments Expire Date IChito Esparza Wiffiarn Kaufman 43 2 7 �L 7lZ Luis Castellanos b/I 2111 _Dave T'I'o a 8112/12 ,1 Balbir K Sian 11/4/11 Bryan Lundien 11/4/12 Jacob Dillman 1114/11 Bryan-Lundien 1114/12 Valerie Cross 2/7/12 Bryan-Bryan-Lundien2/7/13 Maria Lara 3/2112 -Bryan Lundien 3/2/13 IRichard R Martinez -5/3/12 Ryan Casey 5/3/13