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ON-SITE TRAINING FORM - NEW EMPLOYEE TRALNI VERIFICATION <br /> Name of Company: <br /> Street Address: <br /> City, Zip Code: <br /> Employee Name (Print) <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas lease initial or mark N/A for notapplicable): <br /> Initial Date <br /> UST System Operations <br /> 1. The types and locations of the tanks at the facility <br /> 2. The type and operation of the leak detections stem <br /> 3. For electronic monitors, daily monitoring check log and alarm to <br /> Hazardous Materials Nlana ement Hazardous Materials Management/Business Plan <br /> 1. Which materials at the-facility are hazardous <br /> 2. Where these materials are stored <br /> 3. How these materials are to be handled, stored, and disposed of <br /> 4. What Material Safety Data Sheets (MSDS) are and where they are kept at the facility <br /> 5. Training topics included in the HMNIP, including review of MSDSs and the emergency <br /> response plan <br /> Spill and Leak Response (Spill Response Plan) <br /> 1. Location of spill response equipment <br /> 2. Location of spill or leak contact list, reporting rocedures <br /> 3. Location of emergency fuel shut-off switch <br /> Inventory Reconciliation <br /> 1. How to perform accurate inventory control <br /> 2. Follow-u of gasoline inventory overage/shortage (variance) <br /> 3. Reporting and maintaining inventory records <br /> Daily Self Inspection* <br /> 1. Type and operation of vapor recovery equipment at the facility <br /> 2. How to perform daily inspection of equipment <br /> 3. Procedures for non-compliance equipment to out of order), complete maintenance to <br /> Record Keeping (Maintenance, monitor, testing, wastes, inspections, inventory, permits, training, etc.) <br /> 1. Location where records are kept <br /> 2. Types of records maintained at the facility/ length of time each record should be kept <br /> Employee Signature Social Sec. Number Date <br /> Training verified by <br /> Instructor Date <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY <br />