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FR3M : MARIGOLDSHELL PHONE NO. : 209 952 4862 Sep. 01 2016 10:55AM P7 <br /> FROM : MARIGOLDSHELL PHa4E NO. : 209 952 4862 Aug. 23 2016 09:55AM P3 <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING R CO13.T U <br /> Fi>r use b)'UnidQcs Member Agenf,*-s or whir#approved by your Local dvrisdietiekh <br /> Authority Cited: Pitta 23, Div. 3. Ch. 16 California Code ofRegulaTions(C'CR) —f 1yf)NM jh <br /> J <br /> Facility Name. Mari old Shell <br /> Facility Site address: 6131 Padit Avenue City: Stockton <br /> Section 2715 of Title 23, California Code.of Regulations, require; that Designated Underground Storage Tank Uperatum <br /> provide training to facility employees who have responsibilities associated with the operation and/or maintenance of <br /> u-ndervound storage tank(UST)systems.This training mast be provided by July 1,2005,and every 12 months thereaf(ex•Fcv <br /> facility employees hired atter July 1,2005,the initial training must be provided within 30 days of the daft of hire,At least one <br /> Of the facility employees present during operating hours must have ourrcnt training. This training must include, but is not <br /> limited to,the following items as specified in 23 CCR Sections 271>(f)(I)and(2): <br /> 0 Operation of the UST system in a roAnner consistent with the facility's Best Management FrActiccs; <br /> Q The employee's role with regard to UST monitoring equipment as specified in the written UST tvtaatwcinu Plan-, <br /> ❑ The em'ployee's role with regard to spills and overfills as specified in the written UST Response Plan; <br /> © Name(s)of contact persons)for emergencies and monitoring equipment alarms; <br /> ❑ For facilities that are not routinely staffed,facility employee responsibilities as sptelficd in the training program <br /> approved by the local UST regulatory agency. <br /> 23 CCR§2715(f)(3)requires that a Iist of ernployoes who have been trained by the Designated Underground Storage Tank <br /> Cperator(s)be maintained on-site,or off-site at a readily available,location if approved brytie local a¢encv,and provided to <br /> the local agency upon request.Compietion of this form will satisfy UST training record keeping requirements.The following <br /> employees have been trained as required by 23 CCR Sections 2715(f)(1)and(2); <br /> Facility Employee N'amc Troining Date Hire Dates Trai er Namer <br /> d K rAf <br /> .�7 4 e'ti�lc <br /> I 4N <br /> ice" <br /> u <br /> (Cv1$d1tUtd an reverse) <br /> Vhired after July t,2905. <br /> 2 TMina must tr a current Designated VST Op,rMtor for the facility at the time of trainin& <br /> www.ua:ctocs erg 07/13105 <br />