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FROM : NO. Jul. 016 12:26PM P4 <br /> DESIGNATED OPERATOR FACILITY LU 1►t <br /> For use by Unidocs Member Agencies or where wpvved by your Local.Ficrise iction <br /> Authority Cited- Trtle 23,Div, 3,Ch. 16 California Cock of'Rcgulutfons(CCR) J U L 15 2016 <br /> Facility Name: ,zi <br /> Facility Site Addy / City: <br /> Section 2715 of Title 23, California Code Regulations,requires that D�etsiignate}d Underground Storage Tank rators <br /> otind s - e ttan1t-t: STTs"ystern l tt i5�ainmg t E vil�e t <br /> tle Fo `py-1U*y4y#,1. ►^�; ev"eary�� s�' <br /> For facility emigoyees hired after July 1,2005.the initial training must be provided within 30 days of the date of hire.At <br /> least one of the facility employees present during operating hours must have current training.This training must inclu&,but <br /> is not 'costed to,the following items as specified in 23 CCR Sections 2715(f)(1) (2): <br /> Operatioon of the UST system in a manemer consistent with the facility's Best Management Practices; <br /> The employee's role with regard to UST monitoring equipment as specified in the wrima+UST Monitoring flan; <br /> 'Die employee's role with regard to spills and overfills as specified in the written UST Response Plan; <br /> Nan*s)of contact person(s)for emergencies and monitoring equipment alarms; <br /> For facilities that are not rotainely staffed,facility employee responsibilities as specified in the training prograin <br /> approved by the local UST regulatory agency. <br /> the local agency upon request.Completion of this form will satisfy UST training mord keeping re"irematts.The following <br /> employees have been trained as required by 23 CCR Sections 2715(f)(1)and(2): <br /> Facili Fnit 1 eye frame raining Date Hire Date Tia r Name <br /> n.-olid n I— /1.n _ .. sy: / l L/ !� 9 n <br /> 'If hired ON duly 1,2005. <br /> 2 Trainer.OUVA be a current Designated UST OpeWnr for the fWl ity at the time of training. <br /> UP1.61.1/2 erww. p7/ <br />