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V C:) <br /> N <br /> t <br /> �._.0i <br /> O <br /> U"ERGRO o <br /> DESIGNATED OpE UND STORAGE TANK SYSTEM <br /> RATOR FACMITY EMPLOYEE O <br /> �y <br /> For ltse by Unidocs Member Aere G RECORD CL <br /> Irl 4ud 0'Cited: 771(1.23,Div. 16 California Code of Reguoved by your lations(CCR)Jurisdictional � <br /> Facility Name: ll�V✓ <br /> Q4,4..ll tr'Trty� <br /> Facility Site Address, I��I EI <br /> Vosew„ k City: `,��1CLt� kce CA 55'37C <br /> Section 2715 of Title 23,Califomia Code of Regulations, vires that <br /> provide training to facility 1 requires Designated Underground Storage Tank Operators <br /> underground storage tank employees°yam who have responsibilities associated with the operation and/or maintenance of � <br /> �~ For facili systems_[itis train ng must be provided by July !,2005,and every 12 months thereafter. <br /> ^y I ty employees hired after July 1,2005,the initial training must be provided within 30 days of the rate of hire.At ¢� <br /> �ayy least one of the facility employees present during operating hours must have current training.This training must include,but <br /> � is not limited to,the followin it �..�' <br /> g encs as specified in 23 CCR Sections 2715(f)(1)and(2): � <br /> �j <br /> The <br /> of the UST system in a maturer consistent with the facility's Best Management Practices; <br /> L?�The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan; <br /> Q ❑ The employee's role with regard to spills and overfills to specified <br /> .ISS' Name(s)of contact ngquiqui in the written UST Response Plan; t-. <br /> Person(s)for emergencies and monitoring epment alarms; <br /> ❑ For facilities that are not routinely staffed,facility employee responsibilities as specified in the training program <br /> approved by the local UST regulatory rY agency. c� <br /> 23 CCR§2715(f)(3)requires that a list of employees who have been trained by the Designated Underground Storage Tank -0 <br /> Operator(s)be maintained on-site,or riff-site at a readily-available location if approved by the local agency.and provided to 4" <br /> the local agency upon request.Completion of this form will satisfy UST training record keeping requirements.The following O <br /> employees have been trained as required by 23 CCR Sections 2715(f)(1)and(2): � <br /> � t O <br /> Facili Em ee Name Training Date HigDatr/ Trainer Name rn <br /> 13 1.1 <br /> i 24 5 dab ems . <br /> Wd <br /> zz �p loiz -tr�c a <br /> 0 <br /> ZZ 1 t? �Q / <br /> on <br /> Q <br /> V <br /> 4� <br /> (Cottdnaed ort reverse) <br /> �Ttaayl <br /> yv If hired after July 1.2005. i1ST Operator for the facility at tho time of <br /> t•r..:n.r mutt be a Cu(rent Iksigaa . <br /> tV � <br /> ISI � <br /> a <br />