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N a ivUhk� "0 0 <br /> C DFESIC:NA7'Fp ROUND S7O O N <br /> � OPEItA'I'Olt F kAGE'i'AN <br /> v For usi•h, ILITy -F- SYSTFNI cp <br /> co Awhoril I/nrdln.v A4cnrbcr.�K•`.�cti or I�OV <br /> ti Cited EE 0 OC) <br /> m <br /> _ Title 23, piv -;.Ch. where approved by TRAININ(,RFCOR <br /> l6 California Your l.ucul.lurisdic�i.�n ja <br /> FilClhtl' Name: _---`I\ _ Code of ItegiAlalinn-c(CCR) <br /> l� <br /> 0 Facility Site Address; <br /> p _ _ m <br /> Section 2715 of Title 23, California Code of -- `— City- O <br /> (D <br /> Z7 provide training to facility employees who g talions, requires that Desi N <br /> Re u <br /> ffl underground sto a tank USTsystems_ have responsibilities mated underground <br /> b ( rgound Storage Tank en <br /> an <br /> Cn facility employees hired after July 1,2005 hte initial trmust <br /> n n be provided by]ulyed W� Sth e every 1on 2monthsof the faci I ity employees present during Operating g must be provided within 30 days of the date of hire.At 1 <br /> limited to,the following items as specified in 23 CCR Sectronsmust271 have current training. This training must include,but <br /> ❑ Operation of the UST system in a manner consistent with the far lily's Best Management Practices; 0 <br /> ❑ The employee's role with regard to UST monitoring equipment ass specified r the written UST Monitoring P <br /> [I The employee's role with regard to spills and overfills as specified n the written UST Response Plan; * <br /> ❑ Name(s)of contact person(s)for emergencies and monitorin equipment ed <br /> El hot facilities that are not routinely staffgalarms; <br /> ,facility employee <br /> approved by the local UST regulatory agency. responsibilities as specified in the training pro <br /> cD <br /> 23 CCR§2715(f)(3)requires that a list of employees who have been trained b the Desi gm rag, � <br /> y grated Underground Storage � <br /> Operator(s)be maintained on-site,or off-site at a readily-available location if approved by the local agency,and provide <br /> the local agency upon request.Completion of this form will satisfy UST training record keeping requirements.The folia <br /> employees have been trained as required by 23 CCR Sections 2715(t)(1)and(2): CD <br /> Facility Em to ee Name <br /> Training Date Hire Date' Trainer Nalne2 CD <br /> l � <br /> CRS Sty, Up to�tz ty <br /> 1 1 CD <br /> CD <br /> 10-11-�4 <br /> CDCD <br /> Cole <br /> CD <br /> �rl6k 1 h � ��L�� td-tib-►y <br /> �ti't>t1 t <br /> 0 <br /> 0 <br /> Q <br /> 0 <br /> (ConKuued OR reverse) <br /> x <br /> 0 <br /> N <br /> � - W <br /> co 1 if blred atkor July 1,2005. �pwty at tbo lime of training.,. <br /> 4 'Traioa must be a CWrCat Deeignatrd UST pppraWr for the _ _ .-- _ ._ C' <br /> 0 <br /> .A <br />