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JUN -11-2015 08:30 FROM:MYGOOD ET 2099432082 8186888151 <br />CALMORNIA ON-SITE STATION TRAINING 1~ORM - NEW EMPLOYEE TRAINI <br />Site Number _ z'j l0' ._Dealer , <br />Strcct Address} <br />yity, zip Godo <br />Employee Name (Print) -1* -V-- o -r- f'-' <br />I acknowledge that I have received and understand environmental comp <br />the following areas (please initial): <br />P. 1/1 <br />TION <br />training in <br />' 1 " , tial Date <br />UST System Operations <br />I . The !xues and locations of the tanks at the station <br />Z t� <br />2. The type and o ration of the leak detections stem <br />3. For electronic monitors dai!y monitorin& check 12S and alarm to <br />Hazardous Materials Mana ement Hazardous Materials Mance ement/Business .Plan ", <br />1. 'Which rnatcrials at the station are hazardous <br />2. Where these materials are stored <br />3. Flow these materials are to be handled, stored, and disposed of <br />4. What Matbrial Safety Data Sheets ;SCIS are and where the ars Ice t at the station <br />i -t <br />5. Training topics included in the HMMP, including; review of MSDSs and the emergency <br />res onse plan <br />Waste Management Procedures <br />- <br />t, procedures in the service ba <br />�I <br />2. The correct maneement For roducts in khe station <br />�.. <br />3. Pro er labeling of wastes <br />4, The importance of manifesting or having a receipt for all hazardous materials that icave the <br />ite,, <br />!,{ <br />Spill and Leak Response (Spill Response Poen i <br />1. Location of s iIl res onse equipment <br />-t <br />2. Location ofspill or leak contact list, reporting Tprocedures <br />KA I r+ -i }_t <br />3, Location of emergency fuel shutoff switch <br />Invento Reconciliation <br />I . How to perform accurate invcnto Control <br />2, FollOw+U of gasoline invents overa a/shorts a variance <br />0, <br />3. Rq2rting and maintainin invento records <br />I I - f Ic <br />Doll Self Inspection* <br />1. RE and operation of vapor recovea a ui ment at the facilityas <br />2. How to perform daily ins action of ui merit <br />3. Procedures ritl!ag out of order , complete maintenance to <br />Record Keeping (Maintenance, monitor, testin Wastes, inspections, inventory, er6 <br />ining, etc. <br />1. Location where records are ke t <br />2. Tyj2es of records maintained at the facili / length of time each record should be kept <br />Em p uySignature Social Sec. Numlxmr Dae <br />Training verified byj <br />�. <br />Desler/Instructor Dacq <br />For facilities within the jurisdiction of the South Coast Air Quality. Management District, the truinin <br />" <br />rovided to <br />t 'mployees must be certified by the agency. . <br />J MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACI.L-AY <br />00957 <br />