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02/07/2007 13:43 2094749151 HAMMER I5 ARCO PAGE 02/05 <br /> 0 of1 <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br /> For use by Unidoes Member Agencies or where approved by your Local Jurisdiction <br /> Aurhori y Cited: Title 23, Div. 3, Ch. 16 California Code of Regulations(CCR) <br /> Facility Name: Hammer 1-5 Arco <br /> Facility Site Address: 3250 W. Hammer Lane City: Stockton, CA 95209 <br /> Section 2715 of Title 23. California Code of Regulations, requires that Designated Underground Storage Tank Operators <br /> provide training to facility employees who have responsibilities associated with the operation and/or maintenance of <br /> underground storage tank(UST)systems. This training must be provided by July 1,2005,and every 12 months thereafter. For <br /> facility employees hired after July 1,2005,the initial training must be provided within 30 days of the date of hire.At least one <br /> of the facility employees present during operating hours must have current training. This training must include, but is not <br /> limited to,the following items as specified in 23 CCR Sections 2715(f)(1)and(2): <br /> ❑ Operation of the UST system in a manner consistent with the facility's Best Management Practices; <br /> ❑ The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan; <br /> ❑ The employee's rote with regard to spills and overfills as specified in the written UST Response Plan; <br /> ❑ Namc(s)of contact person(s)for emergencies and monitoring equipment 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 agency. <br /> 23 CCR §2715(f)(3)requires that a list of employees who have been trained by the Designated Underground Storage Tank <br /> Operator(s)be maintained on-site,or off-site at a readily-available location if aonroved by the Kcal a erlc ,and provided to <br /> the local agency upon request.Completion 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 Name Trainine Date Hire Date' Trainer Name2 <br /> Rommel Santos 12/15/06 Wes Parkinson <br /> Josefne Villavazo 12/15/06 Wes Parkinson <br /> Gregory Linayao 12/15/06 Wes Parkinson <br /> Arlene Pessette 12/15/06 2/23/06 Wes Parkinson <br /> Bennie McDaniel 12/15/06 12/7/05 Wes Parkinson <br /> Had Ram 12/15/06 Wes Parkinson <br /> Sunshine Cordero 12/15/06 11/1/06 Wes Parkinson <br /> (Continued on reverse) <br /> 'If hired aftcr Jifly 1.2005. <br /> Trainer mutt be a current 13esigitated UST Operator for the facility at the time of training. <br /> JIN-061-1/Z www.unidoea.org 07/13/05 <br />