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06/05/15 03:09PM HP LASERJET FAX 2099551865 P.05 <br />L <br />(�AEC;IEIVE <br />SYSTEM -je <br />UNDERGROUND STORAGE TANK! 05 2015 <br />DESIGNA'rED OPERATOR FACILITY EMPLOYEE TRAINING R <br />For use by Unidues Member Agencigv o)- where approved 4j).}�our zocaj iter I -al 'I 8�%BTAL <br />Aufhorit R <br />y Cited: Title 23, Div. 3, Ch, 16 Cal Code qfl <br />0. <br />FOcifity Name: <br />FacilitySite Address, <br />City: <br />Ax - <br />Section 2715 of Title 23, California Code of Regulations, requires that Designated Underground Storage Tank Operators <br />provide training to facility OmPloyecs who have responsibilities associated with the operation and/or maintenance of <br />underground storage tank (UST) systems. This training MW be provided by July i, 2005, and every 12 months thercaftcr. <br />For rucilitY einployees hired after July 1, 2005, the initial training must be provided within 30 days of the date or hire, At <br />least one of the facility employees Present di <br />is not limited to, 'ring Operating hours roust have Current training. This training must include, but <br />the following items as specified in 23 CCP Sections 271 5(f)(1) and (2): <br />ON114tion of the UST system in a manner consistent with the facility's Deg Management Practices; <br />13 The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan; <br />El The employee's role with regard to spills and Overfills as specified in the written us,r Response plan; <br />Name(s) Of Contact person(s) for emergencies and monitoring equipment alarm.s; <br />For facilities that are not routinely staffed, facility employee responsibilities ;is specified in the training program <br />approved by the local UST regulatory agency. <br />23 CCR § 2715(f)(3) requires that list of C11100YOes who have been trained by the Designated Underground Storage Tank <br />OPCTSIVOS) be maintained on-site, or off-site at a readily -available location ifV I <br />qWu and provided to <br />the local agency upon request, Completion orthis f0fM will Safi* UST training record keeping requirements, The following <br />employees have been trained as rwjuired by 23 C(,R Sections 2715(f)(1) and (2): <br />(Continued aft reverse) <br />TmIxict mug be a current j)CSi$tWVd UST OpLratqr for the facility a, the firm of traittiTIg, <br />112 WWW.Ueiidocsmri; 07113/m <br />