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U?A1G R- OUND STORAGE TANAYSTEM <br /> DESIGNATED OPERATOR FACHXrY EMPLOYEE TRAINING RECORD <br /> on <br /> AWhorfty Cited- Me 23,Dhk 3,Ch 16 Cahfm?jia Code offtuW16w(CCR) <br /> FACMW Name; ® R ✓ <br /> o ' Q 4/ I �D[\ <br /> 2715 of Title 23, Caffibenia Tank Operators <br /> provide traming to ha—my esoployces who hw4e, responsibilities associated vn& the operation and/or mmnftnwwe of <br /> underground storage tank(UM systems-This trammg umn be pimded by J*-1,2005,and every 12 months thweafter.For <br /> hdft employees bired after July 1,2005,the initial aahft mad be pwided.wkbin 30 days of the date of him At least one <br /> of the heft employees present dusmg operating boom most bwe current Warong. This traming must mcludle,but is riot <br /> 1} <br /> Operation of the UST system in a manner consistent with the fwWs Ekst Management Practices;The employee's rob with regard to UST monitoring equipmm as specified in the written UST Monitoring Plan, <br /> 2/ Ile °s role vd&regard to spflb and ovedUk as specified in the written UST Response Ptan; <br /> NAme(s) s ; <br /> approved by the local UST regulatory agency- <br /> 2715(f)(3)requires Onit a ra of employees who hm been traiaed.by the Designated LIndaground Storage Tank <br /> Operator(s) <br /> the local agency upon requesL Completion.of tins form will satisfy UST trandog record 'kwpmg requirementL The following <br /> employees have ban trained as required by 23 CCIL Sections } <br /> f��Employee Name ��Date� Hire Date` Trainer Nam <br /> E <br /> J-1 7CS <br /> 6,Akm- <br /> l El <br /> p� �d <br /> P <br /> 4 6 —al— <br /> Cr°'} <br /> ELM <br /> zWhkWaft July 1,2005. <br /> .� . <br /> 2of ftahgng. <br /> - . <br />