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RECEIVED <br /> Afforda-Test <br /> VWIRONMENTHEALTH <br /> 416 2nd Street I / v1 UST Wadi ' p ? l <br /> Galt, Ca. 95632 <br /> Employee Training Form <br /> 209 744-0112 800 524-9087 Fax 209 744-0116ENVIRONMENTAL HEAL`fFl <br /> MITI ACES <br /> Training Date: '10 't <br /> k1 _ <br /> Site Name: G�M� 0 h t�0 `" C , Trainee Name: / AA Lec, ,,� <br /> Address: Hire Date: <br /> City: <br /> UST System Operations <br /> 1.The types and locations of the tanks at that station <br /> 2.The type and operation of the leak detection system <br /> 3.For electronic monitors, daily monitoring alarm log <br /> Hazardous Materials Management (Hazardous Materials Management/Business Plan) <br /> 1.What materials at the station are hazardous with respect to the fueling station <br /> 2.How these materials are handled, stored and disposed of <br /> 3.What Material Safety Data Sheets (MODS) are and where they are kept at the station <br /> Spill and Leak Response (Spill Response Plan) <br /> 1.Location of spill response equipment <br /> 2.Location of spill or leak contact list, reporting procedures <br /> 3.Location of emergency fuel shut-off switch/s <br /> 4.Location of any fire extinguishers <br /> Inventory. Reconciliation <br /> 1.Importance of.inventory control <br /> 2.Follow-up of gasoline inventory overage/shortage (variance) <br /> 3.Reporting and maintaining inventory records <br /> Record Keeping (Maintenance, monitor, testing, wastes, inspections, inventory, permits training, etc.) <br /> 1.Location where records are kept <br /> 2.Types of records maintained at the facility/ length of time each, record should be kept acknowledge that <br /> I acknowledge that I have received and understand environmental compliance training in the above areas: <br /> Employee Signature: • �""":` Dater <br /> Managers Signature: Date: <br /> Designated Operators Signature: Date: to /Z• <br />