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• FROM FAX NO. :12093690153 b. 08 2010 10:03AM P3 <br /> UNDERGROUND STORAGE GE T,A SYSTEM <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br /> For tree by Unk*a Member Agencies or where approved by your Lord Jurisdiction <br /> Authority Cited Title 29,Div. 3,Ch. 16 California Code of ons(CCS <br /> Farclllty Name: e, <br /> FadUty Site Addrem: vw.L4 IN^EA City: �. <br /> Section 2715 of Title 23, Calif is Code of that Designated Un <br /> TankOperators <br /> to is Hty employ= whip ltttve bit' iaW with the or ce of <br /> =&jgMjnd storage tank(UST)gym=.This training must be providW by July 1,2005,attd e .For <br /> fectlity amploym hired aft July 1,2005,the initial training nuid be pmvkkd within 30 days of the datie of W.At km one <br /> of the,facility employees ptresent during operating boon must lave,omvw tranaing. This staining must mely de, but is ttot <br /> HMW to,tltc following items as spooflo l in 23 CCR Sections 2715(f)(1)and(2): <br /> F operation of the UST"M in a manner consistent with the fdc lity's bast MW149MMO Practices; <br /> The,employees role with regard to TAT monitoring equi as ified in thr written UST.Monitoring Plan; <br /> The euqkyce,s role with regard to spills and overfills as specif9eal to the writ UST Response Plan; <br /> 42 Nwjo(s)of'.cmntact s)for emergencies and monitoring equipment alarms; <br /> CI For facilites that are not routinely staffed,fitcility ernplayoes MPOnfiff3ilitics as ap=MW in the training progron <br /> by the local UST iOgUldffy <br /> 23 CCR§2715(fx3)taquirm dist a list of employees who bout beem trained by the DcsigBalcd Undugmlffid Stuar Tank <br /> operator(s)be ,or oto site at a -available locationif ed by the)No ftpaM and puvi&d tis <br /> the local apaq upon request.Completion of this foam will satisfy UST training record keeping requirments.The hallowing <br /> employees have been trained as vgttited by 23 CCR Sections 2715(fKl)and(2): <br /> Eselli E!q 1 ee Name TraignDate Tralier NTanae <br /> IT" ., <br /> veti <br /> - _._ <br /> currt4 f"11 <br /> pma <br /> Pd l 0 N o <br /> HAP i . <br /> (Cwdkwed on e) <br /> t tP bw aw kitty 1,2005, <br /> 2Trahwmd be a cum t I)esigneW UST Operator for tk fmility at the fi=0fMdniq& <br /> 1�i a6Y-111 www 07/131"4 <br />