My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2020
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CORONADO
>
3807
>
2300 - Underground Storage Tank Program
>
PR0231066
>
COMPLIANCE INFO_2020
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/22/2021 5:04:20 PM
Creation date
9/28/2020 7:49:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231066
PE
2361
FACILITY_ID
FA0003819
FACILITY_NAME
Sprint United Managemnt Co.
STREET_NUMBER
3807
STREET_NAME
CORONADO
STREET_TYPE
Ave
City
Stockton
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
3807 Coronado Ave
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
111
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
• F-s <br /> I I canfopnia class <br /> POWERED B'f Petroleum Training <br /> c 50tutions UST OpepatoP <br /> Facih Specific Worksheet <br /> The purpose of this worksheet is to document that Class C Operators have been trained on facility-specific underground storage tank (UST) <br /> components . This worksheet must be completed at the facility where the Class C Operator will be working to complete the training provided <br /> by the online course, `Fueling Station Safety. ' This worksheet must be completed BEFORE the Class C Operator assumes responsibility for <br /> responding to emergencie and dispensing a regulated subp., i( <br /> UST Facility Name . e l`�V/ UST Facili ID # <br /> UST Facility Address <br /> C�> nLwsDo � � � <br /> gool <br /> ave shown the Class C Operator the Emergency Shut-off Switch . <br /> NATE: the e>ziergensy,:stop . vtiictrshitts;-0,ff {�gw.erto alFllie:. i ►ts$rsartfuetpt�!�Ps the etnergeticystnp switch Isdif#Brent <br /> � qp^ of SII Stop? �ttttop yn ttre;point >7f iale:fP ; oohspt& Ttie emer >inoy ;tap switgh .is i egwreil .by natitinai fire codes. <br /> ttontaeta :cjuatr el( petreleum stor2ge_ systeinservice dobtractor-i ou:cannatlocate :tW merge Ystop swrtth. <br /> 100 I have shown the Class C Operator the number to use to call the fire department for this facility and posted this number in a clearly <br /> visible location . <br /> d400rlave shown the Class C Operator the list of company people who should be notified in an emergency and posted the list in a <br /> rly visible location . <br /> I have shown the Class C Operator the tank monitor and provided instructions on how to respond to various alarm messages that <br /> may appear on the display. 416M%I_. • . <br /> NOTE Mil) datToi'tCnnw. tibv� tb.rdad �he displ: tl ortvha t ?cpeet°if tt- I I i-a prnbfbm i <br /> arrlth tie stncage sysxem; . <br /> look 'in : hp tank monitor, manual tofind .. . . fhformattor4 .i'nr. caI( a gpolifiedjietrofeum syst+tm enhtractor and have him of. her e#la.ln this <br /> iiiformatiotlffo you : <br /> have shown the Class C Operator the locations and proper identification of the following items; <br /> Cj,OODrpenser2 <br /> moose <br /> ❑ Nozzle <br /> ❑ Breakaway Coupling <br /> N s <br /> rel: emergency Shut- off Switch <br /> � � <br /> �riill Alarm (if applicable) <br /> 'OIL A CLASS C UST OPERATOR MUST BE OWSITE AT ALL TIMES DURING NORMAL BUSINESS HOURS <br /> a I hereby certify I have completed this worksheet together with the Class C Operator: <br /> MMM <br /> we I ' V- � Date: <br /> Designated Class A or B Operator Name: <br /> u Designated Class A or B Operator Signature : ` <br /> I have completed this workshe gether WithTnern named abov ,{ <br /> '14 � G1- � 0 — Date: � D ' <br /> Class C Operator Name : <br /> _ Class C Operator Signature : <br /> KEEP THIS pOCUMENT ON -SITE AT ALL TIMES <br /> PJ ll5f Training <br />
The URL can be used to link to this page
Your browser does not support the video tag.