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Trinity Parkway AMPM ARCO#83819, 10715 Trinity Pkwy, Stockton, CA Record ID PR0541281 <br /> 4/15/2021 <br /> PHOTO# 1 <br /> Incomplete Facilit Emplo ee Trainin Certificate <br /> FACILITY EMUNOERGR011Nb S7oRAGe TANK <br /> PLOYEE TRAINING CERTIFICATE ieeg.r or q <br /> '� eus�ne.a ryame(same as Faorry NaB,aoro 1' FACILITY INFORMATION <br /> - �9 Buamess nsl <br /> Business aila qtl t=as Ill <br /> T.iii Chy L,v <br /> II. OES NATED NbERGROUNO STORAGE TANK OPERATOR INFORMATION } . <br /> Name of�ignared ll or Provitling Ilse Training fp�1 es ahown on Ma lCC Cel afionl i �, <br /> Mailing Aadreas al� <br /> PO Box 933,West Sacramento,Ca 95605 Ph— <br /> Ice C."ficauon n 916 371-2380 <br /> � s�/2 c.ran..aon eaaf, n pa <br /> 111- FACILITY EMPLOYEE INFDRMATI N <br /> Indlviduals assuming the duties Bf tbB Facility employee befpre October 13,2018 mast 6o tnlned wlihln 3a tlays of pertorming <br /> facility employee duliea.Individuals assuming the dull..of the facili y <br /> bufore Performing facility employee dory... ty employee on and after October 13,Y019 musl be named <br /> El Check the bBs lfa est ofnh i H..o,f(s)rrainedlsappentledtotaiafarm.The appended fist,are minimum,mu5teordam <br /> alfecthefh"ffe 1 fnfhrs itdMn. <br /> pais et Assuming <br /> Name of Individuals)Trained Initial Training bale Resp-11,111 <br /> ty as a <br /> F.6IKy Employee <br /> 1 V p L <br /> S 8� <br /> e' <br /> a m <br /> W. CERTIPICATIDN BY OESIGNATEO UST OPERATOR CONDUCTING THIS TRAINING <br /> The facility employees listed above have completed the requlr training In accordance with California Code of Regulations, <br /> Title 23,Givisioa 3,Chapter 16,Section 2715(c)a the Int ation provided herein is accurate. <br /> bate B1 T[aini <br /> Training Oeslgnaled UST Operalar Signal``� <br /> eEas=caffoma Frniranre�i Repplti'g s,�oam,lo=Iraon,Ice=lrle�e�epdacau,a.usr=urldaguN siaage rank <br /> } <br /> Carol Presto, EHS Page 1 of 5 <br />