Laserfiche WebLink
UNDERGROUNDSTORAGETANK <br /> FACILITY EMPLOYEE TRAINING CERTIFICATE (Page 1 of 1) <br /> 1. FACILITY INFORMATION <br /> Business Name(Same as Facility Name or DBA-Doing Business As) CERS ID <br /> UNOCAL 76 10181433 <br /> Business Site Address City ZIP Code <br /> 2701 MARCH LANE STOCKTON 95219 <br /> IL DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> Name of Designated UST Operator Providing the Training (Print as shown on the7CC Cerf ication) <br /> Kris Bell <br /> Mailing Address Phone# <br /> 680 Guinn Ave San Jose CA 95112 (408)971-2445 <br /> ICC Certification# [CC Codification Expiration Dale <br /> 8833000 10/27/23 <br /> Ill. FACILITY EMPLOYEE INFORMATION <br /> Individuals assuming the duties of the facility employee before October 13, 2018 must be trained within 30 days of performing <br /> facility employee duties.Individuals assuming the duties of the facility employee on and after October 13,2018 must be trained <br /> before performing facility employee duties. <br /> m Cheek this box if list of the ind/vidual(s)trained Is appended to this form. The appended list,at a minimum,must contain <br /> an of the Information in this section. <br /> Data of Assuming <br /> Name of Individual(s)Trained Initial Training Date Responsibility as a <br /> Facility Employee <br /> Tiffany Fite 01/16118 01/10/08 <br /> Natalie Vincent 01/19/20 08/07119 <br /> IV. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING THIS TRAINING <br /> The facility employees listed above have completed the required training in accordance with California Code of Regulations, <br /> Title 23, Division 3, Chapter 16,Section 2715(c)and all the information provided herein is accurate. <br /> Training Designated UST Ope to atu Date of Training <br /> 3/21/23 <br /> C97 S=Cafrtome Environmental Reporting System ID=Idenifficafion,ICC-Intemaforal Code Courd,UST=Underground Storage Tark <br />