Laserfiche WebLink
UNDERGROUNDSTORAGETANK <br /> FACILITY EMPLOYEE TRAINING CERTIFICATE (Page 1 of 1) <br /> L FACILITY INFORMATION <br /> Business Name (Same as Facility Name or DBA-Doing Business As) CERS ID <br /> UNOCAL 76 10181433 <br /> Business Site AddressCity ZIP Code <br /> 2701 MARCH LANE STOCKTON 95219 <br /> I1. DESIGNATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> Name of Designated UST Operator Providing the Training (Print as shown on the ICC Cer0cation) <br /> Kris Bell <br /> Mailing AddressPhone # <br /> 680 Guinn Ave San Jose CA 95112 (408) 971-2445 <br /> ICC Certification # <br /> ICC Certification Expiration Dale <br /> 8833000 10/27/23 <br /> 111. 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 indlvldual(s) trained Is appended to this form. The appended IIsi, at a minimum, must contain <br /> ail of the Information in this section. <br /> Date of Assuming <br /> Name of Individuals) 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 /> C91S= Cairtome Environmental Reporting System ID = Identification, ICC = international Code Cou nd, UST= Underground Storage Tar k <br />