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2012-03-21 15:46 <br />5801 TRU 2094662259 >> 2094640138 P 2/8 <br />UNDERGROUND STORAGE TANK SYSTEM <br />DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br />For use by Unidocs Member Agencies or where approved by your Local Jurisdiction <br />Authority Cited: Title 13, Div, 3, Ch. 16 California Code of Regulations (CCR) <br />,Facility Name: ToyS R Us, Stockton <br />Facility Site Address.' 1624 Army Ct. _ City: Stockton <br />Trainer Name' Tom Hingston <br />Training Date September 29, 2011 <br />Section 27I5 of Title 23, California Code of Regulations, requires that Designated Underground Storage Tank Operators provide training <br />to facility employees who have responsibilities associated with the operation and/or maintenance of underground storage tank (UST) <br />Systems. This training must be provided by July 1, 2005, and every 12 months thereafter, For facility employees hired after July 1, 2005, <br />the initial training must be provided within 30 days of the date of hire, At least one of the facility employees present during operating <br />hours must have current training, This training must include, but is not limited to, the following items as specified in 23 CCR Sections <br />2715(f)(1) and (2): <br />® Operation of the UST system in a manner consistent with the facility's Best Management Practices; <br />® The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan: <br />® The employee's role with regard to spills and overfills as specified in the written UST Response Plan; <br />Q Name(s) of contact person(s) for emergencies and monitoring equipment alarms, <br />❑ For facilities that arc not routinely staffed, facility employee responsibilities as specified in the training program approved by <br />the local UST regulatory agency, <br />23 CCR § 2715(f)(3) requires that a list of employees who have been trained by the Designated Underground Storage Tank Operator(s) <br />be maintained on-site, or off-site at a readily -available location if approvthe I I a enc , and provided to the local agency upon <br />request. Completion of this form will satisfy UST training record keeping requirements. The following employees have been trained as <br />rminer must be a current Designated UST Operator for the facility at the time of training. <br />r If hired after July 1, 2005, <br />UN -061 • 1/2 www.UnidOcy.orA <br />07/f 3/OS <br />