Laserfiche WebLink
UNDERGROUND STORAGE TANK SYSTEM <br />DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br />1 -or use by Unitlocs Alemher Agencies or where approved by your Local Jurisdiction <br />Aulhorvty (fled: 77tle 23. Div. 3. Cir. 16 California Code of Regrdallons (CCR( <br />Facility Name' Valley Pacific Fresno Ave Cardlock <br />Facility Site Address: 1524 Fresno Ave <br />City; Stockton <br />Section 2715 of Title 23, California Code of Regulations, requires that Designated Underground Storage Tank Operators <br />provide training to facility employees who have responsibilities associated with the operation and!or maintenance of <br />underground storage tank (UST) systems. This training must be provided by July I, 2005, and every 12 months thereafter. <br />For facility employees hired after July 1, 2005, the initial training must be provided within 30 days of the date of hire. At <br />least one of the facility employees present during operating (tours must have current training. This training must include. but <br />is not limited to, the following items as specified in 23 CCR Sections 2715(f)(1) and (2): <br />© Operation of the UST system in a manner consistent with the facility's Best Management Practices; <br />M 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 />® Name(s) of contact person(s) for emergencies and monitoring equipment alarms; <br />ID For facilities that are not routinely staffed, facility employee responsibilities as specified in the training program <br />approved by the local UST regulatory a ency. <br />® Site Safe 9 SPCC 0 Emergency Response Plan <br />23 CCR § 2715(f)(-) requires that a list of employees who have been trained by the Designated Underground Storage Tank <br />Operator(s) be maintained on-site, or off-site at a readily -available location if approved by the local agency, and provided to <br />the local agency upon request. Completion of this form will satisfy UST training record keeping requirements. Tile following <br />employees have been trained as required by 23 CCR Sc -.tions 2715(f)(1) and (2): <br />Facility Employee Name <br />Trainin Date <br />( Nire Date' <br />Trainer Namet <br />12 <br />i)(J 3 <br />Nike Eliason <br />17 <br />17 <br />i - & A <br />t�u_54A 2,2(agAZ <br />s 2 1-7 <br />( "All <br />(Continued on reverse) <br />II'hiredafter July 1. 2005 <br />Trainer must be a currcm Designated UST Operator for the fa.duy at the time of tmmirg. <br />UN -061 - 1/2 %sww.unidomorg 07113W <br />