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11;''0512007 15 16 FQ•'. X0011001 <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br /> "'or use by IJnidoca Memberelgencles or where approved byyour Local Jurisdiction <br /> authority Cited,- 7Ftle 23, Div. 3, Ch. 16 Ca1iforn1a Code cfRegulatlons(CCR) <br /> Facility Narue: ( IA 0k <br /> Facility Site Address: 508 <br /> — W.A tj Clay: _,r-roc Td <br /> Section 2715 of Title 23, California Code of Regulations, requires that Designated Underground <br /> ptnvide training <br /> to facility employees Who have responsibilities associated with the oeron and/ore Tmaittt nonce o <br /> e orfu round storage tank (USI) systems. This training must be provided by July 1, 2005, and every 12 months thcreafter. <br /> For facility employees hired after July 1, 2005, the initial training must be provided within 30 days of <br /> least one of the facility employees present during operating hours must have current trainingthe date of hire. At <br /> training must include,but <br /> is not limited to,the following items as specified in 23 CCR Sections 2715(f)(1)and(2): .This trai <br /> lr Operation of the UST system in a manner consistent with the facility's Best Management practices; <br /> 0 The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan; <br /> Rr The employee's role with regard to spills and overfills as specified in the written UST Response Plan; <br /> Names)of contact person(s)for emergencies and monitoring equipment alarms; <br /> D For facilities that are not routinely staffed,facility employee responsibilities as specified in the training program <br /> approved by the local UST regulatory agency. <br /> 23 CCR§2715(f)(3)requires that a list of employees who have been trained by the Designated Under <br /> Operator(s)be maintained on-site,or ofd site at a readily-available location if Brottnd Storage Tank <br /> the local agency en upon request Completion by the localenay.and provided to <br /> Ietion of this form will satisfy UST training rocord Keeping requirements.The following <br /> employees have been trained as required by 23 CCR Sections 2715(f)(1)and(2): <br /> Facility Employee Name Trainin Date Hire Date Trainer Name <br /> r <br /> OR <br /> Q <br /> r O <br /> 9 <br /> q +e <br /> AAAL <br /> 1 <br /> .. 1 <br /> 4 �� <br /> (Continued on reverse) <br /> 1f hired after July 1,2005. <br /> #Trainer must be a current DeBigttnted UST Operator for the facility at the tines of training, <br /> UN-061-1t2 WWW.aotdoeLarg <br /> 07/13/QS <br />