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UNDELROUND STORAGE TANK STEM <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br /> For use bi Uniducs Member Agencies or where approved by vour Local Jurisdiction <br /> 1 uthu in,Cited Tide 'i Div 3. Ch. 16 Californio Code of Regulatiuru (CCR, <br /> facility Name: <br /> Facility Site Address: Ci <br /> Section 2715 of Title 23, Cahtornia Code of Regulations, requires that Designated Underground Storage !ank operators <br /> provide training to facility employees who have responsibilities associated with the operation andlor maintenance of <br /> underground storage tank( 1ST)systems. This training must be provided by July 1,2005, and every 12 m<mths thereafterfor <br /> facility employees hired after July 1,2005,the initial training must be provided within 30 days of the date of hue.At least one <br /> art the facilith employees present during operating hours must have current training. This training must include. but is no, <br /> lirniteA to,the following items as specified in 23 CCR Sections 2715(f)(1)and(2): <br /> operation of the US 1 system in a maturer consistent uith the facility's Best Management Practice,, <br /> The employee's role with regard to US f monitoring equipment as specified in the written UST Monitoring Plan. <br /> Me employee's role with regard to spills and oecrtills as specified in the written LS i Response Plan. <br /> Name(s)of contact personts)for emergencies and monitoring equipment alarm,. <br /> ❑ For facilities that are not routinely staffed, facility employee responsibilities as specified in the training pn»:rain <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 Underground Storage Tank <br /> Operator(s)be maintained on-site. or off-site at a readily-available itication if approved by the local agengy,and provided to <br /> the local agency upon request. Completion of this form will satisfy LIST training record keeping requirements rhe following <br /> entpim ees have been trained as required by '_? CCR Secnoni 2715(N I i and t_2 i <br /> Uate Hire Dater i Trai er Ni mer <br /> ^ Nactlih� Fm�vIttame Trai rw� 3`"-�-�0/ i <br /> t <br /> i <br /> i <br /> t <br /> d <br /> 1 <br /> tContinued on reversei <br /> it NEW asci luh I <br /> itauur mu t be a wittrti Iieu�natcJ i'8I i"aim f v tnc taahtn .>i nic amr"I uaimne <br /> ('r-0FI Ir: www.naulurs.nre a'�1 S'9t <br />