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1535 E. Pescadero Ave., <br />2/01/2018 <br />PHOTO # 2 <br />EmDlovee hire dates corr <br />Tracy, CA. <br />ROUND STORAGE TANK SYSTEM <br />TED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br />For use by Unidocs Member Agencies or where approved by your Local Jurisdiction <br />Authority Cited: Title 23, Div. 3, Ch. 16 California Code of Regulations (CCR) <br />Facility Name: <br />Facility Site Address: 1535 E PESCADERO AVE <br />City: TRACY <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 1, 2005, and every 12 months thereafter. For <br />facility employees hired after July 1, 2005, the initial training must be provided within 30 days of the date of hire. At least one <br />of the facility employees present during operating hours must have current training. This training must include, but is not <br />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'sBest 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 Plar; <br />❑ Name(s) of contact person(s) for emergencies and monitoring equipment alarms <br />❑ For facilities that are not routinely staffed, facility employee responsibiities 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 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. The following <br />employees have been trained as required by 23 CCR Sections 2715(f)(1) and (2): <br />Facility Em to ee Name <br />Training Date <br />Hire Date' <br />Trainer Name <br />Daniel Lopez <br />7/26/17 <br />// 7 <br />C Riccomini (8018933) <br />Kenneth Herdt <br />7/26/17 <br />C Riccomini (8018933) <br />Kevin Furtado <br />7/26/17 <br />-7 (� <br />C Riccomini (8018933) <br />Carlos, Mejia <br />7/26/17 <br />/ <br />C Riccomini (8018933) <br />Cathy Isaak <br />7/26/17 <br />-7l'6 If,7 <br />Riccomini (8018933) <br />Richard Smith <br />7/26/17 <br />C Riccomini (8018933) <br />Richard Cipolla <br />7/26/17 <br />C Riccomini (8018933) <br />— <br />C Riccomini (8018933) <br />James Escobar 7/26/17 <br />Jerry Taccaban <br />7/26/17 <br />/ <br />C Riccomini (8018933) <br />Christopher Jackson <br />7/26/17 <br />C Riccomi .0Wi <br />Gouveia <br />7/26/17 <br />3/ <br />ODan <br />C Riccomini <br />Michael Rawlins <br />zy r <br />7/26/17 C Riccomini (8018933) <br />Record ID PR0232495 <br />Betty Ho, EHS Page 2 of 2 <br />