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UNDERGROUND S'T'ORAGE TANK SYSTEM DESIGNATED OPERATOR FACILITY EMPLOYEE TRAMING RECORD For use by bkidocs Afeamber Agencies or where approved Fly ymur Local Jurisdiction A&hor4 Cited- 7dLa 23 L:in 3, Ck 16 Cabfwnw Corte of Reg:ela7iorr (CCR) Faeffity lame: s p r, 't FadW Site Address: 7o ► 70 CA -l'-17 Section 2715 of Title 23, Califon Coda; of R, s, requires that bated Underpound Storage Tank gxratass wide to f3cay employees who have responsfi les wso� with the, operation acidlor ids; of underground stogy tank (UST) - This training must be provided by July 1, 2005, and every 12 months derea#la- For fx;ility employees hired after July 1, 2005, the mitki training atffit be provided wig 30 days of the date of hire_ At least one of the f wffity employees Present dining operating hours must have cun>mi ummmg. This #raatiag est fiwAbde, bat is not liwked to, The following items as speed in 23 CCR Sections 27I5(f)(1) and (Z it Operation of the UST system is a manner consistent with the %tlWs Best Maw Prate A The employee's role with regard tD USF monitoring equipment as specified in the watts UST Monitoring Plant; The employee's role with regard to spills and overis as specified. m the wntiten UST Response Plax Name(s) of cont person(s) for cmagmk= and monnoring equipment atacms; Q For facilifies that are not routmeiy staffed, faciRty emptoyee responsisihues as specified tri the traiiag program moved by the local UST regulatory agency- 23 gency_ 23 CCR § 2715(1)(3) requires that a list of empRn ees who have been trained by the Designated Underground Storage Tank Operator(s) be mainained an -site, or off-site at a try available location if Mmmmd by the local air and provided to The local agency upon request. Completm of this form will satisfy UST traming record keeping requzemeat& The foUewmg employees have been framed. as required by 23 CCB Suns 2715(t)(1) and (2)_ F Em ee Name ; Trahting Date f Hie Date] Trainer NamE2 7/ !/ s zzx I s i Wbndr on reverse) ' Tia a&rJ*1, 2005- ` Tragi mast be a max I D -i UST qmmjw %the 2! the time ofUakmp UN -961 - W Ynywmaidamorg X7/UM