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CALIFORNIA ON-SITE STATION TRAINING FORM - NEW EMPLOYEE TRAINING VERIFICATION <br /> Site Number Dealer <br /> Street Address I-A �y S 7 <br /> City,Zip Code S"� ( ZC -T 6 nl ( /� ��S,�, 6 2—, <br /> Employee Name(Print) rjk k V 0 S <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas (please initial): <br /> Initial Date <br /> UST System Operations <br /> 1. The types and locations of the tanks at the station <br /> 2. The type and operation of the leak detection system <br /> 3. For electronic monitors,daily monitoring check log and alarm log <br /> Hazardous Materials Management(Hazardous Materials Management/Business Plan) <br /> 1. Which materials at the station are hazardous <br /> 2. Where these materials are stored <br /> 3. How these materials are to be handled,stored,and disposed of <br /> 4. What Material Safety Data Sheets(MSDS)are and where they are kept at the station <br /> 5.Training topics included in the HMMP, including review of MSDSs and the emergency V Q ig <br /> response plan 1 <br /> Waste Management Procedures <br /> 1. Procedures in the service bay <br /> 2. The correct management for products in the station <br /> 3. Proper labeling of wastes <br /> 4. The importance of manifesting or having a receipt for all hazardous materials that leave the <br /> site <br /> Spill and Leak Response(Spill Response Plan) <br /> 1. Location of spill response equipment <br /> 2. Location of spill or leak contact list, reporting procedures <br /> 3. Location of emergency fuel shut-off switch <br /> Inventory Reconciliation <br /> 1. How to perform accurate inventory control <br /> 2. Follow-up of gasoline inventory overage/shortage(variance) <br /> 3. Reporting and maintaining inventory records <br /> Daily Self Inspection* <br /> 1. Type and operation of vapor recovery equipment at the facility <br /> 2. How to perform daily inspection of equipment <br /> 3. Procedures for non-compliance equipment(tag out of order),complete maintenance log <br /> Record Keeping(Maintenance, monitor,testing,wastes,inspections,inventory, permits, training, etc.) <br /> 1. Location where records are kept d <br /> 2. Types of records maintained at the facility/length of time each record should be kept <br /> Employee Signatur en Social Sec.Number Date <br /> Training verified by J _ 6 <br /> Dealer/instructor at <br /> * For facilities within the jurisdiction of the South Coast Air Quality Management District, the training provided to <br /> employees must be certified by the agency. <br /> MAINTAIN THIS FORM THE ENTIRE TIME THE EMPLOYEE WORKS AT THE FACILITY <br /> 00957(REV.012000) <br />