Laserfiche WebLink
CALIFORNIA ON-SITE STATS TRAINING FORM - NEW EMPL%-,,(EE TRAINING VERIFICATION <br /> Site Number . Dealer <br /> Street Address_. 3 g ein rad-O 9 — <br /> City,Zip Code ��Lk'}ON7 q�-Jz- <br /> Employee Name(Print) "141 -1 rZ. <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 2 <br /> 3. For electronic monitors, daily monitoring check log and alarm log s - <br /> Hazardous Materials Management (Hazardous Materials Management/Business Plan) Z <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 L <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 <br /> response plan <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 S <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 - Z <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 S Z <br /> 2. Types of records maintained at the facility/ length of time each record should be kept Z <br /> Employee Signature Social Sec. Number Date <br /> Training verified by At-c-,k- W .d. !,C -6 A3Lt <br /> Dealer/Instructor Date <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(REQ(01/2000) <br />