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CALIFORNIA ON-SITE STATII TRAINING FORM - NEW EMPL0__E TRAINING VERIFICATION <br /> Site Number Dealer <br /> Street Address_ 3 IV, F�/ 45;6 Arad-Al S�— <br /> City, Zip Codec4A GlfZ <br /> Employee Name(Print) s L C- !"IN <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas (please initial): <br /> UST System Operations Initial Date <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 <br /> response plan <br /> Waste Management Procedures <br /> 1. Procedures in the service bay <br /> 2. The correct management for products in the station r� <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 /> J. Location of emergency fuel shut-off switch <br /> Inventory Reconciliation <br /> S � <br /> 1. How to perform accurate inventory control <br /> 2. Follow-up of gasoline inventory overage/shortage (variance) S kll <br /> 3. Reporting and maintaining inventory records 42 L <br /> Daily Self Inspection* 5 <br /> 1. Type and operation of vapor recovery equipment at the facility S <br /> 2. How to perform daily inspection of equipment <br /> 3. Procedures for non-compliance equipment(tag out of order), complete maintenance log Ss. <br /> Record Keeping (Maintenance, monitor, testing, wastes, inspections, inventory, permits, training, etc.) <br /> 1. Location where records are kept <br /> 2. Types of records maintained at the facility/ length of time each record should be kept S K <br /> e '' Z SS o �- f3 o s <br /> Employees Signature , n Social Sec. Number ate <br /> Training verified by /mac�!� P .0 0, Y? Spg_p 21"" -6 3 <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(REV 01/2000) <br />