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RN ON-SITE STATION TRAINING FORM - NEW EMPLOY TRAINING VERIFICATION <br /> CALIFORNIA S � <br /> Site Number 5 q q A Dealer Co ri o C 0 <br /> Street Address a-0 k W• 4aok n%Q 6' ""! <br /> City,Zip Code 54_664Jt <br /> Employee Name(PrintT-0 S Q,p H Q k a CLS <br /> I acknowledge that I have received and understand environmental compliance training in <br /> the following areas lease initial): <br /> Initiai7T7 Date <br /> UST System Operations <br /> 1. The s and locations of the tanks at the station <br /> 2. The type and operation of the leak detections stem <br /> 3. For electronic monitors,daily monitoring check log and alarm to <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 c <br /> 4. What Material Safe 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 ba <br /> 2. The correct management for products in the station <br /> 3. Proper labelinS of wastes <br /> 4. The importance of manifesting or having a receipt for all hazardous materials that leave the ./ <br /> site ! Cl <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 rocedures <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 aqui ment at the facility / <br /> 2. How to perform daily inspection of equipment <br /> 3. Procedures for non-compliance equipment to out of order),complete maintenance to <br /> Record Keeping Maintenance,monitor,testing,wastes,inspections, inventory, er ets rainin , etc. <br /> 1. Location where records are kept <br /> 2. Types of records mai tained at th/e1 facility/length of time each record should be kept <br /> rtnipidyee Signature Social Sec.Number Date <br /> Training verified by a— - `— <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 00957 <br /> ■ <br />