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,q"T"T, .4tvc�+°�09EL '°N :E ti[H `L1 '100 M11 paA1 ;0 <br /> REC EIVED qNDERGROUNDSTORAGE MK SYSTEM <br /> ,DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING RECORD <br /> f <br /> OCT172014 For use by Unidocs Member Aginctas or where approved by your Local Jurisdiction <br /> Aancca•fry Cited Tille 23. Div 3, C'h. /6 Cltfornio Code ojRegulations(CCR) <br /> i <br /> �­ENVIRONMENTAL HEALTH <br /> PERMIT/jQtps,ex2e: j'' G, L I'QVoi2 <br /> FocUky Site Ad V, _ �( [� �� City: f _ <br /> Section 2715 of'rifle 23, California Code of Regulations, requires that Designated Underground Storage Tank Operators <br /> provide training to facility employees who have responsibilities assoocisitcd with the operation and/or maintenance of <br /> w a tank(UST)systenz. This training must be provided by July 1,2005,arld every 12 months thereafter.For <br /> facility etltployees hired after July I,2005,the initial nining must be provided within 30 days of the date of hire,At least one <br /> of the facility employees present during operating hours must have current training. This training must include, but is not <br /> limited to,the following items as specified in 23 CCR Sections 2715(fxI)and(2): <br /> Opavion of the UST system in a manner consistent with the facility's Ocst btanagcment Practices, <br /> The cmpioyet;'s role with regard to UST monitoring equiprom as specified in the written UST Monitoring Plan; <br /> The cmploya's role with regard to spills and overalls as specified in the written UST Reponse Plan; <br /> Nama(s)of contact person(s)for emergencies and monitoring equipment alarms; <br /> Q For facilities lust ars not routinely staQ°ed,facility employee respunsibilitiea as specified in the traltaing prtWw" <br /> approved by the local UST regulatory agency. <br /> 23 CCR¢2715(f)(3)requires that a list of employees who have been trained by the Designated Underground Storage Tank <br /> Operator(s)be maintained on-site,or off-site at a readily-available location i Ycd by file ljgrM,and provided to <br /> ttae local agency upon Completion of this form will satisfy UST training record keeping requirements.The following <br /> employees have been trained as requirod by 23 CC.R Sections 2715(fX 1)and(2).. <br /> Fncill Na Traliplat Rate Hire Date I Tnaer Name <br /> qbp 0-0/c) AIL _. <br /> (C at ovl c) <br /> 'If hired filer July 1,2005 <br /> a'rrakw edalt be a etarcm farsigruacd WT Operates for the facility at the tirW of trainios. <br /> U144461-112 WWW'a e8 07/1 <br /> 2/T'd 82T0b9t7:01 :WOdA 8S:T0 VT02-LT-10 <br />