Laserfiche WebLink
RECEIVED <br /> A�j C, 30 ?W <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> DESIGNATED OPFRATOR FACILITY EMPLOYEE TRAINING F*WNT T <br /> For use by Unidocs Member Agencies or whare approved by your Local Jurls&edon <br /> Authority Cited., We 23,Div-3. Ch ft <br /> 16 Calffiornia Code of ukJaOffs(CCR)HEAUTH DEPART�,EN <br /> Facility Name: (I <br /> Facility Site Addrem: 5-4.;Kik City: <br /> Section 2715 of Title 23, calif ornia cc& of Regulations. requires that Designated underground Stome Tank Operators <br /> provJ& training to facility employees who have responsibilities associated with the operation andlor maintenance of <br /> underground stomp tank(UST)systems.This training must be provided by July 1,2045, and every 12 months thereafter- <br /> For facility employees hired after July 1,2005,the initial training must be provided within 30 days of the date of hire. At <br /> Jew one of the facility employees presett during operating hours must have current training.This training must include.but <br /> is not ' lud to,the fellOVATIS items as specified in 23 CCR sections 2715(f)(1)and(2)- Practices; <br /> employee's <br /> of the UST system in a mawwr consistent with the 1110ilk's Best Management <br /> The employee's role with regard to UST monitoring equipmClit As specified in the writwn UST Monitoring Plan; <br /> The employee's role with regard to spills and overfills as specified in the writum UST Response Plan; <br /> (%)of coRW pason(s)for emergencies and monitoring equipment alamu; <br /> fNameFor fiutilities that are not routinely st&M4 facility employee responsibilities aS specified in the training program <br /> approved by the local UST regulatorY ageftcY, <br /> 23 CCR§210(f)(3)requhes drat I list Of employees who have been trained by the Designated Underground Storage Tank <br /> aw-�n <br /> Operator(s)bemainti3�inedon-si%oroff-siteatareadity-availablelocation j a __v by -1 oval lan" and provided to <br /> the local agency upon request.Completion of this form will satisfy UST training record keeping requirements.The following <br /> employees have been trained as required by 23 C XR Sections 2715(f)(1)and(2)- <br /> 'FaciRty ZmpLeM Name Training Daft - Hire Date TrainerNa VA <br /> -7-4 -0 <br /> oe <br /> (cant an rev 1 <br /> .4 A43-OcA. L )06� <br /> 1 if hared afiW My 1,2005, ignead UST C�W�for jjje Wility 4t the tit1w.of training. <br /> I Traitier nuat be u airrent Dw 0711310 <br /> IJN.M-jt2 <br />