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DESIGNA' Facility Name: Facility Site Ad, Section 2715 of Title 23, California Code of Regulations, requires that Designated Underground Storage Tank Operatc provide training to facility employees who have responsibilities associated with the operation and/or maintenance' underground storage tank (UST) systems. This training must be provided by July 1, 2005, and every 12 months thereafter. F .facility employees hired after July 1, 2005, the initial training must be provided within 30 days of the date of hire. At least_ of the facility employees present during operating hours must have current training. This training must include, but is limited to, the following items as specified in 23 CCR Sections 2715(f)(1) and (2): Operation of the UST system in a mariner consistent with the facility's Best Management Practices; The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan;, The employee's role with regard to spills and overfills as specified in the written UST Response 1?htr1, Name(s) of contact person(s) for emergencies and monitoring equipment alarms;d For facilities that are not routinely staffed, facility employee responsibilities as specified in the training program 41"proved by the local UST regulatory agency. 23 CCR ,§ 2715(f)(3) requires that a list of employees who have been trained by the Designated Underground Storage Tank Operator(s) be maintained on-site, or off-site at a readily -available location if auoroved b -the-local Aggjo , and provided the local agency upon request. Completion of this form will satisfy UST training record keeping requ is The folio. ` employees have been trained as required by 23 CCR Sections 2715(f)(1) and (2): Facility Emnlovee Name Trainin Date HireDate' T finer Name; 11 '` :.�..�. /®�•� ice" :,"V " y' j2 c Cr"� i l — } if hired after July 1, 2005. Z Trainer must be a current' UN -061 - 112 (Continued on reverse) for the facility at the time ONMLI