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6 <br /> UNDERGROUND STORAGE TANK SYSTEM <br /> El l <br /> DESIGNATED OPERATOR FACILITY EMPLOYEE T NG RECORD <br /> For use by Undoes Member Agencies or where approved by your Local Jurisdiction <br /> Authority Cited: Title 23,Div. 3, Ch. 16 California Code of Regulations(CCR) <br /> Facility Name: <br /> Facility Site Address: 3 \1 city: � <br /> Section 2715 of Title 23, California Code of Regulations, requires that Designated Underground Storage Tank Operators <br /> provide training to facility employees who have responsibilities associated with the operation and/or maintenance of <br /> underground storage tank(UST)systems. This training must be provided by July 1,2005,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 /> least one of the facility employees present during operating hours must have current training.This training must include,but <br /> is not limited to,the following items as specified in 23 CCR Sections 2715(1)(1)and(2): <br /> Operation of the UST system in a manner consistent with the facility's Hest Management Practices; <br /> The employee's role with regard to UST monitoring equipment as specified in the written UST Monitoring Plan; <br /> 9 The employee's role with regard to spills and overfills as specified in the written UST Response Plan; <br /> CV� Name(s)of contact person(s)for emergencies and monitoring equipment alarms; <br /> ® For facilities that are not routinely staffed,facility employee responsibilities as specified in the training prognun <br /> approved by the local UST regulatory agency. <br /> 23 CCR§2715(1)(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 inroved by the local araencv,and provided to <br /> the local agency upon request.Completion of this fort will satisfy UST training record keeping requirements.The following <br /> employees have been trained as required by 23 CCR Sections 271 5(f)(1)and(2): <br /> Facility Em to ee Name Trainina Date Hire Date Aftbro Name <br /> Oct- <br /> AT cw-� I 1,0q ao 0 S <br /> ` c Q2A, Laig P-A 42110 <br /> .a, vt-oo <br /> zt d o <br /> 2 b o`� <br /> r --� <br /> /a' l()9 to °1 L <br /> zt 0 .9 kcnsl ' <br /> Z i <br /> (ConAlnued an reverse) <br /> if hired after July 1,2005. <br /> Trainer must be a current Designated UST Operator for the facility at the time of training. <br /> S,d 22t?289t7:0i :WON/ d6T:20 6002-t?2-Nc1U <br />