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�ma w....... ., Certificate of Designated Employee!Class `C' Operator Training SUNWESf- ) engineering constructor,im. (CA only) Section 2715 of Title 23, California Code of Regulations, requires that Designated Underground Storage Tang: Operators provide training to facility employees who have responsibilities associated with the operation and/or maintenance of underground storage lank {LIST) systems. This training must be provided by July 1, 2005, and every 12 months thereafter. For facility employees hired after July 1, 2005, the initial training must be provided within 30 days of the date of hire. At least one of the facility employees present during operating hours must have current uaining. This training must include. but is not limited to,the following items as specified in 23 CCR Sections 2715(f)(1)and(2): Operation of the LIST system in a manner 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; Tho employee's rote with regard to spills and overfills as specified in the written UST Response Plan; Name(a)of contact peraon(s)for emergencies and monitoring equipment alarms; t For facilities that are not routinely staffed,facility employee responsibilities as specified in the training program approved by the local UST regulatory agency. ;& g 23 CCR 6 2715(f)(3)requires that a list of employees who have been trained by the Designated Underground Storage Tank k Operator(s)be maintained on-site,or off-site at a readily-available location if approved by the local agency,and provided to the local agency upon request.Completion ofthis form will satisfy UST training record keeping requirements. By signing below,the Designated Facility Employee I Class"C"Operator agrees that he'she has received training in accordance with the regulations stated above,and received training in the following site-specific information: i Location ofMSDs Location of Fire Extinguishers Location of Emergency Meeting Areas 1 UST Diagram Showing sensor locations,sumps,UDCs,LLDs,piping and annular spaces Instruction on who to contact for alarms indicating a potential release 1- Alarm location Alarm log location mbrgrmcy shut off switches(where applicable) i [a Location of&pill response materials, i In accordance with US EPA Section 280.241-5,the person here named met the requirements of Designated Operator training,and has been designated s: 1 to serve as the Class"C'Operator(Designated Facility Employee)for the location(s)listed,A copy of this certificate shall be posted at the listed facility(im)as proof of this training. t The following employees have been trained as required ky 23 CCR Sections 2715(f)(1)and(2): "C"Operators Nam :Vea Phone: JrJ 1 4+}7 V. ��y1 ism Signature: r" Date: n t t Facility Loc.Code or Reference ID Facility!Same Facility Address City i CA4704028 Bishop CO 350 Lagoon Street Bishop E CA4794419 Manteca CO 430 W.Center Street Manteca ED RE of i Al 14 2017 ENVIRONMENTAL HEALTH TrainutgDate•allgUl 1Q 4 TraW ng Expires:.\ujMjL.0ju2016 Trainer Name: Datid Smith I t6: ICC Expiradon: i Authorized Signature: ,a rrw., ..n++..xw>+e.w�.w*7w.+wr...wwn.vnwuwemw. wmuemu+m. uo-rarw4«.4-r��..+�+mmw,•wa».m=om++ w .,m.,...«.mma'tatvnw..nm,nn--.awuenx..m.+.a...�w+u.wnv.c v�vn..m-«v,.-.mm-+-�.�.. I