Designated Operators : Class A, B, And C - Nevada Department Of Conservation & Natural Resources
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1
2STATE OF NEVADA
Department of Conservation & Natural Resources
Designated Operators : Class A, B, and C
Facility Name:
Facility ID:
Facility Address:
UST Owner Name:
Phone #:
Class A Operator
Operator Name:
Operator Signature:
Date of Designation:
Training Company/Test Name:
Operator Training Completion Date:
Class B Operator
Operator Name:
Operator Signature:
Date of Designation:
Training Company/Test Name:
Operator Training Completion Date:
Class C Operator
Operator Name:
Operator Signature:
Date of Designation:
Additional Class C Operator
Operator Name:
Operator Signature:
Date of Designation:
Attach documentation that demonstrates that each operator listed above has completed an applicable training program.
Training must be completed within 30 days of designation for Class A and B operators. Class C operators must be trained
by Class A/B operators or another approved training program prior to their designation.
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