Instructions for Form 2630-PM-BECB0402 "Storage Tank Training Course Approval Application" - Pennsylvania

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2630-PM-BECB0402
Rev. 1/2019
Instructions
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF ENVIRONMENTAL CLEANUP AND BROWNFIELDS
INSTRUCTIONS
STORAGE TANK TRAINING COURSE APPROVAL APPLICATION
GENERAL INFORMATION
APPLICATION PACKAGES
To expedite the processing of the applicant’s request, the Department (DEP) asks that you use the most up-to-
date application package available. This Training Course Approval Package, as well as other Department-wide or
program specific permit application packages is available in Microsoft Word format. Most forms are also available as
PDF files. You can download the Word document file to your personal computer, complete it electronically, and print
it for submission to the Department. To obtain DEP application packages visit our web site, write or call:
PA Department of Environmental Protection
Bureau of Environmental Cleanup and Brownfields
Division of Storage Tanks
PO Box 8762
Harrisburg, PA 17105-8762
1-800-42-TANKS (in PA only)
717-772-5599
For more information, visit
www.dep.pa.gov. Search: Storage Tanks.
GENERAL INSTRUCTIONS
These instructions are designed to aid the applicant when completing the Training Course Approval Application
Form. The information the Department needs to evaluate your request must be provided in the form of attachments to
the application. The Department requests that you use 81/2 x 11 sized paper and that you print or type the applicant
name, and identify the applicable section number in the top right-hand corner of the attachment.
File Copy & Submittal
Retain a copy of your application and all attachments for your records. Send the completed application
materials to the address shown above. If you have any questions about the application, please call the Customer
Service number above and ask for the Certification Unit.
Evaluation & Approval
Each course will be evaluated for approval in accordance with the provisions of Chapter 245 §241.141 (relating
to Training Approval). Final approval of the training course may, at the discretion of the Department, require a
presentation of the training course to the Department by the applicant.
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2630-PM-BECB0402
Rev. 1/2019
Instructions
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF ENVIRONMENTAL CLEANUP AND BROWNFIELDS
INSTRUCTIONS
STORAGE TANK TRAINING COURSE APPROVAL APPLICATION
GENERAL INFORMATION
APPLICATION PACKAGES
To expedite the processing of the applicant’s request, the Department (DEP) asks that you use the most up-to-
date application package available. This Training Course Approval Package, as well as other Department-wide or
program specific permit application packages is available in Microsoft Word format. Most forms are also available as
PDF files. You can download the Word document file to your personal computer, complete it electronically, and print
it for submission to the Department. To obtain DEP application packages visit our web site, write or call:
PA Department of Environmental Protection
Bureau of Environmental Cleanup and Brownfields
Division of Storage Tanks
PO Box 8762
Harrisburg, PA 17105-8762
1-800-42-TANKS (in PA only)
717-772-5599
For more information, visit
www.dep.pa.gov. Search: Storage Tanks.
GENERAL INSTRUCTIONS
These instructions are designed to aid the applicant when completing the Training Course Approval Application
Form. The information the Department needs to evaluate your request must be provided in the form of attachments to
the application. The Department requests that you use 81/2 x 11 sized paper and that you print or type the applicant
name, and identify the applicable section number in the top right-hand corner of the attachment.
File Copy & Submittal
Retain a copy of your application and all attachments for your records. Send the completed application
materials to the address shown above. If you have any questions about the application, please call the Customer
Service number above and ask for the Certification Unit.
Evaluation & Approval
Each course will be evaluated for approval in accordance with the provisions of Chapter 245 §241.141 (relating
to Training Approval). Final approval of the training course may, at the discretion of the Department, require a
presentation of the training course to the Department by the applicant.
- 1 -
2630-PM-BECB0402
Rev. 1/2019
Instructions
INSTRUCTIONS
SECTION I – APPLICATION TYPE
Initial – Select this Application Type if this is your first request for approval of this training course. If you or your
company have been approved to conduct technical training for installer categories not related to this request,
record your Client ID # on the application.
Amendment – Select this Application Type if you are changing information previously submitted to the Department.
Changes must be reported within 14 days of the change. When amending information please record your Client
ID# and your Course ID# on the application. You are required to amend your application when there are changes
to…
Applicant Information (Section II)
Course Title (Section III)
Instructor Information (Section IV)
Course Outline (Section V)
Test Description (Section VI)
Renewal – Select this Application Type if you are renewing a previously approved training course. In order for
you to continue offering the course you must renew the approved course every 3 years. The Renewal Application
must be complete, and include all attachments whether or not there are changes. Please record your Client and
Course ID numbers on the application.
SECTION II – APPLICANT INFORMATION
Applicant Type Code – The Applicant Type Code is also referred to as the Client Type Code. Enter the code that
represents the structure of your company.
Government
Non-Government
AUTH
Authority
ASSOR
Association/Organization
CNTY
County
ESTST
Estate/Trust
FED
Federal Agency
INDIV
Individual
MUNI
Municipality
LLC
Limited Liability Company
OTHER Other (Govt)
LLP
Limited Liability Partnership
SCHDI
School District
NPACO
Non-Pennsylvania Corporation
STATE
State Agency
OTHER
Other (Non-Govt)
PACOR
Pennsylvania Corporation
Partnership – General
PARTG
Partnership – Limited
PARTL
SOLEP
Sole Proprietorship
Federal Tax (EIN) or SSN – A Federal Tax ID or Employer Identification Number (EIN) is assigned by the IRS.
The EIN is an important part of the application. It aids the Department when identifying clients and helps prevent
duplicate data entry. It is required for “company” applicants. The individual client’s SSN is required for the same
reason.
Name, Address, Phone Numbers – Provide the information requested. Type or print legibly.
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2630-PM-BECB0402
Rev. 1/2019
Instructions
SECTION III – COURSE INFORMATION
Official Course Title – Type or write the full name of this course.
Target Audience and Categories - Select the type of candidate that the training course targets.
For installer training, does this course fulfill the needs of those installers needing to meet the requirements for initial
certification in a category, or will the course meet the requirements of those seeking to renew certification?
Renewal courses may provide an update and overview of the referenced content versus the full training course
needed for initial category certification. Indicate which certification category(ies) is/are applicable to the course.
The complete category list and descriptions can be found in the Storage Tank Regulations at §245.110. Course
content should closely match the industry standards and regulations referenced in the Department’s study guides
for the applicable certification category.
For operator training, does this course fulfill the needs of a Class A operator, Class B operator, or both? Training
courses for Class A operators must confer a broad scope of knowledge, and training courses for Class B operators
must provide more in-depth knowledge, on the subject areas addressed in Appendix A. Also refer to required
training provisions at §245.436(c).
SECTION IV – INSTRUCTOR INFORMATION
Provide the information requested for each course instructor. For “professional background” include the instructor’s
education and experience. If you need additional space to list all of your course instructors, copy Section IV.
SECTION V – COURSE OUTLINE ATTACHMENTS
Provide each item of the course outline on an attachment to the application. In the top right-hand corner of the
attachment write the applicant name and “Course Outline”. You must include a current course outline even if you
are renewing the course.
SECTION VI – TEST DESCRIPTION ATTACHMENTS
Provide each item of the test description on an attachment to the application. In the top right-hand corner of the
attachment write the applicant name and “Test Description”. You must include the current test description even if
you are renewing the course.
SECTION VII – CERTIFICATION
The individual applicant, or an officer of a company requesting Pennsylvania Department of Environmental
Protection approval and recognition of a category-specific Training Course must read and sign the certifying
statement. Type or print the applicant’s name (individual, or company officer authorized to sign the application),
and then sign and date the application.
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2630-PM-BECB0402
Rev. 1/2019
Instructions
Appendix A
Required Training Subjects for Class A Operators
Class A operator training includes a general broad knowledge of underground storage tank (UST) system requirements
and regulations. Training must provide information that should enable the Class A operator to make informed decisions
regarding regulatory compliance and to ensure that appropriate persons are fulfilling operation, maintenance and
recordkeeping requirements and standards of Chapter 245, including the following subject areas:
Spill and overfill prevention
Release detection and related reporting requirements
Recordkeeping requirements
Corrosion protection
Emergency response
Suspected or confirmed release investigation and related reporting
Product and equipment compatibility
Financial responsibility and related Underground Storage Tank Indemnification Program
Notification and storage tank registration requirements, including DEP permitting
Temporary and permanent tank system closure requirements
Overview of Class B and Class C operator requirements
Required Training Subjects for Class B Operators
Class B operator training includes in-depth knowledge and understanding of the operation and maintenance aspects
of underground storage tank (UST) systems and related regulatory requirements. Training must provide specific
information on the components of UST systems, materials of construction, methods of release detection and release
prevention applied to UST systems and components. Training must address operation and maintenance requirements
of Chapter 245, including the following subject areas:
Spill and overfill prevention
Release detection, methods and related reporting requirements
Corrosion protection and related testing
Emergency response
Product and equipment compatibility
Reporting and recordkeeping requirements
Manufacturer’s equipment maintenance requirements
Class C operator training requirements and instructions
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