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Certification of Training Completion for <br /> UST Facility On-Site Operator <br /> My name is ?400 id- <1' u 4 and I am an <br /> employee of l,w, lk Ph <br /> I understand that in order to ensure a safe and reliable operation of the petroleum <br /> fueling systems, proper inspection, maintenance, and repair of the equipment will <br /> be necessary. <br /> Due to fire and environmental hazards involved in the handling of flammable and <br /> combustible liquids, all maintenance and repair work on fueling systems must be <br /> performed by properly trained personnel. <br /> I certify that I have been trained to: <br /> ■ Perform a Daily Inspection of the dispensers, hoses, and nozzles. <br /> • Inspect tank fill and vapor recovery spill buckets. Have cleaned as needed <br /> and dispose as hazardous waste and document. <br /> ■ Respond to monitoring system warnings or alarms and have documentation. <br /> • Clean exterior of the dispensers. <br /> • Knowledge of the location of the emergency stop switch. <br /> ■ React to emergency situations including activation of the emergency stop <br /> switch. <br /> • Properly use fire extinguishers. <br /> • Properly respond to spills. <br /> I understand and acknowledge that I am not authorized to perform services for <br /> which I have not been trained. <br /> Signadac <br /> ��V'"i✓h ilrY �i�A�i <br /> Print Name <br /> Date <br />