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J c 5, scy t <br /> Certilication of uraining Completion fog. B 2 ? 01 <br /> JS c1lity On = Site Operator <br /> ENV 1` 0 mME` -flA6L1r1E / 1 <br /> X31 ,µx P�4h 3E: <br /> AMy name is ( and I am an <br /> employee of <br /> I understand that in order to ensure a safe and reliable operation of the ' petroleum. <br /> fueling systems , proper inc <br /> spetion, maintenance , and repair of the equipment will be <br /> 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 /> o Inspect tank fill and vapor recovery spill buckets . Have cleaned as needed and <br /> dispose as hazardous waste and document. <br /> 0 Response 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 /> e React to emergency situations including activation of the emergency stop <br /> switch. <br /> 4 Properly use fire extinguishers . '.... <br /> a Properly response to spills . <br /> I understand and acknowledge that I am not authorized to perform services for which I <br /> have not been trained . <br /> Signature <br /> tName <br /> Date <br />