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FACILITY # <br /> Fr <br />Employee Name <br />V PI <br />EMERGENCY RESPONSE/UST MONITORING ALARM TRAINING <br />Training Checklist <br />Einer.enc Response-Tools 8. Procedures <br />"Viseally" pointed out and reviewed with the Trainee each of the following: <br />iIt (initial) Spill Response items (Hydrocarbon Response Bags, extra pads, absorbent, broom & dust pan. MoGas spill <br />mr e): explained spill/overfills response. cleanup and reporting procedures. Refer to the 'Designated Operator TraM rri fng Cuculum . <br />t_J( r! ' (initial) Hazardous Waste Barrels: walked Trainee to location and explained procedures refating to their use, i e purpose of <br />.. . <br />,-- I fferent barrels and procedures when depositing 'ferns in them. <br />M 116,.‘, (Initial) Location of (all) Fire Extinguishers- (inside & outside): walked the Trainee to each one <br />51' .. 'IS (initial) Location of (all) Fire Alarm "Pull Stations"- If applicable: walked the Trainee to each one. N',. <br />(initial) Location of (all) Emergency Shutoff switches - (Inside & outside): walked the Trainee to each one. <br />a aieil (initial) Electrical Service Main Breaker - Water Main Valves - (if applicable- Natural Gas Shutoff & Sprinkler Controls & <br />7 ): walked the Trainee to each one and explained how to access & operate them. <br />ISYil (Initial) Emergency Response Binder: reviewed 4a11- the documents in the binder and the procedures when evacuarng. <br />(Initial) Location of (all) CO2 (bulk or canisters), CO2 sensors, CO2 alarms with placard (backroom and c-store) - <br />ked the Trainee to all CO2 equipment and explained procedures relating to their use i e purpose for sensor light and the different <br />alarms Refer to "Desionated Operator Tfaining Curriculum'. <br />Reviewed and explained all the procedures for the following: <br />(initial) Steps to Shut-Down and Evacuate <br />(initial) First Aid Procedures for Exposure to Gasoline & Diesel <br />(initial) Small & Largo Gasoline I Diesel spill and a non-gasoline vehicle-fluid spill cleanup procedure (Spill Response <br />urea). <br />(initial) Site Specific Emergency Response & Training Plan <br />(initial) HMBP <br /> <br />UST Nlonitorin System 81 Alarm Reporting Procedures <br />Instructed the Trainee on the following: <br /> <br />Monitoring Equipment <br />(initial) Took Trainee to the TLM System. <br />(initial) Reviewed the site's specific type of TLM system (Veeder-Root, In-Conn, etc.) <br />(initial) Discussed the equipment operating procedures (components & functions). <br />Alarm Reporting Procedures <br />id] / (initial) Reviewed the Visual & Audible alerts. <br />(y,.. ;‘,2,. (initial) Demonstrated process for silencing the audible alarm. <br />I:e' Vli (initial) Reviewed the (2) categories of alarms (UST& ISD). Discussed the Quick Reference Alarm Card and the means of <br />tv <br />,- iwinguishing a Vapor Alarm from an ISO Alarm. <br />ita....1 (initial) Reviewed the reporting process for Air Quality Alarms, i.e. record alarm in ISO Binder (tab 1), record in <br />i IL <br /> nance Binder, and the timelines for reporting an Air Quality alarm to maintenance. <br />,)T (initial) Reviewed the reporting process for UST Alarms, i.e. record alarm in the Maintenance Binder, and immediately <br />port alarm to maintenance. <br />Trainee Signature 0,- 7 4_- Date: • °POI <br />Designated Operator Signature <br />i <br /># . JP%•gra f r6 8360137 Date: i ,":„2) I (VW <br />Revised 5123/20 <br />File in employee station file only