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UST Training,Ben Thomas,instructor <br /> Ground FedEx Ground Class C Operator 349S Daisy lane,Clinton WA 98236 <br /> 866-3D1-83C� <br /> UST Facility Specific Worksheet www.USTtraining.com <br /> Facility Name: UST Facility ID# , <br /> Facility Address: ''"" <br /> Worksheet Instructions: <br /> • The Class C Operator must complete the required onsite training following completion of tha Class C online <br /> training course (ENV-905). <br /> • Class C Operator must complete all training prior to assuming responsibillly for response to emergencies <br /> related to a spill orrelease of a regulated substance at the facility. <br /> • Class A or B training provider and Class C Operator must sign to verify that all training has been completed. <br /> Information to be reviewed by the Class A or B Operator: <br /> Ide tify. Revipw the following information: - �7NITA - �T <br /> Location of Emergency Shu-off Switch Tank Monitor location,types of alarms and who to.4NT <br /> when there is an alarm <br /> Over-fill Alarm On-site Spill Ides onse Procedures ENV-401 <br /> Dispenser Emergency Contact Information SPCC Poster <br /> Mose Location of Posted Emergeng Contact Information: <br /> Nozzle Location of fuel dispensing permit this permlit must be in <br /> lacy:to authorize self-service <br /> Breakaway Coupling hen It Is appropriate to call'1911" <br /> Fuel Island drainage path in cease of a Who to contact for non-emer en incidentssign cant spill(see SPCC Site flan) <br /> Zat the delivery driver shall not remove a red tag at the <br /> 11 pipe of an underground tank <br /> Signage at the fuel island V Fuel system defects that should be reported to <br /> mane ement: <br /> Fuel Island Spill Supplies&contents Slow flow at the nozzle <br /> vcation of fire extinguishers Broken hose <br /> Communication system Dania ed nozzle <br /> � A CLASS C OPERATOR MUST BE ON SITE AT ALL TIMES DURING NORMAL OPERATING HOURS'''** <br /> Class A or B Operator Glass C Operator <br /> By my signature below, I certify that I have provided By my signature below, I certify that l have received <br /> the ori-site training covered by this worksheet with the and completed the required Class C training and this <br /> named Crass C Operator. F'7dovwl.� _ /C worksheet review with the facility's Class A or 6 <br /> Q erator. <br /> Print Name. 1,� <br /> Print Name' <br /> r-, Signature: r Signature: <br /> Dater <br /> MAINTAIN THIS DOCUMENT ON-SITE <br />