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f �`y <br /> . ami... <br /> a <br /> I NOR <br /> t <br /> 22. Explain to amplaree rhe definillon of a large spill <br /> 23. Explain res se procedure if spill looks like It could leave the property <br /> 24.)Show where emergency reporting hone numbers are located <br /> 25. Physically show employee the location of al storm drains and how to divert spill flows If necessaryter. <br /> 26. E ain that emolovee Is to call in and report splits to Store Manager z; <br /> 27.)Store Manager is responsible to evaluate hazardous waste materials generated from a large spill and <br /> contact Sandy,(a�(559) 5585-815£5 for coordination of disposal <br /> All licl ill <br /> 28.)In the avant of a the,large spill,or earthquake,explain how each can impact thethe station X I <br /> 29.)Show employee all methods available to stop the flow of fuel shut off button,console,breakers) <br /> 30. Review the stetsons'Emergency Response Plan"located in the station's O&M Binder <br /> 37. Ph sica! show em to es location of off site evacuation meel spot for employees <' <br /> My Signature certifies that I have trained this ¢mployee in accordance with applicable <br /> Designated Operator regulations and covered sl4ifemg an thi Krainitfg checklist. <br /> Designated Operator Signature <br /> Date t---- —r <br /> My signature certifies that I have received training regarding UST Monitoring and <br /> Automatic Tank Gauge alarm procedures, spill clean tip, and my station's <br /> emergency response and evacuation plan. <br /> Employee Signature <br /> Date <br /> (1) Copy in Station O&M Binder/ DO tab <br /> (1) Copy to employee <br /> (1) Copy to Designated Operator/Area Manager <br />