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by <br /> a Designatedllnderground Storage (UST) System Operator Training Form and Log <br /> N f_aeillty#: Address: `} ' 1 City: / Year <br /> 9600 P50ED <br /> N {{ iLS,a?, <br /> LO <br /> N <br /> Summarized Training Topics: <br /> r , <br /> o Employees were shown emergency shut-off locations <br /> ti o Employees were instructed on how to respond to major spills <br /> o Employees were instructed on how to respond to minor spills, including using the proper safety equipment, tools, absorbent&proper disposal of absorbent. <br /> o Employees were shown the location and contents of the UST Monitoring &Response Procedures and the Emergency Response Procedure. <br /> o Employees were shown the emergency contact numbers. <br /> o Employes know the location of the UST Monitoring Panel. <br /> o Employees were instructed to phone Mission Control in response to UST alarms. <br /> 'Employee Employee Name-PLEASE PRINT LEGIBLY- Hire Date Designated Operalorilame - ICC Cert.#and Date of Initial Date of Refresher <br /> Initials- - . . After THID5 Expiration Date Training Training _ <br /> First- . - - - Lan ONLY - - <br /> .. -ILI-tic EJ <br /> C3 O( E f 6th / rets mat 7 7 o r 3 G ob <br /> ZU Li <br /> cr <br /> a <br /> o Check boxes In last two columns only if training is completed separately froin audlt.(DO Contractors use only) <br /> (Z New employees must receive initial training within 30 days of hire and every 12 months thereafter. <br />