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CA DO Emp 7.m-9 Chkls, I xis <br />Rev.0IMS <br />Designated Operator Employee Training Checklist (page 21 <br />Station Name & Site Number tate <br />Emplo es Name C <br />Large -Spill Response Procedures EMM MAN <br />22.) E apo 10 am ea the dNtrWon of a!aVs 6041 <br />23.1 Expfr are it .11 woks Itke it caAtl leave the property <br />24.) $how where emergency r ' phone numbers are hZaled <br />2g.) Shear am <br />poyee the location of any storm brans and how to Wven $pit flows A necesaarV <br />2e,1 Explaino at arnogyme is to call in and report Spills to RISC at Valero Corporate Office <br />Store Mane er Only <br />27.) Stere Manager is to evaWate hazardous wasta matenals generated Imm a targe spill ane <br />contact Juliq .Jahns 0 569-S83-32St for eoordinalion of disposa1 <br />Emer ency Response and Evacuation EMP kvf" <br />28.) In Nw avert of a fire. ".spdl. or eatthvuake, edam how each can IMEW the statwn <br />29.) Slow emgmle atl meltmas 3vm61are to stop the now of fuel (shut on button con e. breakers <br />301 Review Noe stations "Em sncy Res rue Plan' located in the starjoWs O&M @ander <br />31.) Physirally spot Por OMP12ms <br />Rj <br />Notes <br />My Signature certifies that I have trained this employee in accordance with applicable <br />Designated Operator regulations and cover d all items on this training checklist. <br />Designated Operator Signature• <br />Date ~� <br />My signature certifies that I have received training regarding UST Monitoring and <br />Automatic Tank Gauge alarm procedures, spill clean up, and my station's <br />emergency response and evacuation plan. <br />Employee Signature --- <br />Date 1 <br />(1) Copy in Station ODM Binder / DO tap <br />(1) Copy to employee <br />(1) Copy to Designated Operator / Area Manager <br />Z <br />E <br />TO 39gd 083-1VA TTELL06OZ 50:bT 808Z/6Z/L0 <br />