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CA W Emp IImWig ChkIP 1. vs <br />A". 01.06 <br />Designated Operator Employee Training Checklist (page 2) <br />Station Name & Site Number Date <br />Employee Name <br />(.ergs $pill Response Procedures <br />ktibak <br />21) EVain to !20= the detinl60n a a 12 28 $pill <br />23.) E n r@sponae pr c@Wre if spilt looks Mk@ it could Leave the prop" <br />24.) Show where anter ency r (ting phone msrlbers are located <br />25.) PhysiCIIII 5 talnpl c 1r IOceDorl a Art Storm drains and Flow to chvert spill flows I) n9C"S2IY d <br />25.) Explain nkat am is to call 1n and rep,on spins to ACSC at Valero Corporate Office <br />1 <br />lyre Maria er Qni <br />27, ► Store is r e to evaluate haaarrkxrs waste materials gpnarated from a terga spit and <br />IJWWWt Jtdia Johns di 5S9-583-3251 for coordination of disposal <br />Ems envy Reaptsnss and Evacuation Empu <br />29 I In tha event of a fire, large 800. Or eantxp*e. @xpletn tow each Can impact the static <br />29) Straw @ all methods avwlab* to stop the baw Of fu&I (SWI off txdlm coneote. breakers) <br />30.) Review Ute statbns'6ttto< Res a Plan' watod in tr1@ station's O&M Binder <br />31.) Phy a location of oM arta evacuation meets for @mptoYaes <br />1-1 <br />My Signature certifies that I have trained this employee in accordance With applicable <br />Designated Operator regulations and cover d all items an this training checklist. <br />designated Operator Signature <br />Date def' <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 an. <br />Employee signature <br />vats <br />(t) Copy in Station O&M Binder / DO tab <br />(1) Copy to employee <br />(1) Copy to Designated Operator / Area Manager <br />90 39Vd OdYIVA TTELLV60Z 50=bT 800Z/6Z/L0 <br />