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n <br />CA 00 Emp I iamny Chklet 1.06 <br />R®v. 0 UDS <br />Designated Operator Employes Training Checklist (page 2) <br />Station Name & Site Number o Date <br />Employee Name <br />Large Spill Response Procedures' <br />22.) E sin 10 em tits definition of a large spill <br />211 E din; adore if spill IDoks kka d could leave tree propenY <br />24.1$how tlAtere etnatr repo rti ne nturbms we ktcated <br />25.) Kell show ednriawee the beatiOr1 Of -toms drains and how 10 divert SPA flaws 11 neCOssary <br />26,) Iain tlbii 6mpt0yae ie to CAII UI and ds to Resc at Valero corporate Office <br />store manager only <br />2-].) $W® 00UNVOr i9 a to evalUDW II&M dOUS W"te matenafS generated from a large s{'»It end <br />CVAVCt Jtsie.fohns @ 560.G 8-3251 for coordination of disposal <br />Emergency Response and Evacuation <br />F"'p <br />28• to the evt#s of a fire. A or eertMLWke. ettplext how each can Impact the stades <br />F <br />29.) Satow em a all metes a 10ble to stop the Ilow 0 fuM (shut oft dxr6tdxr console. Weakens) <br />t' <br />3o. Review me stalwa *Emevaency Response Plant' located an the stalion's ow Bir"ier <br />31.) Ph a a00a1ign of CM srte evacuation mea1mg SW for amplaileasy <br />El <br />My Signature certifies that 1 have trained this employee in accordance with applicabie <br />Designated Operator regulations and cov red all items an this training checklist. <br />Designated Operator Signature _ <br />Batey` <br />My signature cttrtifles 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 evacan pi <br />( Yale <br />Employee Signature <br />Date <br />(1) Copy in Station O&M Binder 1 DO tab <br />(1) Copy to employee <br />(1) Copy to Designated Operator / Area Manager <br />60 39a8 083-IVA TTELLP60Z 90:bT 800Z/6Z/L0 <br />