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P <br />CA DO Emu trim.W*Q chklS1 t..n <br />Rev. 01= <br />Designated Operator Employee Training Checklist (page 2) <br />Station Name & Site Number Date <br />Employee Name Q +^ice I <br />Large Spill Response Procedures <br />22) E wn W ern ee the definition of a lam spill <br />23.1E am response ure R t looks ka it could leave the prOpalty <br />Oer e to 'ng on— numbers are roc3100 <br />24.) Shur wherem <br />drams and how tO drmrt sµlt flows d nacessary <br />S- <br />25.) P;km show am a the location Of any storrh <br />is to call in and r s to RMC at Valero Corporate -fk <br />4 L4 <br />26.) E sin Char em -- <br />Store (Nana or Only I <br />27.) Stora LuAwr is r e 10 evaluate hazardous waste marenals ga+edated from a large sOU and <br />cWAW Julia Johns to 559-s83-32St for coordination of dis ser <br />Emer oncy Response and Evacuation <br />Emp <br />2f3•) in the Quant of a fire. ter"apdf, or edrlhquake. explll�n how each can Impact the station <br />1.14 ,� <br />7E <br />2g) spy ® all modiods "table YO OW the NOW d fuel (shut Off MMM console. txeaker )) <br />L ��] <br />tE <br />30) Review WO StIltionsTmarg= magporiss Plan' Wated in the stapotn's O&M Binder <br />e Of Off 5rre evacu88oe mean ¢pot IM am )/eeS <br />J <br />lVOtes <br />My Signature certifies that I have trained this employee in accordance with applicable <br />Designated operator regulations and cov ed all items on this training checklist. <br />Designated Operator Signature +� <br />Data <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 I 29 p <br />(t) Copy in Station O&M Binder / DO tab <br />(11 Copy to employee <br />(1) Copy to Designated Operator / Area Manager <br />E <br />r] <br />Z0 39tid 083-IVA TTELL060Z VS =Et 800Z/6Z/L0 <br />