Name *

First Name

Last Name

Phone

Phone number (optional)

(###)

###

####

Question #1 *

What does SPCC stand for?

Soil Prevention of Control Countermeasures

Spill Practices and Control Countermeasures

Spill Prevention Control and Countermeasures

Soil Practices and Control and Countermeasures

Question #2 *

In the event of a REPORTABLE spill, who does the spill discoverer internally call FIRST?

No need to contact anybody.

Local Fire Department by dialing 911

PYC SPCC Coordinator

PYC Asst. SPCC Coordinator

Question #3 *

What does the acronym MSDS stand for?

Material Safety Data Sheets

Material Safety Dockage Sheets

Maritime Safety Data Sheets

Question #4 *

The Spill Discoverer Should (check all that apply):

Make sure that everyone is safe

Call local fire department if immediate threat to human life

Extinguish any sources of ignition

Identify type of material spilled

Not worry about it, it's not their job.

Initiate internal reporting……call the SPCC Coordinator first

Question #5 *

Is the following statement True or False? -> "PYC personnel/members with responsibilities for compliance with the requirements of the PYC SPCC Plan will participate in periodic training that teaches personnel/members to perform their duties in a way to prevent the discharge of harmful quantities of oil or hazardous substances. This training will include familiarization with this Plan, emergency response procedures, equipment, systems, and MSDS for the products stored onsite."

TRUE

FALSE

Question #6 *

The Spill Discoverer/Responder’s Should (check all that apply)

Stop the release at source

Contain the material released to the environment

Recover/clean-up material spilled

Clean-up surfaces contaminated by spill

Decontaminate tools/equipment

Properly dispose of waste material

Report Spill Kit replenishment needs to Fuel Chairman

Not worry about it, it's not their job.

I Certify That: *

I hereby acknowledge receipt of the PYC SPCC Training Manual Version I adopted on June 10, 2004. I understand that each boating season I am required to review the manual as a requirement in order for me to have authorization to use the PYC fuel pumps. I have reviewed the manual and evidence my agreement to abide by the PYC SPCC Plan as outlined in the PYC SPCC Training Manual.

Yes, I agree that I have followed these training procedures.

Date: *

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