| Achievement | How to unlock
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| Baptism of Fire | Complete the first operation.
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| Beastly | Complete the farm operation.
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| Bodybuilder | Exercise at least 10 times in the fitness room in a 24-hour shift.
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| Coffee Junkie | Drink at least 10 cups of coffee in a 24-hour shift.
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| Cookout | Complete the BBQ shack operation.
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| Cyclist | Bring the victim of a cycling accident to the hospital successfully.
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| Elevator Tourist | Free a person trapped in an elevator.
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| In the Subway | Complete the subway derailment operation.
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| Neat Freak | Ensure that no picture frames are hanging crooked on the wall.
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| Old Smokestacks | Complete the old factory operation.
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| Tailback | Complete the highway accident operation.
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| Village Festival | Complete the Ferris wheel operation.
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| Water Fight | Turn on all the faucets at the fire station.
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| Wild Thing | Complete an operation involving an animal-vehicle crash.
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| Your Call is Being Connected | Establish a water supply from a hydrant for the first time.
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