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HAZARDOUS MATERIALS BUSINESS PLAN <br /> FACILITY EMPLOYEE TRAINING RECORD <br /> For use by Unidocs Member Agencies or where approved by your Local Jurisdiction <br /> Authority Cited: California Health and Safety Code Chapter 6.95(HSC); Title 19 California Code of Regulations(CCR) <br /> Facility Name: Ulloa's Towing and Auto Repair <br /> Site Address: 620 S. Wilson Way City: Stockton <br /> California Health and Safety Code §25507(a) and Title 19 California Code of Regulations §2651(a)require that a <br /> Hazardous Materials Business Plan(HMBP) facility implement its HMBP, including the training plan specified in <br /> HSC §25505(a)(4) and 19 CCR §2659(a)(4). Taking into account the position of each employee, training for new <br /> employees must be provided in safety procedures in the event of a release or threatened release of a hazardous <br /> material. Annual refresher training is required. This training must be documented electronically or by hard copy <br /> records. Training records for the past three years must be kept available for inspection. <br /> HMBP training must include,but is not limited to,the following: <br /> ❑X Methods for safe handling of hazardous materials; <br /> ❑X Identification of areas of the facility and mechanical or other systems that require immediate inspection or <br /> isolation because of their vulnerability to earthquake related ground motion; <br /> ❑X Evacuation plans and procedures, including immediate notification, for the facility; <br /> ❑X Identification of local emergency medical assistance appropriate for potential accident scenarios; <br /> ❑X Notification of local emergency response personnel, the Unified Program Agency, the California Emergency <br /> Management Agency, and persons within the facility who are necessary to respond to an incident; <br /> ❑X Emergency response and safety procedures for the mitigation, prevention, and abatement of a release or <br /> threatened release to minimize harm or damage to persons,property, or the environment; <br /> ❑X Use of the facility's emergency response equipment and supplies; <br /> ❑X Procedures for coordination with local emergency response organizations. <br /> The following employees have been trained as required by HSC §25507(a)and 19 CCR §2651(a): <br /> Employee Name Training Date Trainer Name <br /> Irma Ulloa 10/3/2016 Brenda Naranjo <br /> Luis Ulloa 10/3/2016 Brenda Naranjo <br /> Eva Ulloa 10/3/2016 Brenda Naranjo <br /> (Continued on reverse) <br /> UN-103 www.unidocs.org 1/2-Rev.06/28/17 <br />