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rnE c°�2 SAN JOAQUIN <br /> COUNTY <br /> cr ` ut " ` s ' qiows heic , Environmental Health Department <br /> Hazardous Materials Business Plan ( HMB ) Training Program <br /> Per Health and Safety Code 25505 ( a ) ( 4, training for all employees and annual training, including <br /> refresher courses, shall include familiarity with the facility ' s Emergency response plans and <br /> procedures in the event of a release or threatened release of a hazardous material . Training <br /> shall cover, but not limited to, all of the following : <br /> ( A ) Immediate notification contacts to the appropriate local emergency response personnel and <br /> to the unified program agency . <br /> ( B ) Procedures for the mitigation of a release or threatened release to minimize any potential <br /> harm or damage to persons, property, or the environment . <br /> ( C ) Evacuation plans and procedures, including immediate notice , for the business site . <br /> These training programs may take into consideration of each employee . The use of this sign - in <br /> sheet is optional . The facility can choose to use any acceptable form to record the training ( s ) . <br /> Employee ( s ) Training Sign In Form <br /> Course Name : Date : <br /> ( ) W(CA (Tr�� �. ; � ,) 0 ac0a C) <br /> Facility Name : J� ( C I structor' s a ame : <br /> 41 wn Cn L� � <br /> Facility ddres 1 CERS 14b , <br /> • l� <br /> ems , � ��� �. 0 � 3 �1 � S8 <br /> Type ( s ) of Training : ❑ Classroom Lecture ❑ Tabletop Exercise ❑ Hands on <br /> ❑ Field Exercise Safety Meeting <br /> Summary of Training Topics Discussed : <br /> GZGc � o Q �i � v� <br /> ---(1 A til / n !j tC�O od U r�t <br /> REV . 11/ 18/2019 HMBP Program <br />