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SANJOAQUIN <br /> a?i •;;' —COUNTY-- <br /> ` hel Environmental Health Department <br /> Hazardous Materials Business Plan (HMBP)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: 5G�1 1, Date: �_ ) a - ag o <br /> Facility Name: t i, Instructor's Name: <br /> ec-1 ► JO 11)U"n0z <br /> Facility Address: g5ao3 CERS ID. <br /> s O <br /> Type(s) of Training: ❑ Classroom Lecture Ll Tabletop Exercise ❑ Hands on <br /> o Field Exercise afety Meeting <br /> Summary of Training Topics Discussed: <br /> -�C, a Y <br /> )-Jow <br /> 13) I ale i emie <br /> w <br /> T a ccLJre 9 44 <br /> vLIE h <br /> REV. 11/18/2019 HMBP Program <br />