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t <br /> SAN JOAQUIN Environmental Health Department ' <br /> COUNTY <br /> Hazardous Materials Business Plan (HMBP) Training Program ; <br /> Per Health and SafetyCode 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: <br /> �Z MlC�d �S Date: 1 •a5•,� <br /> Instructor's Name: <br /> ON <br /> Facility Name: '4A � (I IRI'Y1 <br /> CERS ID: o�� 3055 <br /> Facility Address: N►ok�tt�- <br /> T e s) of Training: [i Classroom Lecture ❑ Tabletop Exercise <br /> ❑ Field Exercise y ❑ Hands on <br /> yp ( Safet Meeting <br /> Summary of Training Topics Discussed: tje��J�h <br /> i ,W4ed <br /> wh. <br /> 2. • <br /> e <br /> . N • <br /> HMBP Program <br /> K: ;; 11/18/20 .� <br />