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SANJOAQUIN <br /> COUNTY - <br /> 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 : L (^ S , \ AZA-t � v q% ADate : © 3 Z o — 2d ZD <br /> Facility Name : /� C H Instructor' s Name : S <br /> 4 S <br /> Facility Address : CERS ID : <br /> x{ 772, FrvvZjer1�Jej � ti �� t{ � 0 <br /> Type ( s ) of Training : ❑ Classroom Lecture ❑ Tabletop Exercise O�q Hands on <br /> ❑ Field Exercise Safety Meeting <br /> S mmary of Trai ing Topics Discussed : <br /> � �S C vSs �'� 0 CC:lA IC9 V,S a� (1L� r3 S� � 1/k cA�f * co,00 <br /> hC. cr i ( i� Cvk � d` ea . � (l tiL�tG,F <br /> S i o cc � � 5 w .x'1 � a �; 1 � CP <br /> u 4L nI tis � �� VA 0A (� � e • <br /> i <br /> REV . 11/ 18/2019 HMBP Program <br /> i <br />�i <br />