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SAN 10AQUIN <br /> Greotness grows here 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 /> t CONA ON ' RL&J <br /> Fcility Name: Ins ructor' Name: <br /> W t LSon! ulto aha. <br /> Facility Address: CERS ID: <br /> 12 3 Xo Z S,. kouIN ft (Z1 C A s%,ti 108 W06 as <br /> Type(s) of Training: Classroom Lecture - Tabletop Exercise X Hands on <br /> Field Exercise Safety Meeting <br /> Summary of Training Topics Discussed: <br /> WC <br /> gr QVM &4CAeW j►q4e IF <br /> & N w i s~F Eerftciggf ftmsc <br /> — C—LiCow yo r u acs <br /> REV. 11/18/2019 HMBP Program <br />