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SAN JOAQUIN <br />COUNTY— <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: <br />A 1�& eR_t4 i <br />Date: <br />�f <br />�;2 C) <br />Facility Name:lGi,G,SC��,/jy�j�,,ti. i <br />1 . ' ° dry,0.E 4 ` <br />Instructor's Name: <br />Facility Address: /l -y Q Ag z:S.5.=1 CERS ID: <br />Type(s) of Training: Vdassroom Lecture ❑ Tabletop Exercise ❑ <br />V Field Exercise VrSafety Meeting <br />j <br />07 <br />Hands on <br />Summary of Training Topics Discussed: <br />M,4_'19ie[Aj-S PL04I/_77kA_ <br />N A <br />pkoff'X" <br />C) <br />REV. 11/18/2019 <br />HMBP Program <br />