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SAN.JOAQUIN <br /> Environmental Health Department <br /> Hazardous Materials Bwsiness Plan (HMB) Training Program <br /> Per Health arld Safety Code 25505(a)(4, training for all employees and annual training, including <br /> refresher courses, shilII Iltclude ftAIll ili.lr1ty with the facility's Emergency response plans and <br /> procedures in the QvV11t Of._1 release or Ihreatened 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 Na Date: <br /> 7 <br /> {P.46 <br /> t-!2� g.$ /Facility I r I Instructor's Name: <br /> Facil' Address: CER51D; <br /> Types)of Training: 2-Classroom Lecture ❑Tabletop Exercise ❑ Hands on <br /> ❑ Field Exercise afety Meeting <br /> Summary of Training Topics Discussed: <br /> .16 <br /> r <br /> REV. 11/18/2019 HMBP Program <br /> Scanned with CamScanner <br />