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HAZARDOUS MATERIALS BUSINESS PLAN <br /> FACILITY EMPLOYEE TRAINING RECORD <br /> For use by Unidocs.klember Agencies or where approved by your Local Jurisdiction <br /> Authority Cited: California Health and Safejy,Code Chapter 69.5(11SQ; Title 19 California Code of Regulations(CCR) <br /> Facility Name 6&,1t)f'eL-?�-' <br /> Site Address: City: k <br /> California Health and Safety Code §25507(a)and Title 19 California Code of Regulations §265 l(a)require that a <br /> Hazardous Materials Business Plan(HMBP) facility implement its HMBP, including the training plan specified in <br /> HSC §25505(a)(4)and 19 CCR§2659(a)(4). Taking into account the position of each employee,training for new <br /> employees must be provided in safety, procedures in the event of a release or threatened release of a hazardous <br /> material. Annual refresher training is required. This training must be documented electronically or by hard copy <br /> records.Training records for the past three years must be kept available for inspection. <br /> ILMBP training must include,but is not limited to, the follo%ring: <br /> Methods for safe handling of hazardous materials, <br /> Identification of areas of the facility and mechanical or other systems that require immediate inspection or <br /> isolation because of their vulnerability to earthquake related ground motion; <br /> Evacuation plans and procedures, including immediate notification, for the facility, <br /> '\E Identification of local emergency medical assistance appropriate for potential accident scenarios; <br /> Notification of local emergency response personnel, the Unified Program Agency, the California Emergenev <br /> Management Agency,and persons within the facility who are necessary to respond to an incident; <br /> Emergency response and safety procedures for the mitigation, prevention, and abatement of a release or <br /> threatened release to minimize harrn or damage to persons, property, or the environment, <br /> Use of the facility's emergency response equipment and supplies; <br /> Procedures for coordination with local emergency response organizations. <br /> The following em loyees have been trained as required by HSC §25507(a)and 19 CCR E651(2L)� <br /> Em loyee Name Training Date 1 Trainer Name <br /> 6L <br /> 't'l 16 ip(� /Aj <br /> 4h <br /> f <br /> 1 0 Y-C <br /> J- <br /> 41 V I <br /> w /am I 11(d 2 <br /> j6) <br /> (Continued an reverse) <br /> vrww.uaidm&org 1/2-Rev.06/28/17 <br />