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SAN JOAQUIN <br />—COUNTY -Greatness grows here <br />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 />All Manteca Well sites <br />Date: <br />6/16/21 <br />Facility Name: <br />All Manteca Well sites <br />Instructor's Name: <br />Brady Dehart <br />Facility Address: <br />City of Manteca <br />CERS ID: <br />All Manteca Well sites <br />Type(s) of Training: I I Classroom Lecture <br />1-1 Field Exercise <br />❑ Tabletop Exercise ❑ Hands on <br />XSafety Meeting <br />Summary of Training Topics Discussed: <br />Noted HMBP purpose and procedures. <br />Noted proper clean up using on-site spill kits. <br />Noted evacution plans in each building. Noted Emergency contact personnel. <br />REV. 11/18/2019 HMBP Program <br />