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SANdOAQUIN <br />COU NTY <br />Greatness grows here. Environmental Health Department <br />Hazardous Materials Business Plan (HMD) Training Program <br />Per Health and Safety Code 25505(a)(4I 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 />Employees) Training Sign In Form <br />Course Name: <br />Zt <br />Date: <br />a k <br />Facility Name: <br />Instructor's Name: <br />Facility Address: <br />90W�l <br />uVV <br />CERS ID: <br />Type(s) of Training: <br />[a Classroom Lecture <br />❑ Field Exercise <br />❑ Tabletop Exercise ❑ Hands on <br />>Safety Meeting <br />Summaryof Training <br />not l <br />Topics Discussed: <br />-- L�CA7 $0I A <br />C7)i I- az7!S��� <br />t-,)&! C� <br />C A?!A OA <br />rbe� <br />REV. 11/18/2019 HMBP Program <br />