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SAN -JOAQUIN <br /> ._!. <br /> COUNTY--- <br /> Grcotncss yro.s herr. 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 forthe 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: Date: $- .7,5- -7) <br /> Facility Name: 5 V OWAA- -sw*W SAW&u4 tk&s Instructor's Name: <br /> Facility Address: 1196. lyp,rA YrVu..Y! CERS ID: <br /> I (� 12066-�; <br /> Type(s)of Training: ❑Classroom Lecture ❑Tabletop Exercise [yl-lands on <br /> ❑ Field Exercise ❑Safety Meeting <br /> Summary of Training Topics Discussed: <br /> REV.11/18/2019 HMBP Program <br />