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SAN JOAQUIN <br /> ........_........COUNTY— <br /> c;reornEss s"°"S here. Environmental Health Department <br /> Hazardous Materials Business Plan (HMBP) Training Program <br /> Per Health and Safety Code 25505(a)(4),training for all employees and annual training, <br /> including refresher courses, shall include familiarity with the facility's Emergency response <br /> plans and procedures in the event of a release or threatened release of a hazardous material. <br /> Training 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: M —FYO,i'n ` rti� Date: <br /> Facility Name: C(-r� pis-tk Instructor's Name: <br /> Pe- Cy <br /> Facility Address: GAS 52 CERS ID: 10 -620-7 <br /> Lpa-ZType(s) of Training: ❑ Classroom Lecture ❑Tabletop Exercise ❑ Hands on <br /> ❑ Field Exercise XSafety Meeting <br /> Summary of Training Topics Discussed: <br /> REV. 11/18/2019 HMBP Program <br />