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SANJOAQUIN <br />i"-- ---COUNTY-- <br />G1e0'"e=s grows 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 />Employees) Training Sign In Farm <br />Course Nam <br />ear ccs <br />feria- <br />Date: <br />D ' d <br />sZ <br />Facility Name: <br />i era `D /L � <br />Instructor's <br />t <br />Name: <br />rt <br />✓f <br />Facility Address: <br />4COi Q <br />I/�s 6% <br />CERS ID: <br />D <br />/O <br />Type(s) of Training: <br />XClassroom Lecture ❑ <br />❑ Field Exercise <br />Tabletop Exercise <br />Safety Meeting <br />❑ Hands <br />on <br />Summary of Training <br />RLL9A <br />Topics Discussed: <br />Por eZh/aBuS <br />Ui& <br />71qj <br />TG✓S—I <br />uli�lvt9 <br />ITraiptZ2I <br />rLA d ZbeOD <br />SG <br />/��PUC/G <br />/ /lT �Q' <br />ZQ✓G du -S <br />LVQ S <br />t?/Q %va.ir,)js <br />IA.)it <br />',s& <br />Geoeraknr-S '%r.\�ikei <br />o <br />a o G <br />�sz <br />i a <br />F%Pr b. 4 G✓r�hi� <br />Nle Iii / 4 5, 1,�. <br />/�-'%�aydl� <br />fO ✓eC mrc <br />A <br />vl <br />F l' rt` 1 <br />✓/!/w ; T i�.`CS <br />L <br />LSPeflN= <br />P cnxSC <br />Platt <br />REV. 11/18/2019 HMBP Program <br />