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i <br /> SANJOA UIN <br /> ,l f: ; — COU NTY <br /> Greatness 9 ' ° " S here . EnA oomental 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 /> )IM <br /> OP 94ev/gem Date : / Z j/ '/,ZOA ' <br /> Facility Name : Ipstructor' s Name— <br /> (Aye rad �►/( � f�. J <br /> FacilityAddress . / � 0ra do CERS ID : /0180 ; <br /> Type ( s ) of Training : ❑ `Classroom Lecture ❑ Tabletop Exercise ❑ Hands on <br /> ❑ Field Exercise U Safety Meeting <br /> Summary of Training Topic Di c s ed : <br /> /Vtye*eS <br /> REV . 11/18/2019 HMBP Program <br />