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SAN JOAQUIN <br /> COUNTY <br /> Greatness grows fere . 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 : Date . <br /> ' o, d 21 <br /> Facility Name : Instructor' s Name : <br /> "T" YT &ULroHUT% 49 cir s ` ►+AL)51 WArIA tsocL T�Ai5on9 . A <br /> Facility Address : CERS ID : <br /> Type ( s ) of Training : ❑ Classroom Lecture ❑ Tabletop Exercise ❑ Hands on <br /> ❑ Field Exercise Safety Meeting <br /> Summary of Training Topics Discussed : <br /> 1Myn � rc; G J� yrs � �,�FCt0*l tZ " to, tls � d IkI Anora � f � �t ¢ Iycw <br /> E VV► QfL QV6v% 90v► � �gerS0nnC, 1 <br /> 13 ro " OM 'ova tie MisficlicV tdy) e rekeAse orefhpfAevle <br /> V16keASeh Gko wlkhle i3e diviK� 9�Af 1C% 11urW or AckmaAe ) v yovsdh <br /> wtroVe. r � 0f A 14 rch VKeK Al <br /> C, . CVae �JQ ACV) VlC, vIs Caw Pie ��, � t^� � � � � � d � na iwtw► + tutu <br /> v� o � � • or <br /> REV . 11/ 18/2019 HMBP Program <br />