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210 S Sacramento St, Lodi, CA 95240 PRO5212O9 <br /> 12/07/2021 Program: HMBP <br /> PHOTO 1: <br /> Facili did not have an trainin records on site—CORRECTED AT THE TIME OF THE INSPECTION <br /> SAN.JOAOUIN <br /> --COUNTY— SANJOAOUIN <br /> �.' Grea�neev grow,hers —COUNTY— <br /> Environmental Health Department cr,n I—,he,,. Environmental Health Department <br /> Hazardous Materials Business Plan(HMBP)Training Program <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 Name Position Signature <br /> is a c1ou response L/ ,c T2 <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 /> Facility Name: Instructor's Name:,¢bus Roew"'Z <br /> 0 <br /> Facility Address: CERS ID: <br /> I Pt[ <br /> Type(s)of Training: ❑Classroom Lecture ❑Tabletop Exercise ❑ Hands on <br /> ❑ Field Exercise b-Safety Meeting <br /> Summary of Training Topics Discussed: <br /> 7 TAZAe, LQVP <br /> REV.11/18/2019 HMBP Program REV.11/18/2019 HMBP Program <br /> VICKY VANG-LEE, REHS Page 1 of 1 <br />