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SAN....JOAQUIN <br /> CO L] N1 TY-------, <br /> Environmental Health Department <br /> Hazardous Materials Business Plan (If M-B) Tral-Wrig 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 plan:-'and <br /> procedures in the event of a release or threatenod release of a hazardous material. Trailing <br /> shall cover, but not limited to, all of the follovving: <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 Poter"17141 <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 optionai.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: 2/15/2022 <br /> Instructor's Name: <br /> Facility Name; Alfalfa Supply, Inc. <br /> CERSID: <br /> Facility Address: 818 McCloy, Stockton, CA 10187413 <br /> Type(s) of Training: . ,-Classroom'Lecture r-i Tabletop Exercise r Hands on <br /> F1 Field Exercise Safety Meeting­-­ <br /> Summary of Training Topics Discussed <br /> Forklift Safety Procedures ReVjeWgA,_ <br /> Notification Procedures in case of emergency_,. <br /> Use and..-maintgnance <br /> Review of site map including emergency exit procedUres <br /> HNABP Program <br /> REV. 11/18/2019 <br />