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M __Mw <br /> WV SANAOAQUIN <br /> COUNTY <br /> rra�nrx5 rJFrS �a�re. Environmental Health Department <br /> Hazardous Materials Business Plan (HIVIBP)Training Program <br /> Per Health and Safety Cade 25505(a)(4), training for all employees and annual training, <br /> inr.ludinE 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 raver, but not limited to, all of the following <br /> (A) Immediate notification Contacts to the appropriate local emergency response prrsonnet and <br /> to the unified program agency. <br /> (B) Procedures for the mitigation of a release or threaterned release to minimize any potential <br /> harrn or damage to Persans, property, or toe environment, <br /> {C} Evacuation plans and pror-eclures, irsrluding immediate notice,for the business site. <br /> These train1nE programs may take int€r consideration of each ern Vloyee. The use of this sign-in <br /> sheet is opt iana1. Fhe facility ran chnose to use any acceptable form to record rhe rraining(s), <br /> Employee{s}Training Sign In Form + <br /> nurse Afef 1 #� Date_ f loll <br /> Facility Name, Instructs Name; <br /> Facility Address, CERS 117: <br /> Typef s)of Training Classroom Lecture Tabletop Exercise ADHanclson <br /> Neld Exercise fety Meeting <br /> Summary of Trainin Topics Discussed: <br /> r <br /> KM13P proeram <br />