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SAN JOAQUIN <br /> ---—COUNTY— <br /> Environmental <br /> OUNTY-- <br /> 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, 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: //9 Date: <br /> LZ <br /> Facility Name; f Instructor'sp�Name: Z <br /> Facility Address: CERS ID: <br /> Type(s)of Training: ❑Classroom Lecture ❑Tabletop Exercise ❑ Hands on <br /> Field Exercise i; Safety Meeting <br /> Summary of Training Topics Discussed: <br /> !)t SC4'E f'+o.. ,01 <br /> t✓`t`t' 2. l'G G7r c,. - ..As N c. '�.i'vc� <br /> �iEZ�6..:-c-�..ro3..•Y' /''lGl.� FX- ..t//-� --�L. �1 �'�t.crTf7Lric.�t fipf�s'L"'!. <br /> 5'o i l t �Li/(f' w <br /> ce—,:e <br /> p � <br /> ,4..Cy <br /> Ue 2✓�':'j F,`�L2s 1•`'s!f �flrn v!�u° 7�'Gi1[-a I'n1.4 _ 'OfF'Li�•�Pfit�1 <br /> •a�2.�.G/�eae 1' Wit., 3'��f' a".^��.9 ,�h.t i°�'2 r,,� .a.� c7 ��ck-e <br /> Jfi�. <br /> V <br /> REV.11/18/2019 HMBP Program <br />