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1ia:rY r> SANI JOAQUIN <br /> —COUNTY <br /> — <br /> Greatness 9r°`"5 here. 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 the position of each employee. The use of <br /> this sign-in sheet is optional.The facility can choose to use any acceptable form to record the <br /> training(s). <br /> Employee(s)Training Sign In Form <br /> Course Name: Q2_A4,r,I,,O,, Date: <br /> Facility Name: Instructor's Name: <br /> 7DOG6S &4A&C J-/ZX tc,-OJ 69 viJ Gii cdo../ <br /> Facility Address: cCERS ID: <br /> aye � �et. o�0� jr-- .rra K�� /0049 yiVZ <br /> Type(s) of Training: ❑ Classroom Lecture ❑Tabletop Exercise D Hands on <br /> ❑ Field Exercise WSafety Meeting <br /> Summary of Training Topics Discussed: <br /> AVf?C*-n of t.J Eo?&LC6#a6s <br /> eA1Ae.&,V?OJ f1QC6A414C-1 <br /> AU/61- PISOOJS4 L� -mc f4jiQdes <br /> REV. 11/18/2019 HMBP Program <br />