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SAN.-JOAQUIN <br /> -- —COUNTY— <br /> ,3t SANAOAQUIN - "°" °' ne` Environmental Health Department <br /> —COUNTY-- <br /> - G­t._y�ow:Here, Environmental Health Department Hazardous Materials Business Plan(HMBP)Training Program <br /> Hazardous Per Health and Safety Code 25505(a)(4),trainingfor all employees and annual training, <br /> Materials Business Plan(HMBP)Training Program including refresher courses,shall include familiarity with the facility's Emergency response <br /> Name plans and procedures in the event of a release or threatened release of a hazardous material. <br /> M�aWy <br /> Position Training shall cover,but not limited to,all of the following:(<`� <br /> tMELry iL Signature g <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:Si f` p`-�� Date: 22 <br /> Facility Name:J�1'(�YYt (I�rJ1 —� Instructor' Name: <br /> Facility Address: N• lf! tCERS ID: rlrl <br /> Type(s)of Training: ❑Classroom Lecture ❑Table op Exercise ❑ Hands on <br /> ❑ Field Exercise `l-5:Safety Meeting <br /> summary of Training Topics Discussed: _ <br /> vRc Iavls ed ��•Nage Uf k <br /> �-+ Yu�ing tii f �S <br /> • <br /> REV.11/18/2019 HMBP Program <br /> REV.11/18/2019 <br /> HMBP Program —— <br /> i <br />