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SAN JOAQUIN <br /> _ � <br /> Environmental health Department <br /> Hazardous Materials Business Plan (HMBP) Training Program <br /> Per Health and Safety Code 25505(x)(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,forthe 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: Date: 0 f 77 <br /> Facility Name: Instructor's Name: <br /> Facility Address: CERS ID: <br /> Type(s) of Training: ❑ Classroom Lecture ❑ Tabletop Exercise ❑ Hands on <br /> ❑ Field Exercise ❑ Safety Meeting <br /> Summary of Training Topics Discussed: <br /> Q 1� �fSCLI S)j2G)=C MLVI-k YvF}LZky�l <br /> n eper( nr �.�erYis�rit5 -fit o �c<0 A_em <br /> lam, 01 n} +�z i, 1 i !`H A" zlgPA _ (C e u-t7 221 d <br /> N'C V b)49 tx Y �ct� C n CYC <br /> f 1 C ca-In ❑curry ScPTC) <br /> REV. 11/18/2019 HMBP Program <br />