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SANJOAQUIN <br /> —C O U N T Y <br /> cqa P Greotness grow, 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 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: Date: // <br /> w ' <br /> Facility Name: tF In tructor's N me: <br /> k- <br /> Facility Address: CERS ID: <br /> 3 d <br /> Type(s) of Training: R Classroom Lecture ❑Tabletop Exercise Hands on <br /> ❑ Field Exercise *Safety Meeting <br /> Summary of Training Topics Discussed: <br /> Re-y e.veg P H Rp <br /> -Pew.," S"L Ma A - olws/*M 4 a// I_rA., /",Aj <br /> Genf r�✓er' 6Me�tr E� L,4*Js - V�u d. vl.n .'o Ca// - Nd� 1�.�•M�S <br /> - I.J.:L .�, lien�wn u./.f' - ANntd, o.�+- S�r// X/fs, /`'•t- e,[�••K.�k�s <br /> Aroy�.- �✓�t b asp � _Ss,it X <br /> REV. 11/18/2019 HMBP Program <br />