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SAN JUAUUIN <br />Environmental Health Department <br />Hazardous Materials Business Plan (HMBP) Training Program <br />Per Health and Safety Code 25505(a)(4)I 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 sign4 sheet is optional. The facility can choose to use any acceptable form to record the <br />training(s). <br />Employees) Training Sign In Form <br />Course <br />Names I�}O Q-� <br />I� <br />C ` <br />O l <br />Date : <br />Facility <br />Name: <br />Qa�Ra <br />Instructor's NaL e: <br />Facility <br />1-7 <br />Address: � � <br />3 L GAVJAo/ef� <br />CERS IDO <br />0 41 It <br />Type(s) <br />of Training: ❑ Classroom Lecture <br />❑ Field Exercise <br />❑ Tabletop Exercise ❑ Hands on <br />19 Safety Meeting <br />Summary of Training Topics Discussed: <br />C e-S�iof br1 <br />�rS <br />/ 1 <br />id '4� �i3 <br />1C <br />K+ <br />W!$S <br />C`A <br />o <br />n h r !L o <br />d C <br />$W C c ti O <br />cv�.�-b e n <br />CL J. MC, Cglyutv <br />t <br />JPO CA� <br />\In w he 4n O a <br />_ k <br />�w i��,. n e <br />m <br />h <br />ff FJ <br />(' L r L <br />S P-4 c .cS <br />o <br />a� e <br />T <br />at it <br />rr <br />1 <br />o <br />{.✓ (L CL <br />le <br />CS D CLQ <br />41(k <br />grin 4 e�4 too cc= M <br />i L)l <br />0. Qt,lCL <br />shff rA c4A 10Z 14 gn &J <br />J <br />It,.� <br />REV. 11/18/2019 HMBP Program <br />