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Recieved by EHD <br /> 1/20/2023 <br /> via email <br /> SAN 10AQUIN <br /> —COUNTY— <br /> Environmental Health Department <br /> Hazardous Materials Business Plan (HMBP) Training Program <br /> i 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: G r� Date: <br /> Facility Name: pA" ( Pef,otzj /M, ct�� Instructor's Name o� � d 4 <br /> Facility Address:g S U w I l p- S - r � / L CERS ID: <br /> Type(s)of Training: Classroom Lecture ❑Tabletop Exercise X Hands on <br /> Field Exercise ❑Safety Meeting <br /> Summary of Training Topics Discussed: <br /> 0i I I l AbCa_4 v <br /> — �✓�� -1-0 0� o �,� /�S F � �Ye <br /> —'o it.v-✓ Sa-�-e ha deo;.t >tT _ <br /> REV. 11/18/2019 HMBP Program <br />