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saN;vJ0 QUIN. <br />-COU NTY <br />rkM.=, r, �0 here, Environmental Health Department <br />Hazardous Materials Business Plan (HMBr) 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 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 />Employees) Training Sign In Form <br />Course <br />Name: � <br />� <br />Date: � ��SG�1l.:i'. <br />Facility Name: <br />Instructor's Name: <br />Facility <br />Address: <br />CERS ID. <br />Type(s) <br />of Training: ❑ <br />❑ <br />Classroom Lecture ❑ Tabletop Exercise ❑ Hands on <br />Field Exercise i;z-Safety Meeting <br />Summary of Training Topics Discussed: <br />0� cwv ns \ a..-. �T � l�lo� <br />�� <br />rl_- <br />REV. 11/18/2019 <br />FEB 0 � 2.023 <br />ENVIRONMENTAL <br />HEALTH DEPARTMEHNMBP Program <br />