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SAN JOAQUIN <br /> 0UNTv <br /> Environmental Health e a 1202 <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 �01V Date � l i <br /> Facility Name : Instructor' s Name : <br /> Facility Address : CERS ID : <br /> ®� �' . 11,x` � • '� � �'"3 `�.� (S i � � � �- 3 <br /> Type (s ) of Training : ❑ Classroom Lecture ❑ Tabletop Exercise 41 Hands on <br /> ❑ Field Exercise ❑ Safety Meeting <br /> Summary of Traini g Topics Discussed : <br /> ni uln <. U <A6kM*-e 4c� <br /> rw -� j ch S �/ <br /> ct b to C .UG U �'� • /� O � V 4 joL <br /> ®-t1 ® v � 1r ,� j ® � - v� Com► CAt wi lam • <br /> Wc � t, c � o1 a d0 t.� /�-tom a��- <br /> REV. 11/18/2019 HMBP Program <br />