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SAWJOAQUIN <br />-COUNTY <br />{a{eatnes5grows here, Environmental Health Department <br />Hazardous Materials Business Plan 1 Training Program <br />Per Health and Safety Code 25505(a)(4)1 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 />r <br />.Facility <br />Name: <br />n,l� <br />instructor's Name: <br />Facility <br />Address: <br />2 / /1/HIM Y <br />CERS ID. <br />Type(s) <br />of Training: <br />❑ Classroom Lecture ❑ Tabletop Exercise <br />❑ Field Exercise ❑ Safety Meeting <br />Hands on <br />Summary <br />of Training <br />Topics Discussed: <br />WD2 <br />z1O 2E:: <br />REV. 11/18/2019 HMBP Program <br />