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SANJOAQUIN <br /> Environmental Health Department <br /> Hazardous Materials Business Plan (HMB)Training Program <br /> Per Health and Safety Code 25505(a)(4, training for all employees and annual training, including <br /> refresher courses, shall include familiarity with the facility's Emergency response plans and <br /> procedures in the event of a release or threatened release of a hazardous material.Training <br /> 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 /> Co urs Name: Date: <br /> jj <br /> Facility Name: ��g //� <br /> In ct 's Naar/z)e: �(J <br /> Facility Address: L' CERS ID: !®6 <br /> 3 '7 <br /> Type(s) of Training: ❑ Classroom I t e ❑Tabletop Exercise ElHands on <br /> LiField Exercise ©'Safety Meeting <br /> Summary of Training Topics Disc ssed: <br /> a <br /> REV. 11/18/2019 HMBP Program <br />