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SAS! 1DAOU1N <br />CCxl��1Tr <br />Environmental Health Department <br />Hazardous Materials Business Plan (HMBP) Training Program <br />Per Health and Safety Code 25505(a}(4, trainlrig for all ernplayee�i and annual training, including <br />refresher courses, shat l include familiarity with the facility's Emergency response plans and <br />pro€edures 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 contZcts to the appropriate local emergency response personnel and <br />to the unified program agency - <br />(13) 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 -ire <br />sheet is optionai. The facility can choose to use any acceptable form to record the train ino(s), <br />Ernployee(s) Training Sign In Form <br />Course Mame: <br />Date: <br />Facility Name, � <br />Instructor's Name: <br />Facility Address; <br />()j F E' L19- <br />CERS ID: } f <br />Type{s} of Training: !-5 Classroom Lecture ❑ Tabletop Exercise 1D Hands on <br />D Field Exercise ❑ Safety Meeti rig <br />Sum mary of Training Topics Discussed: _- <br />H R 2 a ?Q IGS! WT I[ (I U" , <br />b <br />7-- EtAQ_ i f 1 _ <br />ij i <br />REV, 71/18/2019 HMBP Program <br />