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SAN=JOAQUIN <br />_.I COJ NTY _. <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 />Course Name: <br />Date: O 1 <br />F cility Name: <br />PADEED <br />�' p <br />Ins r ctor's Name: ^ 1 <br />,�t <br />Facility Address: <br />— <br />CERS ID: �O <br />Type(s) of Training: <br />❑ Classroom Lecture <br />Field Exercise <br />C Tabletop Exercise ❑ Hands on <br />I Safety Meeting <br />Su mary ol yraininF <br />Topics Discusse <br />An <br />REV. 11/18/2019 HMBP Program <br />