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SAN 'J QUI <br /> Environmental Health Department <br /> Hazardous Materials Business Plan (HMBP) 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: Date: <br /> GUK4 % L JOAr Y04 X t� TO 1,eNa W /-/ 3- 3-t7 <br /> Facility Name: Instructor's Name: <br /> 5To W_TO* f 4 4�� —&cUr++� <br /> Facility Address: CERS ID: <br /> e?L(Z17 WILWyC R4) <br /> Type(s) of Training: ^lassroom Lecture i i Tabletop Exercise i Hands on <br /> i Field Exercise i i Safety Meeting <br /> Summary of Training Topics Discussed: <br /> fF�ua�vt 7ocKtVr> ctaP�� SUo� S,6/a� <br /> REV. 11/18/2019 HMBP Program <br />