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SAN 10AQUIN <br /> -COUNTY-- - <br /> �r, Envir«nme^t.nI Haaifih rl ...�ent <br /> d v� �� Gl van���� v�r✓Wi 1111CilYL <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: Majr.,,,�al Date: �� 3 <br /> Faci ity Name: u In tructor's Name: <br /> _ <br /> U� n. ku I no. U vl 11 <br /> i <br /> FacilityAddre�s, �� � <br /> � CERS ID: � �6 (� 1 � <br /> Type(ss)) of Training: ACIassroom Lecture ❑ Tabletop Exercise ❑ Hands on <br /> ❑ Field Exercise ❑ Safety Meeting <br /> Summar of Train4ng Topics Discussed: <br /> V'/ ® ,O Y <br /> 7 <br /> REV. 11/18/2019 HMBP Program <br />