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HAZARDOUS MATERIALS BUSINESS PLAN (HMBP) <br /> EMPLOYEE TRAINING RECORD <br /> FACILITY NAME: r•,H jkLl W AA- i3 Qb 101E" <br /> TRAINING DATE: 9 <br /> Training must be provided upon hiring and annually thereafter <br /> Employees of this facility were trained on this day in accordance with the Facility's HMBP Employee <br /> Training Plan, including, but not limited to, familiarity with the following: <br /> Facility's HMBP emergency response plans and procedures in the event of a release or threatened <br /> release of a hazardous material, including all of the following: <br /> (A) Immediate notification contact information for the appropriate local emergency response <br /> personnel, the State Office of Emergency Services, and 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. This includes methods for safe <br /> handling of hazardous materials present, and proper use of personal protective and emergency <br /> response equipment that is on site. <br /> (C) Evacuation plans and procedures, including immediate notice, for the business site. <br /> The emergency response plans and procedures, hazardous materials inventory, and facility map <br /> reported in this facility's HMBP, and hazardous materials Safety Data Sheets shall be readily available <br /> to personnel of the business. How to access this information was discussed with employees during <br /> this training. <br /> EMPLOYEES DU/RING THIS TRAINING INCLUDE: J- <br /> NAME: IJds��f ( C f� z SIGNATURE. �����—� <br /> NAME: J Q� �� l I F(Z�P '('� SIGNATURE: <br /> NAME: L SIGNATURE: <br /> NAME: / l^ f'6 ka/ASIGNATURE: \ <br /> NAME: SIGNATURE: <br /> NAME: �� /� /�jA b �� H SIGNATURE: wI <br /> NAME: 1 SIGNATURE: <br /> Employee training records shall be made available for a minimum of three years <br />