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-COUNTY-o.,•. ' Greatness grows here. 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: p <br /> T Date: 12 9/ 7 <br /> r rCe� 1 SfZx.� <br /> Facility Name: Instructor's Name: <br /> Facility Address: 2,-74-2 NaD� R� CERS ID: '0`7 3/��O <br /> Type(s) of Training: ❑ Classroom Lecture El Tabletop Exercise l❑ Hands on <br /> ❑ Field Exercise NK afety Meeting <br /> Summary of Training Topics Discussed: <br /> on <br /> 0�1' kaa40al i <br /> Se C�- aces,-�c <br /> t T--70 L\D t:o Qa c e t Uvi AcA2 1V c.l <br /> x�arer\ats arc p�lPaS� <br /> REV. 11/18/2019 HMBP Program <br />