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wa6a n ck <br /> HAZARDOUS MATERIALS BUSINESS PLAN <br /> FACILITY EMPLOYEE TRAINING RECORD <br /> For use by UWdocs Member Agencies or itvhere approved by your Local Jurisdiction <br /> Authorio) Cited: California Health mid Safety Code Chapter 6. 95 (HSC); Title 19 California Code of Regulations (CCR) <br /> Facility Name : Ulloa ' s Towing and Auto Repair <br /> Site Address : 620 S . Wilson Way city ; Stockton <br /> California Health and Safety Code § 25507 (a) and Title 19 California Code of Regulations § 2651 (a) require that a <br /> Hazardous Materials Business Plan (HMBP) facility implement its HMBP , including the training plan specified in <br /> HSC § 25505 (a) (4) and 19 CCR § 2659 (a) (4) . Taking into account the position of each employee , training for new <br /> employees must be provided in safety procedures in the event of a release or threatened release of a hazardous <br /> material . Annual refresher training is required . This training must be documented electronically or by hard copy <br /> records . Training records for the past three years must be kept available for inspection . <br /> HMBP training must include, but is not limited to, the following : <br /> RD Methods for safe handling of hazardous materials ; <br /> R❑ Identification of areas of the facility and mechanical or other systems that require immediate inspection or <br /> isolation because of their vulnerability to earthquake related ground motion; <br /> R❑ Evacuation plans and procedures , including immediate notification, for the facility; <br /> 0 Identification of local emergency medical assistance appropriate for potential accident scenarios ; <br /> Q Notification of local emergency response personnel, the Unified Program Agency, the California Emergency <br /> Management Agency, and persons within the facility who are necessary to respond to an incident; <br /> F Emergency response and safety procedures for the mitigation, prevention, and abatement of a release or <br /> threatened release to minimize harm or damage to persons, property, or the environment; <br /> 0 Use of the facility ' s emergency response equipment and supplies ; <br /> ZProcedures for coordination with local emergency response organizations . hvc <br /> N (AZAvnJA ) U 4S+ftc 1mW4 ivylAVd cvn4�m1 Kr61- <br /> The following employees have been trained as re uired by HSC § 25507 (a) and 19 CCR § 2651 (a) : <br /> Employee Name Training Date Trainer Name <br /> Irma Ulloa 10/ 1 /2018 Brenda Naranjo <br /> Luis Ulloa 10/ 1 /20 -18 Brenda Naranjo <br /> \ YMM V IUB► 10 I 010 fN) '00 N MY � v <br /> WS Q \ W) 9J � tiA VP I <br /> U111 � toU ,P KIM vn0 <br /> 1 VM (A 202 I&vevld � <br /> 2T2\ �Yd � ru~ <br /> (Continued on reverse) <br /> UN403 www.unidocs.org 1/2 . Rev. 06/28/17 <br />