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Environmental Health Department <br />Hazardous Materials Business Plan (HMBW) Training Program <br />REV. 11/18/2019 HMBP 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 busi ness 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 />Facility Name: InƐƚƌƵcƚŽƌ͛Ɛ Name͗ <br />Facility Address: CERS ID: <br />Type(s) of Training: Classroom Lecture Tabletop Exercise Hands on <br /> Field Exercise Safety Meeting <br />Summary of Training Topics Discussed: <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />____________________________________________________________________________ <br />2021 Co2 training 1/30/2021 <br />McDonald’s 11797 Jason Roth <br />1049 E March Ln Stockton CA 10180701 <br />x <br />Reviewed the evacuation plan incase of CO2 leak. Showed employees <br />where the Co2 tanks are located and where the CO2 alarm is.