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SAN JOAQUIN <br />C0UN1Y---- <br />nr, <br />Environmental Health Department <br />Hazardous Materials Business Plan (HMBP) Training Program <br />Per Health and Safety Code 25505(a)(4), training for all employees and annual training, <br />including refresher courses, shall include familiarity with the facility's Emergency response <br />plans and procedures in the event of a release or threatened release of a hazardous material. <br />Training 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: <br />1-�, -Z -CQ 0 L' - (Yv^ tCX-;C_- <br />Date: <br />04 I S 2 0711 <br />Facility Name:, ' <br />Instructor's Name: <br />Facility Address: <br />12 -Lt E <br />CERS ID: <br />lo(a 3(70 �r <br />Type(s) of Training: ❑ Classroom Lecture <br />❑ Field Exercise <br />❑ Tabletop Exercise ❑ Hands on <br />Safety Meeting <br />Summary of Training Topics Discussed: <br />WGsfi4E_ <br />ECSC',_ i - - <br />S i t i -f` 4f-0aCAVrf- <br />yaG�- c, 4-l"di-. � hr, r-- <br />- <br />RroPcer 1-4CrZa rd0&�, 5 1-ic-s te- be -6A j Fa f—._,_._� <br />c. I I ti, n. K� <br />REV. 11/18/2019 HMBP Program <br />