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v <br />SAN JOAQUIN <br />--COUNTY— <br />Greatness grows here <br />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: (/� <br />r i <br />e �C! i n l' <br />Date: J 2-D0 <br />LZ <br />FacR i y Nam <br />1- �- { <br />Instr 's e: <br />ice_ -e_ /r� <br />Facility dress <br />If) <br />of�k re,-� <br />��� r <br />CERS ID - <br />1 l) <br />Type(s) o Training: <br />❑ Classroom Lecture <br />❑ Field Exercise <br />❑ Tabletop Exercise > Hands on <br />Safety Meeting <br />Summary of Training Topics Discussed: <br />ar <br />r <br />oW o <br />e. aw <br />0MA11 d 4T7 6 <br />REV. 11/18/2019 HMBP Program <br />