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R IVED <br /> ECE . <br /> `DEC 2 3 2021 <br /> SAN J O A O U I N ENVIRONMENTAL HEALTH <br /> - - C O U NI T Y DEPARTMENT <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 the position of each employee . The use of <br /> this sign - in sheet is optional . The facility can choose to use any acceptable form to record the <br /> training ( s ) . <br /> Employee ( s ) Training Sign In Form <br /> Course Name , Date : <br /> Facility Name : P&1 /11I1N j M / 1ZT Instructor' s Nam4 : <br /> 6o2MART GAsoL�1NC fy) Ce , y \ n, CZ4r7L 1V <br /> 2 i ` ' L' rpFm acility Address ^1 to«D �^ �� NI CERS ID : <br /> S fbc J< 7o/,N) Cy "152.0 5 `>r/ c)C_d- K .�rc)rJc fl (15205 43 � � (3 ; <br /> � <br /> Type ( s ) of Training : ❑ Classroom Lecture ❑ Tabletop Exercise ' Hands on <br /> Field Exercise ASafety Meeting <br /> Summary of Training Topics Discussed : <br /> vhc' tL — <br /> r <br /> 17) <br /> REV . 11/ 18/2019 HMBP Program <br />