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RECEIVED <br /> -DEA 3 2021 <br /> S A N J O A O U I N ENVIRONMENTAL HEALTH <br /> -- COUNTY 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: }-il••T3 p Date: <br /> Facility Name: PA-Y /II1Ni A-1A1Z'TT Instructor's Nam : <br /> 62 MA�ZT G�\soL_1NC fy) Ce_.y-, Ct I'TL 1V <br /> 2 i`��' L' ��M acility Address 1� ^/ ��/ � L^ I-\-f CERS ID: <br /> S7-bc_KTOI-4, C "152.0 S'IgC_Krrl cfl (152-05 O <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 /> � 1 <br /> r? \ cf,S Q,3r"F>C 1 C`5 <br /> REV. 11/18/2019 HMBP Program <br />