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SAN. JOAQUIN <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 />(13) 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 NW�Z fq5k <br />L. <br />Date: <br />IrLs1t Jc�s NaJ: , <br />�f\Aq <br />CEfjeFZ�Z <br />l 7 <br />Faci 'ty Name: � ,� t � <br />y�CU'_ <� - <br />Fa ' ' ty t's A15: <br />� <br />Type(s) of Training: 1:1 Classroom Lecture <br />❑ Field Exercise <br />El Tabletop Exercise ❑Hands on <br />[safety Meeting <br />Summary of Training Topics Discussed: <br />/ j It I I / <br />- f" I <br />G o e <br />61__ <br />REV. 11/18/2019 HMBP Program <br />