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ironmental Health Department <br />Hazardous Materials Business plan (HMBp) Training program <br />Per Health and Safety Code 25505(aX4), 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) lmmediate 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 />IC) Evacuation plans and procedures, including immediate notice, forthe business site. <br />Ihesetrainingprogramsmaytakeintoconsiderationof eachemployee. Theuseofthissign-in <br />;heet is optional' The facility can choose to use any acceptable form to record the training(s). <br />Employee(s)Training Sign ln Form <br />Course Name: <br />a+artal Tuti-zr-c, )?/en /Crot <br />Date: r /"t /, t <br />h€ /n" <br />FacilityAddress: LgYl c= Ha.negt Late <br />Lod' Ls afbq?,CERS ID: : <br />I O47?fao <br />Type(s) of Training: E Classroom t_e.tur"--EJabtElop Exercise Hands on <br />ha,nr/e <br />xl-1' <br />'el.4Q <br />at/ <br />ol- <br />.77/L8/207e HMBP Program <br />/oolze <br />RECEVIED 7/7/2021