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HAZARDOUS MATERIALS BUSINESS PLAN <br /> FACILITY EMPLOYEE TRAINING RECORD <br /> For use by Unidocs Member Agencies or where approved by your Local Jurisdiction <br /> Authority Cited.• California Health and Safety Code Chapter 6.95(HSC); Title 19 California Cafe ofRegulrr ions(CCl/) <br /> Facility Name: <br /> Chevron <br /> Site Address: <br /> 25652 N. HWY 99 City: Acampo <br /> California Health and Safety Code §25507(a) and Title 19 California Code of Regulations §2651(a)tequire that a <br /> Hazardous Materials Business Plan(HMBP)facility implement its HMBP, including the training plar specified in <br /> HSC §25505(a)(4) and 19 CCR §2659(a)(4). Taking into account the position of each employee,training for new <br /> employees must be provided in safety procedures in the event of a release or threatened release of a hazardous <br /> material. Annual refresher training is required. This training must be documented electronically or by hard copy <br /> records.Training records for the past three years must be kept available for inspection. <br /> HMBP training must include,but is not limited to,the following: <br /> © Methods for safe handling of hazardous materials; <br /> ❑ .Identification of areas of the facility and mechanical or other systems that require immediate inspection or <br /> isolation because of their vulnerability to earthquake related ground motion; <br /> ® :Evacuation plans and procedures, including immediate notification, for the facility; <br /> ® Identification of local emergency medical assistance appropriate for potential accident scenarios; <br /> ❑ :Notification. of local emergency response personnel, the Unified Program Agency, the Californi Emergency <br /> Management Agency,and persons within the facility who are necessary to respond to an incident <br /> Q Emergency response and safety procedures for the mitigation, prevention, and abatement of a release or <br /> threatened release to minimize harm or damage to persons,property, or the environment; <br /> ® Use of the facility's emergency response equipment and supplies; <br /> ❑ Procedures for coordination with local emergency response organizations. <br /> The followin employees have been trained asirequired by HSC '25507 a and 19 CCR '2651 a <br /> Employee Name Training Date Trainer Name <br /> Jessica Cuen 10/14/20 Alex Jabbari <br /> Bilai Khan 10/14/20 Alex Jabbari <br /> Gludia Radriquez 10/14/20 Alex Jabbari <br /> Roberto Cuen 10/28/20 Alex Jabbari <br /> Eric Orozco 10/28/20 Alex Jabbari <br /> Sajo Singh 313!21 Alex Jabbari <br /> Aliaf Khan 4/5121 Alex Jabbari <br /> (Continued on reverse) <br /> UN-103 www.unidocs.org 1 2-Rev.06/28/17 <br />