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RECEIVED SAKJOAQUIN C Cs LJ N T 'y _._ AUG W02021 Greatness grows hnre , Environmental qh9WA@ALTH DEPARTMENT Hazardous Materials Business Plan ( HMBP ) Training Program Per Health and Safety Code 25505 ( a ) (4 ), training for all employees and annual training, including refresher courses, shall include familiarity with the facility ' s Emergency response plans and procedures in the event of a release or threatened release of a hazardous material . Training shall cover, but not limited to , all of the following : (A ) Immediate notification contacts to the appropriate local emergency response personnel and to the unified program agency . ( B ) Procedures for the mitigation of a release or threatened release to minimize any potential harm or damage to persons, property, or the environment . ( C) Evacuation plans and procedures, including immediate notice , for the business site . These training programs may take into consideration of each employee . The use of this sign - in sheet is optional . The facility can choose to use any acceptable form to record the training ( s ) . Employee (s ) Training Sign In Form Course Name : _ Date : Facility Name : Instructor' s Name : Facility Address 3q tt o a � � t � c( CERS ID : \ o \ Z2 `3'3P9 X15 Type ( s ) of Training : o Classroom Lecture ❑ Tabletop Exercise 9 Hands on o Field Exercise ❑ Safety Meeting Summary of Training Topics Discussed * ( i) C t t v" t vac +e po - 4,,.,t46A SVO,(k. 5 O (J (LC .eJ�> (% t^ vc k nom. Q U.1 � Ne �, c� JOQ t � (\es CNA ka � � r� LL e o V\!m ci.QcO A u cum � o, Ll S % qrO nt n tn� c �o QO��snn v. rote .fiC � � p d Eev.Qx-g�r lin ?_ Via._ c� re n Cct ca v \U !2� 0 c, o _ L1 S a P� c is t0t1 ?...o Wr6 ,16 3 Lt *2 5 UHb ::; It) a t S o 0 $ S '2. 7 5510 tat_ REV . 11/18/2019 HMBP Program