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z; SANsJ0AQUIN <br /> ' !�;G< �' —CCDUNTY <br /> Greatness grows here. 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 /> (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 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 Name: Date: ,-Q <br /> Facility Name: Instructo ' Na e: <br /> 1-4t '��S�uvtw�►oJCVs•-- tx-.0►&Oivuvmro <br /> Facilit Address: CERS ID: <br /> Svu;ac. .b T� C.�c qs3°`{ tOaoS_7 <br /> Type(s) of Training: Classroom Lecture _Tabletop Exercise Hands on <br /> Field Exercise 13 Safety Meeting <br /> Summary of Training Topics Discussed: <br /> WA---L a c.Do%k-s L V%SrG <br /> QJRw6Za1F awDSKMJ6r _ <br /> I`oa-411thmL.WU,STb&A J6 ^%.%D%&ftxt#,)U bF wa►srE <br /> REV. 11/18/2019 HMBP Program <br />