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26 N Cherokee Ln, Lodi, CA 95240 PR0513581 <br /> 12/02/2021 Program: HW <br /> PHOTO 5: <br /> Training completed and recorded during the inspection. <br /> Alp <br /> SANAMUIN C {� II— — <br /> _COUNTY— SAN�IOADUIN <br /> G�.•or nerc q.owo bv�.• - <br /> Environmental Health Department -COUNTY-- <br /> ,ne,= 9,ow, h-. <br /> Environmental Health Department <br /> Hazardous Materials Business Plan(HMBP)Training Program <br /> Hazardous Materials Business Plan(HMBP)Training Program <br /> Per Health and Safety Code 25505(a)(4),training for all employees and annual training, <br /> including refresher courses,shall include familiarity with the facility's Emergency response Name Position S' re <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)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: BkS l� f Pl� A Date: <br /> Facility Name: P�(t yrs — Nb Inrsteruckor's Name: <br /> f X31,, K <br /> Facility Address: �, CqULW O CERS ID: LO(JL30- <br /> Type(,)of Training: ❑Classroom Lecture ❑Tabletop Exercise ❑ Hands on <br /> o Field Exercise Safety Meeting <br /> Summary of Training Topics Discussed <br /> Mill <br /> M II1 MIA ("CAk -f <br /> G` "AtA na fes] I In06Cr ,P.EJ <br /> 1/18/2019 HMBP Program REV.11/18/2019 HMBP Pmgr <br /> VICKY VANG-LEE, REHS Page 5 of 5 <br />