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VA <br /> AgIDOUS MATERIALS BUSINESS PLAN <br /> !gAZ EMPLOYEE TRAINING RECORD <br /> ,ACILITYAgencies or where approved by your Local Jurisdiction <br /> For use by U�iidoes Member <br /> California Health and Safety Code Chapter 6.95 (HSC); Title 19 California Code of Regulations (CCR) <br /> but/rarity Cited.' M A n s ` <br /> �I L�-c r <br /> Facllih'Name city: �� r <br /> Site Address: <br /> California Health and Safety Code §25507(a) <br /> and Title 19 California Code of Regulations §2651(a) require that a <br /> lan <br /> dous Materials Business Plan(HMBP) facility Taking into accounnt t the portion of each employee,, including the training ptrain ng for specified w <br /> Nazar 25505(x)(4) and 19 CCR §2659(x)(4). g <br /> NSC§ provided in safe rocedures in the event of a release or threatened release of a hazardous <br /> employees must be p <br /> safety p <br /> material. Annual refresher training isth quire <br /> ars must be kept available or 1rlspe d. This training must be documented or by hard copy <br /> records.Training records for the past y <br /> Olgp 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 California Emergency <br /> Management Agency, and persons within the facility who are necessary to respond to an incident; <br /> ❑ 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 /> A ❑ Use of the facility's emergency response equipment and supplies; <br /> ❑ Procedures for coordination with local emergency response organizations. <br /> The fol-I owing employees have been trained as required b HSC 25507 a and 19 CCR 2651 a : <br /> Employee /Name l� Trainin Date Trainer Name <br /> Q `t�S <br /> (Continued on reverse) <br /> 1/2-Rev.06/28/17 <br />