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SAN JOAQUIN <br /> Environmental Health Department <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 <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: I 1 � Date: <br /> Facility Name: 1 Instructor's Name: <br /> ��fhZCl Ll o�vaYS � � -�f <br /> Facility Address: CERS ID: <br /> cc; C��era �cjI -ZLtC) ion <br /> Type(s) of Training: Classroom Lecture Tabletop Exercise Hands on <br /> Field Exercise Safety Meeting <br /> Summary of Training Topics Discussed: <br /> l5 Y\ LVAL14 C,1-14 \-C <br /> ..r�G�it�S'/Gt�a �"L(.�J �U [ t-�C'7� Ca- ►•✓"�"'i+�G � �U t'`G��7 <br /> REV. 11/18/2019 HMBP Program <br />