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SAN JOAQUIN <br /> GQUINTY <br /> Gr eotness $,-civs hare, 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, forthe 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: Wh 0 Date: 11912,ZFacility Name: n � nstructor's Name: <br /> Facility Add :Ytf!r , �. � [7 CERS If]:/0 <br /> Type(s) of Training: ❑ Class oom Lecture ❑Tabletop Exercise 0 lands on <br /> ❑ Field Exercise Safety Meeting <br /> Summaryof Training Topics L7lSCU5 ed: V <br /> WG[. 101ILe l r' .0 <br /> 3 <br /> h <br /> Q t)t7C5 m <br /> it <br /> REV. 11/18/2019 HMSP Program <br />