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SAN JOAOUIN <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 tyl /3 -T ra ;ex / Date: y 47 <br /> 5-1 <br /> - Z Z <br /> Facility Name: 6r[ive-l's G" Lr,aer Instructor's Name:kek Greve-' <br /> Facility Address:( CERS ID: <br /> Hioo o. Ft-ej,*1 eh 11019OS75 <br /> Type(s) of Training: ❑ Classroom Lecture ❑Tabletop Exercise )6 Hands on <br /> I& Field Exercise 5rSafety Meeting <br /> Summary of Training Topics Discussed: d�/� Ian rade `� <br /> 1 -^,O/O% ` r' Cnacrl Gr2 5^41V Rra;e ciarf-S H <br /> /1 �1 SPGF� o � 1 ZS2 <br /> 2 /,- olvVe 0 ex f"re l><Szara^ 'rirX fx' 'inr�a AVek(OL +7 <br /> i7 27 � <br /> Z S.Or// Qro 1. Trn . 4Ty r N M W c l e,2 ), a <br /> /tee coy I- c-e as ^S arcj lzt aor rl jfs-,n 5«/, 5. z•8 <br /> ✓ v <br /> REV. 11/18/2019 HM13P Program <br />