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HAZARDOUS MATERIALS BUSINESS PLAN <br /> FACILITY EMPLOYEE TRAINING RECORD <br /> For use by Unidocs Member Agencies or where approved by your Local Jurisdiction <br /> Authority Cited: California Health and Safety Code Chapter 6.95(HSC); Title 19 California Code of Regulations(CCR) <br /> Facility Name: 76 at Charter Way <br /> Site Address: 1720 South Fresno Ave Cit,: Stockton <br /> California Health and Safety Code §25507(a) and Title 19 California Code of Regulations §2651 requires that a <br /> Hazardous Materials Business Plan(HMBP)facility implement its HMBP, including the training plan specified in <br /> HSC §25505(a)(4) and 19 CCR §2659. Initial training must be provided to new employees and on an annual <br /> frequency to all employees but may take into consideration the position of the employee. Training records must <br /> be retained in electronic or hard-copy form for 3 years and be available for inspection. <br /> HMBP training must include, but is not limited to,the following: <br /> ® Methods for safe handling of hazardous materials <br /> ® Use of the facility's emergency response equipment and supplies <br /> ® Evacuation plans and procedures <br /> ® Emergency response plans and mitigation procedures for a release or threatened release of hazardous <br /> materials, including notification to the appropriate local emergency response personnel, unified program <br /> agency, and California Governor's Office of Emergency Services(Cal OES) <br /> The following employees have been trained as required by HSC §25505(a)(4)and 19 CCR §2651: <br /> Employee Name Training Date Trainer Name <br /> Ross Hillesheim 3/1/2023 Walton Engineering <br /> Hassan Ali 3/1/2023 Walton Engineering <br /> (Continued on reverse) <br /> UN-103 www.unidocs.org 1/2-Rev.10/07/21 <br />