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_Wp4 <br /> SAN JOAQUIN COUNTY HAZARDOUS MATERIALS PROGRAM <br /> This survey form is intended to identify food industry businesses which need to comply with the hazardous <br /> materials emergency planning and reporting requirements of Chapter 6.95 of the California Health and <br /> Safety Code. This statute requires businesses which handle hazardous materials, including carbon dioxide, <br /> to prepare emergency plans for their employees' use in an emergency. Businesses must submit a copy of <br /> this plan, along with an annual inventory of their hazardous materials,to public safety agencies for use in <br /> protecting emergency responders and the public. In San Joaquin County, the Office of Emergency Services <br /> (OES) has been designated to administer this program. Should you have any questions on this program or <br /> this form, please call our office at (209)468-3969. <br /> Please consider the following guidelines when completing the questions on the front of this form. <br /> uestion 1 <br /> The law defines "hazardous material" for purposes of this program as any material that, because of its <br /> quantity,concentration, or physical or chemical characteristics,poses a significant present or potential <br /> hazard to human health and safety or to the environment if released into the work place or the environment. <br /> This includes,but is not limited to fuels, petroleum products, paints, propane, oxygen, ammonia, chlorine, <br /> carbon dioxide, pesticides, fertilizers, and hazardous wastes. <br /> Answer"Yes"if you use a material that meets that definition in any quantity at least once in the year. If you <br /> are unsure,contact our office at(209)468-3969 for assistance. If you answer"No" and at a later date your <br /> business, or a tenant on your property, begins handling hazardous materials, you must inform the Office of <br /> Emergency Services within 30 days. <br /> uestion 2 <br /> If you answer"Yes",you must meet the requirements of Chapter 6.95 of the California Health and Safety <br /> Code. Our office will be contacting you to provide assistance. These requirements must be met prior to <br /> issuance of a Certificate of Occupancy. If you answer"No", our office may conduct an inspection after you <br /> begin operations to verify your exemption. <br /> Carbon Dioxide Facts <br /> • Carbon dioxide is a colorless and odorless gas. <br /> • Its vapor density of 1.53 (heavier than air) means that it will stay close to the ground and will be <br /> slow to disperse. <br /> • One pound of carbon dioxide will fill 8.741 cubic feet. <br /> • Carbon dioxide acts as an asphyxiant by displacing oxygen. <br /> • Normal atmosphere contains 20.9% oxygen. California and Federal OSHA defines an oxygen <br /> deficient atmosphere as one having less than 19.5% oxygen. The presence of carbon dioxide in a <br /> concentration as low as 7.0% of volume or 70,000 ppm will displace enough oxygen to have an <br /> oxygen deficient atmosphere. <br /> • The presence of carbon dioxide in a concentration of 4.0% of volume or 40,000 ppm has been <br /> detemiined by the National Institute for Occupational Safety and Health to be Immediately Dangerous <br /> to Life and Health. <br />