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SAN JOAQUIN COUNTY HAZARDOUS MATERIALS PROGRAM <br />This survey form is intended to identify businesses, which need to comply with the hazardous materials emergency planning <br />and reporting requirements of Chapter 6.95 of the California Health and Safety Code. This statute requires businesses, <br />which handle hazardous materials to prepare emergency plans for their employees' use in an emergency. Businesses mu <br />submit a copy of this plan, along with annual inventory of their hazardous materials, to public agencies for use in protectingt <br />emergency responders and the public. In San Joaquin County, the Office of Emergency Services (OES) has been <br />designated to administer this program. Should you have an <br />at (209) 468-3969. y questions on this program or this form, please call that office <br />Please consider the following guidelines when completing the questions on the front of this form. <br />Question 1: <br />The law defines "hazardous material" for purposes of this program as any material that, because of its quantity, <br />concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and <br />safety or to the environment if released into the work place or the environment. This includes, but is limited to, fuels, <br />petroleum products, paints, propane, oxygen, ammonia, chlorine, pesticides, fertilizers, and hazardous wastes. Answer <br />"Yes' if you use a material that meets that definition in any quantity at least once in the year. If you are unsure, contact our <br />office at (209) 468-3969 for assistance. If you answer "No" and at a later date your business, or a tenant on your property, <br />begins handling hazardous materials, you must inform the Office of Emergency Services within 30 days. <br />Question 2: <br />If you answer `Yes," you must meet the requirements of Chapter 6.95 of the California Health and Safety Code. Our office <br />will be contacting you to provide assistance. These requirements must be met prior to issuance of a certificate of <br />occupancy. <br />If you answer ^No," our office may conduct an inspection after you begin operations to verify your exemption. <br />The statutes establish some modified requirements or program exemptions for certain uses of hazardous materials. If you <br />answered `Yes' to questions 1 and 2, determine whether your business meets one of the following conditions. Then mark <br />the appropriate boxes on the front of this form. Our office will contact you to make a final determination of these <br />exemptions. <br />A. Retail Exemption: Products packaged for direct distribution to the general public are exempt from the program. This <br />exemption may not apply if 1) the quantity handled creates an unacceptable public hazard; 2) the material is being <br />used directly by the business as part of its operations in addition to being sold to the general public; or 3) the <br />general public does not have ready access to the product as it is stored by the business, e.g., in a warehouse. <br />B. Medical Exemption: Medical offices which use only oxygen and/or nitrous oxide in quantities less than 1,000 cubic <br />feet are required to meet modified requirements. <br />C. Farm Exemption: Farms, as defined in the question, must meet modified program requirements. The definition of <br />farm in the law does not include businesses providing commercial pest control services, fertilizer application <br />services, product processing services, or packing shed services for farmers. Farms qualifying for exemption are still <br />required to submit an annual chemical inventory and fee to the County Agricultural Commissioner's Department <br />along with other requirements. Please contact the County Agricultural Commissioner's Department for further <br />information. Businesses operating a commercial business in addition to a farm as defined must comply with the <br />HMMP program for those materials associated with the commercial business. <br />Question 3: <br />The Federal and State governments have defined approximately 366 chemicals as "Acutely Hazardous Materials" (AHM). <br />The most common "AHMs" used in the County include chlorine, ammonia, sulfuric acid, methyl bromide, acrolein, sulfur <br />dioxide, formaldehyde, nitric acid, vinyl acetate monomer, hydrogen peroxide, and many types of pesticides. Answer "Yes" <br />if you use any of these specific chemicals in any quantity at any one time of the year. Call our office for assistance if you <br />are unsure. <br />Question 4: <br />Answer "Yes" if the boundary of your property or facility will be within 1,000 feet of the boundary of a school (K thru 12). <br />F/ApplicationsForms&Handouts/PlanningApplications/Business License (Revised 11-7-2018) <br />Page 6 of 6 <br />