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V <br /> 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 and <br /> reporting requirements of Chapter 6.95 of the Califorriia Health and Safety Code. This statute requires businesses,which handle <br /> hazardous materials to prepare emergency plans for their employees' use in an emergency. Businesses must submit a copy of this <br /> plan,along with annual inventory of their hazardous materials;to public agencies for use in protecting emergency responders and <br /> the public. In San Joaquin County,the Office of Emergency Services(OES)has been designated to administer this program. <br /> Should you have any questions on this program or this form,please call that office at(209)468-3969. <br /> Please consider the following guidelines when completing the questions on the front of this form. <br /> Question I: <br /> The law defines"hazardous material"for purposes of this program as any material that,because of its quantity,concentration,or <br /> physical or chemical characteristics,poses a significant present or potential hazard to human health and safety or to the aims, <br /> environment if released into the work place or the environment. This includes,but is limited to,fuels,petroleum products,p <br /> propane,oxygen,ammonia,chlorine,pesticides, fertilizers,and hazardous wastes. Answer"Yes"if you use a material that meets <br /> that definition in any quantity at least once in the year., If you are unsure,contact our office at(209)468-3969 for assistance. If <br /> you answer"No"and at a later date your business,or.a tenant on your property,begins handling hazardous materials,you must <br /> 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 will be <br /> contacting you to provide assistance. These requirements must be met prior to issuance of a certificate of occupancy. <br /> ction after you begin operations to verify your exemption. <br /> If you answer"No,"our office may conduct an inspe <br /> The statutes establish some modified requirements or program exemptions for certain uses of hazardous materials, if you answered <br /> "Yes"to questions I and 2,determine whether your business meets one of the following conditions. Then mark the appropriate <br /> boxes on the front of this form. Our office will contact you to make a final determination of these exemptions. <br /> A. Retai!Exem tion: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 used <br /> directly by the business as part of its operations in addition to being sold to the general public;or 3)the general public does <br /> 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 feet are <br /> required to meet modified requirements. <br /> C. Farm Exemption:Farms,as defined in the question,must meet modified program requirements. The definition of farm in the <br /> law does not include businesses providing commercial pest control services,fertilizer application services,product processing <br /> services,or packing shed services for farmers. Farms qualifying for exemption are stili required to submit an annual chemical <br /> inventory and fee to the County Agricultural Commissioner's Department along with other requirements. Please contact the <br /> County Agricultural Commissioner's Department for further information. Businesses operating a commercial business in <br /> addition to a farm as defined must comply with the HMMP program for those materials associated with the commercial <br /> business. <br /> Question 3: <br /> The Federal and State governments have defined approximately 366 chemicals as"Acutely Hazardous Materials"(AHM). The <br /> most common"AHMs"used in the County include chlorine,ammonia,sulfuric acid,methyl bromide, acrolein,sulfur dioxide, <br /> formaldehyde,nitric acid,vinyl acetate monomer, hydrogen peroxide,and many types of pesticides. Answer"Yes"if you use any <br /> of these specific chemicals in any quantity at any one time of the year. Call our office for assistance if you are unsure. <br /> uestion 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.1DFV5VC1Planning Application Forms% Page 15 of 18 o <br /> Quarry Excavation.doc.(Revised 0413-09) <br />