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I <br /> I SAN JOAQUIN COUNTY IJAZARDOUS 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 California 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, <br /> or physical or chemical characteristics,poses a significant present or potential hazard to human health and safety or to the <br /> environment if released into the work place or the environment. This includes, but is limited to, fuels,petroleum products,paints, <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 <br /> be contacting you to provide assistance. These requirements must be met prior to issuance of a certificate of 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 I and 2,determine whether your business meets one of the following conditions. Then mark the <br /> appropriate boxes on the front of this force. Our office will contact you to make a final determination of these 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 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 <br /> the law does not include businesses providing commercial pest control services, fertilizer application services, product <br /> processing services, or packing shed services for farmers. harms qualifying for exemption are still required to submit an <br /> annual chemical inventory and fee to the County Agricultural Commissioner's Department along with other requirements. <br /> Please contact the County Agricultural Commissioner's Department for further information. Businesses operating a ' <br /> commercial business in addition to a farm as defined must comply with the HMMP program for those materials associated <br /> with the commercial business. <br /> Question 3: <br /> The Federal and State governments have defined approximately 366 chemicals as "Acutely Hazardous Materials"(AHM). The <br /> most common "AI--IMs"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 <br /> any of these specific chemicals in any quantity at any one th-ne of the year. Call our office for assistance if you 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 /> Pana 7 of 9 <br />