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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 must <br /> submit a copy of this plan, along with annual inventory of their hazardous materials, to public agencies for use in protecting <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 any questions on this program or this form, please call that office at <br /> (209)468-3969. <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 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 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 general <br /> 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 services, <br /> product processing services, or packing shed services for farmers. Farms qualifying for exemption are still required <br /> to submit an annual chemical inventory and fee to the County Agricultural Commissioner's Department along with <br /> other requirements. Please contact the County Agricultural Commissioner's Department for further information. <br /> Businesses operating a commercial business in addition to a farm as defined must comply with the HMMP program <br /> 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" if <br /> you use any of these specific chemicals in any quantity at any one time of the year. Call our office for assistance if you are <br /> 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:0EVSVCTlanning Application Forms\Site Approval.(Revised 09-10-08) Page 7 of 9 <br />