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~' SAN J04WdIN COUNTY HAZARDOUS MATERIALS IROGRAM
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<br /> This survey form,is intended to-identify businesses,which need to comply with the'hazarddus rriaterials'emergency planning
<br /> and reporting requirements.of Chapter.6.95 of the California Health and Safety:Code. This statute requires„buslness'es, ..
<br /> which'handle hazardous`matertais.to prepare emergency plans for their empioyees'use in an emergency. .Businesses must
<br /> ;sobrriit a copy of#hisplan, along w!#h annual .pye toryof their_hazardous materials; to public agencies for use.In protecbng>,
<br /> ,emergency responders and;the public .{n'San Joaquin County, a office of Emergency.Servkes (OSS)has 17eeii
<br /> designated.to.administer:ibis program Should:.you have any questions�on this program or this form,please call that office at'
<br /> •� ..�2g9}468-3'969. .. . . : .: : - ,. ,
<br /> Please consider the following guidelines-when campleting#he-questions on the front of this forma
<br /> uestion 1:
<br /> The law defines"hazardous material”for purposes ofthis 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 theenvironment 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 ane-of the'foilowing.conditions. 'Then mark- '
<br /> I 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 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
<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. Medica! Exemption: Medical offices which use 2UI 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: d
<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:IDEVSVc%Planning Application FarmslUse Permit.(Revised 9-2-03) Page 7 of 9 i
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