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SAN JOAZIUIN COUNTY HAZARDOUS MATERIALS PROGRAM
<br /> This survey form is ihte Wed to identify businesses, which
<br /> need to comply with the hazardous materials emergency planning
<br /> and reporting requirements d Chapter 6.96 of the California Heaith and Safety Code..:This statute'requires businesses,
<br /> which handle hazardous materials#o;prepare emergency plans for their-pmployees' use in an emergency Businesses must: .
<br /> suamit a'copy of this plan along with annual inventory of their hazardous materials to"putilic,agencies f6r use m protecting
<br /> emergency responders'and tMie public In San Joaquin Countythe Office of Emergency Services (OES}tias been.
<br /> designated to : &'J inister this program Should you'have any questions,on this program or this form':please call that office at
<br /> (209).466-3969
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<br /> Please consider the following guidelines when a corrtpletuig,the questions on the:front of',tftis form
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<br /> Question 1 ,K
<br /> The law defines 'hazardous material.for purposes)of ehr. ..,a's any material that, because of its quantity, _
<br /> concentration, or.physical or chemical charaeterlstics, poses a significant present or poten,iaf hazardJo human health an
<br /> safety or to the environment if releaseo into'the work place or th&environmen# ~This"includes;but ls'>Limited`to,fuels, .
<br /> petrokeurri products, paints, propane,.oxygen, ammonia, cFi1anne;pesticides,Tertilizers and;hazardous wastes Answer=r
<br /> ''Yef you use a material that met7ts that cfefinitro I in any.gpantity at least once in tt a yeae If you are unsurei contact our.
<br /> _office at(209}4fit3-3969 for assistance. -If you answer"No"AN at a later.date your business;ora ten ant'on your property,
<br /> begins handling hazardous materials, you must inform Ih4 Office of Emergency Services within 30:days. .�, ate' ,�; •_
<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 /> Wil 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.
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<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.
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<br /> C. Farm Exem tion:'Famis, 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 Departnient•for further information. s
<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). t
<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: � r•" _ �.. "'. � �..�. �� .�.���. }� � .� �. ,. � .�. �_.__�.� .- ��} ;
<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.TEVS=Planning Application Forms\Site Approval.(Revised 1.3-03) Page 7 of 9
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