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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 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 1 .
<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
<br /> environment if released into the work place or the environment . This includes , but is limited to , firels , 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 be
<br /> 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 answered
<br /> "Yes " to questions 1 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 . 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 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 still 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 /> 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) .
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<br /> Hazardous Materials Disclosure Survey ( Revised 03-09 -09 )
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