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SANJ O A Q U I N Environmental Health Department COUNTY— (9) The number of full-time employees at the stationary source: Enter the current information. (10)ls the stationary source subject to section 5189 of Title 8 of CCR? Process Safety Management of Acutely Hazardous Materials -These regulations shall apply to a process which involves a chemical at or above the specified threshold quantities listed in Appendix A or a process which involves a Category 1 flammable gas (as defined in Section 5194) or a flammable liquid with a flashpoint below 100 OF (37.8 °C) on site in one location, in a quantity of 10,000 pounds (4535.9 kg) or more. EXCEPTIONS: (1) Flammable liquids with a flashpoint below 100 OF (37.8°C) stored in atmospheric tanks or transferred which are kept below their normal boiling point without benefit of chilling or refrigeration. (2) Hydrocarbon fuels used solely for workplace consumption (e.g. comfort heating propane,gasoline for motor vehicle refueling) if such fuels are not part of a process containing another acutely hazardous chemical covered by section 5189. (3) These regulations do not apply to retail facilities, oil or gas well drilling or servicing operations or normally unoccupied remote facilities. Enter Yes or No in the space provided. (11)ls the stationary source subject to Part 355 of Title 40 of the Code of Federal Regulations? Emergency Planning and Notification — Section 355.10, Must my facility comply with the emergency planning requirements of this subpart? You must comply with the emergency planning requirements in this subpart if your facility meets either of the following two conditions: (a) Any extremely hazardous substance (EHS) is present at your facility in an amount equal to or greater than its threshold planning quantity(TPQ),or (b) Your facility has been designated for emergency planning purposes, after public notice and opportunity for comment, by one of the following three entities: (1)The State Emergency Response Commission (SERC). (2)The Governor of the State in which your facility is located. (3) The Chief Executive Officer of the Tribe for the Indian Tribe under whose jurisdiction your facility is located. Enter Yes or No in the space provided. (12)Does the stationary source have a Clean Air Act Title V operating permit? State and local air districts issue the permit to operate. In San Joaquin County,the San Joaquin Valley Air Pollution Control District is the lead agency. Enter Yes or No in the space provided. If yes,then also enter the permit number in the space provided. (13)The date of the last safety inspection of the stationary source by a federal, state, or local government agency: Enter a date in the space provided if applicable. The identity of the inspecting entity: Enter the name of the entity(i.e., USEPA, Cal OSHA, Cal OES, SJVAPCD, SJCEHD, local fire department, etc.). 9 of 22 Doc ID:6a6ea4fac281501cd30efa4128b75fd8a1870d1a