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SAN dOAQUIN COUNTY HAZARDOUS MATERIALS PROGRAM <br /> Thfa survey form is(mrntletl to identify businesses,which need to comply with fhe herartlous materials emergency planning and <br /> reporting requirements of Chapter 6.95 of the Cmi£omie H¢alfh antl Safety Code. This statute requires bvsirtesses,which hanQle <br /> hazardous materials m prepare emergenry plans foi their employee'use in an emergency. Businesses must submit a copy of Nie <br /> plan,along wiN annual inventory of their hazeMoua materiels,to public agencies for use in protecting emerSency responders and <br /> Nc public. In San longvin County,the Office of Emergency Scrvicvs(OES)has been tleaignetcd to ndmirtiater this progam. <br /> Should you have any questions on this program or this form,pleas¢cal{that office at Q09)468-3969. <br /> Plceae consider rhe lbllowing gvid¢linea whm completing the questions on the from of this form. <br /> Oues<'on l� <br /> The law tlafims"hazardous material^for purposes of Nis progam es any malarial that,bcoauec of its quantity.cogcentration, <br /> ar physical o chemical characteristics.poses a significant present or potential hazard to human hca1N and safety w b[h¢ <br /> nviromncm if released into the work place or the environment. Thia includes.but is Iimi[etl to,Ards,petroleum products,paints, <br /> ympane,oxygen,ammonia,chlorine,pesticides,frnilizere,and heaerdorra wastes. Answer•'Ycx"if you use a material that racers <br /> that definition in arty quantity at least onx in the year. Ifyou ora unsure,contact our office at(209)468-3969 f r asristanee. if <br /> you answer^Nv"and at a later date your barainess,or a tenrnt on your property.begins handling hazardous materials,you must <br /> infbnn Ne OfTlca of Emergency Services within]O days. <br /> Oueat tan 2: <br /> Ifyou artawer"Yea:'you moat meet Ne requirements o£Chept¢r 695 of fhe Cali ami¢Hullh end Sa£ty Code. Our office will <br /> be contacting you to provide assistance. These requirements ntnal be mva prior to tssaene¢of a cenifwte of occupancy. <br /> Ifyou enaw¢r"Nv;'our office may contluct an inspection eAcr you begin operations to verify your exemption. <br /> The xtatutcs establish some modified regvirrntenta or program axamptions for certain ustx o£hazardotra materials. Ifyou <br /> veered^Yes^to questions 1 and 2,determine whether your business meets ops of Ne following conditions. Then mark Nc <br /> appropriate boxes on the front of Nis form. Om of£acc will contact you to maks a Anal dvtarmina[ion of Neee exemptions. <br /> A. Retail ExoantXion:Products packaf5etl for direct dialribmion to Nc general public are exempt flora the program. Thia <br /> amption may not apply i£])[he quendty IfetWled croatea an unacceptable public hazard;2)th¢material is beinS uxW <br /> directly by Ne business ax pan of its operMiona in addition to being sold to the ganMal public;m])the general public does <br /> not have reatly accasa to Ne product as ft is srorcd by Nc bvsin¢ss,c.g-,in•warehouse. <br /> H. Medical Exemntton:Medical offices which use only oxygen antLor nitrous oxide in quantities lees than 1,000 cubic f t ale <br /> required to meet motlified[¢qubemrnts. <br /> C. Farm Exemoti on:Perms,as defined in Ne gtaestion.must meet modified program ragairements. The definition of Bran(n <br /> the law does not intivde bvaincasea providing commercial pest control services,f nilizer application aetv:cea,product <br /> processing am or packing shad services for f ora. Farms qualifying for exemption arc atilt required to submit en <br /> trrtud cbcmical inventory antl fcc to the County Agicuttural Commiadoner'a Department along whh other requirements. <br /> PI¢ase comet[the County Agricultural Commissioner's Dapartmeof for further information. Busin operating a <br /> commvreial business in edtlition m e£arm es defined moat comply with Nc HMMP progam foi those materials asxocietcd <br /> wiN Ne connnercial business. <br /> (hacation 3- <br /> The Fcticrel and State governments have defined approximately 366 ehemicala es^Acutely Hezatdoue Materials^(ARM). The <br /> oat common"ARMs"used in Na County include chlorine,ammonia sulfuric acid.methyl bromide,acroldn,sulAv dioxide, <br /> f aldehyde.nitric acid,vinyl acetate monomer,hydrogrn peroxide,and marry types o£yenietdas. Answror"Yes"Ifyou use <br /> any of Ncav specific chemicals in any quamity at any oro Hm¢of Ne year. Call ow office for assistance if you arc unsure. <br /> Ouex['on 4' <br /> Anawar•`Vox"if the boundary of your property or flciliry will ba wiNin 1.000 flet of the bountlary o£e school(K thre 12). <br /> a mrvsvcwr.mme Ma�weee„re.mnu..r.�am.tasw.a as-aa-tot Pa9e7 ofB <br />