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SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />San Joaquin County Environmental Health Department <br />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 the California Health and Safety Code (HSC) Chapter 6.95, This Chapter requires businesses which <br />handle hazardous materials to prepare emergency plans for their employees to use in an emergency. Businesses must submit this <br />information, along with an annual inventory of their hazardous materials, online to the California Environmental Reporting System <br />(CERS) found at cers.calepa.ca..qoy for use in protecting emergency responders and the general public. In San Joaquin County, <br />the Environmental Health Department (EHD) has been authorized to administer this program as the Certified Unified Program <br />Agency or CUPA. Should you have any questions about the CUPA program or this form, please contact EHD at (209) 468-3420. <br />Please consider the following guidelines when completing the questions on page 1: <br />Question 1: <br />The (HSC) section 25501 (p) defines a "Hazardous Material" as any material that, because of its quantity, concentration, or physical <br />or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the environment if <br />released into the workplace or the environment. "Hazardous Materials" include but are not limited to, hazardous substances, <br />hazardous waste, and any material that a handler or the administering agency has a reasonable basis for believing that it would be <br />injurious to the health and safety of persons or harmful to the environment if released into the workplace or the environment. This <br />includes, but is not limited to, fuels, petroleum products, paints, propane, oxygen, ammonia, chlorine, pesticides, fertilizers, and <br />used oil. If a business generates any amount of hazardous waste they must enroll in the EHD Hazardous Waste Generator Program. <br />Answer "Yes" if you use a material that meets the definition above in any quantity at least once in the year. If you are unsure, <br />contact the EHD at (209) 468-3420 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 EHD within 30 days. <br />Question 2: <br />If you answer "Yes", you must meet the requirements of HSC Chapter 6.95. The EHD will be contacting you to provide assistance. <br />These requirements must be met prior to issuance of a certificate of occupancy. If you answer "No", our office may conduct an <br />inspection after you begin operations to verify your exemption. <br />The HSC establishes some modified requirements or program exemptions for cert <br />ain uses of hazardous materials. If you answered <br />"Yes" to questions 1 and 21 a determination must be made if your business meets one of the exemptions listed. Check the <br />appropriate boxes on page 1 and submit the hazardous materials information online at cers.calepa.ca.gov. Please contact the EHD <br />to determine if your business meets the exemptions. However, even if an exemption is met for the Business Plan program, you <br />may still be a hazardous waste generator and will need to report in cers.calepa.ca.gov as a hazardous waste generator. <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 any of the following conditions exist: <br />1.The quantity handled creates an unacceptable public hazard <br />23he material is being used directly by the business as part of its operation in addition to being sold to the <br />general public <br />3.The general public doesn't have ready access to the product as stored by the business (e.g. in a warehouse). <br />B. Modified Farm Exemption —Farms, as stated in Question 2B on page 1, must meet modified program requirements. <br />The definition of a farm in the law doesn't include businesses providing commercial pest control services, fertilizer <br />application services, product processing services, or packing shed services for farmers. Farms qualifying for the <br />exemption are still required to submit an annual chemical inventory, site map, and other requirements online to <br />cers.calepa.ca.gov and pay a fee to the San Joaquin County Environmental Health Department (EHD). Please contact <br />the EHD at (209) 468-3420 for assistance. Businesses operating a commercial business in addition to a farm as <br />defined must comply with the requirements of the Hazardous Materials Program for those materials associated with <br />the commercial business. <br />Question 3: <br />The Federal and State governments have defined approximately 366 chemicals as an "Acutely Hazardous Material" (AHM). The <br />most common AHM 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. <br />Answer "Yes" if you use any of these specific chemicals in any quantity at any one time of the year. Contact the EHD if you're <br />unsure for assistance. <br />Question 4: <br />Answer "Yes" if the boundary of your property or facility is or will be within 1,000 feet of the boundary o4 <br />