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SANJ O A Q U I N Environmental Health Department <br /> cou \T1 <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.caleoa.ce.uov 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.'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 it <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 persona 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 wastethey mustenroll 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 /> confect 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 3D days. <br /> Question <br /> If you answer"Yes",you must meet the requirements of HSC Chapter 8.95, 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 certain uses of hazardous materials. If you answered <br /> "Vas" to questions 1 and 2, a determination must be made h your business meets one of the exemptions listed. Check the <br /> appropriate boxes on page 1 and submit the hazardous materials information online at cera caleoa ce oov. 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.caleoa ca oov 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 /> 27he 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 m d'f d program uire t . <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, she map, and other requirements online to <br /> cers.caleoa ca no 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 : <br /> The Federal and State governments have darned 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 of a school,(x-12) <br />