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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
<br />this information, along with an annual inventory of their hazardous materials, online to the California Environmental Reporting
<br />System (CERS) found at cers.calepa.ca.gov for use in protecting emergency responders and the general public. In San Joaquin
<br />County, the Environmental Health Department (EHD) has been authorized to administer this program as the Certified Unified
<br />Program Agency or CUPA. Should you have any questions about the CUPA program or this form, please contact EHD at (209)
<br />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
<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 workplace or the environment. "Hazardous Materials" include but are not limited to, hazardous
<br />substances, hazardous waste, and any material that a handler or the administering agency has a reasonable basis for believing
<br />that it would be injurious to the health and safety of persons or harmful to the environment if released into the workplace or the
<br />environment. This includes, but is not limited to, fuels, petroleum products, paints, propane, oxygen, ammonia, chlorine,
<br />pesticides, fertilizers, and used oil. If a business generates any amount of hazardous waste they must enroll in the EHD
<br />Hazardous Waste Generator Program. Answer "Yes" if you use a material that meets the definition above in any quantity at
<br />least once in the year. If you are unsure, contact the EHD at (209) 468-3420 for assistance. If you answer "No" and at a later
<br />date your business, or a tenant on your property, 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
<br />assistance. These requirements must be met prior to issuance of a certificate of occupancy. If you answer "No", our office may
<br />conduct an inspection after you begin operations to verity your exemption.
<br />The HSC establishes some modified requirements or program exemptions for certain uses of hazardous materials. If you
<br />answered "Yes" to questions 1 and 2, a determination must be made if your business meets one of the exemptions listed.
<br />Check the appropriate boxes on page 1 and submit the hazardous materials information online at cers.calepa.ca.gov. Please
<br />contact the EHD to determine if your business meets the exemptions. However, even if an exemption is met for the Business
<br />Plan program, you may still be a hazardous waste generator and will need to report in cers.calepa.ca.gov as a hazardous waste
<br />generator.
<br />A. Retail Exemption - Products packaged for direct distribution to the general public are exempt from the program.
<br />This exemption may not apply if any of the following conditions exist:
<br />1.The quantity handled creates an unacceptable public hazard
<br />2.The 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
<br />warehouse).
<br />B. Modified Farts Exemption - Farms, as stated in Question 2B on page 1, must meet modified program
<br />requirements. The definition of a farts in the law doesn't include businesses providing commercial pest control
<br />services, fertilizer application services, product processing services, or packing shed services for fanners. Farms
<br />qualifying for the exemption are still required to submit an annual chemical inventory, site map, and other
<br />requirements online to cers.calepa.ca.gov and pay a fee to the San Joaquin County Environmental Health
<br />Department (EHD). Please contact the EHD at (209) 468-3420 for assistance. Businesses operating a commercial
<br />business in addition to a farts as defined must comply with the requirements of the Hazardous Materials Program
<br />for those materials associated with 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 of a school. (Grades K-12)
<br />EHD IM2ox.:
<br />h~2 1, HMBP SURVEY
<br />Revised 8/25/16 '}
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