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SAN JOAQUIN COUNTY HAZARDOUS MATERIALS PROGRAM This survey form is intended to identify food industry businesses which need to comply with the hazardous .materials emergency planning and reporting requirements of Chapter 6.95 of the California Health and Safety Code. This statute requires businesses which handle hazardous materials, including carbon dioxide, to pre;emergency plans for their employees' use in an emergency. Businesses must submit a copy of this an, along with an annual inventory of their hazardous materials, to public safety agencies for use in protecting emergency responders and the public. In San Joaquin County, the Office of Emergency Services (OES) has been designated to administer this program. Should you have any questions on this program or this form,please call our office at(209)468-3969. Please consider the following guidelines when completing the questions on the front of this form. Question 1 The law defines "hazardous material" for purposes of this program as any material that, because of its quantity,concentration,or physical or chemical characteristics,poses a significant present or potential hazard to human health and safety or to the environment if released into the work place or the environment. This includes, but is not limited to fuels, petroleum products, paints, propane, oxygen, ammonia, chlorine, carbon dioxide, pesticides, fertilizers, and hazardous wastes. Answer"Yes" if you use a material that meets that definition in any quantity at least once in the year. If you are unsure, contact our office at(209)468-3969 for assistance. If you answer"No" and at a later date your business, or a tenant on your property,begins handling hazardous materials, you must inform the Office of Emergency Services within 30 days. Question 2 If you answer"Yes",you must meet the requirements of Chapter 6.95 of the California Health and Code. Our office will be contacting you to provide assistance. These requirements must be met prior to issuance of a Certificate of Occupancy. If you answer"No", our office may conduct an inspection after you begin operations to verify your exemption. Carbon Dioxide Facts • Carbon dioxide is a colorless and odorless gas. • Its vapor density of 1.53 (heavier than air) means that it will stay close to the ground and will be slow to disperse. • One pound of carbon dioxide will fill 8.741 cubic feet. • Carbon dioxide acts as an asphyxiant by displacing oxygen. • Normal atmosphere contains 20.9% oxygen. California and Federal OSHA defines an oxygen deficient atmosphere as one having less than 19.5% oxygen. The presence of carbon dioxide in a concentration as low as 7.0% of volume or 70,000 ppm will displace enough oxygen to have an oxygen deficient atmosphere. • The presence of carbon dioxide in a concentration of 4.0% of volume or 40,000 ppm has been determined by the National Institute for Occupational Safety and Health to be Immediately Dangerous to Life and Health.