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SAN JOAQUIN COUNTY HAZARDOUS MATERIALS PROGRAM <br /> This survey form is intended to identify businesses, which need to comply with the hazardous materials emergency planning <br /> and reporting requirements of Chapter 6.95 of the California Health and Safely Code. This statute requires businesses,which <br /> handle hazardous materials to prepare emergency plans for their employees'use in an emergency. Businesses must submit a <br /> copy of this plan,along with annual inventory of their hazardous materials,to public agencies for use in protecting emergency <br /> responders and the public. in San Joaquin County,the Office of Emergency Services (DES) has been designated to <br /> administer this program. Should you have any questions on this program or this form, please call that office at(209)468-3969. <br /> Please consider the following guidelines when completing the questions on the front of this form. <br /> Question 1: <br /> The law defines"hazardous material"for purposes of this program as any material that, because of its quantity, <br /> concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and <br /> safety or to the environment if released into the work place or the environment. This includes,but Is limited to,fuels, petroleum <br /> products, paints, propane, oxygen, ammonia, chlorine, pesticides, for lllzers, and hazardous wastes. Answer'Yes" If you use a <br /> material (hot moots that dellnl(Icrt In any quantity at least once In the year, If you are unsure, contact our office at(209)468- <br /> 3069 for assistance. If you answer'No"and at o Iator dote your business, or a tenant on your properly, begins handling <br /> hazardous materials, you must Inform the Office of Emergency Services within 30 days. <br /> Question 2: <br /> If you answer"Yes,"you must meet the requirements of Chapter 6.95 of the California Health and Safety Code. Our office <br /> will be contacting you to provide assistance. These requirements must be met prior to issuance of a certificate of occupancy. <br /> If you answer'No,"our office may conduct an inspection after you begin operations to verify your exemption. <br /> The statutes establish some modified requirements or program dkemptlons for certain uses of hazardous materials. If you <br /> answered"Yes"to questions 1 and 2, determine whether your business meets one of the following conditions. Then mark the <br /> appropriate boxes on the front of this form. Our office will contact you to make a final determination of these exemptions. <br /> A. Retail Exemption: Products packaged for direct distribution to the general public are exempt from the <br /> program. This exemption may not apply if 1)the quantity handled creates an unacceptable public hazard: 2) <br /> the material Is being used directly by the business as part of Its operations In addition to being sold to the <br /> general public; or 3) the general public does not have ready access to the product as it Is stored by the <br /> business, e.g., In a warehouse. <br /> B. Medical Exemption: Medical offices which use only oxygen and/or nitrous oxide in quantities less than 1,000 <br /> cubic feet are required to meet modified requirements. <br /> C. Farm Exemption: Farms, as defined in the quest) n, must meet modified program requirements. The <br /> definition of farm In the law does not Include busixesses providing commercial peal control services, fertlllzer <br /> application services, product processing services, or packing shed services for farmers. Forms qualifying for <br /> exemption are still required to submit an annual chemical Inventory and fee to the County Agricultural <br /> Commissioners Department along with other requirements. Please contact the County Agricultural <br /> Commissioner's Department for further Information. Businesses operating a commercial business In <br /> addition to a farm as defined must comply with the HMMP program for those materials associated with the <br /> commercial business. <br /> Question 3: <br /> The Federal and State governments have defined approximately 366 chemicals as"Acutely Hazardous Materials' (AHM). The <br /> most common•AHMe"used In the County Include chlorine, ammonia, sulfuric acid, methyl bromide, acroleln, sulfur dioxide, <br /> formaldehyde, nitric acid, vinyl acetate monomer, hydrogen peroxide, and many types of pesticides. Answer"Yes"If you use <br /> any of these specific chemicals In any quantity at any one time of the year. Call our office for assistance if you are unsure. <br /> Question 4: <br /> r <br /> Answer"Yes' if the boundary of your property or facility will be within 1,000 feet of the boundary of a school (K thru 12). <br />