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SAN JOAQUIN CijJNTY HAZARDOUS MATERIALS PROGRAM
<br /> This survey form is tended to identify businesses,which need to comply with the hazardous materials emergency planning and
<br /> reporting requireme g of Chapter 6.95 of the California Health and Safety Code. This statute requires businesses,which handle
<br /> hazardous materials prepare emergency plans for their employees' use in an emergency. Businesses trust submit a copy of this
<br /> plan,along with ann lil inventory of their hazardous materials,to public agencies for use in protecting emergency responders and
<br /> the public. In San Jquin County,the Office of Emergency Services(OES)has been designated to administer this program.
<br /> Should you have anj uestions on this program or this form,please call that office at(209)468-3969.
<br /> Please consider the lowing guidelines when completing the questions on the front of this form.
<br /> Question 1:
<br /> The law defines"ha rA irdons material"for purposes of this program as any material that,because of its quantity,concentration,or
<br /> physical or chemica characteristics,poses a significant present or potential hazard to human health and safety or to the
<br /> environment if rele �d into the work place or the environment. This includes,but is limited to,fuels,petroleum products,paints,
<br /> propane,oxygen, on.a,chlorine,pesticides,fertilizers,and hazardous wastes. Answer"Yes'if you use a material that meets
<br /> that definition in an uantity at least once the year. If you are unsure,contact our office at(209)468-3969 for assistance. 1f
<br /> you answer"Wan t a later date your business,or a tenant on your property,begins handling hazardous materials,you must
<br /> inform the Office ofEmergency 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 will be
<br /> contacting you to prq oiride assistance. These requirements must be met prior to issuance of a certificate of occupancy.
<br /> If you answer"No," ur office may conduct an inspection after you begin operations to verify your exemption.
<br /> The statutes establissome modified requirements or program exemptions for certain uses of hazardous materials! If you answered
<br /> "Yes"to questions 1 d 2,determine whether your business meets one of the following conditions. Then mark the appropriate
<br /> boxes on the front o is form. Our office will contact you to make a final determination of these exemptions.
<br /> A. Retail tion
<br /> Fac :Products packaged for direct distribution to the general public are exempt from the program. This
<br /> exemption ma not apply if 1)the quantity handled creates an unacceptable public hazard;2)the material is being used
<br /> directly by the isiness as part of its operations in addition to being sold to the general public;or 3)the general public does
<br /> not have ready -cess to the product as it is stored by the business,e.g.,in a warehouse.
<br /> B. Medical Exem`tion:Medical offices which use only oxygen and/or nitrous oxide in quantities less than 1,000 cubic feet are
<br /> "Exem
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<br /> modified requirements.
<br /> C. :Farms,as defined in the question,must meet modified program requirements. The definition of farm in the
<br /> ode businesses providing commercial pest control services,fertilizer application services,product processing
<br /> services,or pa ing shed services for farmers. Farms qualifying for exemption are still required to submit an annual chemical
<br /> inventory and f to the County Agricultural Commissioner's Department along with other requirements. Please contact the
<br /> County Agricu ial Commissioner's Department for further information. Businesses operating a commercial business in
<br /> addition to a f as defined must comply with the HMMP program for those materials associated with the commercial
<br /> business.
<br /> Question 3:
<br /> The Federal and Sta agovernments have defined approximately 366 chemicals as"Acutely Hazardous Materials"(AHM). The
<br /> most common"AH is"used in the County include chlorine,ammonia, sulfuric acid,methAbrounide,acrolein,sulfur dioxide,
<br /> formaldehyde,nitric acid,vinyl acetate monomer,hydrogen peroxide,and many types of pesticides. Answer"Yes"if you use any
<br /> of these specific clic 'cals in any quantity at any one time of the year. Call our office for assistance if you are unsure_
<br /> uestion 4:
<br /> Answer"yes"if the oundary of your property or facility will be within 1,000 feet of the boundary of a school(K thru 12).
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<br /> e...:n,dl—W r-.- valinn. (Revised 02-03-101
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