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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 and
<br /> rd;porting requirements of Chapter 6.95 of the California Health and Safety Code. This statue:requires businesses,which handle
<br /> hazardous materials to prepare emergency plans for their employees'use in an emergency. Businesses must submit a copy of this
<br /> plan,along Alth annual inventory of their hazardous materials. to public agencies for use in proteeling emergency responders and
<br /> the public. In San Joaquin County,the Office of Emergency Services(UES)has been designated to administer this program.
<br /> 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 l:
<br /> The law defines"hazardous material"for purposes of this program as any material that,because of its quantity,concentration,
<br /> or physical or chemical characteristics,posts a significant present or potential hazard to human health and safety or to the
<br /> environment if released into the work place or the environment. This includes,but is limited to,fuels,petroleum products,paints,
<br /> propane,oxygen,ammonia,chlorine,pesticides, fertilizers,and hazardous wastes. Answer"Yes"if you use a material that meets
<br /> that definition in any quantity at least once in the year. Ifyou are unsure,contact our office at(209)468-3969 for assistance. If
<br /> you answer"No"and at a later date your business,or a tenant on your property,begins handling;hazardous materials,you must
<br /> inform the Office of Emergency Services within 30 days.
<br /> Question 2:
<br /> I f you answer"Yes,"you must meet the requirements of Chapter 6.95 of the California Health and Safety Code. Our office will
<br /> be contacting you to provide assistance. These requirements must be met prior to issuance of a certificate ofaccupancy,
<br /> 1 f 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 exemptions for certain uses of hazardous materials. If you
<br /> answered"Yes"to questions I 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 program. This
<br /> exemption may not apply if 1)the quantity handled creates an unacceptable public hazard;2)the material is being used
<br /> directly by the business as pan of its operations in addition to being sold to the general public, or 3)the general public does
<br /> not have ready access to the product as it is stored by the business,e.g.,in a warehouse.
<br /> 13. Medical.Exemption: Medical offices which use only oxygen and/or nitrous oxide in quantities less than 1,000 cubic feet are
<br /> required to meet modified requirements.
<br /> C. Farms Exemption:Farms,as defined in the question,must meet modified program requirements. The definition of farm in
<br /> the law dM of include businesses providing commercial pest control services,fertilizer application services,product
<br /> processing services,or packing shed services for farmers. Farms qualifying for exemption are still required to submit an
<br /> annual chemical inventory and fee to the County Agricultural Commissioner's Department along with other requirements.
<br /> Please contact the County Agricultural Commissioner's Department for further information. Businesses operating a
<br /> commercial business in addition to a faun as defined must comply with the HMMP program for those materials associated
<br /> with the commercial business.
<br /> uestion 3:
<br /> The Federal and State governments have defined approximately 366 chemicals as"Acutely Hazardous Materials"(AHM). The
<br /> most common"AHMs"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 t)Tes of pesticides. Answer"Yes"if you use
<br /> any of these specific chemicals in any quantity at any one time of the year. Cali our office for assistance if you are unsure.
<br /> Question 4:
<br /> Answer"Yes"if the boundary of your property or facility will be within 1,000 feet of the boundary of a school(IC thru 12).
<br /> F 0EVSVCWIanning Applzadon FormsWaa?among.[Rartsatl 02-03-10) Page 7 of 9
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