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� I j SAN JOAQUIN'COCINTY HAZARDOUS MATERIALS PROGRAM k This SL rye form.is intended to identify businesses,which need to comply with the hazardous materials emergency planning and re orting requirements of Chapter 6.95 of the California Health and Safety Code. This statute requires businesses,which Handle hazardous materials to prepare emergency plans for their employees'use in an emergency. Businesses must submit a copy o this plan,along with annual invent ry'of their hazardous materials,to public agencies for use in protecting emergency respon ers and the public. In San Joaqui County,the Office of Emergency Services(OES)has been designated to admin% ter his program. Should you hav any q,estio ns on this progra or this form,please call that office at(209)468-3969. Please consider the following guidelines en co pleb 1 g the questions on the front of this form. J�safeby fines"hazardous material"forpurposesk of this program as an material that because of its quantity, i P. g Y q Y. on,or physical or chemical cha cteri'tics, poses a significant present or potential hazard to human health and ythe environment if released int the work place or.the environment. This includes,but is limited to,fuels,petroleum aints, propane,oxygen,ammo ia,�chi rine,pesticides,fertilizers, and hazardous wastes. Answer'Yes'if you usaten1that meets-that definition'-in-anjrq'-atitity�arleasi once inth'eyear. if you are unsure,'contact our offce�at(209)466--' ` — w 9691 r assistance. If you answer"No"a d at al later date your business,or a tenant on your property, begins handling hazardous materials,you must inform the I ice Sf E ergency Services within 30 days. 1 i i Question 2: If you answer"Yes,'you must meet the requirements f Chapter 6.95 of the California Health and Safety Code. Our office f will be contacting you to provide assistance. These re ' ilrements must be met prior to issuance of a certificate of occupancy. if you answer"No,"our office may conduct an inspectio i i after you begin operations to verify your exemption. E The statutes establish some modified requirements or p ogram eZemptions for certain uses of hazardous materials. If you answered"Yes"to questions 7 and 2,determine whet c r your business meets one of the following conditions. Then mark the appropriate boxes on the front of this form. Our office ill contact you to make a final determination of these exemptions. A. Rejail Ex m i : Products packag d for direct distribution to the general public are exempt from the .. program. This-exemption may not a ly if 1)the quantity handled creates an unacceptable public.hazard;2) I the material Is being used directly by` he business as part of its operations in addition to being sold to the general public;or 3)the general public does not have ready access to the product as it is stored by the business,e.g.,in a warehouse. B. Medical Exemption: Medical offices which use only oxygen and/or nitrous oxide in quantities less than 1,000 cubic feet are required to meet modified requirements. C. Farm Exemption: Farms,as defined 1'n the question,must meet modified program requirements. The definition of farm in the law does not include businesses providing commercial pest control services,fertilizer application services, product processing services, or packing shed services for farmers. Farms qualifying for exemption are still required to submit an annual chemical inventory and fee to the County Agricultural Commissioner's Department along with other requirements. Please contact the County Agricultural Commissioner's Department for further information. Businesses operating a commercial business in addition to a farm as defined ust mply with the HMMP program for those materials associated with the commercial business. 1 Question 3: The Federal and State governments have defin d app oximately 366 chemicals as"Acutely Hazardous Materials'(AHM). The most common"ARMs'used in the County inclu a chic ne;ammonia,sulfuric acid, methyl bromide,acrolein, sulfur dioxide, formaldehyde,nitric acid,vinyl`ace ate monome ,hydr gen peroxide, andj many types of pesticides. Answer"Yes"If you use any of these specific chemicals in ny quant% t any ne time of the year;. Call our office for assistance if you are unsure. Question 4: Answer"Yes'if the boundary of II r property o facility will be within 1006 feet of the boundary of a school(K thru 12). . r i [ I 1 Iu 111 777 � _ w � I•