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SANJ O AQ U I N Fnviror, -ontat Health Deparimeni
<br /> C ()UPJ I Y
<br /> San Joaquin County Environmental Health department
<br /> HAZARDOUS MATERIALS PROGRAiVI
<br /> This survey form is intended to identity businesses which need to comply with the hazardous materials emergency planning and
<br /> reporting requirements of the California Health and Safety Code (HSC) Chapter 6.95. This Chapter requires businesses which
<br /> handle hazardous materials to prepare emergency plans for their employees to use in an emergency. Businesses must submit this
<br /> information, along with an annual inventory of their hazardous materials, online to the California Environmental Deporting System
<br /> (CERS) found at-LpDa.caleua.ca.pov for use in protecting emergency responders and the general public. In San Joaquin County,
<br /> the E=nvironmental health Department (EHD) has been authorized to administer this program as the Certified Unified Program
<br /> Agency or CUPA. Should you have any questions about the CUPA program or this form, please contact EHD at(209)458.3420_
<br /> Please consider the following guidelines when completing the questions on page 1:
<br /> Question 1:
<br /> The(HSC)section 25501(p)defines a"Hazardous Material"as any material that,because of its quantity,concentration,or physical
<br /> or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the environment It
<br /> released into the workplace or the environment. "Hazardous Materials" include but are not limited to, hazardous substances,
<br /> hazardous waste, and any material that a handler or the administering agency has a reasonable basis for believing that it would be
<br /> injurious to the health and safety of persons or harmful to the environment if released into the workplace or the environment. This
<br /> includes, but Is not limited to, fuels, petroleum products, paints, propane, oxygen, ammonia, chlorine, pesticides, terNlizers, and
<br /> used oil. If a business generates any amount of hazardous waste they must enroll in the EHD Hazardous Waste Generator Program.
<br /> Answer"Yes" if you use a material that meets the definition above in any quantity at least once In the year. If you are unsure,
<br /> contact the EHD at(309)468-3424 for assistance. If you answer"No"and at a later date your business,or a tenant on your property,
<br /> begins handling hazardous materials, you must inform the EHD within 30 days.
<br /> Question 2:
<br /> If you answer"Yes", you must meet the requirements of HSC Chapter 6.95. The EHD will be contacting you to provide assistance.
<br /> These requirements must be met prior to issuance of a certificate of occupancy. If you answer "No", our office may conduct an
<br /> Inspection after you begin operations to verify your exemption,
<br /> The HSC establishes some modified requirements or program exemptions for certain uses of hazardous materials. If you answered
<br /> "Yes" to questions 1 and 2, a determination must be made it your business meets one of the exemptions listed. Check the
<br /> appropriate boxes on page 1 and submit the hazardous materials information online at tens c�lpa_ a.gov. Please contact the EHD
<br /> to determine if your business meets the exemptions. However, even if an exemption is met for the Business Plan program, you
<br /> may still be a hazardous waste generator and will need to report in Cers.calepa.ca.aov as a hazardous waste generator,
<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 any of the following conditions exist:
<br /> I The quantity handled creates an unacceptable public hazard
<br /> 2.The material is being used directly by the business as part of its operation In addition to being sold to the
<br /> general public
<br /> 3.The general public doesn't have ready access to the product as stored by the business (e.g. in a warehouse),
<br /> B. Modified Farm Exemption-Farms, as stated in Question 26 on page 1, must meet modified program reguirements,
<br /> The definition of a farm in the law doesn't include businesses providing commercial pest control services, fertilizer
<br /> application services, product processing services, or packing shed services for farmers. Farms qualifying for the
<br /> exemption are still required to submit an annual chemical inventory, sits map, and other requirements online to
<br /> cers.calepa.ca.gov and pay a fee to the San Joaquin County Environmental Health Department(EHD). Please contact
<br /> the EHD at (209) 468-3420 for assistance. Businesses operating a commercial business in addition to a farm as
<br /> defined must comply with the requirements of the Hazardous Materials Program for those materials associated with
<br /> the commercial business.
<br /> Question
<br /> The Federal and State governments have defined approximately 366 chemicals as an "Acutely Hazardous Material" (AHM). The
<br /> most common AHM used in the county include: Chlorine, Ammonia, Sulfuric Acid, Mothyl Bromide, Acrolein, Sulfur Dioxide,
<br /> Formaldehyde, Nitric Acid,Vinyl Acetate Monomer, Hydrogen Peroxide, and many types of Pesticides.
<br /> Answer "Yes" if you use any of these specific chemicals in any quantity at any one time of the year. Contact the EHD if you're
<br /> unsure for assistance.
<br /> Question 4:
<br /> Answer"Yes"if the boundary of your property or facility is or will be within 1,000 feet of the boundary of a school. (K-tai
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