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HomeMy WebLinkAboutHUGH M WOODS PUD - PRELIMINARY - 26-88D - SUBMITTAL DOCUMENTS - ROUND 1 - HAZMATS• • Hugh M. Woods #New Colorado Preliminary Hazardous Materials Management Plan September 1994 1994 Copyright 3E Company PCOOOOol No Text • • Hugh M. Woods Hazardous Materials Management Plan Table Of Contents I General Information a) Business Information b) Emergency Contact c) Notification Of Authorities II Hazard Communication a) OSHA Right -To -Know b) Material Safety Data Sheet Program c) MSDS Request Form d) Propane Material Safety Data Sheet III Spill Response, Mitigation and Prevention a) Mitigation, Abatement and Prevention Plan b) Chemical Spill Response IV Hazardous Waste Management a) Hazardous Waste Procedures V Right -To -Know a) SARA III Community Right -to -Know b) Facility & Site Diagrams c) Poudre Valley Fire Authority Forms d) 3E Company Information PCo00001 • • t • • General Information: Business Name: Business Address: Phone Number: Primary Contact: Secondary Contact: 24 Hour Emergency: I Business Information Hugh M. Woods Colorado Store Manager Asst. Store Manager SIC Number: 5211 Business Description: Retail Do -It -Yourself Home Center Square Footage: Property Owner/Operator: Property Owner Address: Phone Number: Contact: 105,000 Payless Cashways Inc. 2300 Main Street Kansas City, MO 64108 (816) 234-6659 Steve Hicks 24 Hour Environmental/Hazardous Materials Consultant: Consultant: 3E Company Primary Address: 4920 Carrol Canyon Rd San Diego, CA 92121 24 Hr Telephone: 800-451-8346 PC0000ol • 1 L� Emergency Contacts Hugh M. Woods Personnel: Steve Hicks, Corporate Safety Manager 2300 Main Street Kansas City, MO 64108 In case of fire or emergency contact: Fire Department 911 or Police 911 or In case of medical emergency contact: Ambulatory/Paramedic Poison Control Hospital 911 (312) 942-5969 In case of chemical spill emergency contact: 3E Company (24 hours) Fire Department (800) 451-8346 911 or All spills of quantity and nature presenting a significant health, environmental health or fire threat should be reported to the fire departant and 3E Company. By nature of the chemical properties and quantities involved, the fire department may dispatch a hazardous materials team response. PCOOOOO I 0 0 1 Notification of regulatory/environmental health authorities: Depending on the chemical, quantity and release medium (land, water, air), environmental regulatory authorities may require notification. Local: Local authorities, including city and county water and health departments will be coordinated with the responding fire department, 3E Company and the Corporate Office. State/Federal: State and Federal reporting will be coordinated with 3E Company and the Corporate Office. 3E Company is authorized to investigate reportable incidents and determine applicable reporting requirements. Agencies requiring notification may include: National Response Center (Verbal) (800) 424-8802 Colorado Department of Health (Verbal) Water Quality Control Division (303) 756-4455 Colorado Department of NaturalResources (Verbal) Oil and Gas Con servationCom mission (303) 860-1435 Colorado Emergency Planning & Community Right-to-KnoNCommission (Verbal)(Written) Division of Disaster Emergency Services Camp George West 1500 Golden Road Golden, CO 80401 (303) 377-6326 Local Fire Department (Verbal) 911 IPCOOO I No Text • II OSHA Right -To -Know Material Safety Data Sheets Employee Right -To -Know: On April 25, 1983, the Occupation Safety and Health Administration, better known as "OSHA," passed the Hazard Communication Standard addressing chemicals in the workplace. The original law applied to industries where employees were actua2yposed to chemicals in the workplace, such as in manufacturing. It did not apply to outlets such as Hugh M. Woodsinvolving prepackaged consumer products, since there is no actual exposure. However, because employees could be exposed in Nforeseeable emergency", as in a case with a chemical spill or leaking product, OSHA recently revised the standard to include consumer products. Hugh M. Woods Hazard Communication Program has been designed to comply with these OSHA requirements. Hugh M. Woods Program The three primary aspects of this program include the Employee's Right -to -Know booklet (provided) and videotape. The booklet and video tape are presented to each employee at the time of orientation. Any questions regarding hazardous materials will be addressed directly to the employee's supervisor or the loss prevention supervisor. Additionally, store personnel also attend semi-annual refresher trainings (booklet provided) conducted by 3E Company, Hazardous Materials Consultants. Material Safety Data Sheets: As interpreted by the Federal Occupational Safety and Health Administration, Material Safety Data Sheets are not required to be maintained on the premises for merchandised products. 3E Company, 24 Hour Environmental Consultant, maintains a complete inventory of MSDSs for hazardous products maintained at Hugh M. WoodsMSDSs are available by facsimile, overnight express or standard mail. These means of distribution have been recognized as complying to the full extent of MSDS law by OSHA as referenced in the attached letter. Hugh M. Woods recognizes that local concerns may require MSDSs be maintained for selected hazardous or exotic type products. For this reason, MSDSs may be kept at the store when required by local regulations. 001110910,1 • • 1 U.S. Department of Labor Occupational Safety and Health Administration Washington. D.C. 20210 _ Reply to the Attention oh ' -- RECEIVED SEP 1 � ;S SEP 1 2 1990 Mr. Hal Marsolais Managing Director National Retail Hardware Association 5822 West 7th Street Indianapolis, Indiana 46278 Dear Mr. Marsolais: This is in response to your letter of May 23, addressed to Mr. William C. Lesser of the Department of Labor's office of the Solicitor. As you.were informed by Mr. Lesser, your letter was transferred to us for response; I apologize for the delay of this reply. You requested an interpretation of requirements of the Occupational and Safety and Health Administration's (OSHA) Hazard Communication Standard (HCS), 29 CFR 1910.1200, pertinent to distributors of hazardous chemicals. In your letter, you state: "Specifically what we would propose to do is provide a central inventory of MSDS for our industry. Each retailer would have 24-hour access to a toll -free hotline.to request specific MSDS sheets for customers or employees. We propose to make this sheet available by direct computer link, fax, priority mail or regular mail. Emergency information would also be transmitted verbally in the event of a spill or breakage (this would provide information even faster than trying to look up a file copy from among 3,000-5,000 MSDS sheets). Our proposal would require vendors to transmit all MSDS to a central facility. This would help insure an accurate and current file and our 24-hour availability would greatly improve current industry accessibility to the information." The Agency has interpreted the MSDS availability requirement to allow the use of computer or telefax or any other means, as long as a readable copy of the MSDS is available to the workers while they are in their work areas, during each workshift. The key to compliance with this provision is assuring no impediments to employee access to the information. MSDSs made available by "priority mail or regular mail" as you proposed would not meet the requirement that MSDSs be readily accessible to workers "while they are in their work areas, during each workshift." It is important to note that the specific chemical's MSDS itself, not just "MSDS information" must be available to workers. If, as • 2 ) i outlined in your proposal, the MSDS utilized in your electronic system is specific to each product and contains the same chemical identity as used on the required label of the chemical, so as to allow cross-referencing between the two, then this aspect of your system would meet the intent of the standard. If the MSDS provided is not product specific, the intent of the standard would not be met. OSHA realizes that the requirement of the HCS to supply MSDSs and labels for hazardous chemicals may have imposed additional paperwork burdens on retail hardware distributors, and as you point out in your letter, OSHA has proposed a change in these requirements in the 1988 Notice of Proposed Rulemaking on certain Provisions of the HCS. The unimpeded downstream flow of hazard information is key to achieving the goals of the HCS. Distributors' transmittal of the MSDS and appropriate labels provide downstream employers with the information they need to implement employee protection programs. It also provides necessary hazard information to employees so they can participate in and support the protective measures in place at their workplaces. If the on-line MSDS inventory system you propose accomplishes the intent of the standard to provide MSDSs to affected employers and employees with no barriers to their access, then this undertaking on behalf of your association may be of assistance to your members in meeting the requirements of the HCS. However, each individual employer is still responsible for meeting the other applicable requirements of the standard, including those of secticn•(b)(4)(iii) of the HCS which requires employers who only have employees handling chemicals in sealed containers to provide them with information and training in accordance with paragraph (h) of the standard. We hope this discussion has been helpful to you. If you have any further questions, please feel free to contact us again. Sincerely, da Patricia Kgsnate rk Director D Directorate of Compliance Programs P E Request # Date Requested Requester Phone ( 1 MATERIAL SAFETY DATA SHEET REQUEST FORM FOR THE HARD FAX MSDS COMPLIANCE PROGRAM This Form is To be Completed by Employee of Requesting Store Orly Start Time: IMPORTANT (Please check one) City Business Fax: ( 1 Store # State: The MSDS will be used by: Customer Business _ Employee _ Store Fire Depart _ Health Dept. Other Fax to store Mail to Store Fax to purchaser Mail to purchaser [ ] Non -Emergency - Mail regular mail (maximum 100 per mail request.) [ ] Standard - FAX MSDS (maximum 25) within 24 hours [ j Ship overnight mail (bill me for mailing charges, maximum 100 per request (] Emergency telephone request (Confirmed y n_____) Type of emergency Note: Some of this information may not be available on package label. However, please provide as much information as possible. This form, or a copy of this form, is to be used for requesting an MSDS. Please print legibly! This form may be faxed or mailed to 3E Company. If this form is not filled out completely, your request cannot be processed. Full Label Name Manufacturer Product Item Number Manufacturer's Name Address City and State Vendor Manufacturer's Telephone ( ) Type /Description of product PURCHASER INFORMATION: If you want MSDS faxed or mailed to purchaser Name (Company is OK): Address (Where MSDS is to be sent): Attn.: Fax ( ) Telephone ( ) IF EMERGENCY REQUEST - TELEPHONE (800) 451-8346 DO NOT FAX REQUEST SEND COMPLETED M.S.D.S REQUEST FORMS TO 3E COMPANY VIA: FAX: (619) 677-0270 QUESTIONS OTHER THAN MSDS REQUESTS MAY BE DIRECTED TO 3E COMPANY (619) 677-0150 3E COMPANY, 4920 Carroll Canyon Road, San Diego, CA 92121 DA99MG01.doc Copyright 3E Company 1993 Material Safety Data Sheet Request Form Page of Requesting Store Name and Store Number Requestor Name Date of Request Manufacturer Product v Full Label Name Number Manufacturer Name DA99MG02 Copyright 3E Company 1993 0 • Section I Material Safety Data Sheet Supplier's Name: Suburban Propane Division of Quantum Chemical Corp. Emergency Phone Number: P.O. Box 206 Technical Contact: Whippany, NJ 07981 Chemical Name: LIQUEFIED PETROLEUM GAS or PROPANE Formula: CAS Registry No.: 74-98-6 Chemical Family: WARNING: Dangerl Extremely flammable. Compressed Gas. Asphyxiant in big concentrations. Contact with liquid causes burns similar to frost bite. OSHA permissible exposure limit (PEL) 1000 ppm for an 8-hour workday. Odor may not provide adequate warning of potentially hazardous concentrations. Section II Hazardous Ingredients Hazardous Mixtures: Air with 2.15 to 9.60 percent propane Section III Phvsical Data Page 1 of 2 CHEMTREC 800-424-9300 Safety Department 201-887-5300 C3Ha Hydrocarbon FIRE HAZARD 4 HEALTH HAZARD 1 O REACTIVITY 4—Severe 1—Slight 3—Serious 0—Minimal 2—Moderate Boiling Point: -440 Vapor Pressure (PSIG) at 1000 F: Specific Gravity (H20 = 1): 0.51 Percent, Volatile by Volume (%): Vapor Density (air = 1): 1.52 Evaporation Rate: Solubility In Water: Slight Appearance and Odor: Vapor and liquid are colorless. Product contains an odorant (unpleasant odor). 205 100 Gas at normal ambient temperatures WARNING: Propane contains a foul smelling, skunk -like warning agent (odorant). The odorant is effective, in most instances, but not everyone can smell the odor. The ability of people to detect odors varies widely. Also, certain chemical reactions with material in the propane system can reduce the propane odor level. No odorant will be 100% effective in all circumstances. If odor level appears to be weak, notify propane supplier immediately. Section VI Fire and Explosion Hazard Data Flash Point: -156° F (CC) Classification: Flammable Gas UN Flammable Limits LFL: 2.15 UFL: 9.6 Extinguishing Media: Water spray - Class A-B-C or BC fire extinguisher. Special Fire Fighting Stop flow of gas. Use water to keep fire exposed containers cool. Use water spray to disperse Procedures: unignited gas or vapor. If ignition has occurred and no water available, tank metal may weaken from overheating. Evacuate area. If gas has not ignited, LP -GAS liquid or vapor may be dispersed by water spray or flooding. Decomposition Products Fumes, smoke, carbon monoxide, aldehydes and other decomposition products, in the case of Under Fire Conditions: Incomplete combustion or when used as an engine fuel. EMPTY Container: Empty containers retain residue (liquid and/orvapor) and can be dangerous. DO NOT PRESSURIZE, CUT, WELD, BRAZE, SOLDER, DRILL, GRIND OR EXPOSE SUCH CONTAINERS TO HEAT, FLAME, SPARKS OR OTHER SOURCES OF IGNITION - THEY MAY EXPLODE AND CAUSE INJURY OR DEATH. Do not attempt to clean since residue is difficult to remove. All Containers should be disposed of in an environmentally safe manner and in accordance with governmental regulations. Section V Health Hazard OSHA P.E.L.: 1000 PPM ACGIH TLV: 1000 PPM Effects of Overexposure: Inhalation - concentration can lead to symptoms ranging from dizziness to anesthesia and respiratory arrest. Eyes - moderate irritation. Emergency and First Aid Procedures: Inhalation - remove to fresh air. Guard against self -injury. Apply artificial respiration if breathing has stopped. SO 5120-0590 • 0 Section VI Reactivity Data Page 2 of 2 Stable: X Unstable, Hazardous Decomposition Products: None Incompatibility (materials to avoid): Mixing with oxygen or air, except at burner. Hazardous Polymerization: May occur Will not occur X Section VII Spill or Leak Procedures Steps to be Taken In Case Material Is Released: Keep public away. Shut off supply of gas. Eliminate sources of ignition. Ventilate the area. Disperse with water spray. Contact between skin and these gases in liquid form can cause freezing of tissue causing injury similar to thermal burn. Waste Disposal Method: Controlled burning. Contact supplier. Section VIII Special Protection Information Respiratory Protection: Stay out of gas or vapor (because of fire hazard). Ventilation: Explosion -proof motors and keep sources of ignition at safe distances. Personal Protective Equipment and Apparel: Leather or equivalent gloves, goggles for protection against accidental release of pressurized product. Section IX Special Precaution Precautions to be Taken When Handling & Storing: Keep containers away from heat sources and store in upright position. Containers should not be dropped. Keep container valve closed when not in use. Other Precautions: Install protective caps when not connected for use. Section X Toxicological Information OSHA Carcinogen Classification (29 CFR 1910): Not listed/applicable: U.S. Department of Health (21 CFG 184.1655): Generally recognized as safe (GRAS) as direct human food ingredient when used as a propellant, aerating agent and gas as defined In Section 170.3(o) (25). Section XI D.O.T. Labeling Information l49 CFG 100-1 Proper shipping name: LIQUEFIED Petroleum Gas Identification No. UN 1075 Hazardous Classification: Flammable Gas Label(s) Required: Flammable Gas Section XII Issue Information Issue Date: May 1, 1990 This material safety data sheet and the information it contains is offered to you in good faith as accurate. Suburban Propane does not manufacture this produce but is a supplier of the product independently manufactured by others. Much of the information contained in this data sheet was received from sources outside our Company. To the best of our knowledge this information is accurate, but Suburban Propane does not guarantee its accuracy or completeness. Health and safety precautions in this data sheet may not be adequate for all indivi vials and/or situations. It is the users' obligation to evaluate and use this produce safely, comply with all applicable laws and regulation. _ to assume the risks involved in the use of this produce. NO WARRANTY OF MERCHANTABILITY, FITNESS FOR ANY PARTICULAR PURPOSES, OR ANY OTHER WARRANTY IS EXPRESSED OR IS TO BE IMPLIED REGARDING THE ACCURACY OR COMPLETENESS OF THIS INFORMATION, THE RESULTS TO BE OBTAINED FROM THE USE OF THIS INFORMATION OR THE PRODUCT, THE SAFETY OF THIS PRODUCT, OR THE HAZARDS RELATED TO ITS USE. III Mitigation, Abatement and Prevention Plan Chemical Spill Response Mitigation, Abatement and Prevention: Hugh M. Woods maintains hazardous chemicals exclusively in prepackaged consumer products merchandised for retail sale. Products merchandised are stocked in a manner to preclude accidental damage and to prevent spills or accidental mixtures. For example, 1) hazardous products maintained in small containers, i.e., smaller than 1 gallon, are kept in original boxes case cut with lips or guards to prevent products from falling from shelves; 2) products maintained in overstock are kept in original unopened boxes, and wherever possible, boxes are secured in shrink-wrapping material; 3) incompatible products are separated by distance or partition to preclude accidental mixtures. In addition, products not suitable for retail sale, i.e., severely damaged, leaking, and unlabeled products, are pulled from general merchandising and stored for immediate dispositioning as "good" merchandise or disposed of in accordance to Federal, State and local regulations. Refer to Section IV addressing hazardous waste issues. 3E Company, 24 Hour Environmental Consultant, along with the on -site safety committee, conducts periodic inspections of the facility to maintain safety and the above mentioned concerns. Spill Response: Advanced hazardous materials response: The fire department may operate as a containment and confinement operation only. Advanced professional response, remediation and containment may require notification of a response contractor. No Text 3E Company Environmental & Ecological Engineering Store personnel will immediately contact 3E Company at (800) 451-8346 for all chemical spills for instruction on the proper response to specific chemicals involved. 3E will also advise on final disposition of chemicals once the spill.is contained. No materials should be disposed of until contacting 3E Company for directions. At no time shall store personnel attempt to cleanup spills without first contacting 3E Company for proper instruction. For small spills that can be managed in-house, the safety committee and applicable staff members have been trained in basic hazardous materials identification and containment/absorption. Employees report spills immediately to 3E Company for appropriate instruction. Spills requiring respirators, breathing apparatus or advanced personal protective equipment will be managed as "large spills" below. For large spills or emergencies requiring professional assistance, the following procedures apply: 1) Notification of Fire Department (911) 2) Evacuation of immediately affected area 3) Notification of 3E Company, 24 burs: (800) 451-8346 4) Immediate containment of the spill if possible (depending on the material involved) 5) Notification of Hugh M. Woods Corporate personnel If necessary, 3E Company will coordinate professional emergency response for spills and hazardous waste from the following 24 hour companies: Laidlaw Environmental Services, INC. pco00oo1 No Text Chemical Spill/Release Reporting: 3E Company will review all chemical spills to determine Federal, State and local spill and release reporting requirements in conjunction to laws such as CERCLA and SARA. Local reporting will be in conjunction with fire department requirements and recommendations. All such reporting requirements will be communicated as necessary to the State of Colorado, Department of Health, in addition to local authorities. Personnel Procedures: Notification Procedures Manager on Duty or applicable staff member to notify personnel and customers by Personal Address System throughout store, Vocal Response or Fire Alarm. Personnel responsible for assisting in response to a chemical spill or fire are notified by PA System. Fire department or appropriate emergency agencies are notified depending upon the nature of the emergency. Evacuation Procedures: After initial notification, personnel and customers are escorted through emergency exits located throughout the store. Exits are conspicuous and illuminated. Emergency staging area for personnel is in the front of the store in the parking lot or rear of the store near receiving, depending on the extent of the emergency and response services. PcWOOO I No Text ry Hazardous Waste Procedures Hugh M. Woods may generate hazardous waste as a result of severely damaged products or accidental chemical spills. If a hazardous product does become unsellable as "good" product for any reason, efforts are made to disposition the product as a non -"hazardous waste" in the following methods: a) Markdown if sellable (non -leaking, labeled products only) b) Donation for use as inteded c) Return to Vendor (for defective products) d) Repackaging/Relabeling (does not include handling open or loose chemicals) e) Store use as intended If waste is generated, Hugh M. Woods is recognized by Federal EPA standards to operate as a Conditionally Exempt Small Quantity Generator, or CESQG. Federal standards require the location does not generate hazardous waste in volumes greater than 100 kg per month and disposes of all material at least 180 days after accumulating 1,000 kg of hazardous waste. Waste stored on -site is properly packaged, labeled, secured, maintained and inspected by store personnel prior to disposal in accordance to Federal, State and local regulations. Hazardous waste manifests are maintained on file for verification of proper waste management and disposal. Hazardous waste operations and disposal is overseen by 3E Company, Environmental Consultant. The following companies will be the primary hazardous waste contractors: Laidlaw Environmental Services, INC PC000001 No Text V SARA III Community Right -to -Know Facility & Site Diagrams Propane Forklift Fuel: Propane utilized as forklift fuel is maintained in individual 33 pound cylinders. A maximum of 17 containers are filled and utilized at a time. Forklifts are primarily operated in the receiving and outside areas, but also operate within the store aisles. Personnel operating forklifts and propane systems are trained in the proper refueling and handling of the propane tanks. Consumer Products: With the exception of propane utilized for forklift fuel, hazardous chemicals located on the premises are ingredients for consumer products maintained merchandised for sale to the general public. These chemicals are present in the same form and concentration as products packaged for distribution and use by the general public. At no time are these products processed, opened, or utilized on -site except for general store maintenance (cleaning products). These products are therefore exempt from 40 CFR SARA Title III reporting requirements. An inventory of products containing hazardous materials is included in this section categorized by hazardous material classification and department. Facility & Site Diagrams: Facility and site diagrams have been prepared to indicate the general locations of hazardous consumer products maintained in the store. In addition, indicated are emergency response items such as emergency exits, gas and water valves, fire department hook up locations, sprinkler risers and additional items of interest. The hazardous materials referenced in the attached inventory may be cross referenced on the diagrams to determine locations of chemicals within the warehouse. **To Be Provided** PCOO I No Text • E Exterior Site Diagram To be provided PCOOOOOI 0 • • 0 Interior Facility Diagram To be provided PC00000] 0 0 - --No HAZARDOUS MATERIALS SITE MAP AlB C D E F-rG1 HI J K L I M 1 N 1 - 1 2 2 3 3 4 4 5 ** To be provided ** 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 16 16 17 17 A I B I C D E F I G I H I I J I K I L I M I N BUSINESS NAME Hugh M. woods DATE 09/07/94 ADDRESS CITY Fort Collins PAGE 1 OF 0 No Text Fire Department Fire Alarm Gas Detector (specify type) SFDC Floor Drain Connection Control Panel x j HD Outside Screw and Yoke, Heat Detector Hose Cabinet or Storm Drain OSY ion Rising Stem (OS&Y Valve) ConnectSD Smoke Detector FX Fire Extinguisher Spill Spill Control PIV Post Indicator Valve Equipment .................... Fire Alarm Reset . . . . . . FH Fire Hydrant (indicate type 8c size) Aboveground Fire Pump O Vertical Tank Risers for Sprinklers Secondary Aboveground Containment Horizontal Tank A A Berms and Dikes Insulated Tank Evacuation Route E--+ — E /E\ Electrical Shut-off N. 0 Powerlines Pressurized Tank FESD Emergency Shut Down Railroad Track Underground Storage iflill 111 111tta ............ //G\ Gas Shut -Off Tank in Vault Wire Fence with Gate Heating, Ventilation Underground Tank Masonary Block Wall FH 7VA & Air Conditioning Shut-off Water Tank Streets, Alleys, Roads -Case Rd- - (indicate By Name) Water Shut-off Compressed Gas Cabinet or Attic Access NH Inside Hazardous Exhausted Enclosure A/AVisual Alarm 1H Materials Handling Elevator Audible Alarm Compressed Gas Cylinders Inside Hazardous Materials Storage Cryogenic Dewar [R/A Roof Access Inside Hazardous Stairways Roof Fan Hazardous Materials Drums '% '-1: Waste Storage TM (low to high) Hazardous Materials a Trash 'Wall Fan Refuse Outside Hazardous LIJ Storage Cabinet Handling Materials Handl* Al Outside Hazardous FKEY� Fire Department Key Box ECS Emergency Control Station Materials Storage FM S 7DS Material Safety Data Sheets Evacuation Stagir.; Area 0. outside Hazardous Emergency Information, Business OHWS Waste Storage INFO Guard Station Chemical Inventory and Maps Blasting Agent EXP Explosive NFL Non Flamrr,--"Ie SEN Sensitizer CAR Carcinogen FLA Flammable OHH Other Health Hazard TOX Toxic COM Solid Peroxide Unstable Reactive Combustible Flammable S Organic COR Corrosive HTX Highly Toxic OXI OxidizerL Water Reactive CRY Cryogenic INT Inert PYR Pyrophoric UFC Standard 79-3 Hazard Identification Diamond 15 "x 15 Irritant Radiological Etiological IRR SANT A No Text INSTRUCTIONS - HMMP 1. Provide the information requested on the DECLARATION SHEET. Fill in all appropriate blanks. If the question is not applicable to your business, write N/A in the blank(s) provided. 2. Throughout the rest of the HMMP DOCUMENT, blanks are provided for you to CHECK the appropriate response. 3. Review the submittal checklist provided prior to mailing back. 4. If you have any questions, call the Fire Prevention Bureau on the Haz. Mat. Hotline at 221-6323 or attend a training session. 5. To report more than one chemical, duplicate the Chemical Inventory Report form. Use one report form per chemical. Do not report materials stored in small quantities if the quantity does not exceed 1/100th of the planning quantity. For example, the planning quantity for corrosive liquids equals 55 gallons. Your laboratory stores small quantities of nitric acid. 55 gallons x .01 = .55 gallons. If you store less than .5 gallons of nitric acid, you do not need to report this product. • s • 0 HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION I: FACILITY DESCRIPTION DECLARATION SHEET 1. Business Name: Hugh M. Woods Phone: TBD Address• 2. Person Responsible for the Business: Name Title Phone Mr. Steve Hicks Safety Manager, Corporate (816) 234-6326 3. Emergency Contacts: Name Title Home Work Number Number ?1r. Steve Hicks Safety Mgr. (816).234-6326 3E Company (800) 451-8346/24hr. 4. Person Responsible for the Application/Principal Contact: Name Title Phone 3E Company 24hr Environmental (800) 451-8346 Consulting Firm 5. Property Owner: Name Payless Cashways Inc. Address Phone 2300 Main St., Kansas City (816) 234-6659 MO, 64108 6. Principal Business Activity: Retail Home Center 7. Number of Employees: approx. 100 8. Number of Shifts: 2 9. Hours of Operation: (M-S) 07:00-21:00 (Sun) 09:00-18:00 -12- • 10. SIC Code• 5211 11. Dunn and Bradstreet Number: TBD 12. I certify that the information above and on the following parts is true and correct to the best of my knowledge. Signature: Date: Print Name: mr- Steve Hicks (Must be signed by owner/operator representative.) Title: Corp. Safety Mgr. or designated 0 -•1 (D 0 ca T 0 W a m C= 0 3 0 0 iZ. 0 C> I C> I C> I n I c% C-) 5 m T � T � c f c / I c I ` I M) m � o/ (� Q i Z I a Z a Z a Z I C a CD I C 5 'm3-a N (; O - C Z C7 F O (D I C CD I C 3 CD I CM -33 3 3 D r os= 2c D� z l z I z I CD z I CD z I N0 �-- m° m CT� z Z 3 I 3 I 13 I IJ,�� w �o� ��_ a=g-0 I I A Jd 3' z m m rn o v� y I Z to c®n 3:y �— x o Am D 9 a :r cno o i� H 0 3 c = I� m m CD CD cr) CD v� CD CD CD CD CD m > K R I� m co n Z M D x I ° 0 0 O 0 DD D EF M(n m❑® aQ CA) !n 3 z u, 0 v 8-0 � 0 8-0 --0 v oD vim 040 o _� �'� ��w>= o w m c: wtv m nzx m Z x m� v w o �_ o �_� D N m -q Cr n m w M. =? w S A _' `C N [D y O y 7 NO m i CD (,] _� m O (33 M N m 2 n• w —i O w G G > •� z Z y Cn > r CDA = x• N N_ N N r •� O Gi 0 - Z 1 S O Q 7 3 m NM Q CD 0 cn -, w O 0 Container C o C) � ,. Type Q T N Pressure m ;,v CD ❑❑❑ ®® ❑ ❑❑ t4 cn m Tl A Temperature M rrr rr:11 Q C�(7nDM H. z rz �v�M v� �r c `TM—, Z 0 0 G) a V1 (A LO D N H _g � 0 CD Z 0Li A 3' -o co co M n CD D D 0 Z rt T a o p p ml m M a � M �21 CD cj S 8 3 cncn0 �� n �' A � —� co CD � D ]] x°b �v 0 iJ 0 n Cn m�� �m © w ❑ ❑ ❑ co cn z (D cn 0 z� 0 D Tt c� 0-0 m x0 T1 N cn A m�r-`� m - 0�Q� G n' n� 7 0 m w o f 3 2 H Q 6 �' O v w r- N�Nm (D n °o< cfl r- n �- 17 _ -nN 3D D a0o�D _ © _ `� �� n o (061 N m o m D-r _ n &. T M O >p0 T 1 a/ G ©� � O 0 3 v N a v ti — a N D � D (D ) D �* C) z 0 -G z N O Q CV) O O O Q a I 0 0 0 0 0 m m m m m m m m O O O O O O O O C C C C C C C C m m m m m m m m U U U U U U U U m m m m m m m m E E E E E E E E m l m l m l m m l m l z z z z z z z z 1 m 1 l© I© 1©� I m CD m= m Z Z Z v Z Z v Z Z o Z `a� I m I m I m `, I m I m ¢ ¢ ¢ ¢ ¢ v`� ¢ ¢ cm ¢ U I U 1 U 1 = U 1 U 1 U 1 U 1 U 1 I� Z E O U c, W •� Cn C �.i. a W o Ci E cco U cc GI W y G�1 41 a z rl V I �z W J Q I °w a0 () cc W ct ui z O� � U Z U_ Z 0 u U) ¢ O C W =¢ _ U a ` U d0 rn m X O C m U m a COI col �I �I �1 m E CD z E I c :3 m z 1 � m I 0 \o 0 \o 0 0 m m m m X_ X _X X M O O O O O C C C C C m m m m m •. m CD m m a a a I a I a � 1 1 1 1 m m I m I m I m E E E E E ; m i m l �° m i �° m l z z z z m z .a 1 1 .0 I .0 m m m © m z m z � z z zcn 1 l 1 1 � en l m co l �� ` U U I U i s U I 1 F • 7 SECTION III: SEPARATION, SECONDARY CONTAINMENT AND MONITORING PART A - ABOVEGROUND STORAGE AREAS Storage Area Identification (as shown on facility map): 1. Storage Type: XX Original Containers Safety Cans Inside Machinery Bulk Tank XX 55 gallon Drums Outside Barrels or Storage Shed Pressurized Vessel _ Other: 2. Storage Location: XX XX Inside Building Outside Building Secured 3. Separation: All Materials One -hour Compatible Separation Wall/Partition XX Separated by 20 feet Approved Cabinets XX Other: Compatible Materials Stored together. Stocking procedures prevent mixtures. 4. Secondary Containment: Approved Cabinet Tray Secondary Drums Bermed, Coated Floor Vaulted Tank Double -wall Tank XX other: Products contained with lip cut boxes and contained in original manufactures containers. -21- 0 • 5. Monitoring: XX Visual continuous Other: (Attach specifications if necessary) 6. Monitoring Frequency: xx Daily Weekly Other: (Attach additional sheets as necessary) -22- SECTION III: SEPARATION, CONTAINMENT AND MONITORING PART B - UNDERGROUND STORAGE ** Not applicable ** SINGLE -WALL TANKS AND PIPING Tank Area Identification (as shown -•on facility map): 1, Backfill Vapor Wells - Model and Manufacturer: Continuous or Monthly Testing: 2. Groundwater Monitoring Wells 3. Monthly Precision Tank Test 4. Piping - Monitoring Methods: Frequency: 5. Other: DOUBLE -WALL TANKS AND PIPING Tank area identification (as shown on facility map): 1. Method of monitoring the annular space: 2. Frequency: Continuous Other• Daily Weekly -23- 3. List the type of secondary containment for piping: 4. List the method of monitoring the secondary containment for piping: 5. Are there incompatible materials within the same vault? Yes No If yes, how is separate secondary containment provided? NOTE: If you have continuous monitoring equipment, you shall maintain copies of all service and maintenance work. Such reports shall be made available for review on site, and shall be submitted to the fire prevention bureau upon request. Attach additional sheets as necessary. -24- SECTION IV: WASTE DISPOSAL Discharge to the Sanitary Pretreatment Wastes Sewer -Wastes: Wastes• XX Licensed Waste Hauler - Laidlaw Environmental Wastes • Accidental spill of pre -packaged consumer goods. Recycle - Wastes: Other - Describe Method: Wastes• No Waste -25- • s SECTION V: RECORD KEEPING Description of our inspection program: On site safety personnel conducts inspections to ensure safe stocking procedures of hazardous materials. SECTION VI: EMERGENCY -RESPONSE PLAN 1. In the event of an emergency, the following shall be notified: A. On -site Responders: Name Title Phone TBD Store Manager TBD Asst. Store Manager B. Method of Notification to Responder: Automatic Alarm Phone Manual Alarm XX Verbal XX Other: Public address system C. Agency Phone Number Fire Department: Poudre Fire Authority - 911 State Office of Emergency Services: Other: 3E Company, 24hr Environmental Consultants (800)451-8346 -26- 2. Designated Local Emergency Medical Facility: Name Address Phone (24 hours) Poudre Valley Hospital 1024 S.Lemay 482-4111 3. Mitigation Equipment: A. Monitoring Devices: Toxic or flammable gas detection Fluid detection Other: B. Spill Containment: XX Absorbants Other: C. Spill Control and Treatment Vapor Scrubber Mechanical Ventilation Pumps/vacuums Secondary Containment ,XX_ Neutralizer XX Other: Spill Pack 4. Evacuation: Immediate area evacuation routes posted XX Entire building evacuation procedures developed XX Assembly areas preplanned XX Evacuation maps posted Other: 5. XX Supplemental hazardous materials emergency response plan on site. Location: Manager's Office Responsible Person: TBD Phone: TBD -27- l 1. SECTION VII: EMERGENCY -RESPONSE TRAINING PLAN Person responsible for the emergency -response training plan: Name Title Phone TBD Store Manager 2. Training Requirements: A. All employees trained in the following as indicated: XX Procedures for internal alarm/notification. XX Procedures for notification of external emergency -response organizations XX Location and content of the emergency - response plan B. Chemical handlers are trained in the following as indicated: XX Safe methods for handling and storage of hazardous materials XX Proper use of personal protective equipment XX Locations and proper use of fire -and spill -control equipment XX Specific hazards of each chemical to which they may be exposed C. Emergency -response team members are trained in the following: N/A Procedures for shutdown of operations N/A Procedures for using, maintaining and replacing facility emergency and monitoring equipment D. N/A All personnel are trained in emergency - response procedures within six months of hiring E. N/A Refresher training is provided at least annually 0 3. The following records are maintained for all employees: XX Verification that training was completed by the employee XX Description of the type and amount of introductory and continuing training XX Training records of former employees are retained for at least three years XX Documentation on and description of emergency -response drills conducted at the facility 4. A more comprehensive and detailed emergency -response training plan is maintained on site. Location: Manager's Office Responsible Person: TBD Phone: TBD (hazmat. inv) (HMMP.PAC) -29-