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17000 76TH AVE WIIIIUIII i7000 -7&-hi AVE W CITY OF Lynnwood PUBLIC WORKS DEPARTMENT February 3, 2015 John Westfall City of Edmonds 121 51h Ave. N. Edmonds, WA 98020 RE: Annual Tier Two — Emergency & Hazardous Chemical Inventory Report Please find enclosed the calendar year 2014 "Tier Two — Emergency & Hazardous Chemical Inventory Report" for the Lynnwood Wastewater Treatment Plant. If you have any questions please call me at (425) 670-5250 or e-mail jewell@ci.lynnwood.wa.us. Sincerely, CITY OF LYNNWOOD John C. Ewell III, P.E. Treatment Plant Supervisor Public Works Department JCE Enclosure cc: William Franz, City of Lynnwood Emergency Services Coordinating Agency Department of Ecology CRK Unit P.O. Box 5008 Lynnwood, WA 98046-5008 Tele: (425) 670-5200 Fax: (425) 774-6413 www.ci.lynnwood.wa.us - --Ti"- Two Emergency and Hazardous Chemical Inventory Specific Information by Chemical Community Right —to —Know ID # WAR000002667 Revised September 2005 (REQUIRED INFORMATION) (12-digit number beginning with CRK or WA) Facility Identification UBUDORth Main Contact Name JOHN EWELL IH Email JEWELL@CLLYNNWOOD1A Name LYNNWOOD WASTEWATER TREATMENT FACILITY Title PLANT SUPV Address 17000 76TH AVE W Phone (425) 670-5250 Fax (425) 774-6413 City EDMONDS County Snohomish State Zip 98026 Mailing Address Must be included if different from Facility Address Address PO BOX 5008 NAICS Code Latitude 46-50-53 Longitude 122-20-33 City LYNNWOOD State WA Zip 98046-5008 SIC Code 4952 Dun & Bradstreet No. 03-799-9885 LEPC SW SNOHOMISH Emer C t cy on act r, Owner/ Name CITY OF LYNNWOOD Name JOHN C EWELL HI Title PLANT SUPV Operator Street PO BOX 5008 Phone 425 ( ) 670-5250 24-hr. Phone (206) 841-0371 City LYNNWOOD State WA Zip 98046-5008 Phone (425) 670-5000 Name DUKE D DUNGAN Title ASST SUPV Phone (425) 670-5253 24-hr. Phone (425) 754-7268 Important: Read all instructions before completing form Reporting Period: From January Ito December 31, 2014 �X Subject to section 112r of Clean Air Act Physical and Health Storage Codes Chemical Descri tion Hazards 1? INVENTORY Container Storage Locations (check all that apply) Type pressure Temperature (Non -Confidential) CAS 007782-50-5 Trade Secret ❑ ❑ Fire 12,000 ;hem. Name CHLORINE l Sudden Release 6,000 of Pressure MS Name a Reactivity 6 CHLORINE Check all EX] that apply ❑ ❑ ❑ X Immediate (acute) 5 Pure Mix Solid Liquid Gas EHS X Delaved (chronic) 365 CAS 001310-73-2 Trade Secret ❑ ;hem. Name CAUSTIC SODA LIOUID MS Name that ck all thapply ❑ ❑ ❑ ❑ Pure Mix Solid Liquid Gas EHS Max. Amount (lbs.) Avg. Amount (lbs.) Max. Daily Amount (code) Avg. Daily Amount (code) No. of Days On -site ❑ Fire 2,500 Max. Amount (lbs.) ❑ Sudden Release 1,500 Avg. Amount (lbs.) of Pressure ❑ Reactivity 4 Max. Daily Amount (code) XImmediate (acute) 4 Avg. Daily Amount (code) ❑ Delaved (chronic) 365 No. of Days On -site 0 o a Chlorine Tank Room NE corner Bld. 2, Barrels by Wet Scrubber Certification (Read and sign after completing all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one thru 5 OPTIONAL ATTACHMENTS and that based on my inquiry of these individuals responsible for obtaining the information, I believe that the submitted information ' true, accurate, and complete. a I have attached a site plan JD`N C'. �w � Z1 f Cj. 10�- I have attached a list of site coordinate 3 ❑ abbreviations Name and offical tale ofowner/operator's authorized representative Signature Date Signed I have attached a description of dikes ❑ and other safeguard measures Pelge 2 of 5 TIER TWO CONTINUATION FORM ID #: WAR000002667 Physical and Health Storage Codes Chemical Description Hazards INVENTORY Container Storage Locations (check all that apply) Type Pressure Temperature (Non -Confidential) of Chlorine Contact Chamber CAS 007631-90-5 Trade Secret ❑ ❑ Fire 2,500 Max. Amount (Ibs.) El El hem. Name SODIUM BISULFITE Sudden Release ❑ 1,500 SOLUTION of Pressure Avg. Amount (Ibs. ) EHS Name ❑ Reactiviri 4 Max. Dail y Amount (code) Check all ❑ that ❑ a ❑ ❑ Immediate (acute) 4 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS ❑ Delaved (chronic) 365 No. of Days On -site CAS 007722-84-1 Trade Secret ❑ ❑ Fire 1,000 Max. Amount (Ibs.) a ® Near Primary Clarifier #4 / Bldg. 2 hem. Name HYDROGEN ❑ Sudden Release 800 PEROXIDE of Pressure Avg. Amount (Ibs.) EHS Name Reactiviri 4 Max. Dail Amount code Y (code) Check all ❑ � that ❑ ❑ ❑ Immediate (acute) 3 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS ❑ Delaved (chronic) 365 No. of Days On -site CAS 000630-08-0 Trade Secret ❑ ❑ Fire 100 Max. Amount (Ibs.) a ® Near Fluidizing Bed Reactor / Bldg. 2 hem. Name CARBON MONOXIDE Sudden Release FX]of 50 Avg. Amount (lbs.) Pressure EHS Name Reactiviri 2 Max. Dail code Y Amount (code) Check all a ❑ El a ❑ Immediate (acute) I Avg. Daily Amount (code) that apply Pure Mix Solid Liquid Gas EHS Delaved (chronic) 365 No. of Days On -site CAS 007681-52-9 Trade Secret ❑ ❑ Fire 3,000 Max. Amount (Ibs.) ® Tote by Headworks scrubbers / Bldg. 1 Chem. Name SODIUM HYPOCHLORITE ❑ Sudden Release 1500 , Avg. Amount (Ibs.) of Pressure EHS Name ❑ Reactivity 4 Max. Dail code Y Amount (code) Check all ❑ F that ❑ F;�7, ❑ ❑ Immediate (acute) 4 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS ❑ Delaved (chronic) 365 No. of Days On -site PBge 3 of 5 TIER TWO CONTINUATION FORM ID #: WAR000002667 Physical and Health Storage Codes Chemical Description P Hazards INVENTORY Container Storage Locations (check all that apply) Type Pressure Temperature (Non -Confidential) CAS 008006-61-9 Trade Secret ❑ Fire 150 Max. Amount (tbs.) ® Flammable Safety Locker / Bldg. 2 GASOLINE ❑ Sudden Release 50 of Pressure Avg. Amount (tbs.) EHS Name ❑ Reactiviri 2 Max. Dail A y mount (code) Check all that El a ❑ ❑ Fx Immediate (acute) 1 Avg. Daily Amount (code) apply[:] Pure Mix Solid Liquid Gas EHS Delaved (chronic) 365 No. of Days On -site CAS 068476-34-6 Trade Secret ❑ Fire 16,000 Max. Amount (tbs.) © a ® In front of Bldg. 2, Shop Area Chem. Name DIESEL FUEL Sudden Release ❑ 8,000 NO 2 of Pressure Avg. Amount (tbs.) EHS Name ❑ Reactiviri 6 Max. Dail A y mount (code) Check all that El ElZ ❑ El a Immediate (acute) 5 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS Delaved (chronic) 365 No. of Days On -site CAS 000074-98-6 Trade Secret ❑ Fire 50 Max. Amount (tbs.) a ® Forklift bay / Bldg. 2 Chem. Name PROPANE a Sudden Release 20 Avg. Amount (tbs.) of Pressure EHS Name ❑ Reactivity 1 Max. Dail code Y Amount (code) Check all that � ❑ ❑ a ElD Immediate (acute) 1 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS a Delaved (chronic) 365 No of Days On -site CAS -54-7 Trade Secret ID Fire 2,000 Max. Amount (tbs.) a ® Centrifuge Room / Centrifuge Bldg. Chem. Name Name HYDRAULIC Sudden Release El Sudden OIL of Pressure Avg. Amount (tbs.) EHS Name El Reactiviri 4 Max. Dail code Y Amount (code) Check all that ❑ ❑ ❑ ❑ Immediate (acute) 4 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gras EHS ❑ Delaved (chronic) 365 No. of Days On -site Page 4 of 5 TIER TWO CONTINUATION FORM ID #: WAR000002667 Physical and Health Storage Codes Chemical Description P Hazards INVENTORY Container Storage Locations check all that apply) PPY) Type Pressure Temperature (Non -Confidential) CAS 000067-63-0 Trade Secret Fire 5 Max. Amount (lbs.) a a ® Laboratory, Office Bldg. hem. Name ISOPROPYL ALCOHOL Sudden Release 5 2-PROPANOL of Pressure Avg. Amount (lbs.) EHS Name Reactivity 1 Max. Dail code Y Amount (code) Check all N that ❑ a ❑ Ej a Immediate (acute) I Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS 1-1Delaved (chronic) 365 No. of Days On -site CAS -64-1 Trade Secret ❑ ElFire8 Max. Amount (lbs.) E El ® Laboratory, Office Bldg. Chem. Name Name Sudden Release 8 ACETONE of Pressure Avg. Amount (lbs J EHS Name Reactivity 1 Max. Dail Amount code Y (code) Check all ❑ ❑ � Immediate (acute) I Avg. Daily Amount (code) that apply Pure Mix Solid Liquid Gas EHS Delaved (chronic) � 365 No. of Days On -site Y CAS 000064-17-5 Trade Secret ❑ Fire 8 Max. Amount (lbs.) o ® Laboratory, Office Bldg. Chem. Name DENATURED El Sudden Release 8 Avg. Amount ALCOHOL of Pressure (lbs.) EHS Name Reactivity 1 Max. Dail code Y Amount (code) Check all El that Z 0 El El El Immediate (acute) 1 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS 1:1 Delaved (chronic) 365 No. of Days On -site CAS 000064-64-1 Trade SecretEl ❑ Fire 10 Max. Amount (lbs.) a M ® Laboratory, Office Bldg. Chem. Name ACETIC Sudden Release 10 Avg. Amount ACID of Pressure (lbs.) EHS Name Reactivity 1 Max. Dail Amount code Y (code) Check all that a ❑ ❑ ❑ Immediate (acute) I Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS a Delaved (chronic) 365 No. of Da s y On -site P5ge 5 of 5 TIER TWO CONTINUATION FORM ID #: WAR000002667 Physical and Health Storage Codes Chemical Description P Hazards INVENTORY Container Storage Locations (check all that apply) Type Pressure Temperature (Non -Confidential) CAS 00766441-7 Trade Secret ❑ a Fire 10 Max. Amount (Ibs.) ® Upper Blower Bldg. / Secondary System Chem. Name ANHYDROUS AMMONIA a Sudden Release g Avg. Amount (Ibs. ) of Pressure EHS NameF-11 Reactivity 1 Max. Dail Amount code Y (code) AMMONIA Check all El that ❑ Z ❑ Immediate (acute) 1 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS N Delaved (chronic) 365 No. of Days On -site CAS 007664-93-9 Trade Secret ❑ ❑ Fire 20 Max, Amount (Ibs.) ❑A a ® Laboratory, Office Bldg. Chem. Name Sudden Release ❑ 20 Avg. Amount BATTERY ACID of Pressure (►bs. ) EHS Name Reactivity 1 Max. Dail code Y Amount (code) SULFURIC ACID � Immediate (acute) 1 Avg. Dail Amount c g Y (ode) Check all ❑ that � ❑ a ❑ o apply Pure Mix Solid Liquid Gas EHS Delaved (chronic) 365 No. of Days y On -site CAS 007647-01-0 Trade Secret ❑ ❑ Fire S Max, Amount (Ibs.) A❑ ® Laboratory, Office Bldg. Chem. Name ElSudden Release g Av lbs. Amount HYDROCHLORIC ACID of Pressure g ( ) EHS Name Reactiviri 1 Max. Dail Amount code Y (code) Check all ❑ that a ❑ a El ❑ Immediate (acute) 1 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS a Delaved (chronic) 365 No. of Days On -site CAS 007697-37-2 Trade Secret ❑ ❑ Fire 10 Max. Amount (Ibs.) a ® Laboratory, Office Bldg. Chem. Name Sudden Release ❑ g Amount Av lbs. NITRIC ACID of Pressure g ( ) EHS Name Reactiviri 1 Max. Dail code Y Amount (code) NITRIC ACID Check all that ❑ a ❑ a ❑ a ❑X Immediate (acute) 1 Avg. Dail Amount code g Y (code) apply Pure Mix Solid Liquid Gas EHS a Delaved (chronic) 365 No. of Days On -site I SbDIUI'f-BISULi�ITE:--------------------_ SODIUM HYDROXIDE - - — - - — - - _ _ _ CHLORINESTORWE SEL (SIM 3W FACIUM � ROAD SO13 _-- OCHI.ORITE 1' ®'Tm \ LABORpTORr PAINT OF,FT-Y.+ili. CIR0.MR PRW"RY RECUT PRIMARY `\ BUILDING aAR R F \G 13UII DINQ NO • 3 BUIL�IN r`n o • s •Camt" R',¢Rn YPASS oow SnWCTURE GASOLINE r,, ,• ` - - 000R'CONYRQ smumm N44 -_ �rzir.�rrszx� s �=��ssa_ sue—. _� �•�#�— x�_ y � ` `�\ � HYDRAULIC OIL �... �z�-i 'z o== Zj—ol SODIUM -----� '� LYNNWOOD WWTP ` TREATMENT PLANT \ CITY OF . LYNN_W -QQQ Transmittal )-7006 � Form City of Lynnwood 19100-44th Ave. W PO Box 5008 Lynnwood, WA 98046-5008 Phone: (425) 670-5000 Fax: (425) 774-6413 To: City of Edmonds 121 5t Ave. N. Edmonds. WA 98020 Attn: John Westfall We Are Transmitting: X Herewith Separately Number of Copies: Sets Sheets Date: March 3, 2014 Subject: 2013 Tier Two — Emergency & The Following: Prints Construction Drawings Specifications Shop Drawings Change Order Approved Bills Letters X Noted Below Hazardous Chemical Inventory Report for the Lynnwood Wastewater Treatment Plant For: Review and Comment Approval Signature X Your Use and Files As Requested Action Noted Below Remarks: Please find enclosed a copy of the Tier Two — Emergency & hazardous Chemical Inventory Report for the calendar year 2013, for the Lynnwood Wastewater Treatment Plant as submitted to WA SERC on February 28, 2014. If you have any questions please call me at 425-670-5250 or email jewell@ci.lynnwood.wa.us. Sincerely Yours, ohn C. Ewell III, P.E. Treatment Plant Supervisor Reporting Year Submitted Successfully This will satisfy your requirement to submit your report to the Washington State Emergency Response Commission ONLY. Please remember to PRINT reports for your local agencies and your company records. Please keep the confirmation below for your records Confirmation Number F40E8586-25600 2/28/2014 3:04:03 PM Print Page <<< Return Contact Support I Current User: D-Dungan76 Tier Two Emergency and Hazardous Chemical Inventory Specific Information by Chemical Revised September 2005 Community Right -to -Know (REQUIRED INFORMATION) ID #: WAR000002667 (12-digit number beginning with CRK or WA) Facility Identification UBI/DOR#: Main Contact Name JOHN EWELL III Email JEWELL@CI.LYNNWOOD.14 Name LYNNWOOD WASTEWATER TREATMENT FACILITY Title PLANT SUPV Phone (425) 670-5250 Fax (425) 774-6413 Address 17000 76TH AVE W Mailing Address Must be included if dyferentfrom Facility Address City EDMONDS County Snohomish State Zip 98026 Address PO BOX 5008 NAICS Code Latitude 46 -50-53 Longitude 122-20-33 City LYNNWOOD State WA Zip 98046-5008 SIC Code 4952 Dun & Bradstreet No. 03-799-9885 LEPC SW SNOHOMISH Emergency Contact Name JOHN C EWELL HI Title PLANT SUPV Owner/ Name CITY OF LYNNWOOD Operator Street PO BOX 5008 Phone (425) 670-5250 24-hr. Phone (206) 841-0371 City LYNNWOOD State WA Zip98046-5008 Phone (425)670-5000 Name DUKE D DUNGAN Title ASST SUPV Phone (425) 670-5253 24-hr. Phone (425) 754-7268 Important. Read all instructions before completing form. Reporting Period: From January 1 to December 31, 2013 I FV7 LL Subject to Section 112f of Clean Air Act Physical and Health Storage Codes Chemical Description Hazards INVENTORY Container Storage Locations (check all that apply) Type Pressure Temperature (Non -Confidential) CAS 007782-50-5 Trade Secret ❑ Fire 12,000 Max. Amount (lbs.) �A ® Chlorine Tank Room Chem. Name CHLORINE rvlSudden Release 6,000 Avg. Amount (lbs.) of Pressure EHS Name Reactivity a 6 Max. Dail code Y Amount (code) CHLORINE Check all X El❑ that Immediate (acute) 5 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS Delaved (chronic) 365 No. of Days On -site CAS 001310-73-2 Trade Secret Fire 2,500 Max. Amount (lbs.) a ® NE corner Bid. 2, Barrels by Wet Chem. Name Release El 1,500 Avg. Amount Scrubber CAUSTIC SODA LIQUID of of Pressure (lbs.) EHS Name Reactivity 4 Max. Daily Amount (code) Check all a a Immediate (acute) a 4 Avg. Daily Amount (code) that apply Delaved (chronic) 365 No. of Days On -site Pure Mix Solid Liquid Gas EHS Certification (Read and sien after comaletine all sections) I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one thru 5 these individuals responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. Name and offical title of owner/operator's authorized representative Signature OPTIONAL ATTACHMENTS and that based on my inquiry of I have attached a site plan I have attached a list of site coordinate abbreviations Date Signed I have attached a description of dikes and other safeguard measures Page 2 of 5 TIER TWO CONTINUATION FORM ID #: WAR000002667 Physical and Health Storage Codes Chemical Description p Hazards INVENTORY Container Storage Locations (check all that apply) Type Pressure Temperature (Non -Confidential) CAS 007631-90-5 Trade Secret ❑ ❑ Fire 2,500 Max. Amount (lbs.) ® NE of Chlorine Contact Chamber hem. Name SODIUM BISULFITE SOLUTION Sudden Release ❑ 1,500 Avg. Amount (lbs.) of Pressure EHS Name ❑ Reactivity 4 Max. Dail y Amount (code) Check all El o that El o ❑ ❑ Immediate (acute) 4 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS . ❑ Delaved (chronic) 365 No. of Days On -site CAS 007722-84-1 Trade Secret ❑ ❑ Fire 1,000 Max. Amount (lbs.) ® Near Primary Clarifier #4 / Bldg. 2 Chem. Name HYDROGEN PEROXIDE ❑ Sudden Release 800 Avg. Amount (lbs.) of Pressure EHS Name ❑ Reactivity 4 Max. Dail Amount code Y (code) Check all that El El ❑ a Immediate (acute) 3 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS ❑ Delaved (chronic), 365 No. of Days On -site CAS 000630-08-0 Trade Secret ❑ ❑ Fire 100 Max. Amount (lbs.) ® Near Fluidizing Bed Reactor / Bldg. 2 Chem. Name CARBON MONOXIDE Sudden Release N 50 Avg. Amount (lbs.) of Pressure EHS Name El Reactivity 2 Max. Dail code Y Amount (code) Check all a ❑ ❑ ❑ a Ela Immediate (acute) 1 Avg. Daily Amount (code) that apply Pure Mix Solid Liquid Gas EHS ❑ Delaved (chronic) 365 No. of Days On -site CAS 007681-52-9 Trade Secret ❑ ❑ Fire 3,000 Max. Amount (lbs.) 1❑ ® Tote by Headworks scrubbers / Bldg. 1 Chem. Name SODIUM HYPOCHLORITE Sudden Release ❑ 1,500 Avg. Amount (lbs.) of Pressure EHS Name ❑ Reactivity 4 Max. Daily Amount (code) Check all ❑ that ElEl ❑ Immediate (acute) 4 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS El (chronic) 365 No. of Days On -site Page 3 of 5 TIER TWO CONTINUATION FORM ID #: WAR000002667 Physical and Health Storage Codes Chemical Description P Hazards INVENTORY Container Storage Locations (check all that apply) Type Pressure Temperature (Non -Confidential) CAS 008006-61-9 Trade Secret ❑ a Fire 150 Max. Amount (lbs.) a a ® Flammable Safety Locker / Bldg. 2 hem. Name GASOLINE Sudden Release ❑ S 50 of Pressure Avg. Amount (lbs.) EHS Name ❑ Reactivity 2 Max. Dail Amount code Y (code) Check all that ❑ ❑ ❑ ❑ JAI Immediate (acute) 1 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS a Delaved (chronic) 365 No. of Days On -site CAS -34-6 Trade Secret ❑ JAI 16,000 Max. Amount (lbs.) © M ® In front of Bldg. 2, Shop Area Chem. Name Name Sudden Release8,000 DIESEL FUEL #2 of Pressure Avg. Amount (lbs.) EHS Name ❑ Reactivity 6 Max. Dail Amount code Y (code) Check all ❑ El a ❑ ❑ Immediate (acute) 5 Avg. Daily Amount (code) that apply Pure Mix Solid Liquid Gas EHS Delaved (chronic) 365 No. of Days On -site CAS 000074-98-6 Trade Secret .. ❑ �. Fire .... 50 . _ Max. Amount (lbs.) ® Forklift bay / Bldg. 2 hem. Name PROPANE ❑ Sudden Release X 20 Avg. Amount (lbs.) of Pressure HS Name ❑ Reactivity 1 Max. Daily Amount (code) Check all that X ❑ El Immediate (acute) [Al 1 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS Delaved (chronic) 365 No, of Days On -site CAS 064742-54-7 Trade Secret ❑ ❑ Fire 2,000 Max. Amount (lbs.) ❑A 1❑ ® Centrifuge Room / Centrifuge Bldg. Chem. Name HYDRAULIC OIL Sudden Release ❑ 1,500 Avg. Amount (lbs.) of Pressure EHS Name ❑ Reactivity 4 Max. Dail code Y Amount (code) Check all that ❑ a ❑ ❑ ❑ LfJ � Immediate (acute) 4 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS ❑ Delaved (chronic) 365 No. of Days On -site Page 4 of 5 TIER TWO CONTINUATION FORM ID #: WAR000002667 Physical and Health Storage Codes Chemical Description Hazards INVENTORY Container Storage Locations (check all that apply) Type Pressure Temperature (Non -Confidential) CAS 000067-63-0 Trade Secret ❑ ❑ Fire 5 Max. Amount (lbs.) a ® Laboratory, Office Bldg. hem. Name ISOPROPYL Sudden Release ❑ 5 ALCOHOL 2-PROPANOL of Pressure Avg. Amount (lbs.) EHS Name ❑ Reactivity 1 Max. Dail Amount code Y (code) Check all a ❑ El N ❑ ❑ �X Immediate (acute) 1 Avg. Daily Amount (code) that apply Pure Mix Solid Liquid Gas EHS ❑ Delaved (chronic) 365 No of Days On -site CAS 000067-64-1 Trade Secret ❑ ❑ Fire 8 Max. Amount (lbs.) a a ® Laboratory, Office Bldg. Chem. Name Sudden Release ❑ 8 Avg. Amount ACETONE of Pressure (lbs.) EHS Name ❑ Reactivity 1 Max. Daily Amount (code) Check all El Z El N ❑ El Immediate (acute) 1 Avg. Daily Amount (code) that apply Pure Mix Solid Liquid Gas EHS a Delaved (chronic) 365 No of Days On -site CAS 000064-17-5 Trade Secret ❑ ❑ Fire 8 Max. Amount (lbs.) a ® Laboratory, Office Bldg. . Chem. Name DENATURED ALCOHOL Sudden Release El 8 Avg. Amount (lbs.) ofPressure EHS Name Reactivity 1 Max. Dail code Y Amount (code) Check all ❑ ❑ ❑ El � Immediate (acute) 1 Avg. Daily Amount (code) that apply Pure Mix Solid Liquid Gas EHS ❑Delaved (chronic) 365 No of Da s On -site Y CAS 64-1 Trade Secret[:]- ❑ Fire 10 Max. Amount (lbs.) �A ® Laboratory, Office Bldg. hem. Name Name ACETIC ACID Sudden Release 10 Avg.lbs. Amount (lbs.) of Pressure . EHS Name Reactivity I Max. Daily Amount (code) Check all El that a ❑ � ❑ ❑ a Immediate (acute) 1 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS Delaved (chronic) 365 No. of Days On -site Page 5 of 5 TIER TWO CONTINUATION FORM ID #: WAR000002667 Physical and Health Storage Codes Chemical Description Hazards INVENTORY Container Storage Locations (check all that apply) Type Pressure Temperature (Non -Confidential) CAS 00766441-7 Trade Secret ❑ Z Fire 10 Max. Amount (Ibs.) a ® Upper Blower Bldg. / Secondary System hem. Name ANHYDROUS AMMONIA X Sudden Release 5 Avg. Amount (Ibs.) of Pressure EHS Name a Reactivity 1 Max. Dail Amount code Y ( ) AMMONIA Check all that ❑ � 0 El Z Immediate (acute) 1 Avg. Daily Amount (code) apply Pure Mix Solid Liquid Gas EHS Z Delayed (chronic) 365 No. of Days On -site CAS 007664-93-9 Trade Secret ❑ ❑ Fire 20 Max. Amount (lbs.) ® Laboratory, Office Bldg. Chem. Name BATTERY ❑ Sudden Release 20 Avg. Amount ACID of Pressure (Ibs. ) EHS Name Z Reactivity 1 Max. Dail Amount code Y ( ) SULFURIC ACID a Immediate (acute) 1 Avg. Dail Amount g Y (code) Check all ❑ that a ❑ � ❑ � apply Pure Mix Solid Liquid Gas EHS a Delayed (chronic) 365 No. of Days On -site CAS 007647-01-0 Trade Secret ❑ ❑ Fire 8 Max. Amount (Ibs.) a ® Laboratory, Office Bldg. Chem. Name Sudden Release 8 Av Ibs. Amount HYDROCHLORIC ACID of Pressure g ( ) EHS Name ❑ Reactivity X 1 Max. Dail Amount code Y (code) Check all ❑ ❑ 0 ❑ Immediate (acute) 1 Avg. Daily Amount (code) that apply Pure Mix Solid Liquid Gas EHS a Delayed (chronic) 365 No. of Days On -site CAS 007697-37-2 Trade Secret ❑ ❑ Fire 10 Max. Amount (Ibs) a ® Laboratory, Office Bldg. Chem. Name NITRIC ACID El Sudden Release 8 Avg. Amount (Ibs.) of Pressure EHS Name Reactivity FRI 1 Max. Dail code Y Amount (code) NITRIC ACID Check all ❑ that ❑ ❑ a n Immediate (acute) 1 Avg. Dail Amount code g Y (code) apply Pure Mix Solid Liquid Gas EHS E] Delayed (chronic) 365 No. of Days On -site 6 S�DIMM-B fiSULiTEC�$ SODIUM HYDROXIDE Acum SELINE � F) SOl3 _-- OCffi.ORITEACMU ROAD PAINT ----- -Q ♦\ $�� aa+wnar "'+aiuR vmrNer ♦ \ +1'G BUI n�ur ��`• ��� ' 7 a GASOLINE "n�' _ r♦ C0N1ROL unueaQ} xa. ... � HYDRAULIC oIL SODIUM... -- — --� ♦ < < 1 ♦ LYNNWOOD WWTP . TREATMENT PLANT \ CITY O .LYd IKQQII f \ i �\o10 ., 1 a, 0L ­ Tier Two- Emergency and Hazardous Chemical Inventory Community ght-to-Know ID #: WAR00000266`RKorWAjberbeginningwth iVPage lof6 Specific Information by Chemical Revised 09/2005 (REQUIRED INFORMATION) Q Facilitv Identification UBI/DOR#: Main Contact Name JOHN EWELL III,PE Email iewell .ci.lynnwood.wa.us Name LYNNWOOD WASTEWATER TREATMENT PLANT Title Plant Supervisor Phone 425) 670-5250 Fax 425) 774-6413 ddress 17000 76TH AVE. W. ity EDMONDS County SNOHOMISH State WA Zip 98026 Mailing Address (Must be included if different from Facility) Latitude 46*50'53"N Longitude 122*20'33" Address P. O. Box 5008 City Lynnwood State WA Zip 98046-5008 IC Code 09 05 ® Emergency Contact Dun Bradstreet No. QO ©07 09 90 9Q ®®Q5 Name John Ewell III, PE Title Plant Supervisor Owner/ Name CITY OF LYNNWOOD Phone 425 670-5250 24-hr.Phone 2( 06) 841-0371 Operator Street P.O.Box 5008 Name Duke Dungan Title Assistant Supervisor City LYNNWOOD State WA Zip 98046 Phone 425) 670-5000 Phone (425) 670-5253 24-hr.Phone 425 754-7268 Important. Read all instructions before completing form. I Reporting Period: From January 1 to December 31, 2012 I ® Subject to Section 112r Clean Air Act? Chemical Description CAS QO QO ©Q ®2 - ©QO - © Trade Secret ❑ Chem. Name CHLORINE EHS Name CHLORINE Check all ® ❑ ❑ ® ® ❑ that apply Pure Mix Solid Liquid Gas EHS CAS 00 00 10 03 10 00 - Mg-0 Trade Secret ❑ Chem. Name SODIUM HYDROXIDE EHS Name CAUSTIC SODA 25% Check all ❑ ® ❑ ® ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS CAS Q Q Q ©©0 - 09 00 - 05 Trade Secret ❑ Chem. Name SODIUM BISULFITE EHS Name SODIUM BISULFITE Check all ❑ ® ❑ ® ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS Physical and Health Hazards (check all that apply) ❑ Fire ® Sudden Release of Pressure ❑ Reactivity ❑ Immediate (acute) ® Delayed Inventory Lbs Code Max Dail Amt 12000 03 Avg Daily Amount 6000 03 — No. of Days on -site 365 Storage Codes and Locations Container Type Pressure Temperature Storaoe Locations © ® B CHLORINE STORAGE ROOM, 0 0 0 0 0 0 0 ❑ Fire a B ❑ Sudden Release ❑ ❑ of Pressure ❑ Reactivity 0 ® Immediate 0 0 (acute) 0 No. of Days on -site 365 ❑ Delayed (chronic) ❑ ❑ Max Dail Amt 2500 03 Avg Daily 1500 03 Amount ❑ Fire B ❑ Sudden Release ❑ ❑ of Pressure ❑ Reactivity 0 ® Immediate (acute) ❑ Delayed chronic) 0 No. of Days on -site 365 ❑ ❑ Max Dail Amt 2500 03 Avg Daily Amount 1500 03 — Gertftication (Read and sign after completing all sections) OPTIONAL ATTACHMENTS I certify under penalty of law that I have personally examined and am familiar with the information submitted in pages one thru 6, and that based on my ®I have attached a site plan inquiry of these individuals responsible for obtaining the information, I believe that the/submitted information is true, accurate, and complete. ❑ I have attached a list or site JOHN C. EWELL III, PE PLANT SUPERVISOR a�� C_ coordinate abbreviations 6/17/2013 ❑ I have attached a description of Name and official title of owner/operator's authorized representati Signature Date Signed dikes/other safeguard measures Facility ID# WAR000002667 Facility Name CITY OF LYNNWOOD WWTP TIER TWO CONTINUATION FORM Chemical Description Physical and Inventory Storage Codes and Locations Health Hazards Container check all that apply) Lbs Code Tye Pressure Temperature Storage Locations (Non -Confidential)) CAS a 0 M 8 ©g - E R - a Trade Secret ❑ ❑ Fire © a 8 NEAR PRIMARY CLARIFIER #4 BLDG. #2 Chem. Name HYDROGEN PEROXIDE ❑ Sudden Release ❑ ❑ ❑ of Pressure ❑ Reactivity 0 0 EHS Name HYDROGEN PEROXIDE ® Immediate 0 0 Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 0 that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) ❑ ❑ ❑ CAS 0 OQ 0 ©03 QO - 0 E - QO Trade Secret ❑ ❑ Fire 8 NEAR FLUIDIZING BED REACTOR BLDG. #2 Chem. Name CARBON MOMOXIDE ® Sudden Release ❑ ❑ ❑ of Pressure Reactivity 0 EHS Name CARBON MONOXIDE ® Immediate Check all ® ❑ ❑ ❑ ® ❑ (acute) No. of Days on -site 365 0 that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) — ❑ ❑ ❑ CAS QO M0 ©©E N - ©©- 0 Trade Secret ❑ ❑ Fire ® TOTE BY AIR SCRUBBERS IN HEADWORKS BLDG. #1 Chem. Name SODIUM HYPOCHLORITE ❑ Sudden Release ❑ ❑ ❑ of Pressure ❑ Reactivity 0 0 EHS Name BLEACH ® Immediate 0 0 Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 0 that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) ❑ ❑ ❑ CAS QO QO E O QO E - E 1N - M Trade Secret ❑ ® Fire FLAMMABLE SAFETY LOCKER BLDG. #2 Chem. Name GASOLINE ❑ Sudden Release ❑ ❑ ❑ of Pressure ❑ Reactivity 0 EHS Name GASOLINE ® Immediate 0 Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 0 0 that apply Pure Mix Solid Liquid Gas EHS ® Delayed (chronic) ❑ ❑ ❑ CAS Q ©E R 07 E - E R - © Trade Secret ❑ ® Fire ® B UNDERGROUND TANK - IN FRONT OF BLDG. #2 Chem. Name DIESEL FUEL #2 ❑ Sudden Release ❑ ❑ ❑ SHOP AREA of Pressure ❑ Reactivity 0 EHS Name DIESEL FUEL #2 ® Immediate Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 0 that apply Pure Mix Solid Liquid Gas EHS ® Delayed (chronic) ❑ ❑ ❑ Max Dail Amt 1000 02 Avg Daily g00 02 Amount Max Dail Amt 100 01 Avg Daily Amount 50 01 Max Dail Amt 3000 03 Avg Daily 1500 03 Amount Max Dail Amt 150 01 Avg Daily Amount 50 01 Max Dail Amt 16000 04 Avg Daily Amount g000 03 Facility ID# WAR000002667 Facility Name CITY OF LYNNWOOD WWTP TIER TWO CONTINUATION FORM Chemical Description Physical and Inventory Storage Codes and Locations Health Hazards Container check all that apply) Lbs Code Type Pressure Tem erasure Storage Locations (Non -Confidential)) CAS QO 0 QO 10 QO 0 - R 0 - R Trade Secret ❑ ® Fire PAINT LOCKER IN BLDG. #2 Chem. Name PAINT THINNER #2 ❑ Sudden Release of Pressure Reactivity2-10 0 EHS Name PAINT THINNER ® Immediate ❑ ❑ ❑ Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS PP Y 4 ®Delayed (chronic) CAS Q 0 Q Q Q 0 - Q Q - Q Trade Secret ❑ ® Fire 8 PAINT LOCKER IN BLDG. #2 Chem. Name TNEMEC CONVERTER ❑ Sudden Release O of Pressure ❑ Reactivity 0 EHS Name PAINT CONVERTER ® immediate ❑ ❑ Check all ® ❑ ❑ ❑ ® ❑ (acute) No. of Days on -site 365 ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) O CAS Q Q Q Q Q Q - Q 0 - Q Trade Secret ❑ ❑ F1fe ® PAINT LOCKER IN BLDG. #2 Chem. Name TNEMEC - GLOSS ❑ Sudden Release O of Pressure ❑ Reactivity 0 0 EHS Name PAINT, GLOSS ® Immediate ❑ ❑ ❑ Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ® Delayed (chronic) CAS 0 Q M Q 0 E - 0 ®- O Trade Secret ❑ ® Fire B FORKLIFT BAY IN BLDG. #2 Chem. Name PROPANE ❑ Sudden Release O of Pressure Reactivity 0 0 EHS Name PROPANE ® Immediate ❑ ❑ ❑ Check all ur ❑ ❑ iq ❑ ❑ (acute) No. of Days on -site 365 ❑ ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ® Delayed (chronic) O CAS Q O R ©E B - ®R - © Trade Secret ❑ ❑ Fire CENTRIFUGE ROOM / CENTRIFUGE BUILDING Chem. Name HYDRAULIC OIL ❑ Sudden Release of Pressure ❑ Reactivity EHS Name HYDRAULIC OIL ® Immediate ❑ ❑ ❑ Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) O Max Dail Amt 10 01 Avg Daily Amount 5 — Max Dail Amt 30 01 Avg Daily Amount 30 — 01 — Max Dail Amt 30 01 Avg Daily 30 01 Amount — — Max Dail Amt 50 01 Avg Daily Amount 20 — 01 — Max Dail Amt 2000 03 Avg Daily Amount 1500 03 — Facility ID# WAR000002667 Facility Name CITY OF LYNNWOOD WWTP TIER TWO CONTINUATION FORM Chemical Description Physical and Inventory Storage Codes and Locations Health Hazards Container check all that apply) Lbs Code Type Pressure Temperature Storage Locations (Non -Confidential)) CAS M M M M E ©- E ©- M Trade Secret ❑ ❑ Fire ® B LABORATORY OFFICE BUILDING Chem. Name ISOPROPYL ALCOHOL ❑ Sudden Release of Pressure ❑ Reactivity 0 0 EHS Name ISOPROPYL ALCOHOL ® Immediate ❑ ❑ ❑ Check all ® ❑ ❑ ® ❑ ❑ (acute) No. of Days on -site 365 ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) — 0 ❑ ❑ CAS M M M M E ©- M ®- H Trade Secret ❑ ❑ Fire ® B LABORATORY OFFICE BUILDING Chem. Name ACETONE ❑ Sudden Release of Pressure ❑ Reactivity 0 0 EHS Name ACETONE ® Immediate ❑ ❑ ❑ Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 ❑ ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ® Delayed (chronic) — CAS M M M M E R - E ®- N Trade Secret ❑ ❑ Fire ® ® LABORATORY OFFICE BUILDING Chem. Name GLACIAL ACETIC ACID ❑ Sudden Release of Pressure ❑ Reactivity EHS Name ACETIC ACID ® Immediate ❑ ❑ ❑ Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ® Delayed (chronic) CAS M M M M E R - H ©- © Trade Secret ❑ ❑ Fire © e LABORATORY OFFICE BUILDING Chem. Name DENATURED ALCHOL ❑ Sudden Release of Pressure ® Reactivity 0 EHS Name ALCOHOL ® immediate ❑ ❑ ❑ Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 0 ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) O CAS M QO ©E E R - ®10 - 07 Trade Secret ❑ ❑ Fire NQ B UPPER BLOWER BUILDING - SECONDARY AREA Chem. Name AMMONIUM HYDROXIDE ❑ Sudden Release of Pressure ❑ Reactivity EHS Name AMMONIA ® Immediate ❑ ❑ ❑ Check all ❑ ® ❑ ® ❑ ❑ (acute) No. of Days on -site 365 ❑ ❑ ❑ that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) Max Dail Amt 5 01 Avg Daily Amount 5 — 01 — Max Dail Amt g 01 Avg Daily Amount $ — 01 — Max Dail Amt 10 01 Avg Daily Amount 10 — 01 — Max Dail Amt g 01 Avg Daily Amount 8 — 01 — Max Dail Amt 10 01 Avg Daily Amount 5 — 01 — Facility ID# WAR000002667 Facility Name CITY OF LYNNWOOD WWTP TIER TWO CONTINUATION FORM Chemical Description Physical and Health Hazards CAS M 00 ©©©R - M 0 - 5 Trade Secret ❑ U Fire Chem. Name SULFURIC ACID ❑ Sudden Release of Pressure EHS Name SULFURIC ACID ❑ Reactivity ® ❑ ❑ ® ❑ ❑ ®Immediate Check all (acute) that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) CAS 00 0 0 ©R ©- 0 0 - M Trade Secret ❑ U Fire Chem. Name HYDROCHLORIC ACID ❑ Sudden Release of Pressure ® Reactivity EHS Name HYDROCHLORIC ACID Immediate Check all El® El® ❑ El® (acute) that apply Pure Mix Solid Liquid Gas EHS ® Delayed (chronic) CAS 00 00 07 ©09 07 - 03 ©- © Trade Secret ❑ ❑ Fire Chem. Name NITRIC ACID ❑ Sudden Release of Pressure ® Reactivity EHS Name NITRIC ACID Immediate Check all ❑ ® El® ❑ El® (acute) that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) CAS 0 0 0 0 0 0- 0 0- 0 Trade Secret ❑ ❑ Fire Chem. Name ❑ Sudden Release of Pressure ❑ Reactivity EHS Name El immediate Check all ❑ El El ❑ El (acute) that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) CAS 0 0 0 0 0 0- 0 0- 0 Trade Secret ❑ ❑ Fire Chem. Name ❑ Sudden Release of Pressure ❑ Reactivity EHS Name ❑ Immediate Check all ❑ ❑ ❑ ❑ ❑ ❑ (acute) that apply Pure Mix Solid Liquid Gas EHS ❑ Delayed (chronic) Inventory Storage Codes and Locations Lbs Code Container Type Pressure Temper. 0 0 0 0 0 Max Dail Amt 20 01 Avg Daily 20 01 Amount Max Dail Amt g 01 Avg Daily $ 01 Amount — — 0 0 0 L—i 0 No. of Days on -site 365 0 Max Dail Amt 10 01 Avg Daily Amount 8 — 01 — 0 0 0 0 0 0 0 0 No. of Days on -site 365 0 0 0 Max Dail Amt — Avg Daily Amount — u � o O O O 0 0 0 0 No. of Days on -site 0 Max Dail Amt — Avg Daily Amount — u u o 0 0 0 0 0 0 0 0 No. of Days on -site o a o Locations (Non t ----- _------------- SbDIUM BISULFITE: -- — -- — -- — -- — -- _ CHLORINE i SODIUM 'HYDROXIDE STORAGE FACUTY SO13 OCHLORITE ' SEL M SO= xo DRAYYMGS) ACCESS ROAD ------- N PAINT LABORATDR� o 14yl.t MMN,[xWO�Na pR pRWARY REPRIMARY BUILDING 91zLDINc No , g$ @lLLDIN No � 9ip ' _ .tOkMAI , '� FLOW STRUCTURE a GASOLINE CID ODOR CONTROL SCRUBBER NO.. - ' • ' ```,� HYDRAULIC OIL SODIUM , i LYNNWOOD WWTP ` TREATMENT PLANT \ �\ CITY OF LYNWKWOOQ 40 mn I � Transmittal Form To: City of Edmonds 121 5t Ave. N Edmonds, WA 98020 Attn: John West ll City of Lynnwood 19100-44th Ave. W PO Box 5008 Lynnwood, WA 98046-5008 Phone: (425) 670-5000 Fax: (425) 774-6413 Date: June 17, 2013 Subject: 2012 Tier Two — Emergency & Hazardous Chemical Inventory Report for the Lynnwood Wastewater Treatment Plant We Are Transmitting: The Following: For: X Herewith Prints Review and Comment Separately Construction Drawings Approval Specifications Signature Shop Drawings X Your Use and Files Number of Copies: Change Order As Requested Sets Approved Bills Action Noted Below Sheets Letters X Noted Below Remarks: Please find enclosed a copy of the Tier Two — Emergency & Hazardous Chemical Inventory Report for the calendar year 2012, for the Lynnwood Wastewater Treatment Plant. If you have any questions please call me at 425-670-5250 or email jewell2ci.lynnwood.wa.us. Sincerely Yours, ohm C. Ewell III, P.E. Treatment Plant Supervisor 0 000 -76� Transmittal Form To: City of Edmonds 121 5t Ave. N Edmonds, WA 98020 Attn: John Westrall We Are Transmitting: X Herewith Separately Number of Copies: Sets Sheets City of Lynnwood 19100-44th Ave. W PO Box 5008 Lynnwood, WA 98046-5008 Phone: (425) 670-5000 Fax: (425) 774-6413 Date: January 30, 2012 Subject: Tier Two — Emergency & Hazardous Chemical Inventory Report The Following: Prints Construction Drawings Specifications Shop Drawings Change Order Approved Bills Letters X Noted Below For: Review and Comment Approval Signature X Your Use and Files As Requested Action Noted Below Remarks: Please find enclosed a copy of the Tier Two — Emergency & Hazardous Chemical Inventory Report for the calendar year 2011, for the Lynnwood Wastewater Treatment Plant. If you have any questions please call me at 425-670-5250 or email jewell e,ci.lynnwood.wa.us. Sincerely Yours, John C. Ewell III, P.E. Treatment Plant Supervisor .Tier Two Emergency and Hazardous Chemical Inventory Speck Information by Chemical Revised October 2008 Community Right -to -Know ID #: WAR000002667 (REQUIRED INFORMATION) (12-digit number beginning.with CRK or WA) Facility Identification UBI/DOR#c Name LYNNWOOD WASTEWATER TREATMENT PLANT Main Contact Name JOHN C. EWELL III, PE Email ewell@ci. lynnwood.wa Title PST SUPERVISOR Phone (425 670-5250 Fax (425 774-6413 Address 17000 76th : AVE. W. City EDMONDS County SNOHOMISH State WA Zip 98026 Latitude 460 50' 33" N Longitude 1220 20' 33" W NAICS Code 3 2 1 0 Dun &.Bradstreet No. 11 (0131171919119118118115 Mailing Address Must be included if different from Facility Address Address P. O. Box 5008 City LYNNWOOD State WA zip 98046-5008 Emergency Contact Name JOHN C. EWELL III Title PLANT SUPERVISOR Phone (425 670-5250 24-hr. Phone (206 841-0371 Name DUKE DUNGAN TitleASSISTANT SUPERVISOR Phone (42t 670 — 5253 24-hr. Phone (425 754 — 7268 Owner/ Name CITY OF LYNNWOOD Operator Street P.O. Box 5008 City LYNNWOOD State _Zip 98046 Phone (425 670 — 5000 Important. Read all Instructions before completing form. Reporting Period: From January 1 to December 31, 2011 ®Subject to section 112r of Clean Air Act Chemical Description Physical and Health Hazards (check all that apply) INVENTORY Storage Codes Container Type Pressure Temperature Storage Logations (Non -Confidential) CAS 171,718Trade secret® Chem. Name CHLORTNE Fire tj Sudden Release of Pressure �� Reactivity I�; Immediate (acute) W Delayed (chronic) 12,000 Max. Amount (lbs. Avg. Amount (Ibs.) 6000 O 3 Max. Daily Amount (code) Avg. Daily Amount (code) 3 6 No. of Days On -site L 2 4 CHLORINE STORAGE:ROOM, BLDG. #2: EHS Name rM.(1RTNF. Check all EM sgoq 0M w that apply pure a S°o iT�-��L-i-�wdas° CAS 3 1 0 7 3� 11 "L 11 Trade secret® Chem. Name SODIUM HYDROXIDE Fire Sudden Release 9of Pressure aReactivity Immediate (acute) Delayed (chronic) 8 2500 Max. Amount (Ibs. 1500 Avg. Amount (Ibs.) lr6TjlMax. Daily Amount (code) Avg. Daily Amount (code) 3 6 5 No. of Days On -site 0 1 4 NEAR ASH VACUUM FILTER PRESS N. E_ CORNER OF MG. #2 EHS Name CAUSTIC SODA 251 Check all that.apply Pure Mix Solid Liquid Gas EHS CAS 1171161131 1 0 Trade Se.retQ Chem. Name SODIUM BISULFITE . n Fire Sudden Release of Pressure uReactivity ® Immediate (acute) ® Delayed (chronic) Max. Amount (Ibs. 1500 Avg. Amount (Ibs.) Max. Daily Amount (code) Avg. Daily Amount (code) � No. of Days On -site 0 1 4 CONTAINED BUILDING N. OF CHLORINE CONTACT CHAMBER EHS Name SODIUM BISULFITE Check all that:apply . Pure Mix Solid Liquid Gas EHS Certification (Read and sign after completing all sections) OPTIONAL ATTACHMENTS I certify under penalty of law that I have personally examined and am' familiar with the information submitted in pages one thrums and that based on my inquiry of these I have attached a site plan individuals responsible for obtaining the information; I believe that the submitted information is true, accurate, and. complete. 1 31 2012 I have attached a list of site coordinate . JOHN C. EWELL III, PE PLANT SUPERVISOR E. abbreviations Name and official title of owner/operator's authorized representative Signature Date Signed I have attached a description of dikes and other safeguard measures nS 2 Facility ID* WAR000002667 Facility Name I TIER TWO CONTINUATION FORM Chemical Description CAS WO 171712121 g 4 -Trade secret Chem. Name HYDROGEN PEROXIDE Physical and Health Hazards (check all that applyd Q Fire Sudden Release of Pressure Reactivity ® Immediate (acute ❑Delayed (chronic INVENTORY 1000 Max Amt (lbs.) 800 Avg. Amt (lbs.) Max. Daily Amt (code) ® Avg. Daily Amt (code) No. of Days Onsite Storage Codes Storage Locations Container (Non -Confidential) TYpe Pressure Temperature Only 105 charaders available including spaces (Please Print) E 1 4 NEAR PRIMARY CLARIFIER #4 BLDG. #2 El El 0 EHS Name HYDROGEN PEROXIDE Check all ® Q ® Q Q that apply pure Mix Solid Liquid Gas EHS CAS 0 10 10 161310 8 0❑ Trade seeret 0 Chem. Name CARBON MONOXIDE Q Fire ® Sudden Release of Pressure EI Reactivity ® Immediate (acute Delayed (chronic 100 Max Amt (lbs.) 50 Avg. Amt (lbs.) q-TIMax. Daily Amt (code) � Avg. Daily Amt (code) ® No. of Days Onsite Y L 4 NEAR FLUIDIZED BED REACTOR BLDG' 2 EHS Name CARBON 140NOXIDE Check all ® Q Q Q ® QEl that a PPly Pun; . Mix_ Solid Liquid Gas EHS El CAS m Trade secret Chem. Name SODIUM HYPOCHLORITE Fire 0Sudden Release of Pressure Reactivity Immediate (acute) Delayed (chronic) ® Max Amt (lbs.) 1500 Avg. Amt (lbs.) ® Max. Daily Amt (code) 0 3 Avg. Daily Amt (code)El RT6_[_s] No. of Days Onsite E TOTE BY AIR SCRUBBERS IN HEADWORKS BLDG- 4 EHS Name SODIUM HYPO.CHLORITE BLEACH ) 1 BARRELS NEAR WET SCRUBBER BLDG. #2 Check all Q® Q EE Q Q® that apply pure Mix Solid Liquid Gas EHS CAS [01018191 q:� F"­ ® Trade Secret Q -Chem. Name rASAT.TNF ® Fire El Sudden Release of Pressure Reactivity ® Immediate (acute g Delayed (chronic) L Max Amt (lbs.) Avg. Amt (Ibs.) 0 1 Max. Daily Amt (code) 0 1 Avg. Daily Amt (code) No. of Days Onsite TH Fr.AMM BL.F SAF ?Ty T.t)CXE 8T nG. #� EHS Name Check all Q QX Q E Q Q that apply pure Mix Solid Liquid Gas EHS CAS Trade Secret Chem. Name DIESEL FUEL #2 ® Fire Sudden Release of Pressure Reactivity ® Immediate (acute (chronic) 1 16 , 00 Max Amt (lbs.) ® Avg. Amt (lbs.) FUN Max. Daily Amt (code) 0 3 Avg. Daily Amt (code) ® No. of Days Onsita B 1 4 IN UNDERGROUND TANK IN FRONT OF BLDG. #2 SHOP AREA EHS Name _DTFSFT: FRFi. #9 Check all Q . ® Q Q Q that apply Pure Mix Solid Liquid Gas EHS IENDelayed 3' . Facility ID# WAR000002667 Facility Name CITY OF LYNNWOOD WWTP TIER TWO CONTINUATION FORM Chemical Description Physical and Health Hazards (check all that appljo INVENTORY Storage Codes Storage Locations Container (Non -Confidential) TyPe Pressure Temperature Only 105 characters available including spaces (Please Print) CAS.. 0 6 14171 4 2 5 4 a Trade S—t Chem. Name HYDRAULIC OIL a Fire 0 Sudden Release of Pressure ID Reactivity ® Immediate (acute Delayed chronic y ( ® Max Amt (lbs.) 1 00 Avg. Amt (Ibs.) ® Max. Daily Amt (code) 0 3 Avg. Daily Amt (code) ME�] No. of Days Onsite D El CENTRIFUGE ROOK CENTRIFUGE BUILDING EHS Name Check all . 0 that apply, Pure Mix Solid Liquid Gas EHS El El CAS 1010101 0 0 VF� �4 Trade Secret Chem. Name THINM #2 ® Fire Sudden Release of Pressure FIReactivity ® Immediate (acute ® Delayed (chronic jp Max Amt (lbs.) 0 Avg. Amt (Ibs.) 0 1 Max. Daily Amt (code) 0 1 Avg. Daily Amt (code) ®No. of Days Onsite F 1 4 PAINT LOCKER IN BLDG. .#2 EHS Name PAINT THINNER Check all 0 ® = ® 0 that apply Pure Mix Solid Liquid Gas EHS CAS 1010101 q W ® [§] Trade secret Chem. Name PROPANE ® Fire Sudden Release of, Pressure Reactivity ® Immediate (acute) ® Delayed (chronic) 50 Max Amt (lbs.) 20 Avg. Amt pbs.) ® Max. Daily Amt (code) 0 1 Avg. Daily Amt (code) �-7�� � No. of Days Onsite L 2 4 FORKLIFT BAY. IN BLDG. 12 EHS Name PROP Check all ® 0 0 Q ® 0 that apply pure Mix Solid Liquid Gas EHS CAS m ❑ Trade sea- Chem. Name SEC — GLOSS 0 Fire Sudden Release of Pressure Reactivity Immediate (acute % Delayed (chronic) Max Amt (lbs.) 30 Avg. Amt (lbs.). 5311 Max. Daily Amt (code) 0 1 Avg, Daily Amt (code) No. of Days Onsite F 4 PAINT LOCKER IN BLDG.12 EHS Name PATH•+ ClhRq Check all a ® Q ® Q 0 that apply pure Mix Solid Liquid Gas EHSs� CAS m Trade secret Chem. Name TNIEI'iP.0 CONVERTRR Fire Sudden Release of Pressure Reactivity ® Immediate (acute E] Delayed (chronic) 3Q Max Amt (lbs.) 3�� Avg. Amt (Ibs.) ® Max. Daily Amt (code) Avg. Daily Amt (code) 3 6 5 No. of Days Onsite F 1 4 PAINT LOCKER IN BLDG. #2 EHS Name . THE EC — PAINT Check all 0 0 O that apply Pure Mix. Solid . Liquid Gas EHS Facility ID* WARD. 00002667 Facility Name CITY •OF LYNNWOOD WWTP TIER TWO CONTINUATION FORM Chemical Description Physical and Health Hazards (check all that apply) INVENTORY Storage Codes Storage Locations container (Non -Confidential) TYPe Pressure Temperature Only 105 characters avallable including spaces (Please Print)_ CAs, I ol ol old 1 WLI Trade secret '6hem. Name.TRICE[LOROFLUOROETHANE ® Fire Ej Sudden Release of Pressure FIReactivity ® Immediate (acute ® Delayed (chronic ® Max Amt (lbs.) Avg. Amt (lbs.) Q T j] Max. Daily Amt (code) 0 1 Avg. Daily Amt (code) 3 6 S No. of Days Onsite M 1 4 LABORATORY, OFFICE BUILDING EHS Name FBFON Check that all ® ® PPN Pure Mix Solid Liquid Gas EHS CAS 10 10 10 101611 6 6 3❑ Trade secret ❑ Chem. Name CHLOROFORM ®Fire Sudden Release of Pressure El Reactivity ® Immediate (acute g y ( 0 Dela Delayed chronic Max Amt (Ibs.) Avg. Amt (lbs.) 0 1 Max. Daily Amt (code) Q j Avg. Daily Amt (code) ® No. of Days Onsite y M 0 LABORATORY, OFFICE BUILDING EHS Name CHLOROFORM ®. O • ® Check all that apply Pun: Mix Solid liquid Gas EHS El El CAS 10 10 101016131 WF4_1 10 Trade secret Chem. Name GLACIAL ACETIC ACID ❑ Fire Sudden Release of Pressure Reactivity ® Immediate (acute) (chronic) Max Amt (lbs.) 10 Avg. Amt (lbs.) ® Max. Daily Amt (code) � Avg. Daily Amt (code) No. of Days Onsite M LABORATORY, . OFFICE BVMING EHS Name ACETIC ACID Check all that apply that Pure Mix Solid Liquid Gas EHS CAS 1010 0 0617 ®�1 Trade secret ❑ Chem. Name ACETONE a Fin: Sudden Release of Pressure Reactivity F191mmediate (acute g Delayed (chronic)Sj � Max Amt (lbs.). ® Avg. Amt (Ibs.) ® Max. Daily Amt (code) 0 1 Avg. Daily Amt (code) No. of Days Onsite LABORATORY, OFFICE BUILDING EHS Name ACETONE Check all 0 that apply Pure Mix Solid Liquid Gas EHS CAS 101010106 17 ® Trade secret Chem. Name TROPROPYL..ALCOHOL 0Fire � Sudden Release of Pressure ® Immediate (acute I0 Delayed (chronic) 0 Max Amt (lbs.) 0 Avg. Amt (lbs.) Max. Daily Amt (code) � Avg. Daily Amt (code) ® No. of Days Onsite M 1 4 LABORATORY, OFFICE BUILDING EHS Name JL50FKUrXL ALUUMULReactivity Check all ®PEI O that apply pure Mix Solid Liquid Gas EHS Facility ID# WAR000002667 acility Name CITY OF LYNNWOOD WWTP TIER TWO CONTINUATION FORM Chemical Description AS, 41 ®© T=ade secret Chem. Name DENATURED ALCOHOL Physical and Health Hazards (check all that appl}o Fire Sudden Release of Pressure ®Reactivity ® Immediate (acute ❑ Delayed (chronic INVENTORY ®Max Amt (lbs.) Avg. Amt Obs.) 0 F —,]Max. Daily Amt (code) ® Avg. Daily Amt (code) 3 5 No. of Days Onsite 6 Storage Codes Storage Locations container (Non -Confidential) Type Pressure Temperance Only 105 characters available Including spaces (Please Print) N 1 4 LABORATORY, OFFICE BUILDING HS Name ALCOHOL heck all � ® O at apply pure Mix Solid Liquid Gas EHS T=a& Secret Chem. Name ANRONM HYDROXIDE Fire ❑ Sudden Release of Pressure Reactivity ® Immediate (acute ❑Delayed (chronic 10 Max Amt (lbs.) Avg. Amt (lbs.) 0 1 Max. Daily Amt (code) 0 1 Avg. Daily Amt (code) No. of Days Onsite N 1 4 LABORATORY,. OFFICE BUILDING EHS Name AONIA Check that all 0 apply pure Mix Solid Liquid Gas EHS CAS 0 0 7 6 6 4 9 3 ® Trade Secret[:] Chem. Name SULFURIC ACID 0 Fire Sudden Release of Pressure ® Reactivity ® Immediate (acute) Delayed (chronic) 20Max Amt (lbs.) 20 Avg. Amt (lbs.) 0 1 Max. Daily Amt (code) 0 1 Avg. Daily Amt (code) ®No. of Days Onsite M 2 4 LABORATORY, OFFICE BUILDING E IS Name SULFURIC ACID t hock all ® = 0 ® 0 at a Ppty Pure Mix Solid Li uid Gas EHS 0 17 164_H7 0 1 P] Trade secret Chem. Name HYDROCHLORIC ACID Fire Sudden Release of Pressure ® Reactivity ® Immediate (acute ® Delayed (chronic) Max Amt (lbs.) ® Avg. Amt (lbs.) ® Max. Daily Amt (code) 0 1 Avg. Daily Amt (code) No. of Days Onsite lt� LABORATORY, OFFICE BUILDING E IS Name C tt Y� rY� at apply O C—I O 0 Pure 'Mix Solid Liquid Gas EHS C OILS lu lu 111 b 19 ETTrade Secret ❑ Chem. Name NTTRT(` ACIDACIDI Fire Sudden Release of Pressure ® Reactivity ® Immediate (acute E:] Delayed (chronic) I 10 Max Amt (lbs.) ® Avg. Amt (lbs.) ® Max. Daily Amt (code) [0-N Avg. Daily Amt (code) [� No. of Days Onsite Zi LABORATORY, OFFICE BUILDING E IS Name NITRIC AAr� Check all Q EK = ® Q =. at apply. pure Mix Solid Liquid Gas EHS 6 .rz' SODIUM "BISIILFITE - — - - — - - — - - f SODIUM HYDROXIDE — - - - - - - — - - ,�' CHLORINE — -- -- SRRxRAGE FACILITY SO_13 OCHLORITE '.� SEL (SEE SERIES 300 DRAWNGS) ACCESS ROAD ----- '• \ PAINT�o oy"Op CIRCULAR PRMARY CLATAHCULAR PRIMARY \` BU�CLAROWl" RIAERS . SING BUILDING NO I WORKS b � BYPAS$ OYEMOW STRUCTURE `` \ .. "... "' 000R i ��� `�♦ �TR4 SCRUBBER - i .. • .'+- �Z1�=��_ S 7- x7= x�=�� �#7� Ste= y� .r \ 'I HYDRAULIC OIL SODIUM HYPOCHLORTIE /, LYNNW06D WWTP ` TREATMENT PLAN? CITY OF LYNNINOOD 1 Jill I I o FEET I \ q aiaahQ o -�MRAIpf GASOLINE Message Page 1 of 3 Westfall, John From: Westfall, John Sent: Friday, March 18, 2011 12:58 PM To: Kuhnhausen, Kris Cc: Mike Smith - Fire District 1 Subject: RE: LYN WWTP 17000 76th Ave W Thanks, Kris. I'll keep to file. Linda called and we spoke about the backflow issue & the site challenges. John Westfall Edmonds Fire Marshal -----Original Message ----- From: Kuhnhausen, Kris Sent: Friday, March 18, 2011 11:58 AM To: Westfall, John Subject: RE: LYN WWTP 17000 76th Ave W John, I'm attaching a document of information that we have gathered on this so far. Linda does have four listed assemblies for this site, however, to be in compliance, air -gap protection is required. Kris Kuhnhausen Water Lead -----Original Message ----- From: Westfall, John Sent: Friday, March 18, 2011 9:33 AM To: Kuhnhausen, Kris Cc: McMurphy, Linda; McConnell, Jeanie Subject: RE: LYN WWTP 17000 76th Ave W Kris: With downstream fire protection systems in addition to private hydrants we will require fire -listed equipment. Also, the friction loss in the new equipment must be equal or less than existing meter installation as the FP systems are designed to the water availability at the meter. Or building owner can provide re -design calculations for systems to assure adequate water with new equipment which will not be preferred. Linda should be onboard to assure any new or existing cross connection assemblies meet current needs. Is there an emergent concern at this site? John Westfall Edmonds Fire Marshal 3/18/2011 Message Page 2 of 3 -----Original Message ----- From: Kuhnhausen, Kris Sent: Thursday, March 17, 2011 5:39 PM To: Westfall, John Subject: RE: We have a 6" meter serving the Lynnwood Treatment Plant. It provides both domestic and fire flow. There are 3 fire hydrants and two sprinkler lines downstream of our meter. Would there be a fire flow requirement in this situation? The current meter is not rated for fire protection, so I'm proposing a UL/FM rated meter that will serve both fire and domestic needs. What's your thoughts on this? And yes, there is a cross connection issue because the regulations say that a wastewater treatment plant requires an air -gap. Thanks John, Kris Kuhnhausen -----Original Message ----- From: Westfall, John Sent: Thursday, March 17, 2011 4:21 PM To: Kuhnhausen, Kris Subject: RE: Hi Kris: No. I assume we're talking about private hydrants. ECDC is silent to any listings required of these equipment. The hydrant "system" is not constructed to a fire protection standard, but rather engineering specifications in the city. Assuming cross connection is not an issue, there's nothing on fire side that says hydrant piping, valves, meters require a listed part or assembly. John Westfall Edmonds Fire Marshal -----Original Message ----- From: Kuhnhausen, Kris Sent: Thursday, March 17, 2011 11:34 AM To: Westfall, John Subject: Hi John, Just had a question for you. Is there a fire code requirement that says anything about UL/FM rated meters that provide supply to fire hydrants for fire protection? Thanks John, Kris Kuhnhausen 3/18/2011 CITY OF LYNNWOOD TREATMENT PLANT METER 17000 761h Ave. Water is supplied through a 6" Sensus Turbo meter installed in 1996. Average annual consumption for the last 5- year period was 25.5 million gallons. Existing deficiencies: Meter is not testable for accuracy. This meter has not been tested or had the measuring chamber calibrated or replaced. Meter is not UL/FM fire rated. This meter supplies three fire hydrants and a two firelines. Meter has a 6" swing check valve immediately downstream from meter, this affects meter accuracy. A five pipe diameter distance of straight pipe is manufactures' recommendations for meter accuracy and performance. Meter flow range is 30 — 2000 gpm. This means poor low flow accuracy. Proposed Improvements: Replace meter, valves, and piping components. Install one 6" Sensus Omni meter. This meter will provide a UL/FM rating AW WA C-703 for fire protection and domestic use. Meter has a greater flow range of 3 - 2000 gpm. Meter will be testable for future accuracy verification, and has data logging capability. Other notes: Current mag meters on the market do not have UL/FM approval. AWWA C703 states: "Fire service meters shall consist of a combination of a mainline meter of the proportional type, having an unobstructed passageway of essentially the full pipe size, for measuring high rates of flow and a bypass meter of appropriate size for measuring low rates of flow" EDMONDS FIRE DEPARTMENT 424-771-0215 121 5TH AVE. N. FAX 425-775-7721 EDMONDS, WA 98020 For Release: 03/30/00 (date) PUBLIC INFORMATION NEWS RELEASE Date: 03/30/00 Time of Alarm: 1107 Arrival Time: 1115 Incident Location: 17000, 76 Ave. W. Type of Incident: ❑Residential Fire ❑Apartment Fire ®Commercial Fire ❑Motor Vehicle Accident ❑Rescue Response ®Haz Mat Response ❑Medical Emergency ❑Other Responding Units/Personnel: Engine Companies: 5 Ladder Companies: Aid/Medic Units: 2 Support 7: 1 Utility 16: 1 # of Fire Fighters: 30 # of Chief Officers: 8 Other: 3 Other Agencies Assisting: Marysville Fire Dept. HazMat Team, Edmonds Police Dept., Emergency Services Coordinating Agency (ESCA), Reporting Party: Alarm Company and Treatment Plant employees Situation Found: Small fire in chemical lab at Lynnwood Sewer Treatment Plant Action Taken: First arriving engine crews found heavy smoke coming from labratory room on the far west end of the treatment plant. Due to the location of the fire, the local hazardous materials team and Marysville Fire Department Hazardous Materials team were dispatched to scene. The fire was quickly extinguished by the first arriving fire engine crews. Haz/mat crews then entered the room with au monitoring equipment and determined no chemicals were involved in the fire. Fire crews reentered the lab to complete overhaul operations and insure fire was completely extinguished and safe for fire investigation. At press time, cause of fire was still under investigation. Special Problems/Accomplishments: Fire in chemical labratory. Unknown at time of fighting the fire if chemicals were involved. Investigation found no chemicals involved in fire. Injuries/Fatalities: (Do not release names) Gender Age Injuries No injuries to workers or fire fighters Extent of Damage: undetermined Damage Estimate: $undetermined Structure Released Prepared By: Bob Schmitt Where Taken $undertermined Contents Position: Captain Phone: 425-771-0215 FAX: 425-775-7721 'iA F.D. 2000-058 NOTICE DATE: MAY 11, 2000 TO: ALL PERSONNEL 1-7 000 -7 �9 � SUBJECT: LYNNWOOD SEWER PLANT POST -INCIDENT ANALYSIS Enclosed is the post -incident analysis report on the Lynnwood Sewer Plant incident that occurred on March 30, 2000. Each Company Officer will review the report for operational response issues and lessons learned with his/her company during the month. Enclosure Pull Date: May 31, 2000 -7r�_� Or 7,-,r� Thomas J. To b rg Fire Chief "r RESULTS OF THE POST -INCIDENT ANALYSIS FOR THE Lynnwood Sewer Treatment Plant Fire Address: 17000 76 Ave. W. Incident Date: March 30, 2000 Time of Alarm: 11:06:20 Shift: B/C . C6 April 11, 2000 a post -incident analysis was held at Station 14 to review the activities of the emergency responders at the scene of a structure fire at the Lynnwood Sewer Treatment Plant. The purpose of this analysis was to review the effectiveness of our actions during an emergency event. We did this by discussing six areas of the incident with a goal of determining where improvements could be made in our response performance. The six areas of discussion were, (1) Dispatch and Initial Response, (2) Scene Operations, (3) Communications, (4) Support Functions, (5) Scene Safety, (6) Fire Cause and Origin. A seventh subject, Other Concerns, was also explored. The analysis began with the playing of the cassette tape of the incident. The tape contained the complete communications of the incident, however, the only portion played.was from receipt of the initial AFA call from Washington Alarm Company until the first unit gave a scene size -up. Each person at the analysis was also provided with a copy of the dispatch printout that included a record of all communications for the incident and the Fire Incident Report, including all narratives. Also incorporated in the analysis were overheads of the grid map (456), a footprint of the building, and a prefire of the portion of the building involved in the incident. The prefire was created for this analysis. Additionally, photographs from the scene taken by Inspector McNulty, were presented, as was a slide indicating a representation of the Incident Management assignments. Dispatch: Following the playing of the incident tape a discussion ensued concerning the response by the SnoCom dispatcher. Two areas of concern were addressed. The first concerned the length of time from the initial AFA call until the first unit was dispatched. This time was 1 minute 18 seconds. At the time of the alarm E14 was out of their response area on inspections and their acknowledgement of responding was another 1 minute 37 seconds. The second concern dealt with the fact that prior to the response by E14, SnoCom had received three calls on this incident and did not immediately upgrade to a commercial fire response. Following the initial AFA, a call was received from a neighbor expressing concern for an odor from the site. The third call was a report from the scene by a City of Lynnwood employee reporting heavy black smoke was coming from the lab. With this final piece of information it was still 3 minutes 11 seconds before the alarm was upgraded to a commercial response. Scene Operations: The scene presented an unusual situation because of the topography involved. The Incident Command System was employed and there appeared to be no major problems encountered. Improvement of decontamination procedures was discussed. More manpower and earlier recognition of decontamination needs were recognized as areas to be improved during future incidents. Hot Zone and Warm Zone should have been determined earlier. This problem lead to early movement of firefighters between the Hot Zone and safe areas Scene Communications: Radio traffic was recognized as an area that went well. It was felt that communications were brief, clear and concise. There was no noticeable unnecessary radio traffic. s► Support Functions: Rapid Intervention Team was set up too close to the Hot Zone. Safety. Two items. For a time, two employees at the plant were walking around the site freely. Although there was some communication lapses in their location, apparently they were to provide information to the Operations Chief. They were unescorted and their location was not known for several minutes. There was also some concern that the Safety Officer placed himself in a position that necessitated his need for decontamination. One firefighter was injured when he received cuts to his fingers. Three firefighters were exposed to fiberglass insulation. Fire Cause: It was determined that a three-ring binder placed on the chimney opening of a furnace, started the fire. August 20, 1996 Mr. Paul McIntire City of Lynnwood PO Box 5008 Lynnwood, WA 98046 Dear Mr. McIntire: I conducted a hydrant inspection yesterday at Lynnwood VW TP property. Hydrant of concern is at the foot of the access road to the plant facility. I was informed by Mr. Don Davis that the defective hydrant stem valve had been replaced on request by the City of Edmonds Water Department. Clearance for hydrant stem valve operation will be contracted for with a fence company within the next few days according to Plant Technician, John. Thank you for your assistance addressing our concerns. Sincerely, John J. Westfall Senior Inspector cc: Ron Holland, Water Supervisor Gary L. McComas, Fire Marshal MEMORANDUM Date: August 9, 1996 To: John Westfall Senior Inspector From: Ron Holland. Water/Sewer Supervisor Subject: Fence Too Close to Fire Hydrant Crews have reported that the hydrant at 17000 76th in Lynnwood (Treatment Plant property) is not in compliance with minimum clearance and also has a problem with the opening of the main valve. I have called Paul MacIntire at the City of Lynnwood and notified him that there was a 'F problem and he stated that he would address both the clearance by cutting the fence and $ repairing the hydrant. a 1Y1Y' The hydrant number in question is 2-3A. The date reported to the City of Lynnwood, August 9, 1996. Please follow up on this for compliance. I did state that they would receive a letter from the Edmonds Fire Department concerning these issues. wordata\water\fence City of Edmonds c�a Public Works i j"- CITY OF LYNNWOOD June 21,1993 EDMONDS FIRE DEPARTMENT 250 5TH AVE N EDMONDS WA 98020 19100 44TH AVENUE WEST / P.O. BOX 5008 LYNNWOOD, WASHINGTON 98046-5008 PHONE Enclosed is the completed Emergency Response Plan for the Lynnwood Wastewater Treatment Plant located at 17000 76th Avenue W., Edmonds, WA. This is required by SARA III. This plan was developed with the assistance of the Lynnwood Fire Department Haz/Mat team and is being submitted to D.O.E. and ESCA. If you need further information, please call me. Sincerely, CITY OF L NWOOD < V, DON DAVIS Treatment Plant Supervisor Public Works Department DD:smh 3329E1/4 Encl. RECEIVED SUN 2 5 1993 EDMONDS FIRE DEFT. r t CHLORINE LEAK A fire in or around a chlorine leak is the most serious hazard. Chlorine containers shall be removed from a heat source (fire, etc.) because the fusible plug will melt at 158 ° F. Refrain from using water to control the spread of chlorine. The resulting solution will be an acid that may prove more hazardous than not spraying with water. When a chlorine leak is detected and/or an alarm has been given, the following events should occur: 1. Determine the source and severity of the leak: a. Notify all plant personnel. b. Chlorine leak too large to contain - call 911. C. Leak identified and workable - go to step 2. 2. Two (2) people shall don the SCBA units and proceed as follows: a. Shut off the valves at the one ton containers. b. Locate the leak by passing the ammonia swab adjacent to the chlorine feed system. 3. If the leak is located at the one ton container and requires equipment from the chlorine institute emergency kit "B" to contain, evacuate the building and proceed to the blower control room. Call 911 for emergency response. The address of the plant is 17000 76th Avenue W., Edmonds, WA 98026. Deny entry to the plant to any other personnel. The senior operator present shall account for all employees. Rescue shall not be performed without appropriate protection. 4. Once the leak has been secured, let the ventilation system evacuate the area before proceeding with the cleanup operation. 5. Once the above procedures have been completed: a. Notify plant personnel of status. b. Notify plant supervisor. C. Complete report. DD:smh 06/21/93 3329E1/2 Pape _� of I pages Form Approved OMB No. 2050-0072 EMERGENCY AND HAZARDOUS FOR Tier One. CHEMICAL INVENTORY OFFICIAL 1D N Aggregate information by Hazard Type :ONLY . Date Received Important: Read instructions before completing form Reporting Period From Jonuary 1 to Deoernber 21. to Ls' 7 Facility Identification .. 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A, M N l4 13e L ayed a)(Chronic)® © __J4X,C, -IZ 46"JF 2 Certification (Read and sign after completing all sections) I ceftify under penalty of law that I have personally examined and am familiar with the information submitted In this and all attached documents, and that based on my Inquiry of those Individuals responsible for obtaining the Information, I believe that the submitted Information is true, accurate and complete. , / i a e% r�l ) n • 1_ ii 1 I . , .,., 1/ 11 ofliciOYtitle of owner/qi5erNor OR owner/operator's authorized representative �7 ' Reporting Range Ranges Value 00 01 02 03 04 05 06 07 08 09 10 Weight Range In Pounds From... To... ►d C f C I C c D 0 99 100 99 MAR 31988 1000 9.999 10,000 99.999 100.000 999.999 1,000,000 9,999.999 10.000,000 49.999.999 50,000,000 99.999.999 100.000,000 499.999.999 500.000.000 999,999.999 1 billion higher than 1 billion