200 2ND AVE S (3).7: 7
Z,,j L) FIRE PREVENTION
Serviizg Brier, Eanionas, and 12425 Meridian Ave S
INSPECTION REPORT
"NOROMISH-CO! Mout7dake Terrace Everett, WA 98208
PIRE
0 EDMONDS
1] BRIER_
Phone (425):551-1200
El MOUNTLAKE TERRACE
0 UNINCORPORATED
DISTRwww.FireDistrict].org Fax-(425) 55'1-1272
200 2 nd Avenue S 98020
F4EQuE STAT 16 SHIFT*'
nnualcy F
1
LOCATION: -71(-023?-
Wastewater Treatment Plant 425i���
SCHEDULED Feb 2017
BUSINESS NAME: PHONE:
DATE DUE �
MAILING
64f 2U2
LIFIR 0
ADDRESS:
BUSINESS OWNER:' A HOME PHONE:
ql,'5- qoj - -1776
EMERGENCY-1: HOME PHONE:
CURRENT
KEY ACCESS-2: HOME PHONE:
r - C. 4,- ej W 4 L
CITY YES N 0
BUSINESS F-1
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
-IRk:bYbIl=lV1b: AS12/1 FE2/1112:00:OOAM
Date Last Serviced: 4(,-(
HAZARDS FOUND AND LOCATIONS /10MMUNICATIONS
- re-
2
2
3 3
4 4
5 5
6 6
7 7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION 2nd RE -INSPECTION FINAL RE -INSPECTION -
EXTENSION VIOLATIONS
DATE DUE. DATE DUE. GRANTEDTO:
CITED:
DATE DUE.
PERSON PERSON
PERSON
CONTACTED: CONTACTED:
CONTACTED:
2
INSPECTOR. INSPECTOR- INSPE TOR-
1 3
DATE. DATE DATE:
CITATION ISSUED
VIOLATIONS VIOLATIONS PRE -CITATION
4
1 5 1 5 LETTER SENT NUMBER:
CODE 5
2 6 2 6 DATE, SECTION
RETURN RECEIPT
RECEIVED 6
�7, 3 7
DISPOSrTION
7
4 8 4 8 DATE
LETTER NEEDED YES NO LETTER NEEDED [] YES El NO
18
FIRE PREVENTION
Seij�ing Brier, Ednionds, and
12425 Meridian Ave S
INSPECTION REPORT
SPOHOMISH Co.
Mountlake Terrace
Everett, WA 98208
0 EDMONDS
[1 BRIER
I
DISTiFIRE
fflT_
Phone (425) 551-1200
Fax 551-1272-
[] MOUNTLAKE TERRACE
El UNINCORPORATED
www.FireDistrictl.org
(425)
FREQUENCY
STATION 1, SHIFT
LOCATION: 200 2 nd Avenue S 98020
AnnL
17-A
I
Wastewater
BUSINESS NAME:
Treatment Plant
4257752525
PHONE:
SCHEDULEDFeb 2015
DATE DUE II'
647202
MAILING
UFIR �
ADDRESS:
Zuvela, Curt
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS 1:1 El
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
\p4(c( _0 I ILI
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
1 t?s,
V, I%VVVJ _W
2
'000,
2
3
3
4
4
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
4
18
_3
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES [I NO
LETTER NEEDED F] YES [I NO
FIRE DEPARTMENT COPY
City of Edmonds
Edmonds Waste Water Treatment Plant
2002 nd Ave S Edmonds Wa. 98020
Tuesday June 30th 2015
I met with Pamela Randolph (manager) and Curt Zuvela (supervisor) at the treatment plant.
The "watch for me" system has been newly upgraded and has had some problems in the past but they
believe the newest upgrade has eliminated these problems. The system is used when there is only one
employee working at the plant. The system call's the employee on the radio and if that employee does
not get to a disarming station the system will call Snocom and then 4 other employees of the treatment
plant. The employees will respond to the plant to assist fire department. The system was reprogrammed
and tested with FM19 in attendance. The system performed as it was intended. It comes across all
radios and computer screens to alert them during the normal business hours.
In addition:
1. Should we add the phone number to the radio used by the single employee to premise
information? If they were trapped but able to communicate the radio can be called by fire
captain for location and rescue. That number is 425-712-0423.
2. We have pre -fire maps in our apparatus but they also have four larger, laminated copies just
inside the office doors. Knox box is up to date.
3. They would like to extend an invitation to the department to do rescue drills at the plant. This
would familiarize crews to the facility but does not limit the rescue team to only treatment plant
scenarios. With their concrete pits and structure it could easily simulate a freeway overpass or
concrete tilt up structure.
4. 1 will extend this invitation to the Battalion Chiefs through BC Hepler, who in turn can work with
the training division. My thoughts were some area familiarization / meet and greet, short drill in
the near future and followed in a few months with a more structured drill. This of course is
totally up to the Battalions, training and the needs of the department.
S. Contact information:
Pamela Randilph, Manager 425-409-4776
Curt Zuleva, Supervisor 425-771-0237 curt.zuvela@edmondswa.gov
....... FIRE PREVENTION
124 INSPECTION REPORT
SNOHOMISH CO. Serving Briet; Edindnds, and ��eridian Ave S
EIEDMONDS
Mozinflake Terrace" t4tett, WA 98208 BRIER
FIRE Phone (425)� 551-1200 0 MOUNTLAKE TERRACE
[I UNINCORPORATED
DISTRItIT wwwFireDistrictLorg Fax (425) 5514272
FREOUENCY STATION & SHIF"I
LOCATION: 200'2 nd Avenue S 98020 Annual -117-0
BUSINESS NAME: Wastewater Treatment Plant PHONE: 42577525025 SCHEDULED Feb 2014
DATE DUE I` -
MAILING UFIF447 202
ADDRESS:
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: HOME PHONE:
2 7) CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS F]
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: 7
FIRE SYSTEMS: AS�-d, 8 FE //VFDLkE)o.x//jr-,,J
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3 AL�A:F�?
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE.
DATE DUE,
GRANTEDTO,
DATE DUE:
CITED.
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
INSPECTOR:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE'
3
VIOLATIONS
VIOLAT
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
41,
CODE
5
2
6
DATE:
SECTION:
13
RETURN RECEIPT
6
3
7
3.
7
RECEIVED
DISPOSITION:
.4
.8 )n
4
.8
DATE:
LETTER NEEDED [-] YES PINO
LETTER NEEDED F1 YES El NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO:'
FIRE
" Mountlake: Terrace, and
Everett, WA 98208
OEDMONDS
0 BRIER
STIR,
40,
a�_12 the T6Wh of W6odi4y
T
Pho'ne-.(425)- 551-1200
E]WOODWAY
Ej MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
[1 UNINCORPORATED
FREQUENCY STATION & SHIFF"
LOCATION:
201) 2nd Avenue S
365 17 C
I
BUSINESS NAME:
Wastewater Treatment Plant
PHONE: 42�7752525
SCHEDULED
DATE DUE 1'
MAILING
200 2nd Ave S
UFIR � 647 2202
0 ADDRESS:
Edmonds 98020
BUSINESS OWNER:
KQkft���,
HOME PHONE:
PREFIRE
EMERGENCY-1:
Zuvela, Curt
360631116
HOME PHONE:
�'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
El 0
LICENSE
P RSONCONTACTED:
INITIAL INSPECTION DATE
113
NAME OF INSPECTOR:
FIRE AS 6/08 I'D LkBx
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SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
Ra'f
ire. - L-_-LA-R_4j
1
-4 L(z
2
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6cXk
2
3
3
i
4
4
5
5
6
6
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:'�—\n /V.
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPEcToe-. i
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLA I NS
1
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
L
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
1
6
4
8
4
18
DATE:
DISPOSITION:
\1 LETTER NEEDED [] YES El NO
LETTERNEEDED F] YES NO
8
FIRE DEPARTMENT COPY
z000�
CITY OF EDMONDS
FIRE DEPARTMENT
510,
PERMIT
01
01
November 6, 2012 N/A
November 2012
Date of Issue UFIR Number
Date of Expiration
0'11
This PERMIT is issued to:
John Lucasini
located at:
I WWTP: 200 2nd Ave S
Edmonds, WA
Ffoengage in the bu siness, occupation or process of:
HOT WORK OPERATIONS
0/
10
And shall constitute permission to maintain, store, use
or handle materials or to conduct
process which produce conditions hazardous to life or
property or to install equipment used in
0/
connection with such activities as follows:
Po'
01
100.
01
0
0
10
0
FA—Ilowed Occupant Load: N/—A--]
0
10,
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT.
0
0
0
Fire Marshal R
Fire Prevention Division
This Permit Must Be Posted At All Times in The Premises Mentioned
Above
City of Edmonds Community Development Code 19.25.020
CITY OF'EDMONDS
DEPARTMENT OF FIRE PREVENTION
PERMIT
.re'. 5��
January 1, 2011 647-001-02Z-202 December 31, 2011
Date of Issue UFIR Number Date of Expiration
I This PERMIT is issued to: I COE Wastewater Treatment Plant I
I located at: 1200 2nd Avenue South S I Edmonds, WA I
I To engage in the business, occupation or pr cess of: I
And shall constitute permission to maintain, store, use or handle materials or to conduct
process which produce conditions hazardous to life or property or, to install equipment used in
connection with such activities as follows:
Welding operation, storage and closed use of hazardous materials: Sodium
hypochlorite, sodium bisulfite, sodium hydroxide, diesel fuel
I Allowed Occupant Load: I -- 77�]
Pursuant to the provisions of the International Fire Code, any violation of the Code may be
grounds for the revocation of this PERMIT. I
This.permit does not take the place of any
license required by law and is not
transferable. Any change in the use or
occupancy of premises shall require a new
permit.
FirqMarshal,J
Debbrtment of Fire P
This Permit Must Be Posted At All Times in The Premises Identified Above
City of Edmonds Community Development Code 19.25.020
APPLICATION FOR PERMIT
FOR MATERIALS OR PROCESSES
January 3, 2012
Please verify and correct the following information:
Name of Company (DBA):
COE Wastewater Treatment Plant
Edmonds Location
200 2nd Avenue S
In conformity with the
terms of the International
Fire Code, application is
Welding operation, storage and� closed use of
hereby made to store, use
hazardous materials: Sodium hypochlorite, sodium
or maintain the following
bisulfite, sodium hydroxide, diesel fuel
activity, storage or pro-
cesses:
c/o Edmonds WWTP - 200 Second Ave S
Mailing Address:
WWTP Manager
Edmonds, WA 98020
EFD LIFIR #:
64700102Z202
(for office use)
Your Signature
Your Name (print).
-e
Your Title
Please make corrections, attach $40 payable to the City of Edmonds and mail to:
Fire Marshal
Department of Fire Prevention
121-5 th Avenue North I
Edmonds, WA 98020
FOR OFFICE USE ONLY
Rec'd
Check#
I Print For
Tier Two Emergency and Hazardous Chemical Inventory
Specific Information by Chemical
Revised October 2008
Community Right -to -Know
(REQUIRED INFORMATION)
ID #: WAD980738736
(12-digit number beginning with CRK or WA)
Facility Identification UBI/DOR#:
Name EDMONDS WASTEWATER TREATMENT PLANT
Main Contact Name PAMELA RANDOLPH Email PAMl:LA.KANL)ULFH@tL)MUNU
Title PLANT MANAGER Phone 025) 771-0237 Fax #25 ) 771-0255
Address 200 SECOND AVENUES.
Mailing Address Must be included if different from Facility Address
Address 200 SECOND AVENUES.
City EDMONDS State WA Zip 98020
City EDMONDS County SNOHOMISH StateWA Zip 98020
Latitude 474736 Longitude 1222232
NAICS Codel 12112111312 10] Dun & Bradstreet No. I I I I I JED
Emergency Contact
Name PAMELA RANDOLPH Title PLANT MANAGER
Phone (425) 409-4776 24-hr. Phone 425 ) 771-0237
Name CURT ZUVELA Title PLANT SUPERVISOR
Phone 0601 631-1246 24-hr. Phone (425) 771-0237
Owner/ Name CITY OF EDMONDS
Operator Street 121 5TH AVENUE N.
City EDMONDS State WA Zip 98020 Phone (425)775-2525
Important: Read all instructions before completing form.
Reporting Period: From January I to December 31, 2012
10 Subject to section 11 2r of Clean Air Act
Chemical Description
Physical and Health
Hazards
(check all that apply)
INVENTORY
Storage Codes
Container
Type Pressure Temperance
Storage Locations
(Non -Confidential)
CAS 10 1618114117116113 14 116 11 Trade SecretM
Chem. Name DIESEL FUEL #2
FrX-7] F ire
Sudden Release
dof Pressure
0 Reactivity
IM Immediate (acute)
Delayed (chronic)
42,900 Max. Amount (lbs.
Avg. Amount (lbs.)
Max. Daily Amount (code)
M4 Avg. Daily Amount (code)
No. of Days On -site
B
I
LIST IN PARKING LOT
EHS Name
Check all irl LM X1
that apply pa-" M—ix Soi LiqEd T(�"7a_s
ure Eq
CAS 11011011 111311 111 7 3 F21 Trade SecretEl
-0 M
Chem. Name SODIUM HYDROXIDE
Fire
Sudden Release
9 of Pressure
ri Reactivity
I Immediate (acute)
FRI Delayed (chronic)
Iff
[IFire
Sudden Release
bof Pressure
Reactivity
Immediate (acute
�acute)
Delayed (chronic)
Max. Amount (lbs.
Avg. Amount (lbs.)
M4 Max. Daily Amount (code)
Avg. Daily Amount (code)
No. of Days On -site
62,945 Max. Amount (lbs.
Avg. Amount (lbs.)
4 — Max. Daily Amount (code)
gAvg. Daily Amount (code)
4
No. of Days On -site
C
0 El
C
Ll E] E
TANK IN NE CORNER OF LOWER LEVEL IN THE 600 BLDG
EHS Name
Check all M M ELI 11E] [0 113
that apply Pure Mix Solid Liquid Gas EHS
TWO TANKS IN THE CHEMICAL STORAGE RM - NE
CAS 11011011711611811 111.5 12 10 11 Trade S.cmtQ
Chem. Name SODIUM HYPOCHLORITE
(-UKNtK Ul- I Nt bUU 131-DU
EHS Name
Check all X X
that apply Pure Mix olid Liquid Gas EHS
Certification (Read and sign after completing all sections)
I certify under penalty of law that I have personally examined and am fwniliar with the information-s
individuals responsible for obtaining the information, I believe that the submitted information i's true,
PAMELA RANDOLPH, PLANT MANAGER / Q,-S!; �
Name and official title ofowner/operator's authorized representative
Signature
pages one thru L_ and that based on my inquiry of these
'4, "mp'et)e 2.14.12
Date Signed
OPTIONAL ATTACHMENTS
I have attached a site plan
I have attached a list of site coordinate
abbreviations
I have attached a description of dikes and other
safeguard measures
CITY OF EDMONDS
1215- AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
t S9
LOCATION: 200 2nd Avenue.. S
BUSINESS NAME: Wastewater Treatment Plant
MAILING 200 2nd Ave S
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257752525
1
ADDRESS: Edmonds 98020
BUSINESS OWNER: Koho,Stephen HOMEPHONE: 4256737113
EMERGENCY-1: Zuvela, Curt HOME PHONE: 3666311246
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION 11 SHIFT
365
17 A
SCHEDULED
DATE DUE 01
02/01/11
UFIR o 647
2202
PREFIRE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
cior- A4Z r-Ing I=n ! Lpv
SYSTEMS: q / io
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
T
1 11 - , 411
ENTER CODE ONLY ONCE 10
VIOLATION CODE
ck�.e�_ ALL e'
2
3
3
4
4
5
5
6
6
7
7
8
8
11st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED: ct)
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPE :)R:
2
DATE'Q
DATE,
DATE-
3
ONS
I o 15
�IIOLATIONS
1 5
PRE-CRATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
3
7
RETURN RECEIPT.
RECEIVED
6
4
.8
4
6
DATE:
DISPOSITION:
6
�, LETTER NEEDED E] YES n NO
LETTER NEEDED F] YES NO
FIRE DEPARTMENT COPY
IIIIII'MoM
09/27/2010 08:32 2062911498
SIMPLEX GRINNELL
PAGE 01
me
simplexerinne,11BE SAFE.
Tom 0 quarterly 0 Annual 0 3 Year E] 5 Year [:) PjW1Cd4
sm 1?189762 REPORT OF SPRINKLER INSPECTION Dater---MM010
CUSTOMER Waste Water Treatment Plant NSPECTOR NAME Kevin Fisk
MMK.PXGRMP W:LL OFFICE fm
200 2nd Ave 8 1
200 2nd Ave S. 9520 Mh Avenue S, Suite 100. Seaft, WA
ITY I STIPROV I ZlPfP`C Edmonds WA—M020 PHONE# 206.291.1400
.rrhi. Kirk VIck -- I
1, GENERAL (To be answered by Customer.)
a. Hav& there been any changes in the occupancy classification, machinery or operations since the last inspection?
b. Have there been any changes OF repalm to the fire protedion systems since the last Inspection?
a It a fire has occurred since the las(inspodion, have all damaged �pd kler systern components been replaced?
FIf "yes- to a. b or c. list changes In Section IS.
d. Has the pong in all dry systems been chocked for proper pkA within the post No years?
Date last checked: (chock recommended at least every 6 years)
e. Has the piping in all systems been checked for obstructive materials?
Date lea chacked: Unknown (check required at least overy 6 years)
f. Have all fire pumps been tested to full capacity using hose Mmams or" mamm within the past 12 months?
9. Are gravity. surface or pressure lank' proitected from freezing? I
h. Standard sprinklers 60 years old or older? [j OR (20yr) []Dry (10 Vr) a325F/163C (5W) E]Cormlve env/1. (5yr.)
(Testing or replacemant required for them types of sprinklers -)
I. Are any extra high temperature solder sprinklers regularly exposed to temperatures near 3ODF/149C?
j. Have gauges been toMed. calibraW of replaced in the %at 5 years? Date unknown
k. Alarm valves and associetedl trim been internally ins post 5 years? Date
1. Check vaNv3 internally inspected in The lost 5 years? Date
m. Has the private fire main been now tested in lost 6 years7 oats
n. Standpipe 5 year MquIl11M@nt3-
11. Dry standPIP0 hydrostatic test Date
2. Flow test Date
El I
Ll I
E]
Ll
3. Hose hydroslatic test Date
4. Pressure control valve test Date
5. pressure reducing valve test Date
a, Have pressure reducing volves been tested at fun raw within the past 5 years? Date
El I
q. How master pressure reducing valves been tested at fun Raw within the past I yeaf?
r. Have the sprinkler systems been extended to all areas of the building?
s. Am the building areas protected by a wet sysiern heated, including its blind affics and perimeter areas?
Im
It, Am all exterim openings protected against the entrance of coldl W7
2. CONTROL VALVES
2. Are all sprinkler system main oontrol valves and all other valves In the appropriate open or closed position?
b. Am all oontrol valves sealed or supervised In the open position?
Eff Pnmmm
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09/27/2010 08:32 2062911498
SIMPLEX GRINNELL
PAGE 02
SimplexGrinnell sE sA FE.
REPORT OF SPRINKLER INSPECTION Pne 2 of 4
3. WATER SUPPLIES Pressure Fire Pump & Tank Li
a. Water supply sources? City: Gravity Tank; E] Pressure Fire Pump & City El
Main Drain Text Results Made During This Inspection Prerumm Fire Pump & Pond E)
Tam
Pipe
Located
Size
Test
Pipe
Static Supply
Pressure
Before
Residual
Pressure
Return tim
to Static
Pressure
Test
Pipe
Located
Size
Test
Pipe
Static Supply
Pressure
Before
Residual
Pressure
Return time to
Static
Pressure
basecrant @ riser
2 inch
130
120
4.TANKS. PUMPS. FIRE DEPT. CONNECTIONS YESI NA I NO I
a. Do fire pumps, gravity, surface or pressure tanks appear to be In good external conditions?
b. Are gravity, surface and pressure tanks at the proper pressure and/or water levels? 4 Li
c. Has Do storage tank been Internally inspected In the last 3 ym. (unfined) of 5 yrs. (fined)? Date: 4
d. Are Rm dept. connections in satisfactory condition, couplings free, cap& or plugs in place and check valves fight.?
e, Are fire dept. connections visible and accessible?
5. WET SYSTEMS
a. No. of systems: I Make & Model 4Automatic 373
b. Am cold weather vaWS in ft rilippropriallo open or closed position?
If closed, has piping been drained?
c. Has the Customer been advised that cold weather valwas are not recommended?
d. Have all the anfifteeze systems been tested? Dow
'rho antifreeze tests indicated protection to: (Note temp & " for each. Example: -1 SF1126C
a- Did alarm valves, water flow alarm devices and retards test satisfactority7
6. DRY SYSTTEMS
a. No. of systems: Make & Model:
Dete lost trip tested: E] Partial Lj Full
b. Are ft air prissure and priming water WmIs normal?
c. Did the air compressor operate satisfactorily?
d. Air compressor oil chocked? El BeIt7E1
e. Were Auxiliary I Low Poird drains drained during (his inspection? No. of Drains:
Locations I ) 2)
3)
f. Did all quick opening devices operate satisfactority? Make:
g. Did all the dry valves operate satisfactorily during this Inspedion?
h. Is the dry valve house heated?
1. Do dry valves appear to be protected from freezing?
7. SPECIAL SYSTEMS
a. No. of systems: make & model:
Type:
b. Were valves tested as required?
c. Did all tout responsive systems OPemt* satisfactorily?
d. Did the supwwisory features operate during testing7
a. Has a supplemental test form for this system been completed and provided to the customee?
Auxiliary equipment: No. Type:
Location
Test results
V. ALARMS YES NA NO
a. Did the water motors and gong operate during testing? T71
b. Did the electric alarms operate during testing? Li 10 1
Q Did the supervisory elarms operate during testing) 7=
or -11 SF/-26C
(Please Mach)
SG71607 IRQV.01=) CopymgM 2" SinW&xGr1rwW1 LP. AM dutft ramONed
V
-1
09/27/2010 08:32 2062911498
SIMPLEX GRINNELL
PAGE 03
Simplex6rinnell BE SAFE.
REPORT OF SPRINKLER INSPECTION
9. SPRINKLEM - PIPING
a. Do sprinklers generally appear to be in good external condftn?
b. Do sprinklers generally appear to be free of oorrovion. paint, or loading a
c. Are extfa sprinklors and sprinkler wren ch available on the promises?
(0. size, finish, temp, brand. of spare hands)
d. Does the exposed exterior condition of piping, drain valves, check valves, h
and strainers appear to be satisfactory?
a. Does the hand hose on the sprinkler system appear to be in satisfactory co
I. Does them appear to be proper clearance betwen the top of all storage an
POP2014
visible ebstrucCiods?
YESI
NA
I NO I
U,
I Li I
D
U
-a
Ty
2noOM, pressure gouges, open gpiinklers
ndkion?
d the sprinkler deflector?
21
, 0
0
(33
Ia. EXPLANATION OF"NO"AkSWERS AND DEFICIENCIES. (Sectioneldthruil):
11. THE INSPECTOR SUGGESTS THE FOLLOWING NECESSARY IMPROVEMENTS. THESE SUGGESTIONS ARE NOT THE
RESULT OF AN ENGINEERING SURVEY AND 00 NOT REFLECT CONDITIONS ABOVE CEILINGS OR IN CONCEALED SPACES'
FDC and IPE and Gauges appear to be due for Syr service
12- ADJUSTMENTS OR CORRECTION$ MADE.
13. LIST CHANGES IN OCCUPANCY, HAZARD OR FIRE PROTECTION SYSTEM, AS ADVISED BY CUSTOMER IN SECTION I a-c;
14. INSPECTION DEFICIENCIES AND SUGGESTED IMPROVEMENTS WERE DISCUSSED WITH THE CUSTOMER /CUSTOMER rY-ES-r7N0
REPRESENTATIVE.
If No, explain.
PORTANT NOTICE To CUSTOMER Custwwacknvwk*es and agmes tN#. in the ab3enoe of a Smioe Agrearod betmn the parties, servim hereunder am perbmed pursuant
the leans and conditions ofthis Report agmm thil Or sarmes have bw cwnpkW to owbWs $940scW ard that ft writarnis in good wmtng orderand rWair, at= savloas
ob., were of a w4xinuy nab= in Which case Customer 6*V*j4es ro pan otaxwers rydn may hm bwn 4*nud or Is othawise Inopmble wo serft wn be
q-W . CUSTOMER'S ATTENTION 13 DIRECTED TO THE 1.1111III[ATION OF LIABILITY, WARRANTY, INDEMNITY AND OTHER CONDITIONS AT THE REVERSE SIDMD OF
US REPORT. This Agmemant has been drawn up aid exegAed in Erglish at ft request ol and with am U cwturmnoe of Cuftrer. Ce mrMd a ft r6d06 en anglals 6 Ia demande
am raew6nert du d" - -.0-
CUSTONER IA 0— 6 Ott &- e Z-A Date: QA�16 4LL INSPECTOR SIGNATURE
PRINT NAME
DUPLICATE TO:
STREET:
CITY, STATE AND ZIP:
ATTN:
ri As CopyriqM 20D8 Sioo*�GtVmH LP. AM Aghft Memed.
mmimIA IFA ie ASAM-11 RX ICAACP
8071607 (Rew-010)
......... .
. . . . . . . . . .
.. ...... ...... ....... ....... ......
rX ' ;01 F%"'
. . . . . . . . . ... .... ;.
......... ..... .
RED
19023 36thAv. W, SUiL-.E,Ly1hiLVvud, WA -48036 U.S.A.
(425) 771 -1166 Fax (421) 771-4472
Occupancy Name:
Building Owner..
Owner Agent:
Certification Given
FIRE ALARM SYSTEMS
(One System per Report)
YELLOW I WHITE te"'
CONFIDENCE TEST I V
REPAIRS
I larbor M=o- Condo Occupancy Address: Mo - Id Ave N 4302, Ednionds
'14
Pacific Nortiiwcst Propvrty NignA Phone Number: (421) 775-9828
25
Dick Potter Phone Number: (4:���-
Date of Inupectio * n: 040)/2010
Testers Name: Kcm Day
D)OO 87F-
L
r— E== ID
Inspection Type: V �Annual Quarterly
SFD Certific ion Nii V- SCP--- -C-4U3
Monitoring: Phone ff:-ZC,600-? 5'2- Account#:
FACP Manufacturer: FLI Model #: 7100-2D Locafion:-1—'--'fjr-
# of Initiating Circuit&: 2 # of Signal CirCUita: 2 Notes:
ALARM SYSTEM FUNCTIONALITY
Yes
No
N/A
All notification circuits operational?
L".1
All circuits chocked for electrical supervision?
All auxiliary equipment operates (elevators, fans, dampers)?
Key to panel available7
operating instructions at panel?
Trouble indicators function properly?
L'I'lo
oe
Test record posted at panel?
Signals received at central station? Operator #
Found:
Corrections Made: Date Corrected: 9//0
0 1 1 1 L- - - I----
CorrectedBy: Keo 04
SFD Certification
This certifies that this fire and life safety system has been properly inspected for reliability
to cover the items listed in this report and is consistent with Seattle Fire Department Fire
Code atandard3, and that docrepanc-ies are noted and have been reported to the building
Owner/Manager for corre_pdve 4tion.
Signature of Tester: Li"Nr Id— - Phone CAA 139 1140-3
Signature of Owner: - V A7— �:
SYSTEM DEVICES
MODEL#
TOTAL
TESTED
SATISFACTORY?
Yes
No
N/A
Ham/Strobes
UrIl'110Wurl
�tf 3?
Strobe Only
Ham Only
FC1 P241 10 + P241 I OK
1
Speaker/Strobes
Speaker only
gaundff Bafifi
laells
2
Manual Pulls
EdwarcL,
9
Photo Smoke Detectors
FCT ASDPL
5
Ion Smoke Detectors
Combination Smoke/Heat
135* Rate of Rise Heat
FCJ ATTAT.
19
2000 Rate of Rise Heat
135* Fixed Tamp Heat
2000 Fixed Temp Heat
Duct Smoke Detectors
Detector Remote Indicators
Remote Annunciators
Elevator Recall Output
Fan Pressurization
Door Holders
Door Unlock
Curtains/Rall-down Doors
Fire Fighter Phones
Main FACP /I'\
Trouble with AC off?
-
�Yq) No
Battery backup operational?
Ye No
Battery voltage (no load)
volts
Battery voltage (full load)
volts
Charge circuit voltage
volts
Battery Size
Del V
PanelType: %\
Trouble with AC off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
volt's
Charge circuit voltage
volts
Battery Size
PanelType:
Trouble with AC off 7
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battery voltage (full load)
volts
Charge circuit voltage
volts
Battery size
PanelType:
Trouble with AC off?
Yes No
Battery backup operational?
Yes No
Battery voltage (no load)
volts
Battory voltage (full load)
volts
Charge circuit voltage
volts
Beftry Size
City ofJOW
AhmFire Department
__��.ZDVANCED
,XFIRE PROTECTION, INC. CONFIDENCE TEST REPORT
Seattle Fire Department Confidence Testing �Offider: 206.386.1448, Fax:206.615.1068
DRY - A-UTOMATIC SPRINKLERS Certification Given
(NOTE: ONE SYSTEM PER REPORT) RE D 0 [YELLOW Ell WHITE -2
Date of Inspection: _// CONFIDENCE TEST., Annua$G-QuarterlyO Acceptance 0 1 REPAIRS: 0
Tester's Name (print): _-517,'1-5?�)l I sFDcerarcaffonNumbe.r.1- SCP--3-C6?,,,1--5,/`
Occupancy Name:
Occupancy Address: A/
Responsible Person:
Phone -Number:
Fuliding Owner's Name:
Building Owner's Address:
Contact Person:
-Phone Number:
Central Station monitoring? Yes-5- No El Control Panel Manul:acturer: Y-14
Monitoring Co. Name: Model Number:
Problems Found: (1fadditional room is required, plem add a separate sheet)
Corre(;bons Made: (if additibnal rwm is required, please add a separate sheet) Date Corrected: Corrected by:
The below items on the check list shall be inspected and tested. This list does not constitute all the required inspecting and testing
of the Fire and Life Safety system. Please refer to the Seattle Fire Department Fire Code for inspecting and testing requirements.
94. Was a Trip Test (dry trip) conducted?
96. The Dry System tripped in P3 seconds.
96. Was a Flow Test conducted?
97. Static Pessure: A 1 2 0 — psi Flow Pessure: 90 psi
98. Was 2" Main Drain checked?
99. Were all Flow Switches, Supervisory Switches and Alarm Bells tested?
100. Does the Alarm Bell operate ?
101. Does the Air Compressor refill the system in 30 minutes or less ?
102. Were all Heat Actuation Devices tested on the Pre -action and Deluge systems?
103. Were all valves inspected and lubricated ?
104. Were all valves "sealed" or supervised?
105. Are signs provided on all valves?
106. Are the Pumper Connections and Clapper valves unobstructed ?
107. Are the sprinkler heads less than 50 years old?
108. Is the sprinkler head coverage acceptable?
109. Are spare sprinkler heads available?
110. Was the system drained and restored to normal operation ?
OtherEj
N/A E]
N/A El
N/A-6-
Yes-&-- No Q
Yes-B, No Q
Yes Q_
No El
YesQ.
No E]
Yes-B-
No Q
Yes &
No El
Yes 0
No El
Yes_Q_
No Q
Yes4J.
No Q
Yes.Q.
No C3
Yes�9
NO. El
Yes-@_
No C3
Yes-2-
No C1
Yes-&
No C3
Yes-5-
No Q
This certifies that this Fire and Life Safety system has been properly inspected for
reliability to cover the items listed in this report and is consistent with the Seattle
Fire Department Fire Code standards and discrepancies are noted and have been
reported to the buildog Owner/Manager for corrective action.
Signature of Teste -
'���P h �an a - �42 5 �AR 3 - 1�
Testing Agency: Advanced Fire Protection, Inc. 425.483.5657
Mailing Address: P.O. Box 1543 , Woodinville, WA 98072
FIRE PREVENTION
1W OF EDMONDS
SAFETY SURVEY
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
41 843 0
" FREQUENCY
STATION & SHIFT-"
LOCATION:
201) 2nd Avenue
S
365
1 17 D
BUSINESS NAME:
Wastewater Treatment Plant
4257752525
PHONE:
SCHEDULED 02j()JI10
DATE DUE 1�
MAILING
200 2nd Ave S
UFIR 0 647 2202
ADDRESS:
Edmonds
98020
BUSINESS OWNER: -
Koho, Stephen
HOME PHONE: 4256737113
PREFIRE
-2,,
3(-o-(o_3( — f2q(O� 25-3
EMERGENCY-1:
4
HOME PHONE:
KEY ACCESS-2:
360-Rup5m
HOME PHONE:
APP+
Cv,+- ZUve-to, 3/11
e
PERSON CONTACTED: Cur
NAME OF INSPECTOR: v 14 f c0cs
INITIAL INSPECTION DATE
FIRE AS
6108 FD Lk8x
FE c> f / 10
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE I�
00- 0 1 OP 0 P-efe,�v
VIOLATION CODE
1 E X-0 5-
-1 PEL- G09-- 0"GP'3
2 P-Q
2
3 TP'r_L-W7i3- 01"3V4 tz�R-P,y
3 E)(0 5
4 T(Ir_-L,600_0(f�P309
4
5 09k
ab
5
C/
6
6
7
7
8 r I e--,N
8
In our continuing effort to promote fire safety and prevention within the community, your fire department. conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the City of
Edmonds.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the City of Edmonds.
Please call (425) 775-7720 within 30 days to schedule a reinspection.
Any overlooked hazards or violations of the fire regulations does not imply approval of such condition or violation.
If you require additional information or assistance, please contact this office by calling (425) 775-7720 between
the hours of 8 a.m. and 5 p.m., Monday through Friday.
BUSINESS COPY
HP LaserJet M2727nf MFP
Fax Confirmation Report
City of Edmonds FireDept
425-775-7721
Apr-14-2010 3:04PM
Job Date Ti me Type Identification
1054 4/14/2010 3:04:03PM Send 97710255
Duration Pages Result
0: 51 , I OK
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
.RE DEPARTMENT
- Z, - -, FAIR�5 "`1m7 'D-
2M 2nd Avenue S
4257752525 SCHE 0,
suE,,,SNAN.,: wastewater Trealm ant Plead PHONE: ON OM
021101/10
MALING 200 2nd Ave S 647 2202
ADDRESS: Edmonds BM20
euswEssowNER, Koho, Stephen HOME PHONE: 4256737113 PREFIRE
3(.C)-6.3*kN�1 12q('-1§30590W
ENIERnENCY- i: C�4 FKONE;
KEYA=SS-2; t'Sb~. Hoke PHOW
A P&- C—t- DXM
mno.co� C.4 0
NAMEor,"Pe�. H..+
LIKOX
ANNUAL
SYSTENIS:
Vo�
�OGFOMANDLOC�*NS/
TreL- ol opo�
2
P 'T I
13- (151`304 &A -a-/
,-Tw� . .....
a
7
in our continuing effort to Promote tire "rely and prevention within the community, your tire department conduct&
regularly scheduled 'Fire Safety Survey inspections" of all businesses and munl4amily occupancies in the City of
Fdmonda.
You are to be Congratulated on the relative good condition of your Occupancy in regards to fire safety. Above YOU
wfll find the Hernia) that were noted during our inspection Which require aftntion to bring thern Into compliance
with the minimum standards adopted by the City of Edmonds.
Please call (425) 775-7720 IthIn 30 days to schedule a reinspection.
Val of such condition or violation.
Any overlooked hazards Of Violation$ of the tire regulations does not imply appro 9 5)
If you requIre additional Information or assistance, Please Contact this office by callIn (42 775-7720between
the hours of 0 a.m. and 5 p.m., Monday through Friday.
BUSINESS COPY
FIRE PREVENTION
C ITY OF EDMONDS SAFETY SURVEY
1215- AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
4P St. 189 rj
LOCATION: 200 2nd Avenue S
4257752525
BUSINESS NAME: Wastewater Treatment Plant PHONE:
MAILING 200 2nd Ave S
ADDRESS: Edmonds 98020
HOME PHONE: 42�6737113
BUSINESS OWNER: - Koho, Stephen i
3C,0-4,31 253
EMERGENCY-1: +k&,44@n Cur� HOME PHONE: 36MY52
KEY ACCESS-2: t-ew ~1 HOME PHONE: I
FREOUENCY
�1(�N & SHIFT
365
17 D
SCHEDULED
02101/10
DATE DUE 11'
LIFIR Do 647
2202
PREFIRE
Appf- C v,+- 'Z,.j Vel 0,- 3/11 (P-
INITIAL INSPECTION DATE
PERSON CONTACTED: 31 ( I I
NAME OF INSPECTOR: Hvo+AyR'Tol& IM9 13, e- k c6fa i
I FE W to
FIRE AS 6/08—FD LkBx . . I
SYSTEMS:
^11d1'dUr%L-
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS ENTER CODE ONLY ONCE 0
TPE:L 100- 0
VIOLATION CODE
2 PeL FE P I a I /?—Q P114
2
0 (3p3V L4 1(,e P,,,"Y f /A -ty
3
3 E)(O
4 TPEL, 60
4
ex 4
5 'IF 10
5
I> d ----- —
6
6
7
7
Li L
8
8
In our continuing effort to promote fire safety and prevention within the community, your fire department. conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the City of
Edmonds.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the City of Edmonds.
Please call (425) 775-7720 within 30 days to schedule a reinspection.
Any overlooked hazards or violations of the fire regulations does not imply approval of such condition or violation.
If you require additional information or assistance, please contact this off ice by calling (425) 775-7720 between
the hours of 8 a.m. and 5 p.m., Monday through Friday.
BUSINESS COPY
—.,,o�DVAPNCED
P.O. Box 1543 , Woodinville, WA 98072
CONFIDENCE TEST REPORT
WET - AUTOMATIC FIRE SPRINKLERS
NOTE: ONE SYSTEM PER REPORT
Inspection Date: 07TCONFIDENCE
TEST: Annuall-jia,-QuarterlyQ Acceptance 0
1 REPAIRS: El
Tester's Name (pfint):11A;?0,(- 72
Certification Number.
Occupancy Name: cw,41 L�
: MA-�; 7, -)—t --, e — >
Occupancy Addressc=-C7;�044///:� Al
Responsible -Person:
Phone Number:—aZ2
Building Owner's Name:
I
Building Owner's Address:
I
Conta ct.Person:
Phone Number:
Central Station monitoring? Yes No Q Control Panel Manufacturer:
Monitoring Co. Name: /-1q9z42E�1 K---T)P - Model Number: /V - A
ProblemsFound: (Ifadditional room is required, please add a separate sheet.)
Corrections Made: (If additional room is required, please add a separate sheet.) DateCorrected: Corrected by:
The below items on the check list shall be inspected and tested. This list does not constitute all the required inspecting and testing
of the Fire and Life Safety system. Please refer to the local Fire Department Fire Code for inspecting and testing requirements.
80. Was a Flow Test conducted?
Yes
No E]
81. Static Pessure: Z-267 psi Flow Pessure: ?,5r psi
!10
Yeso
No [I
82. Was 2" Main Drain checked?
OtherQ Ye "ley
S
No El
83. Were all Flow Switches, Supervisory Switches and Alarm Bells tested?
N/A El Yes
No C]
84. Does the Alarm Bell operate ?
N/A E) Yes
No Ej
85 W6re all valves inspected and lubricated ?
Ye ; s�g
No Q
86. Were Pressure Regulating valves tested?
Yes 0
No
87. Were all valves "sealed" or supervised?
Ye sl�e
No E]
88. Are signs provided on all valves?
Yes
'No Q
89. Are the Pumper Connections and Clap per valves unobstructed ?
Ye�,ff
No 0
90. Are the sprinkler heads less than 50 years old?
N o Ef-
92. Are spare sprinkler heads available?
Y e -
s,�J
No D
93. Was the system left in service?
Yes a
No C)
This report certifies that this Fire and Life Safety system has been properly inspected for
reliability to cover the items listed in this report and is consistent wit , h the local
Fire Departme.nt.Fire Code standards and any found discrepancies have been noted
and reported, to the building Owner/Manager, for corrective action to be taken.
Signature of Tester:
Testing Agency: Advanced Fire Protection, Inc. Phone: 425.483.5657
Mailing Address: P.O. Box 1543 Woodinville, WA 98072
CITY OF EDMONDS
FIRE PREVENTION
FILE MEMO/HAZARD FORM
DATE REPORTED BY
OF
SUBJECT
ADDRESS: Nook
CONCERNS/ coto-Tp
HAZARDS:
SIGNE D
FOLLOW-UP:
ujr�l
Lbp,) -ro
Lk)
A-LL-
LA-))L-L- Of-) 51p PLL fz:�91� F;e�
C6ly3h/,) Lefc-(cA4A9 -r-pc-
M I L'i +cI T� c'ON-C6114 �J G- O-F�C6<1�6 (c-)A) -5717-9:
SIGNED
Fv�
DATE 2�t.�-j r
SUBJECT
ADDRESS: 2019
CITY OF EDMONDS
FIRE PREVENTION
FILE MEMO/HAZARD FORM
REPORTED BY L---
OF I
CONCERNS/ A` R-6."
HAZARDS:
AA
lEl
5,� c
SIGNED
FOLLOW-UP:
IN
14MM 10 F",Uj
C�c, -i-*.v P,,W
hWOO &-..I TL
A46-4&1- -M &+54-V
c_H_-.r- SpAtjz-e�- F::�qg_ tf., �c
c-c '70 7�� F-0 c-Nze7 _T4$"e_
Ce-IL-4 19V -0%96;0 4-r-- L--,17-P +-0 v
0� F-P.
GQ A-L,,, f:7'Clq 7V C&&& C'T- wl-,p
W, LL-
SIGNED
— It-f 17-76+1-�
-V --------------------------------------------------------------------------------------------------------
I ORDER #: 0309@
TOMER: F0403256 '444���,r P L,+,L//
rCH #: 033110018 STICKER #: 033110142
rs #: 23
'.CODE #: 0190951502116 r�,_e 0 �R"Atl;�5 J
ODUCT : X--jCEo`(50#) ---------------------------------------------------------------------
-------- -------- -------- --------------------------------------------- Page: I
MATERIAL SAFETY DATA SHEET: X—ICE (50#)
DATE OF ISSUE SUPERSEDES
1A000-000000- -4854 6/02/1998 5/26/1998
CVPMTAW T - nRWRR-AL INFOPMATION
Trade Nam & Synonyms
mical Nam & Synonyms X- ICE (50#
-------------------------------------------------------------------------------------------------------------------------------------------------------------
mical Familys Formula Mixture --> X
TMIXTURE ---------------------------------------------------------
---------------------------------------------------------------------------------------------------
ufacturer-8 Name.
,14SEARCH DIV. OF_NCH_CORP. -------------------------------------------------------------- ----------------------------------------
--------------- --- ----------------------------------
'rose'
: 152110
'ING, TX 7SO15
--------- ----- ------
---------------------------------------------------------------------------------------------------------------------- Emergency Phone Number
spared By. Product code Number
)ICKSON/CHEMIST 4854 --------------------- 800-424-9300 -------------------
---------------------------------------------------------------------------------------------------- ------------
SECTION 11 - HAZARDOUS INGREDIENTS
THE
HAZARDS PRESENTED BELOW ARE
THOSE OF
THE INDIVIDUAL
COMPONENTS
gradients)
!7191EH
Hazard
IRRITANT
TLV
Y_0MG/M3 1.
PRL '
Y5—MG/M3 2.
STEL
iFOT EST.
CAB *
10043-52-4
IRRITANT
10MG/M3 1.
15MG/M3 2.
NOT EST.
07647-14-5
DIUM CHLORIDE
IRRITANT
IOMG/M3 1.
ISMG/M3 2.
NOT EST.
07447-40-7
TASSIUM CHLORIDE
IRRITANT
IOMG/M3 1.
15MG.M3 2.
NOT EST.
10476-85-4
RONTIUM CHLORIDE
SECTION IIa - NON -HAZARDOUS INGREDIENTS
(NON -HAZARDOUS INGREDIENT NAMES AND CAS NUMBERS ARE PROTECTED UNDER NJ TRADE)
Secret Registry #: 409363-5086
SECTION III - PHYSICAL DATA
'iling Point M. �1500
Specific Gravity - (H20-1) ------------------
--------
�.2 ------------------------------------- --------
---
-----------------------------------------------------------------------------------
spor Pressure (XK HG) s 0.005
Color -------------------------------------
------
WHITE --------------------------------------------
-----
----------------- ---- -------------------------
apor Density (Air-1). N/A
Odor.
ODORLESS
-----------------------------------
---------------------------------------------------------------------------------------------------------------------------
Clarity.
OPAQUE
R 0 100% , N/A
------------------------------------------------
------------------------------------------------- ------------------------------------------------------------
Evaporation Rate (BU_A/C.1) ---------------
N/A
Volatile by Volumes < 1
- -
----------- ---- --- -------
-------------------------------------------------
-- --------------------------------------------------------------
.20 - Solubility- APPRECIABLE
--------------- --------------------------------------------------------------------
Viscosity. --------------------------
GRANULAR -----------------------------------------
--------
CVrTTnW TV - FIRE AND EXPLOSION HAZARD
,lash Point Flammable Limits LEL UEL
ION -PLAN / T.C.C. N/A N/A N/A --------------------------------------
----------------------------------------------------------------- I -------- -------------------------------------------- ---
txtinguishing Media Chemical X —Water Spray Oth r
C -Foam X .--Alcohol Foam X -0O2 ....... X_Dry ---------------------------------------------------------------------------
---------------------------------------------------- - ------------------------
�pecj&l Fire Fighting Proceduress AND L PROTECTIVE GEAR. CHOOSE EXTINGUISHING MEDIA BASED
PRODUCT IS NON-FLAMMABLE. FIREFIGHTERS SHOULD WEAR A SELF-CONTAINED BREATHING APPARATUS FUL
)H THE NATURE OF THE SURROUNDING FIRE. I -------------------------------------------------
-------------------------------------------------------------------
Unusual Fire and Explosion Hazards.
N/A ----------------------------------------------------------------------------
----------------------------------------------------------------------------------- I
Aerosol Level (NFPA_30B) , .... N/A -------- --------------------------------------------------------------------------------------------------------------
------------------- ----- ------------
NFPA 704 Hazard Rating (0-insLgnificant J.Slight 2.Moderate 3.High 4-Rxtre=)
2 —Health 0 —Flammability 0 —Instability —Special ------------------------------------------
----------------------------------------------------------------------------------- ---------------------------------
RMrTTON V - HEALTH HAZARD DATA
Threshold Limit Values
NOT ESTABLISHED FOR MIXTURE. SEE SECTION 11 -------------------------------------------------
---------------------------------- ------- ---
Effects of overexposures
-Acute (Short To= Exposure)
EYF -IWTACT� DUSTS CAUSE SEVERE IRRITATION WITH POSSIBLE CORNEAL INJURY. WHEN DISSOLVING, THE HEAT PRODUCED MAY CAUSE MORE INTENSE EFFECTS AS WELL AS
TH BURNS. SKIN CONTACT: WHEN DISSOLVING ON WET SKIN, THE HEAT PRODUCED MAY CAUSE IRRITATION AND EVEN THERMAL BURNS. MAY CAUSE MORE SEVERE
INHALATIONt MAY CAUSE RESPIRATORY IRRITATION SEEN AS COUGHING AND SNEEZING. INGESTION: MAY
R& E IF THE SKIN IS ABRADED (SCRATCHED OR ABRADED) IARRHEA
CAUSE IRRITATION WITH POSSIBLE ULCERATIONS, NAUSEA, VOMIT- ING_AND_D - ---------------- -------------------------------------------------------------
-------------------------------------------------------------- --- ----------------
-Chronic (Long Term Exposure)
NO CHRONIC EFFECTS KNOWN. MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE ARE PRE-EXI�TING SKIN CONDITIONS SUCH AS DERmATiTIS. TARGET ORGANS: NONE KNOWN.
MATERIAL SAFETY DATA SHEET: X-ICE (50#) Page: 3
SECTION XI - REGULATORY INFORMATION (Continued)
ise ingredients listed above are subject to the reporting requirements of 313 of Title III of the Superfund Amendments and Reauthorization Act Of
:6 and 40 CFR part 372.
I --------------------------------
,ase call 1-800-527-9919 for additional information if you are a California customer.
g is not intended,for users in the state of California.
SECTION XII - REFERENCES
RESHOLD LIMIT VALUES FOR CHEMICAL SUBSTANCES AND PHYSICAL AGENTS AND
jLA)GICAL EXPOSURE INDICES, ACGIH, 1997.
OSHA PEL.
VENDOR'S MSDS
E, OF THE COMPONENTS WITHIN THIS PRODUCT CAN BE FOUND IN THE CURRENT TSCA
VENTORY.
------------------------------------------------------------------------
PR;IRRITANT, FLAM/ FLAMM: FLAMMABLE, COMB .COMBUSTIBLE, CORR:CORROSIVE
RC:CARCINOGENIC, TOX:TOXIC, N/A:NOT APPLICABLE, NIE:NOT ESTABLISHED,
C:CLEVELAND OPEN CUP, PMCC: PENSKY -MARTIN CLOSED CUP, TCC:TAGLIABUE CLOSED
P, LEL:LOWER EXPLOSION LIMIT, UEL:UPPER EXPLOSION LIMIT, NFPA-.NATIONAL
RE PROTECTION ASSOCIATION, IARC: INTERNATIONAL AGENCY FOR THE RESEARCH ON
NCER, NTP:HATIONAL TOXICOLOGY PROGRAM, OSHA: OCCUPATIONAL SAYETY & HEALTH
MINISTRATION, ACHGIH:AMERICAN CONFERENCE OF GOVERNMENTAL INDUSTRIAL
GIENISTS, TLV:THRESHOLD LIMIT VALUE , PEL,PERMISSIBLE EXPOSURE LEVEL,
KL�SHORT-TERM EXPOSURE LIMIT, MLD t MILD, MOD;MODERATE, SEVzSEVERE,
T.MUTAGENIC, ASPHYX:ASPHYXIANT
- ----------- --------- ------ -- ----- -- ---- -------
2 - INFORMATION - CONTAINED - HEREIN - IS - BASED - ON - DATA CONSIDERED ACCURATE IN LIC31T OF CURRENT FORMULATION- HOWEVER, No WARRANTY IS EXPRESSED OR IMPLIED
:UARDING THE ACCURACY OF THESE DATA OR THE RESULTS TO BE OBTAINED FROM THE USE THEREOF'
=SEARCH DIV. OF NCH CORP. assumes no responsibility for personal injury or property damage caused by the use, storage, or disposal of the product
L a manner not reco=—Aed on the product label. Users assume all risks associated with such unrecommanded use, storage, or disposal of the
.oduct.
---------------------------------------------------------------------------------------------------------------------------------------------------------------
Lj
M A T E R I A L S A F E T Y D A 'E i, T
24-hour Emexgency Phone: (800)255-3924 Page I
PRODUCT CODE:
PRODUCT NAME:
SLIPN- SLIDE I-L-119 CODES: H C F R P
PRODUCT CODE: 5699
VHMIS CIASS:
SECTION I - MANUFACTURER IDENTIFICATION
MANWACTURER'S NAbE: ATCO International
ADDRESS 2126 King5ton Court
Marietta, CA 30067-a902
INFORMATION PHONE (770)-324-7550
I DATE PRINTED: 11/03/200-2
PREPARED BY: LARRY E_ OBERT, DIRECTOR OF TEC�[NIC� " - I
"RV ICES
REVISION DATE: 07/Zg/2002
SECTION II HASARDOUS INGREDIENTS�'��
x III INFORMATION
REPORTABLE COMPONENTS i WEIGHT
CAS-------------------------------------------------------- P EL
---------- .-----.----TLV ------ PERCENT
LPG PROPELLANT
'000PPm 1000pp.-n
HEPTANE 142-82-1 400-ppm 400ppm
PHYSICAL/CMUCAI, CFARAC
TERISTICS
15OILING RANGE: 1.56 F SPECIFIC �-R!vj-jy (H20=1)
VAPOR DENSITY: N71:1 EVAPORAull-Os"RIATE: NID
DENSITY: 9-17 lb/gl HATERIAI
SOLU15ILITY IN WATE
R: INSOLUBLE.
N7,
APPEARANCE AND ODOR: SMCVM GREY GREA3E_ PH (Diluted) IU�
ODOR: SOLVENT -LIKE -
SECTION IV - FIRE AND EXPLOS]EDE HxizApD DATA
OSHA FLAMMILITY CLASSIFICATION: CLASS 11
FLASH POINT: 122 F
FLAMMABLE LM�Em IN AIR DY VOLUME- LOWER: 1_1
UPPER:
EXTINGUISHING MEDIA: Dry chemical!%, Foam, or C2r�>:?L�
SPECIAL FIREFIGHTING PROCEDURES: None -
UNUSUAL FIRE AND EXPLOSION HASARDIS: Expo!5ure to a
,cau!5e bur5ting- 6ove 120 deg-F may
SECTION V - REACTIV7'--,,":f -,IATA
STA15ILITY: Product iz --table under normal
CONd1#IONS TO AVOID:,,C'j)en flame, 15park5, or. high -er'
�=a_) =Lre.
INCOMPATIBILITY" (MATERIALS TO AVOID) : Strong oxi-I z 4 "1 1
agent,z
MATERIAL SAFETY DA'-f".m sHEz—r
24-hour Emergency Phone: (800)255-;3924 Page 2
PRODUCT CODE: 5699
RMARDOUS DECCMPOSITION OR 13YPRODUCTS: Thermal and or bt�rn.Lng may
produce oxide5 of carbon and v2riou!s hydr0C2rbon---..
HAZARDOUS POLIMERIZATION: Will not occur under n:::.,z:�.-i;..L zondit--onz
== SECTION VI - HEALTH HAZARD DATA, ===-- - --
PRIMARY ROUTES OF ENTRY: Inh2lation X Ey-n t'=-t�zct, X
Shin Contact X
EXPOSURE LIMIT: Pefer to Section II for PEL / TL��il- �-ixpo I 5ure 13-mit!s-
ACUTE EFFECTS OF OVEREXPOSURE
INHALATION: ,
May .
cau!5e. diz ,in�z5. Exces--sive
may
exnct!--e� -2d to unconzciou!5nez5-
EYE CONTACT:
Eye
irritant- May C2UZe injury
-'-'e-ft untre2zed-
SKIN CONTACT: May c2uze 5kin irritation on repe;zra:d' or prolonged conz2cD-
SKIN ABSOR15TION: Prolonged or repeated cont2cs �-4izh, -zhe �kill may cau5e defatting
and irritation.
INGESTION: Harmful if 5W211owed. Can C2U!5e thro-at, and ga5tro-
inte5tin2l tr2at lirrit2tion, n2U5e2, vomiting, 'diarrhea - Azzpirzr�ion of
materi2l into the lung5 can cau5e chemical ...,hich can be
CHRONIC EFFECTS OF OVEREXPOSURE: There are no )tn--�-.- miiectz frDm zhiz
product.
CARCINOGENICITY: NTP CARCINOGEN: IARC M.NOG.11APHS: OSHA REGULA.TED:
MEDICAL CONDITIONS GENERALLY AGGRAVATED 13Y OVERE:&2-f-Ja-UR'Z: Pr-c--exi!5 -zing d4norderm of
t
the zkin, rezpir2tory L�yztem, coronary artery di::ea�.e C.!-- ;�nem-a May he :ggrav2ted
by the expo5ure to thim m2ter!21-
12-1ERGENCY AND FIRST AID PROCEDURES
INHALATION: Remove to fre5h 2ir- If bre2th;n-' , Z'=-Oppea give 2rtii.Lzi21
rempiration- Get 1MMEDIATE MEDICAL ATTENTION
EYE CONTACT: Irtunedlzzely flu5h eye5 with lzrg�- -xic-unr-5 Z:unn3-ng water for
at le—t 15 minuzez-while holding upper and 1;_-. � %TQ! 1 lidz 0'rlen- irritation
perziztz get medical attention immediately -
I
SKIN CONTACT: Wz5h expozed area thoroughly wi,-*.`,-1 t':;aD and 742mer- ConzUlt 2
phy--ici2n if irritation develop5-
INGESTION: Do not induce vomiting- Seek -ten ':
-tijn lmmedi2telu.
SECTION VII - PRECAUTIONS FOR SAF:- LleXIDLING ,�,N-D USE
STEPS TO 15E TAKEN IN CASE MATERIAL IS RELEASED W� SPTIJ�D: P6=c:"ve ail -,,-.n--rion
mource5- Avoid bre2thing vapor5. Shut off zourc�t :-.- - '. -1 — .
I - Lt Can be done
Zzfely- Uze non—p2rkinq tool5- Ab!5orb with and di5no5e
of in zacordznce -,�,ith applic2ble regulationz.
MATERIAL SAFETY DA-T,�--. sH,:r:Er
24-houx E=exg--nczy Phone: (aOO)255-3924 Page 3
PRODUCT CODE: 5699
WASTE DISPOSAL METHOD: Di!5po!5e of in accordance ap�-,Jj
, -cable Federal, .1-7t2te, and
local regulation!s. Under RCRA regul2tion!5, it 4zi --nm of the product
u5er to determine, at the time of di5po521, whetnaL A mAteriml iz h2zzrdoum-
PRECAUTIONS To 15E TAREN IN HANDLING AND STORING: In ary, cool Pjace away
from heat or open flame- Do not ztore at
OTHER PRECAUTIONS: Follow label in5zruction--s- KEE"'� OUT OF OF CHILDREN -
SECTION VIII - PERSONEL SA=P-Y 11E�LSURES
RESPIRATORY PROTECTION: None needed unlezz vent i 1;a-z i---n in noz adequate to reduce
v2por5 below TLV Jevel5- If needed, u5e 2 NIOSH approved ra5pir2tor with an organic
vapor cartridge -
VENTILATION: LOC21 mechanical exh2urt to provide vent-iiation.
PROTECTIVE GLOVES: For prolonged contact wear im�;�tzv.Lrju- jo. e!5
EYE PROTECTION: Safety eye protection to protect �-pizzn c-f and 21zo
aero5ol 5ize p2rticlez iz recommended -
OTHER PROTECTIVE CLOTHING OR EQUIPMENT: None req-.a-IL-ac.
WORR/HYGIENIC PRACTICES: W2!sh thoroughly after
SECTION Il - REGULATORY 1INFORMAT-10ji
TOXIC SU15STANCES CONTROL ACT (TScA): A ' 11 ahemic2."- �z--:Y-Ponent� thiz are
li5ted on the T'-CA inventory Lizt, or are -.�rom
SARA Section 312 HAZARD CATEGORIES: Fire Haz2r Re--cti7i-�y Haz2r'
Acute Health Hazard X Chronic Health Hazard --Ire55ure i2z2rd X
SARA Section 313 REPORTABLE COMPONENTS: (3Ce 3eC7:7-Z',-. ;Lpnl4aable)
— SECTION X INEUgjjATIj3N =======— --
DOT SHIPPING NAME: OMVI-D Con5umer Commodity
DOT HAZJARD CLASS: Not Applicable
UN NUMER: Not Applicable
r
DOT PACKING GROUP: Not Applicable
SPECIAL SHIPPING INFORMATION: Regulated only whe.:-.
airar2ft. r2n5porrazion by
'"he ----
information an -zhlz Material Safety DZZ2 !thec7 " -- -Dur current- available
data and be5t Opinion 25 to the proper handling :-!` c� tllll— Product under normal
conditionz- Any u5e of thi� product -which iz not :-n ::-onfo=--.iAncc -4i--h th-45 Data
3heet or which invoive5 uzing thiz product in -.ish other mzireriaiz, or
Proce--5e5 i5 the �ole rezpon5ibility of the uzer-
w-
Printed: 11/03/03 14:10 ATCO international
SHIP TO: 981656
EDMUNDS W W PLANT
ATTNv KIRK VICK
200 2ND AVENUE SOUTH
00001
Order: 0102400
ORDER DATS 11/03/2001 12:00:00
CUSTOMER WWI DAIK 01101119bo 12:00:00
SALES REP, VASINEn ROCHELLE
OPERATOR:
FAUTH E30PPE
SHIP VIA CODE F. 0, 0, T E R M WHSE
FEXGND DEST ***DEET*** NET GA 00957
PRODUCT DESCRIPTION
5699-DA SLIP-N-SWDE
TOTAL GROSS WEIGHTu
PICKED By
CHECKED B'-'
EDMUNDS
jkl�i
98020
SHIP DATE P.D. if
1439
ORDER SHIP CT
1 DA
io
3260 'B' st. W # E
Seattle: 1-206-622-6040
AUBUP—,WA,98Wl
Tacoma 1-233-474-6242
So. King 1-253-833-4375
ENVIR-TS094P
FAX 1-253-939-2898
ENVIRONMENTAL TANK SERVICE,
INC.
To: Local District Fire Marshal
Date: 10/27/03
Re: UST Decommissioning Qualifications
Recently, we sent out an informational letter to you. Due to a clerical error, this letter lacked the
attachment. Enclosed, please find the missing attachment. We apologize for any inconvenience
that this may have caused you. Thank you
Decommission
Permits,
Charges, and Inspections
Department/Clty
Permit
Plan not to Scale
Plan to Scale
Permit Cost
Permit Acquired at
Insp
Inspection by
Allows P/WIC
Notes
Algona
Yes
Yes
No Charge
Fire Department
no
We
Auburn
yes
Yes
No Charge
Fire Department
no
Fire Department
Bellevue
Yes
No Charge
Contractors Blanket Ucense
no
Black Diamond
no
No Charge
NtA
no
no
Bothell
yes
$65.00
Fire Department
no
Bremerton
yes
Yes
No Charge
City Building
yes
I Fire Departmerd
Brier
Yes
Yes
$30.W
Fire Department
yes
Fire Department
Buckley
yes
yes
$50.00
Fire Department
Yes
permit desk
Burien
Yes
Yes
$50.00
Fire Department
yes
Fire Department
yes
Des Moines
Yes
Yes
$55.00
Department
yes
Fire Department
Edaevvood
Yes
Yes
$30.00
-Fire
Fire Department
no
Fire Department
Edmonds
yes
no
no
$40.00
City Building
yes
Fire Department
Enumclaw
yes
yes
$51.50
Fire Department
yes
Fire Department
Everett
yes
"s
No Charge
Fire Department
yesi
Fire Department
Federal Way
yes
yes
$35.00
Fi-re Department
vesl
Fire Department
FirCrest -
yes
$34.15
Buildina Department
No
NIA
Yes
Gig Harbor
yes
Yes
City Bulkling
City Bu ng
Issaquah -
yes
_$35.00
$40.00
City Building
yes
Fire Department
Kenmore
Yes
$55.00
Fire Deparhymud
no
Kent
Yes
yes
I $50.OD
Fire Department
yes
Fire Department
I(irkland
no
No Charge
NIA
NIA
N/A
Lakeforest Park
"S
$55.00
Fire Department
no
Lakewood
yes
Yes
$10.00
Fire Department
no
I WA
yes
Lynnwood
yes
Yes
No Charge
City Buikfing
yes
Fire Dqmftmt
Maple Valley KCFD 943 See King County
Yes
WrysAlle
Yes
yes
No Charoe
Fire Departmerd
ves
Fire Department
Mercer Island
yes
yes
$109.00
city Buikflng
yes
Fire 64-artmem
Milton
yes
yes
I No Charge
Fire Department
yes
Fire Department
Mountlake Terrace
Yes
Yes
$30.00
Fire Department
yes
permit desk
Nevxastle
Ves
Yes
Removal
$101.40 Fill
$73.35
City BuiWing
yes,
City Building
Normandy Park
yes
yes
$75.00
City Hall
no
Fire Department
North Shore
Yes
$55.00
Fire Department
no
Fire Deparlment
Olympia
yes
yes
See File
City Building
yes
Fire Departrnent
Minimurn 2 Soil Samples Required
Pierce County (2 Week Processing)
Yes
yes
$85.00
Fire Prevention Bureau
no
fda
Yes
Puyallup
Yes
Yes
$45.00
Fire Department
yes
-
Fire Department
Redmond
"S
Yes
No Charge
City or Fire Department
Yes
Renton
Yes
Yes
$30.00
Fire Prevention Bureau
no
N/A
Sea-Tac
Yes
Yes
No Charge
Fire Department
yes
Fire Department
Seattle
yes
no
no
$68.00
Fire Department
yes
yes
Shoreline KCFD #4
Vft
yes
no
$121.00
City Building
yes
Fire Department
Snohomish County
no
NIA
Steilacum
yes
yes
No Charge
Fire Department
yes
Fire Department
Sumner
Ves
$84.00
City Building
yes
Fire Departmerd
Soil test Required
Tacoma
Yes
no
no
$10.00
Fire Department
no
_
yes
Thurston County
Yes
$114.50
Fire Department
yes
Fire Depadmimd
Soil Test Required
Tukwila
no
no
no
No Charge
NIA
NZA
N/A
Tuffmater
yes
$40.00
City Building
no
N/A
(3) ofplans required for permit
Unincorporated I(ing County
Yes
Yes
no
No Charge
Contractors Blanket License
no
University Place
Yes
no
$50.00
Fire Department
no
N/A
�Lan e Clark Count,)
Ves;
$114.00
Fire ?Mrshars office
yes
Fire Department
Inspection $1 2.00
h7n is d See King County
yes
It.
Ild/22/2003 08:16 5626952323 MCMA STER CARR
a
PAGE 02/11
ETS SCHAE)
MATERIAL SAFETY DATA
R CORPORATION
HEET
MSDS No: 201 ETS Effective Date: 041=00
11. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION
Product Group: REFRACTORY CERAMIC FIBER PRODUCT
Chemical Name: VITREOUS ALUMINOSILICATE FIBER
Synonym(s): RCF, ceramic fiber, synthetic vitreous fiber (SVq,),
man-made vitreous fiber (MMVF), man-made mj�neral fiber (MMMF)
Trade Names- Monster Modu", Perm -A -Lining&, K-Lite E lanketTm; K-Lite Bulk FiberT";
K-Lite Anchored BlockTm; Rameshield Blankel I'm; Firestop Banket"A
Manufacturer/Supplier. ETS S HAEFER CORPORATION
8050 HI GHLAND POINTE PARKWAY
MACEDONIA, OH 44056
Product Stewardship Program. PHONE: (8t 863-5400 FAX.- (330) 468-6010
12. COMPOSITION I INFORMATION ON INGREDIENTS
COMPONENTS CASNUMBE %
11Y WEIG
Refractories, Fibers. Aluminosilicate 142SWO-e
100
(See Section 8 "Exposure Controls I Personal Protection" f4
or exposure guidelines)
13. HAZARDS IDENTIFICATION
EMERGENCY OVERVIEW
WARNING!
POSSIBLE CAN PER HAZARD BY INHi:LAION.
(See Serfion 11 for more infbrmati I
CHRONIC EFFECT
There has been no increased incidence of respiratory disease in studies e
animal studies, long term laboratory exposure to doses hundreds of times
has produced fibrosis, lung cancer and mesothelioma in rats or hamsters.
specially sized to maximize rodent respirability.
3ning occupationally exposed workers. In
11 -
pr than normal occupational exposures
� fters; used in those studies were
10/-22/2003 08:16 5626952323 MCMASTER CARR PAGE 03/11
MSDS No: 201 ETS Effective Date: 04/22J2002
OTHER POTENTI[AL EFFECTS
TARGET ORGANS:
Respiratory Tract (nose and throat� Eyes, Skin
RESPIRATORY TRACT (nose and throat) IRRITATION:
If inhaled in sWeient qua", may cause temporary, mild mechanical irritation to resp
ratory tract. Symptoms may include
scratchiness of the nose or throat, cough or chest discomfort.
EYE IRRITATION:
May cause temporary. mild mechanical Irritation. Fibers may be abrasive: prolonged
c )nW may cause damage to the outer
surface of the eye.
WIN IRRITATION:
May cause temporary. mild mechanical irritation. Exposure may also resuit in inflammi
ition, rash or itching.
GASTROINTESIINAL IRRITATION:
Unlikely route of exposure.
MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE:
Pre-existing medical conditions, including dermatitis, asthma or chronic lung disease
ay be aggravated by exposure;
Individuals who have a history of allergies may experience greater amounts of skin a
respiratory irritation.
HAZARD CLASSIFICATION
Although studies, involving occupationally exposed workers, have not identified any increased incidence of respiratory
disea,se, results from animal testing have been used as the basis for hazard cl; Lssification. In each of the following
cams, the conclusions are qualitative only and do not rest upon any quantitat� e analysis suggesting that the hazard
actually may occur at current o=piational exposure levels,
In October 2001, the International Agency for Research on Cancer (LARC)
carcinogen) remains the appropriate IARC classification for RCF.
The Seventh Annual Report on Carcinogens (1994), prepared by the National
respirable RCF and glasswooi as substances msonably anticipated to be carc
The American Conference of Governmental Industrial Hygienists (ACGIH)
Carcinogen!
that Group 2b (possible human
cology Program (NTP), classified
classified RCF as 'A2-Suspected Human
The Commission of The European Communities (DG XI) has classified RCF s a substance 'that should be regarded as 9
R is carcinogenic to man." lk
I
The State of California, pursuant to Proposition 65, The Safe Drinking water aqd Toxic Enforcement Act of 1986, has listed
* ceramic fibers (airborne fibOrS Of respirable size)" as a chemical known to the Slate of California to cause cancer.
The Canadian Environmental Protection Agency (CEPA) has classified RCF
The Canadian Workplace Hazardous Materials Inforrination System (WH
Causing Other Toxic Effects. -
The Hazardous Materials Identification System (HMIS) —
Health V Flammability 0 Reactivity 0
(I denotes potential for chronic effects)
4. FIRST AID MEASURES
FIRST AID PROCED!JRES
RESPIRATORY TRACT (nose & throat) IRRITATION -
If resPiratory tract irritation develops. move the person to a dust free location. Get
Section 8 for additional measures to reduce or eliminate exposure.
EYE IRRITATION:
If eyes become irritated, flush immediately VAth large amounts of lukewarm water for at
from the eyeball to ensure thorough rinsing. Do not rub eyes. Get medical attention if i
*probably carcinogenic" (Group 2).
— RCF is classified as Class D2A - Materials
Protection Index: X (Employer Determined)
attention if the irritation coftnues. See
15 minutes. Eyelids should be held away
)n persists.
10/22/2003 08:16 5626952323 MCMASTER CARR
PAGE 04/11
I MSDS NO: 201US EfFe-4
SKJN IRRITATION:
If skin becomes irritated, remove soiled clothing. Do not rub or scratch exposed skin. Wa 5
"ter. Using a sidn cmarn or lotion after washing may be helpful.
Date:
area of contact thoroughly with soap and
GASTROINTESTINAL IRRITATION:
If gastrointestrial tract irritation develops, move the Person to a dust free environment
NOTES TO PHYSICLAMS:
Skin and respiratory effects are the result of, temporary. mild mechanical irritation; fibeil exposure does not result in allergic
manifestations.
F5. -FIRE FIGHTING MEASURES
NFPA Codes: Flammability: 0 Health: I Reactivity: 011 Special, 0
NFPA Unusual Hazards:
None
Flammable Properties:
None
Flash Point:
None
Hanirdous Decomposition Products:
None
Unusual Fire and Explosion Hazard.
None
Extinguishing Media:
Use extinguishing media suitable for typil
of surmunding fire
16. AtCIDENTAL RELEASE MEASURES
SPILL PROCEDURES
Avoid creating airborne dust. Dust suppressing cleaning methods such as wet witeeping or vacuuming should be used
to clean the work area. If vacuuming, the vacuum should be equipped with a H '-'PA filter. Comp
sweeping should not be used for cleaning. -ressed air or dry
7. HANDLING AND STORAGE
STORAGE
Store in original container in a dry area. Keep container closed when not in US(
HANDLING
Handle ceramic fiber carefully. Limit use of power tools unless in conjunction J h local exhaust. Use hand tools
whenever possible. Frequenty clean the work area with HEPA f Itered vacuum r wet sweeping to minimize the
accumulation of debris. Do not use compressed air for clean-up.
F
EMPTY CONTAINERS
Product packaging m ay contain residue. Do not reuse.
18. (POSURE CONTROLSIPERSONAL PROTECTION
E?(POSURE GUIDELINES
OSHA PEL
None
)ZE G.
;I
There is no sPecil'ic regulatory standard for RCF in the U.S. OSHA's "Particulate �ot Otherwise Regulated (PNOR), standard
(29 CFR 19 10. 1000, Subpart Z, Air ContarninantS] applies generally - Total Dust 1,p Mg/M3 ; Respirable Fraction 5 mglm3.
The Refractory Cerarnic Fibefs Coalition (RCFC) has sponsored comprehensive t 'xicology and epidemiology studies to
identify potential RCF-related health effects [see Section I I for more detaiN. con
, U,
-related scientific literature. and rther evaluated the data in a smu�-W-the-
science. conducted a thorough review of the RCF ulted experts farnillar with fiber and particle
art quantim" risk assessment Based on these efforts and in the ateence of an SHA PEL, RCFC has adopted a
recommended exposure guideline (REG), as measured under NIOSH Method 74 B. The manufacturers' REG is intended
WProiwte occupational health and safety through feasible exposure controls and, ductions as determined by"ensive
it
industrial hygiene mon Rod ng efforts undertaken voluntarily and pursuant to an ag r mentwith the U.S. Environmental
3 1
10/22/2003 08:16 5626952323 MCMASTER CARR PAGE 05/11
MSDS No: 201 ETS Effe�tive Date: 04/
Protection Agency. !1
OTHER OCCUPATIONAL EXPOSURE LEVELS (OELI
RCF-related occupational exposure limits vary internationally, Regulatory OEI
Austria — 0.5 fica; Canada — 0.5 to 1 .0 f/= Denmark — 1.0 f/cc,- France — O.E
new installations), Netherlands — 1 .0 f/cc; New Zealand — 1.0 f1cc; Norway —
Voc: United Kingdom — 2-0 f/m Non -regulatory OEL examples include: ACG
The bibjectives; and criteria underlying each of these OEL decisions also vary.
limits and their relative applicability to the workplace is best perfbrTned, on a c�
Hygienist
ENGINEERING CONTROLS
Use feasible engineering controls such as local exhaust ventilation, point of g
stations, emission controlling tool designs, and mat terials handling equipment
emissions.
PERSONAL PROTECTION EQUIPMENT
examples include: Australia — 0.5 f/cc;
10c; GerTnany-0.5 floe (0.25 f/ccfbr
.Of/cc; looland-2.0f/cc; Sweden-1.0
i TLV - 0.2 f/cc: RCFC REG — 0.5 Voc.
'he evaluation of occupational exposure
e-by-case basis, by a qualified InduWal
dust collection, down draft work
to minimize airborne fiber
Respiratm Protection — RCF:
When engineering and/or administrative controls are insufficient to maintain v orkplaci exposures within the 0.5 Vcc
REG, the use of appropriate respiratory protection, pursuant to the requireme its of OSHA Standards 29 CFR
1910.134 and 29 CFR 1926.103, is recommended. The following information is provided as an example of appropriate
respiratory protection for aluminosilicate fibers. The evaluation of workplace I iazards and the identification of
appropriate respiratory protection is best performed, on a case -by -case basisu by a qualified Industrial Hygienist.
114ANUFACTURER'S RESPIRATORY PROTEC71ON RECOF
IMENDATIONS
- - WHEN HANDLING RCF PRODUCTS
Rag�Wrable Airborne Fiber Concentration
Respirator Recomm
�ndationt
(levels are 8-hr. time -weighted avvages)
Not yet determined but expected to be below 5.0 f/ce based on
Half -face. air purifyinj
respirator equipped with a NIOSH
operation
certified P 100 particu
ate filter cartridge
'Reliably" less than 0.5 Vcc
Optional
0.5 f1cc to 5-0 f1ce
Half -Mee, air puriVnq
d .
respir r equipped with a NJOSH
certified P100 particu
�i te filter qartridge
5.0 f1cc to 26 floc
Fulk cepiece, air put
fying respirator equipped with a NIOSH
certified Pi 00 particul
;ite filter cartridge or PAPR
I
Greator than 25 f/cc
PAPR with tight-fitdrig
Full facepiece or a supplied air respirator in
continuous flow mode
When individual workers request respiratory protection as a
A NIOSH certified real
irator, such as a disposable particulate
matter of personal comfort or choice where exposures are,
respirator, or respirato
S with filter cartridges rated N95 or better
l"reliab �� below 0.5 f/ce
I
The P1 00 recommendation is a conservative default choice: in some cases, soi�cl arguments can be made that other
respirator types (e.g., N95, R99, etC,) may be suitable for some tasks or work en ironments. The P1 00 recommendation
I
is not designed to limit informed choices, provided that respiratory protection dections comply with 29 CFR 1910.134.
OtheLInforniatlon:
Concenti,ations, based upon an eight -hour time weighted average (TWA)' determ,inGd by air samples collected
and analyzed pursuant to NIOSH method'7400 (B) for airborne fil>ers.
10/22/2003 08:16 5626952323 MCMASTER CAR PAGE 06/11
L--MSDS No., 201ETS
Effe�tive Pate: 04/22t2002
+ The rbanufacturer recommends the use of a full,-facepiece, air purifying i aspirator equipped with an appropfiate
ortidulaiiinfi�ft,ir cartridge during furnace tear -out events and the removal of used RCF to control exposures to
airborne fiber and the potential presence of crystalline silica. If exposurE levelsare known. the respiratory
protection chart provided above may be applied. I
Potential exposure to other airborne contaminants should be evaluated y a qualified Industrial Hygienist for the
sellection of appropriate respiratory protection and air monitoring. I
Skig Protection. -
Wear gloves. head coverings and full body clothing as necessary to prevent s0n irritation. Washable or disposa I ble
dothing may be used, If possible, do not take unwashed work clothing home. Ilf soiled work clothing must be taken
home, employers should ensure employees are trained on the best practices to minimize or avoid non-wcrk dust
exposure (e.g., vacuum cJothes before leaving the work area, wash work clothibg sep�rately. rinse washer before
washing other household clothes, etc.). I
Eye Protection: I
Wear safety glasses with side Welds or other forms of eye protection in compi'ance w ith appropriate OSHA standards
to prevent eye irritation. The use of contact lenses is not recommended, unles.- used in conjunaon with appropriate
eye protection. Do not touch eyes with soiled body parts or materials. If possible. have eye -washing facilities readily
available where eye irritation can occur.
A PHYSICAL AND CHEMICAL PROPERTIES i I
ODOR AND APPEARANCE -
CHEMICAL FAMILY:
BOILING POINT. -
WATER SOLUBILITY
MELTING POINT:
SPECIFIC GRAVITY:
VAPOR PRESSURE:
ll
VAPOR DENSrrY (Air = 1):
% VOLAll
MOLECULAR FORMULA:
110. STABILITY AND REACTIVITY
White, odorless, fibrous mated,
Vitreous Aluminosilicate Fibers
Not Applicable
Not Soluble in Water
1760- C (3200- F)
2.50-2.75
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
CHEMICAL STABILITY: Stable under conditions of norm ii use
INCOMPATIBILITY: None
CONDITIONS TO AVOID: None
HAZARDOUS DECOMPOSITION PRODUCTS: None
HAZARDOUS POLYMERIZATION: Not Applicable
111. TOXICOLOGICAL INFORMATION i I
HEALTH DATA SUMMARY-
Epidernioll studies of RCF production workers have indicated no
nor other significant health effects. In animal studies, long-term, high.
development of respiratory disease in rats and hamsters.
EPIDEMIOLOGY:
fhe —Univ��of Cincinnati is conductilng, an ongoing epiderniologic
ln�idence of respiratory disease
ation exposure resulted in the
The evidence obtained from
10/22/2003 08:16 5626952323 MCMA STER CARR
MSDS No: 201ETS Effe�l
employees in U. S. RCF manufacturing facilities is as follows:
1) There is no evidence of any fibrotic lung disease (interstitial fibrosis) from e
2) Them is no evidence of an elevated incidence of lung disease among RCF i n
3) In early studies an apparent statistical "trenT within the exposed population
duration and some measures of lung firiction. The observations were clinical�,
made on an individual employee, the results would be interpreted as being wit! i
range. A more recent longitudinal study of employees with 5 or more pulmona y
observations, finding no effect on lung function associated with RCF productioi i
seemed to indicate an interactive effect between smoking and RCF exposure: i n
interactive effecL Nevertheless, to promote good health, RC:F employees are t
PAGE 07/11
04/22/2002
st X-fays.
employees,
vas observed between RCF exposure
insignificant If these observations were
n the normal (predicted) respiratory
function tests refutes the earlier
experience. Initial data (circa 1987)
ore recent data, however. found no
ill actively encouraged not to smoke.
4) Pleural plaques (thickening along the chest wall) have been observed in as allnu I mber of RCF employees. Some
studies appear to show a relationship between the occurrence of pleural plaquts on chest radiographs and the following
variables: (a) years since RCF production hire date; (b) duration of RCF produi tion employment; and (c) cumulative
RCF exposure. The best evidence to date indicates that pleural plaques are a -narker of exposure only. Pleural
plaques are not associated with pulmonary impairment. The pathogenesis of ;'eural plaques remains incompletely
understood; however, the mechanism appears to be an inflammatory response caused by inhaled fibers,
TOXICOLOGY:
A number of toxicological studies designed to identify any potential heaalt9hi effife from RCF exposure have been
completed. In one study, conducted by the Research and Consulting Com'pan , (Geneva, Switzerland), rats and
hamsters were exposed to 30 mg/m3 (about 200 fibers/cc) of special"repare 1p RCF for 6 hours/day, 5 daystweek. for
up to 24 months. In rats, a statiacally significant increase in lung tumors w bserved: two mesotheliomas (cancer of
the pleural lining between the chest waill and lung) were also identified. Hamst Ys did not develop lung tumors;
however, interstitial fibrosis and mesothelioma was found. Some, in the Scien,fic community, have concluded that the
14 maximum tolerated dose* was exceeded and that significant particle contamin ition was a confounding issue; therefore,
these study findings may not represent an accurate assessment of the potentio for RCF to produce adverse health
effects.
In a related mul"ose study with a similar protocol, other rats were exposed t I doses of 16 mg/m� 9 mgW, 3 mglm-1
which corresponds to about I 16, 75, and 25 fibers per cubic centimeter respe4vely. This study found no statistically
significant increase in lung cancer. Some cases of pleural and parenchymal 'I rosis were seen in the 16 mg/m-1 dose
group. Some cases of mild fibrosis and one mesotheliorna were observed in tt 9 9 mg1W group. No acute respiratory
el'iects were seen in the rats in the 3 mg1m` exposure group, which suggests tt at there may be a dose/response
threshold, below which !rTeversible respiratM impacts do not occur.
Other toxicological studies have been conducted which utilized non-physiologi I exposure methods such as
intrapleural, intraperitoneal and intratracheal implantation or injection. Some of these studies have found that RCF is a,
potential carcinogen. Some experts, however, suggest that these tests have fir ifted relevance because they bypass
many of the biological mechanisms that prevent fiber deposition or facilitate fiber clearance.
To obtain more epidemiology or toxicology information, please call the toll free elephone number for ETS Schaefer
112. ECOLOGICAL INFORMATION' -
No ecological concerns have been identified.
[13. DISPOSAL CONSIDE
WASTE MANAGEMENT:
To prevent waste materials from becoming airborne during waste storage, tran 'I rtabon and disposal, a covered
container or plastic bagging is recommended. To
RnP—OSAL
RCF, as manufactured, is not classified as a hazardous Waste according to Fedei al regulations (40 CFR 281). Any
processing, use, alteration or chemical additions to the product, as purchased. mdy alter the disposal requirements.
Under Federal regulations, it is the waste generators responsibility to properly ch, tracteriZe a waste material, to determine.
if it is a *hazardous' waste. Check local, regional. state or provincial regulations to identify all applicable disposal
requirements. I
6
10/22/2003 08:16 5626952323 MCMASTER CARR PAGE 08/11
MSDS No: 201 ETS
114. TRANSPORT INFORMATION
U.S. DEPARTMENT OF TRANSPO rATION(poT)
Hazard Class- Not Regulated
Labels: Not Applicable
Placards: Not Applicable
.- Date: 0412212002 1
United Nations (UN) Num r Not Applicable
I
North America (NA) Num Not Applicable
Bill of Lading: Product Name
INTERNATIONAL
Canadian TDG Hazard Class & PIN: Not regulated
Not classified as dangerous goods under ADR (road). RID (train) or IMDG (shil
F15. 'REGULATORY INFORMATION
UNITED STAIgS REGULATIONS
EPA: Superfund Amendments and Reauthorization
not contain any substances reportable under Se(
Sections 311 and 312 (40 CFR 370) apply (dela)
Toxic Substances Control Act (TSCA) — RCF I
however, it is not required to be listed on the TS(
Comprehensive Environmental Response, Cc
(CERCLA.) and the Clean Air Act (CAA) - RCF i
greater than one micron and thus is not consider,
OSHA: Comply with Hazard Communication Standard
1926.59 and the Respiratory Protection Stand.
1926.103.
California, Ceramic fibers (airborne particles of respirable si:
Drinking Water and Toxic Enforcement Act of
of California to cause cancer.
Other States: RCF products are not known to be regulated by s
state and local 0SFlA and EPA regulations may
contact your local regulatory agency.
INTERNATIONAL REGULATIONS
ket (SARA) Title III - This product does
bris 302, 304, 313, (40 CFR 372).
<1 hazard).
is be�n assigned a CAS number,
k inventory.
ipensation and Liability Act
intains fibers with an average diameter
J a haza�ous air pollutant.
29 CFR 1910.1200 and 29 CFR
cls 29 CFR 1910.134 and 29 CFR
�) is Iiited in Proposition 65, The Safe
986 as a chemical known to the State
Ites oiher than California; however,
,ply to'these products. If in doubt.
Canada: Canadian Workplace Hazardous Materials lnfc rmation System (WHMIS) - RCF is
classified as Class E)2A - Materials Causing othe, Toxic Effects
Canadian Environmental Protection Art (CEPA) -All substances in this product are
listed, as required, on the Domestic Substances L st (DSL)
European Union- European Directive 971691EC classified RCF as i Category 2 carcinogen; that is it
"should be regarded as if it is carcinogenic to ma "
116. OTHER INFORMATION I I
RCF DEViTRIFICATION:
As produced, all RCF fi rs are vitreous (91") materials that do not contain or, stalline silica. Continued exposu're to
elevated temperatures may cause these fibers to devitrify (become crystalline). "'he first; crystalline formation
(mullite) begins to occur at approximately 985* C (11805" F). Crystall;ne silica (criptobalit6) formation may begin at
temperatures of approximately 1200* C (2192* F). The occurrence and a t t f ��talline phase formation is
x erp o cr%
f dependent on the duration and temperature of exposure, fiber chemistry and/or �e pres_�nce of fluxing agents. The
10/22/2003 08:16 5626952323 MCMASTER CARR PAGE 09/11
S No: 2 01 ETS—
presence Of crystalline phases can be confirmed only through lab Yt-03�7—analy.,
MC's evaluation of crystalline silica states 'Crystalline Mica inhaled in the for
Occupational sources is carcinogenic to humans (Group 1)' and additionally no
Working Group noted that carcinogenicity in humans was not detected in all inc
Carcinogenicity may be dependent on inherent characteristics of the crystalline
biOlOgical activity or distribution of its polymorphs! (IARC Monograph Vol. 68,
crystalline silica amongst substances which may 'reasonably be anticipated to I
IARC and NTIP did not evaluate after -service RCF, which may contain various c
of after -service RCF samples obtained pursuant to an exposure monitoring agn
furnace conditions sampled, most did not contain detectable levels of crystallinE
found that (1) simulated after -service RCF showed litHe. or no, activity where e;�
intraperitoneal injecUon; and (2) after -service RCF was not cytotoxic to macropt
320 ),g/crn2 - by comparison, pure quartz or tristobalite were significantly active
te Date: 04/22/2002
of the " It face' fiber.
of quartz or cristobante from
� "in making the overall evaluation, the
�,-tNal circumstances studied.
lica, or on external factors afrecting its
97). NTP liStS all polymorphs of
� carcinogens.*
ystalline phases. However, an analysis
�ment with the EPA, found Wt in the
silica. Other relevant RCF studies
*sure was by inhalation or by
)ge-like cells at concentrations up to
it much lower levels (circa 20 Xglcm).
RCF AFTER-SERvir-F RFMnV L:
Respiratory protection should be prov4ded in compliance with OSHA staridards., During
FACE RESPIRATOR is recommended f^ 4
removal operations, a FULL
u— ul lalauun exposure along with eye and respiratory tract irritation. A
Spe�dfiic evaluation of workplace hazards and the identification of appropriate r0-,:,P1ratOry protection is best performed,
on 2 cM-by-case basis, by a qualified industrial hygiene professional.
PRODUCT STEWARDSHIP PROGRAM
On February 11, 2002, the Refractory Ceramic Fibers Coalition (RCFC) and the U S. Occ . upational Safety and Health
Administration (OSHA) introduced a voluntary worker protection program entitled I ISP 2002, a comprehensive, multi-
faceted 6sk management program designed to control and reduce workplace ey4x sures; to refractory ceramic fiber (RCF).
For more information regarding PSP 2002, please refer to the RCFC web site: http -/Avww.rcfcnet-
DEFINITIONS-,
ACGIH:
ADR.
American CGnfefOnee Of Govemmental Industrial H
CAA.
CarriagO Of DaNGMS Goods by Road (Internal5on
CleanAirAct
CAS:
Chemical Abstws Service
CERCLA;
Comprehensive Environmental Response, Compen
DSL:
Domestic Substances Ust
EPA;
Environmental Protection Agency
EU:
European Union
f/cc:
Fibers per cubic centimeter
HEPA:
High Efficiency Particulate Air
HMIS-.
Hazardous Materials Identification System
LARC:
International Agency for Research on Cancer
IATA-
International Air Transport Association
IMDG:
International Maritime Dangerous Goods Code
MW&-
Milligrams per cubic meter of air
rnmpcf:
Million particJes per cubic meter
NFPA:
National Fire Protection Association
NIOSH:
National Institute for Occupational SaIety and Health
OsKk-
Occupational Safety and Health Administration
29 CFR 1910.134 1926.103:
OSHA Respiratory Protection Standards
29 CFR '19110.11201) & 1926.59:
OSHA Hazard Communication Standards
PEU
Permissible Exposure Limit (OSHA)
PIN:
Product Identification Number
PNOC:
Particulates Not Otherwise Classified
PNOP-
Particulates Not Otherwise Regulated
PSP:
Product Stewardship Program
RCFC:
Refractory CerarNe Fibers Coalition
RCRA:
Resource Conservation and Recovery Act
REG:
REL:
Recommended Exposure Guideline (RCFC)
Recommended Exposure Limit (NIOSH)
RID:
Carriage of Dangerous Goods by Rail (International F
ienists
Regulation)
and Liability Act
Westfall, John A-V�� .
From: Westfall, John
Sent: Monday, December 15, 2003 11:58 AM
To: Ness, Steven
Cc: Allison, Steve
Subject: RE: Confined Space at the wwtp
Steve:
If WWTP is required to document what available, (or contracted) rescue services are available to them for their CS
operations, the EFD agreement that you describe is not really an agreement in an obligatory sense, but a statement of
EFD CS capabilitites.
Is this right?
I brought the question up in Safety meeting this morning -why wouldn't we have "agreements" with the rest of City
Departments (or private companies) that operate in confined spaces?
With your clarification previous, the "statement of capabilities" (my term) should be available to all City Departments (and
privates) for the understanding of what rescue services they can depend upon from EFD. And from their State workplace
requirements -they can calculate the shortfalls for what additional resources (by contract, etc ... ) they may need to perform
CS in the approved manner. Could this statement be just a generic faxable/emailable document we can provide to anyone
upon inquiry?
My only concern is the liability assumption for the rest of the City departments that do CS work.
And a natural thought is that they are in their right to ask to see our training records to assure that our perishable
capabilities are being maintained (thanks to you).
I am trying to understand the needs and collect the fallout from the pandora's box that I opened up. I am glad that you are
conscientious in the training as well as the administration of the EFD program. As I am not suggesting that you turn the
record -keeping over to anyone else. Thanks, Steve.
----- Original Message -----
From: Ness, Steven
Sent: Saturday, December 13, 2003 8:23 AM
To: Westfall, John
Cc: Allison, Steve; Tomberg, Thomas
Subject: RE: Confined Space at the wwtp
Actually, they would be considered the contractor since they are sending their employees into the space. We are
considered a third party rescue service. The burden is on them to ensure that we are trained and equipped to perform
rescues. As well as the burden is on us to train and equip our people.
I maintain all of the training records for the entire south county team. If the new TO wants to take that on, that would
be great, but for now I plan to keep doing it.
I would say that we are about 80% compliant in that every member of the team is supposed to do a permit space
rescue annually, but with kelly days and vacations, its tough to get everyone.
As well as some people don't want to come off duty to drill.
I sent a draft agreement to Chief Allison which outlines our training and equipment capabilities.
Please ask if you have any other questions. I believe the confined space standard is one of the most misunderstood
laws in the occupational safety WAC.
Lt. Ness
----- Original Message -----
From: Westfall, John
Sent: Thursday, December 11, 2003 8:02 AM
To: Ness, Steven
Cc: Allison, Steve; Tomberg, Thomas
Subject: RE: Confined Space at the wwtp
Steve:
Thanks for the update. I see what you say are the requirements. I don't see that we are a "contractor" as termed
in the WAC.
Steve:
Thanks for the verification. Jon Lein offered to write it up -all you would need to do is review, redline and have
Chief sign.
The annual CSR training requirement is not specifically for the WWTP space, right?
And following the initial agreement they will be looking for training documentation from Fire Group. For future
edification, are the CSR training records maintained by you until TO arrives?
Thanks,
John
----- Original Message -----
From: Ness, Steven
Sent: Wednesday, December 10, 2003 8:08 PM
To: Westfall, John
Cc: Allison, Steve; Tomberg, Thomas
Subject: Confined Space at the wwtp
John,
Just for your info, concerning the CSR issues at the wwtp. The WAC does put the responsibility for providing
rescue services on the contractor(company entering the space). So, the wwtp is responsible for verifying that
rescue services are available( 296-62-14150). 1 think that a verbal handshake agreement between the FID
and the wwtp would not be sufficient proof of them securing and verifying rescue services.
As the WAC outlines, they must have proof that we are trained in the appropriate rescue techniques, and
perform permit space rescue training at least annually, and are familiar with their spaces and hazards.
At the direction of my BC, I will contact John Lien and generate a document that will satisfy the WAC which
outlines an agreement between the two agencies for rescue services.
Thank you for your concern in this matter.
Lt. Steve Ness
Westfall, John
From: Tomberg, Thomas
Sent: Monday, December 15, 2003 11:40 AM
To: Ness, Steven; Westfall, John
Cc: Allison, Steve
Subject: RE: Confined Space at the wwtp
12/15/03
1 appreciate the good -faith efforts each of you are trying to make re what Jon Lein believes requires a written agreement
between the Sewer Treatment Plan and the Fire Department. I disagree, and should have become involved sooner. This
issue is in the hands of Noel Miller and Steve Koho. Thanks. TT
----- Original Message -----
From: Ness, Steven
Sent: Saturday, December 13, 2003 8:23 AM
To: Westfall, John
Cc: Allison, Steve; Tomberg, Thomas
Subject: RE: Confined Space at the wwtp
Actually, they would be considered the contractor since they are sending their employees into the space. We are
considered a third party rescue service. The burden is on them to ensure that we are trained and equipped to perform
rescues. As well as the burden is on us to train and equip our people.
I maintain all of the training records for the entire south county team. If the new TO wants to take that on, that would
be great, but for now I plan to keep doing it.
I would say that we are about 80% compliant in that every member of the team is supposed to do a permit space
rescue annually, but with kelly days and vacations, its tough to get everyone.
As well as some people don't want to come off duty to drill.
I sent a draft agreement to Chief Allison which outlines our training and equipment capabilities.
Please ask if you have any other questions. I believe the confined space standard is one of the most misunderstood
laws in the occupational safety WAC.
Lt. Ness
----- Original Message -----
From: Westfall, John
Sent: Thursday, December 11, 2003 8:02 AM
To: Ness, Steven
Cc: Allison, Steve; Tomberg, Thomas
Subject: RE: Confined Space at the wwtp
Steve:
Thanks for the update. I see what you say are the requirements. I don't see that we are a "contractor" as termed
in the WAC.
Steve:
Thanks for the verification. Jon Lein offered to write it up -all you would need to do is review, redline and have
Chief sign.
The annual CSR training requirement is not specifically for the WWTP space, right?
And following the initial agreement they will be looking for training documentation from Fire Group. For future
edification, are the CSR training records maintained by you until TO arrives?'
Thanks,
John
----- Original Message -----
From: Ness, Steven
Sent: Wednesday, December 10, 2003 8:08 PM
To: Westfall, John
Cc: Allison, Steve; Tomberg, Thomas
Subject: Confined Space at the wwtp
Wesffall, John
From:
Westfall, John
Sent:
Tuesday, March 09, 2004 4:06 PM
To:
Lein, Jon
Cc:
Smith, Mike
Subject:
RE: Fire code question
Jon:
Current exit signs are legal.
Do you need floor arrows -No.
Do you need escape plans posted -No.
Would they be nice to have? Yes
Would plans for confined spaces be nice to have? Yes.
John
----- Original Message -----
From: Lein, Jon
Sent: Tuesday, March 09, 2004 3:53 PM
To: Westfall, John
Subject: Fire code question
Hi John,
Quick question -are just our current exit signs at the WWTP legal for the Fire Code? A question was asked, do
we need arrows in the buildings to the exits and/ or escape plans posted in a non-public building? Thanks, Jon Lein
Westfall, John
From: Westfall, John
Sent: Wednesday, August 27, 2003 4:14 PM
To: Fire Dept Group
Cc: Koho, Steve
Subject: Edmonds WWT zardous Product Change
Members:
The Wastewater Treatment Plant has made changes to their hazardous product state and no longer utilize chlorine
gas for treatment, greatly reducing the hazard to the community. And the hazards are minimized for FD response.
I
The change has been made for Sodium Hypochlorite, a 12.5% chlorine solution,in the quantity of 6000 gallons. There
are two 3000 gallon tanks in a containment area designed to hold the contents of a single tank in an accidental
rupture/failure and fire protection water. In the case of a spill in the contain m ent'area, the product can be safely
pumped into the wastewater as it enters the plant. This is the same storage are I a previously utilized for 8 tons of
chlorine gas. The storage area (Bldg 100) is sprinklered. There is a spill detection alarm still, however, this typically
alerts only plant workers who responds to assess the severity of the situation. There are plant workers on site
approximately 20 hours per day. They have an existing automatic telephone dialer to respond after hours to certain
alarms.
Co -located is a 750 gallon tank of Sodium Bisulfite used to dechlorinate the product (turning the chlorine to salt) prior
to sending out into the Sound.
Product usage requires approximately 30 day hypochlorite resupply in the form of a 5000 gallon tank truck. Safeties
have been designed into the new storage and process: only treatment plant personnel operate to pump the product
from the supply truck and the supply truck now will be pumped from a parking lot location that forms an independent
containment and reroutes the spilled product into the sewage entering the plant. This system is normally in operation
and requires no manual actuation.
The hypochlorite and bisulfite have dissimilar pump connections for refilling respective tanks. Infrequent accidents
have occurred in Treatment Plants when the wrong product is pumped into the other tank. Manager Steve Koho is
working on an update to their response plan that will include an automatic ringdown to SNOCOM once the emergency
scenarios and alarm activations are evaluated.
There will be a discrete N FPA 704 diamond at Bldg 100 to identify the hazards. Security concerns being what they
are, allowances will be made that include a reduction of hazard labeling in public areas.
I encourage a refamiliarization with the facility and have a look at the new improved product storage area. There are
confined space areas throughout the plant. The Pre -fire warrants an update. Contact Steve Koho x1l 356 to make
arrangements for a tour guide prior to your visit.
FM
MEMORANDUM
ID TRACKING # DATE
REPORTED BY: W6�-;rf--4VL_ OF
SUBJECTADDRESS: bU"JV
CONCERNS/ HAZARDS: 21 0 0
c ej-
_1z) 7�
SIGNED
FOLLOW-UP:
Vl-� rTz�� L-6i,�.) ov - r / r25- Ti-h c, o4-rd:-
PX-0 v I dL--6 k9e'C��, -s,Pl t, L Co-740-7_
/w4 C,V-4c 1 T17
4V6
OAJ &,i� ffu 1 doe,,p
_6�rrc_ao SA D,97"e_ f Y7,,J
T 5,1166
c I -"el r-7
4 T-W
A.r V 16^ p*r—
PD 5 r5D t 1 M-t5!4 _JwtTt�- FLvl,!;-tLLQ5"m_� lg�
AJ C'()j, C
SIGNED:
City of Edmonds Sb Fire Prevention Bureau
Westfall, John
From:
Westfall, John
Sent:
Thursday, December 11, 2003 8:02 AM
To:
Ness, Steven
Cc:
Allison, Steve; Tomberg, Thomas
Subject:
RE: Confined Space at the wwtp
Steve:
Thanks for the update. I see what you say are the requirements. I don't see that we are a "contractor" as termed in the
WAC.
Steve:
Thanks for the verification. Jon Lein offered to write it up -all you would need to do is review, redline and have Chief sign.
The annual CSR training requirement is not specifically for the WWTP space, right?
And following the initial agreement they will be looking for training documentation from Fire Group. For future edification,
are the CSR training records maintained by you until TO arrives?
Thanks,
John
----- Original Message -----
From: Ness, Steven
Sent: Wednesday, December 10, 2003 8:08 PM
To: Westfall, John
Cc: Allison, Steve; Tomberg, Thomas
Subject: Confined Space at the wwtp
John,
Just for your info, concerning the CSR issues at the wwtp. The WAC does put the responsibility for providing rescue
services on the contractor(company entering the space). So, the wwtp is responsible for verifying that rescue services
are available( 296-62-14150). 1 think that a verbal handshake agreement between the FD and the wwtp would not be
sufficient proof of them securing and verifying rescue services.
As the WAC outlines, they must have proof that we are trained in the appropriate rescue techniques, and perform
permit space rescue training at least annually, and are familiar with their spaces and hazards.
At the direction of my BC, I will contact John Lien and generate a document that will satisfy the WAC which outlines an
agreement between the two agencies for rescue services.
Thank you for your concern in this matter.
Lt. Steve Ness
Westfall, John
From:
Allison, Steve
Sent:
Wednesday, December 10, 2003 5:10 PIVI
To:
Ness, Steven
Cc:
Westfall, John
Subject:
FW: WWTP Confined Space
Steve,
Since you know the WAC and Federal issues like the back of your hand, please contact Jon Lien and determine what he is
looking for in the Confined Space. Then be prepared to compile a SOP for department use. If you have any questions,
please ask. Thanks.
Steve Allison
Battalion Chief, B Shift
Edmonds Fire Department
(425) 672 - 5756 Office
(425) 754 - 1837 Nextel
----- Original Message —
From:
Westfall, John
Sent:
Tuesday, December 09, 2003 8:37 AM
To:
Allison, Steve
Cc:
Tomberg, Thomas
Subject:
WWTP Confined Space
Steve:
WWTP has gone to new Hypochlorite solution 12 1/2 % to replace the Chlorine gas. I visited yesterday to inspect for
deficiencies in their change project.
In discussion, Jon Lein is the safety guy down there (for years) and has in his mind that his WSHA rules require a written
agreement with the FD for confined space operations.
I'm looking at vertical standard WAC 296-305-05003 (6/99) Confined space rescue operations. and written agreements
are not addressed. He may be confused over "contract outside rescue services", which we are not. Para (3) requires only
an active (FD) training program and supporting documentation for that training.
Will you contact him to clarify what he needs from us? Jon Lein x1 237
Thank you,
John
Westfall, John
From:
Westfall, John
Sent:
Thursday, May 29, 2003 11:10 AM
To:
Koho, Steve
Cc:
Tomberg, Thomas; Miller, Noel
Subject:
RE: Chlorine
Steve:
The Fire Department thanks you for keeping us posted on hazards and this project.
John
----- Original Message -----
From: Koho, Steve
Sent: Thursday, May 29, 2003 10:59 AM
To: Westfall, John
Cc: Tomberg, Thomas; Miller, Noel
Subject: Chlorine
John,
As of Tuesday, May 27, there is no longer gaseous chlorine at the Treatm�nt Plant. We are currently using a
temporary storage tank (with containment), located in the parking lot, that stores a 12% solution of sodium
hypochlorite (bleach). Construction continues towards retrofitting a room within the plant to house the
perrnanent chemical storage tanks. Expected completion date is late July or early August.
Steve
1
Westfall, John
From:
Tomberg, Thomas
Sent:
Thursday, May 29, 2003 11:01 AM
To:
Fire Dept Group
Cc:
Koho, Steve
Subject:
FW: Chlorine
5/29/03
Good news for us and the City. Crews will drop by and check on the status of the conversion as it progresses. Thanks. TT
----- Original Message -----
From: Koho, Steve
Sent: Thursday, May 29, 2003 10:59 AM
To: Westfall, John
Cc: Tomberg, Thomas; Miller, Noel
Subject: Chlorine
John,
As of Tuesday, May 27, there is no longer gaseous chlorine at the Treatment Plant. We are currently using a
temporary storage tank (with containment), located in the parking lot, that stores a 12% solution of sodium
hypochlorite (bleach). Construction continues towards retrofitting a room within the plant to house the
I
permanent chemical storage tanks. Expected completion date is late July or early August.
Steve
4_� -rI
Westfall, John
From:
Westfall, John
Sent:
Tuesday, October 22, 2002 4:05 PM
To:
Koho, Steve
Cc:
Tomberg, Thomas; Sheridan, Chris
Subject:
Process change to liquid chlorine
Steve:
Thanks for the heads up on your plans to change from gaseous to liquid chlorine. For all intents Fire Department
response during construction and using gas during that time will remain near the same as we currently anticipate,
however;
Your employee/facility response plan will require change(s).
With the concern of security and blossom of terror events, we must consider physical security as well as hazard risk
management and mitigation.
Yours and Chris's expertise will be my preferential guide regarding treatment process during construction
(any chance we can change to bleach treatment BEFORE the construction phase?).
Lastly, and ultimately assuring that the State regulatory folks are on -board with the plan of construction for process
changes.
I will draw a letter of suggestion to endorse your plan as we get closer to project time. Please keep me posted as we get
there. Our firefighters must understand the change of hazard and hazard relocation during construction with regards to
their response. I
Thank you,
John
Date:
To:
Via:
Via:
From:
Subject:
MEMORANDUM
August 4, 1999
unffl:
�-Ct. Krugmire
8/10/99
Lt. Yokum
8/17/99
FF. White
8/24/99
/FIVI Westfall
WWTP EPA Ian
This is a lot of paper, most of which is a PAID consultation for a disastrous hypothetical
release of chlorine. Top page is an explanation of the new requirements. The plan itself
appears to be only 8 pp.
Steve Koho, WWTP Director is providing us with an opportunity to make adjustments to
his plan. Please take a look at the plan with respect to the deadlines shown and pass
on to the next Tech. Return to me by 8/24 and perhaps Dave and/or Andre and I can
meet with Steve at our place on 8/25 for a short time.
Please mark up the plan with your questions, comments, and suggestions. Thanks for
your quick review and comments.
City of Edmonds �b Fire Marshal
Like many industries that have only
recently realized what affect the
'Clean Air Act Amendments of 1990
have had on their operations and reporting,
fire service first responders are now becoming
aware of the emergency response information
the US. Environmental Protection Agency
(EPA) requires under the Emergency Plan-
ning and Community"Right to Know"Act
(EPCRA) and Section 112 of the Clean Air
Act. There's been confusion in both industry
and the fire service about these laws, and
there are disagreements as to what should be
done.
To its credit, EPA is trying to sort out this
confiision by setting up a special liaison in the
Office of Solid Waste and Emergency
illustration: Blair Thornley
Anthony R. ONeiH
Response to inform industry of EPA require-
ments and to answer inquiries from the fire
service. You can tap into the office through
the internet at www.epa.gov/ceppo/.
Here's a brief overview of what you'll find.
What you won't find are the underlying con-
troversies.
Right to know
EPCRA requires annual haz-mat inventory
reports from most industries that manu-
facture or handle hazardous chemicals.
EPCRA, in turn, gives local fire service
first responders and community interest
groups access to information about the pres-
ence of hazardous chemicals in their
communities so that appropriate emergency
response plans can
- be develoned. These
hazardous chemicals
are tied in with
OSHA Hazardous
on their sites. FMPs require a hazard assess-
ment, an accident prevention program, and
an emergency response program.
Congress authorized the accident preven-
tion program under Section 112r(7) of the
Clean Air Act to cover "release prev-ention,
detection and correction requirements...
monitoring, record -keeping, secondary con-
tainment, and other design, equipment,
work practice, and operational require-
ments...." Some industries argue that this
program sounds a lot Eke NFPA codes and
standards requirements and feel that, if they
meet NFPA requirements that have been
adopted nationally, they shouldnrt have to
meet additional EPA code requirements.
For example, members of the propane
industry feel that, because their facilities
meet NFPA 58, Liquefied Petroleum Gas
Code, which has been adopted in all 50
states,.they shouldn't be burdened with
EPA!s requirements, aswell.
Communications
Standards and Mater- Worst -case scenarios
ial Safety Data Sheets. EPAs risk management plans require
Risk management
plans
Under the Clean Air
Act Amendments of
1990, Congress re-
quired EPA to list
hazardous materials
that, when accidentally
released, 'can cause
death, injury, or serious adverse effects
in humans or the environment. EPA
was required to use the EPCRA Est as
a starting point for required risk man-
agement plans (RMPs), which industries
must develop if they have threshold
quantities of the hazardous chemicals
that off -site consequence analysis data ele-
ments, which include worst -case scenarios,
be made available to the public, as well as to
first responders. In the wrong hands, fire ser-
vice leaders worry, these worst -case scenarios
could become a blueprint for terrorism. For-
tunately the FBI and EPA agree, and, for
now, there's no intention of publishing them
on the Internet, as originally proposed.
The bottom line is that these EPA regu-
lations affect all- NFPA members, so it's
incumbent upon us to know not on] y* the
benefits* of the Clean Air Act but itg require-
ment-s and, their impact. 4
Anthony K ONeill is NFPA vicepresident of Gov-
ernment Affairs, in our Washington, D. C, ojice.
I�FPAJournal July/August 1999
MANAGEMENT SYSTEM
The Plant Manager will have overall responsibility for implementing the Risk
Management Program elements at the Edmonds WWTP.
t I e
Certification Letter
Certification Statement for Program Level 2 & 3 Processes
To the best of the undersigned's knowledge, information, and belief formed after reasonable inquiry, the
C'
information submitted is true, accurate, and complete.
Signature"" Print Name
Title Date
Facility Name: City of Edmonds Wastewater Treatment PI
RIVIP Report for City of Edmonds Wastewater Treatment Plant
Section 1. Registration Information
1.1 Source Identification:
a. Facility Name: City of Edmonds Wastewater Treatment Plant
b. Parent Company #1 Name:
c. Parent Company #2 Name:
1.2 EPA Facility Identifier:
1.3 Other EPA Systems Facility Identifier:
1.4 Dun and Bradstreet Numbers (DUNS):
a. Facility DUNS:
b. Parent Company #1 DUNS:
c. Parent Company #2 DUNS:
1.5 Facility Location Address:
a. Street 1: 200 Second Ave, South
b. Street 2:
C. City: Edmonds
f. County: Snohomish
Facility Latitude and Longitude:
g. Lat. (ddmmss.$): 47 47 36.0
I. LattLong Method: 11
j. Lat/Long Description: CE
1.6 Owner or Operator:
a. Name: City of Edmonds
b. Phone: (425) 775-2525
Mailing address:
c. Street 1: 200 Second Ave, South
e. City: Edmonds
d. State: WA e. Zip: 98020 -
h. Long. (dddmmss.$): -122 22 32.0
Interpolation - Map
Center of Facility
d. Street 2:
f. State: WA g. Zip: 98020 -
1
1.7 Name and title of person or position responsible for part 68 (RMP) implementation:
a. Name of person: Stephen Koho
6/21/99 3:33:41 PM Page 1 of 8
Facility Name: City of Edmonds Wastewater Treatment PI
b. Title of person or position: Plant Manager
1.8 Emergency contact:
a. Name:
Steve Koho
b. Title:
Plant Manager
c. Phone:
(425) 771-0237
d. 24-hour phone:
(425) 743-1033
e. Ext. or PIN:
1.9 Other points of contact:
a. Facility or Parent Company E-Mail Address: steve@ci.edm6nds.wa.us
b. Facility Public Contact Phone: (425) 771-0237
c. Facility or Parent Company WWW Homepage Address: www.ci.edmonds.wa.us
1.10 LEPC: ESCA '7
1.11 Number of full time employees on site: 160
1.12 Covered by:
a. OSHA PSM: Yes
b. EPCRA 302: No
c. CAA Title V: No Air Operating Permit ID:
1.13 OSHA Star or Merit Ranking: No
1.14 Last Safety Inspection (by an External Agency) Date: 05/12/1997
1.15 Last Safety Inspection Performed by an External Agency: State occupational safety agency
1.16 Will this RMP Involve predictive filing?: No
6/21/99 3:33:42 PM Page 2 of 8
Facility Name: City of Edmonds Wastewater Treatment PI
Section 1. 17 Process(es)
a. Process ID: Program Level 3 Chlorine gas
b. NAICS Code
22132 Sewage Treatment Facilities
c. Process Chemicals
c.1 Chemical Name c.2 CAS Nr. c.3 Oty (lbs.)
1 Chlorine 7782-50-5 16,000
Section 2. Toxics: Worst Case
Toxics: Worst Case ID: 1
2.1 a. Chemical Name:
Chlorine
b. Percent Weight of
Chemical (if in a mixture):
2.2 Physical State:
Gas Liquified by Pressure
2.3 Model used:
EPA's RIVIP Guidance for Waste Water Treatment Plants Reference Tables or Equations
2.4 Scenario:
Gas Release
2.5 Quantity released:
2,000 lbs
2.6 Release rate:
200.0 lbs/min
2.7 Release duration: 10.0 mins
2.8 Wind speed: 1.5 m/sec
2.9 Atmospheric Stability Class: F
2.10 Topography: U rban
2.11 Distance to Endpoint: 0.90 ml
2.12 Estimated reside n within distance to endpoint: D,8OO
2.13 Public receptors within distance to endpoint:
a. Schools: Yes d. Prisons/Correction facilities: No
b. Residences: Yes e. Recreation areas: Yes
c. Hospitals: No f. Major commercial, office, or industrial areas: Yes
g. Other (Specify):
2.14 Environmental receptors within distance to endpoint:
a. National or state parks, forests, or monuments: No
b. Officially designated wildlife sanctuaries, preserves, or refuges: Yes
c. Federal wilderness areas: No
d. Other (Specify):
2.15 Passive mitigation considered:
a. Dikes: No d. Drains: No
6/21/99 3:33:42 PM Page 3 of 8
Facility Name: City of Edmonds Wastewater Treatment PI
b. Enclosures: Yes e. Sumps: No
c. Berms: No f. Other (Specify):
2.16 Graphic file name: Edmonds.jpg
Section 3. Toxics: Alternative Release
Toxics: Alternative Release ID: 1
3.1 a. Chemical Name: Chlorine
b. Percent Weight of Chemical (if In a mixture):
3.2 Physical State: Gas Liquified by Pressure
3.3 Model used: EPA's RMP Guidance for Waste Water Treatment Plants Reference Tables or Equations
3.4 Scenario: Pipe leak
3.5 Quantity released: 42 lbs
3.6 Release rate: 0.7 lbs/min
3.7 Release duration: 60.0 mins
3.8 Wind speed: 3.0 m/sec
3.9 Atmospheric Stability Class: D
3.10 Topography: U rban
3.11 Distance to Endpoint: 00.03mi
3.12 Estimated residential population within distance to endpoint: 10
3.13 Public receptors within distance to endpoint:
a. Schools- No d. Prisons/Correction facilities:
No
b. Residences: Yes e. Recreation areas:
No
c. Hospitals: No f. Major commercial, off Ice, or industrial areas:
No
g. Other (Specify):
3.14 Environmental receptors within distance to endpoint:
a. National or state parks, forests, or monuments:
No
b. Officially designated wildlife sanctuaries, preserves, or refuges:
No
c. Federal wilderness areas:
No
d. Other (Specify):
3.15 Passive mitigation considered:
a. Dikes: No d. Drains: No
b. Enclosures: Yes e. Sumps: No
c. Berms: No f. Other (Specify):
3.16 Active mitigation considered:
a. Sprinkler systems: No f. Flares:
No
b. Deluge system: No g. Scrubbers:
Yes
c. Water curtain: No h. Emergency shutdown systems:
Yes
6/21/99 3:33:43 PM Page 4 of 8
Facility Name: City of Edmonds Wastewater Treatment PI l�,l
d. Neutralization: Yes 1. Other (Specify):
e. Excess flow valve No
3.17 Graphic f Ile name: Edmonds.jpg
Section 4. Flammables: Worst Case --- No Data To Report
Section 5. Flammables: Alternative Release --- No Data To Rep
Section 6. Accident History No Data To Report 7 M6
Section 7. Prevention Program 3
Process Id: I Chlorine gas
Prevention Program ID: 1
Prevention Program Description: Information and procedures are contained in the Plant's Process Safety
Management plant on the following issues: Process safety information, Process
hazard analysis, Operationg procedures, Training, Mechanical integrity,
Management of change, Pre -startup review, Compliance audits, Incident
investigation, Employee participation, Hot work permit, and Contractors. In
addition to the written program, new employees receive specific training on these
issues and all employees receive annual refresher training on the prevention
program elements.
7.1 NAICS Code: 22132
7.2 Chemicals: Chemical Name
Chlorine
7.3 Date on which the safety Information
was last reviewed or revised: 06/01/1997
7.4 Process Hazard Analysis (PHA):
a. The date of last PHA or PHA update: 06/01/1999
b. The technique used:
What If: Yes
Failure Mode and Effects Analysis: No
Checklist: No
Fault Tree Analysis: No'
What If/Checklist: No
Other (Specify):
HAZOP: No
c. Expected or actual date of completion
of all changes from last PHA or PHA update:
06/0111999
d. Major hazards identified:
I
Toxic release: Yes
Contamination:
No
Fire: No
Equipment failure:
No
Explosion: No
Loss of cooling, heating, electricity, Instrument air:
No
Runaway reaction: No
Earthquake:
No
Polymerization: No
Floods (flood plain):
No
6/21/99 3:33:43 PM Page 5 of 8
Facility Name: City of Edmonds Wastewater Treatment PI
Overpressurization: No
Tornado:
No
Corrosion: No
Hurricanes:
No
Overfilling: No
Other (Specify):
e. Process controls In use:
Vents:
No
Emergency air supply:
Yes
Relief valves:
Yes
Emergency power:
Yes
Check valves:
No
Backup pump:
No
Scrubbers:
Yes
Grounding equipment:
No
Flares:
No
Inhibitor addition:
No
Manual shutoffs:
Yes
Rupture disks:
�o
Automatic shutoffs:
Yes
Excess flow device:
No
Interlocks:
Yes
Quench system:
�o
Alarms and procedures:
Yes
Purge system:
No
Keyed bypass:
No
None:
No
Other (Specify):
f. Mitigation systems in use:
(Sprinkler system: No
Water curtain: No
Dikes: No
Enclosure: Yes
Fire walls: No
Neutralization: No
Blast walls: No
None: No
Deluge system: No
Other (Specify):
g. Monitoringidetection systems In use:
Process area detectors: Yes
None: No
Perimeter monitors: No
Other (Specify):
h. Changes since last PHA or PHA update:
Reduction In chemical Inventory:
No Installation of perimeter monitoring systems: No
Increase In chemical Inventory:
No Installation of mitigation systems:
No
Change process parameters:
No None recommended:
Yes
Installation of process controls:
No None:
No
Installation of process detection systems:
No Other (Specify):
7.5 The date of most recent review or revision of operating procedures:
06/01/1999
7.6 Training:
a. The date of the most recent review or revision of training programs:
06/01/1999
b. The type of training provided:
6/21/99 3:33:43 PM Page 6 of 8
Facility Name: City of Edmonds Wastewater Treatment PI
Classroom: Yes On the job: Yes
Other (Specify):
c. The type of competency testing used:
Written test: No Observation: Yes
Oral test: No Other (Specify):
Demonstration: Yes
7.7 Maintenance:
a. The date of the most recent review or revision of maintenance procedures:
b. The date of the most recent equipment Inspection or test:
c. Equipment most recently Inspected or tested: Yokes, pigtails, regulators, valves and piping
7.8 Management of change:
a. The date of the most recent change that triggered management of
change procedures:
b. The date of the most recent review or revision of management of
change procedures:
7.9 The date of the most recent pre -startup review:
7.10 Compliance audits:
a. The date of the most recent compliance audit:
b. Expected or actual date of completion of all changes resulting from the compliance audit:
7.11 Incident investigation:
a. The date of the most recent Incident Investigation (if any):
b. The expected or actual date of completion of all changes resulting from the investigation:
7.12 The date of the most recent review or revision of employee participation plans:
7.13 The date of the most recent review or revision of hot work permit procedures:
7.14 The date of the most recent review or revision of contractor safety procedures:
7.15 The date of the most recent evaluation of contractor safety performance:
Section 8. Prevention Program 2 --- No Data To Report
I
Section 9. Emergency Response
9.1 Written Emergency Response (ER) Plan:
a. Is facility included In written community emergency response plan?
b. Does facility have its own written emergency response plan?
9.2 Does facility's ER plan Include specific actions to be taken In
response to accidental releases of regulated substance(s)? No
06/01/1999
06/01/1999
06/01/1999
06/01/1999
06/01/1999
6/21/99 3:33:43 PM Page 7 of 8
Facility Name: City of Edmonds Wastewater Treatment P1
9.3 Does facility's ER plan Include procedures for Informing the public
and local agencies responding to accidental releases?
9.4 Does facility's ER plan Include Information on emergency heath care?
No
9.5 Date of most recent review or update of facility's ER plan:
9.6 Date of most recent ER training for facility's employees:
9.7 Local agency with which facility's ER plan or response activities are coordinated:
a. Name of agency: ESCA
b. Telephone number: (425) 776-3722
9.8 Subject to:
a. OSHA Regulations at 29 CFR 1910.38:
Yes
b. OSHA Regulations at 29 CFR 1910.120:
No
c. Clean Water Act Regulations at 40 CFR 112:
No
d. RCRA Regulations at 40 CFR 264, 265, and 279.52:
No
e. OPA-90 Regulations at 40 CFR 112,33 CFR 154,49 CFR 194, or 30 CFR 254: No
f. State EPCRA Rules or Laws:
Yes
g. Other (Specify):
Executive Summary
Attached File Name: EXECUT-1.TXT
RMP Validation Errors --- No Data To Report
6/21/99 3:33:44 PM Page 8 of 8
The Edmonds Wastewater Treatment Plant approaches chernicalmanagement in the
safest manner possible to protect the public and the environment.1
Like 98% of US water and wastewater treatment plants, we utilize chlorine to disinfect
our treated water. At the Edmonds Wastewater Treatment Plant, we use approximately
200 pounds of chlorine each day as part of the disinfection process that provides our
community with effective sanitation. Chlorine has been safely used to disinfect drinking
water for nearly 100 years, reducing or eliminating the risk of such waterborne diseases
as cholera, typhoid, and dysentery.
We have long understood the hazards of handling chlorine, which if not done properly,
can pose a risk to the community. Chlorine is listed in the EPA's new Risk Management
Program Rule (Fd*APR). Since we have more than 2,500 pounds of chlorine on our site,
we are required by the EPA to submit a Risk Management Plan. The RMPR has ensured
that in the unlikely event of a release, local area emergency responders and other
authorities are fully trained and ready to engage specific plans to remediate the situation
quickly.
The Edmonds Wastewater Treatment Plant has used chlorine to disinfect water for more
than 20 years. Since the plant a5 upgra&A�in 199 1, wehave not had any accidents or
leaks that resulted in chlorine being released to the environment. The threat to the
environment is an air emissions issue, since a chlorine leak woul ' d occur in a gaseous
state. A chlorine leak, therefore, would not send waters with high chlorine levels into
Puget Sound. Chlorine is supplied in cylinders delivered to the plant by a vendor, and is
stored in a room specially designed to contain chlorine gas leaks. A chlorine leak in this
room would be routed to a scrubber that would remove the chlorine gas. To protect the
public, the chlorine cylinders in the storage room are chained down to prevent any
movement in the event of an earthquake. In addition to the cylinder constraints, a
specially designed room, and the dedicated air handling system, t,he room also has
continuous air monitoring. These sensors will alarm the plant's computer system as well
as activate an audible plant siren if even a small amount of chlorine is detected.
The new EPA regulation requires the City to perform two analyses: a worst case release
scenario, and an alternative release scenario. The EPA dictates the conditions in the worst
case scenario, which assumes that the largest storage tank fails c�tastrophically to empty
itself in 10 minutes on a day with very low wind. Although this release may be
physically impossible, EPA mandates its consideration. In reality, the chlorine would be
released from the storage cylinder as a flashing liquid that would probably auto -chill and
form a puddle of "chlorine ice," only a fraction of which would evaporate in 10 minutes.
In the required worst case release scenario, the storage room would be unable to contain
the gas and chlorine gas would be released to the atmosphere. Using EPA's model,
chlorine would be detectable over an area with a radius of 0.9 miles from the Treatment
Plant.
In light of the fact that the worst case release scenario is not likely to occur, EPA also
mandates that each facility create an alternative release scenario,that is more realistic than
the worst case scenario. The City hired an outside engineering company to analyze the
plant, its chlorine handling equipment and process, and interview plant employees to
determine the most likely alternative release scenario. A systematic evaluation of the
overall process was conducted and the firm determined that a broken connection pipe
would be the most likely mode of failure. The amount of chlorine to leak from the pipe
in such a scenario is within the operating parameters of the existing scrubber. Such an
incident would be detected by the sensors, contained within the room, and vented to the
scrubber until the tank valve is closed. Assuming that some of the gas was able to leak
out of the room, the engineering company estimated that chlorine would be detectable
approximately 150 feet from the storage room.
In addition to equipment and building safeguards, safe handling of chlorine is also
addressed through a prevention program. This program is covered under a separate
regulation called Process Safety Management, and has been in p�ace for years. Issues
such as training, hazard review, operating procedures, maintenance, and safety
information are all included in the Plant's prevention program.
The response plan for a chlorine leak varies depending upon the severity of the leak.
Trained plant personnel deal with small leaks that are contained.: Response to a large leak
or an unconfined leak would be directed by the Fire Department.! A dedicated team in the
Lynnwood Fire Department has been specially trained to work with hazardous chemical
releases, and would respond to any leak that could threaten the public. Additionally, the
plant worked closely with the local emergency planning committee (ESCA) in
developing a separate hazardous materials response plan. This interaction between our
facility and emergency responders provides information to be exchanged and procedures
developed that will assure a timely and appropriate response.
We are confident that the added protection of the new Risk Management Plan will ensure
that our personnel, the environment and the community continue to remain safe and
healthy.
W v6v-, kee -� of-
I
Page I of I
SkIMPIN
Figure 1
Vulnerability Zones for
Hypothetical Chlorine Releases
Edmonds Wastewater Treatment Plant
A
A71 -`-3,
1 . . . . . . ....
Worst -Case
Chlorine Release
0.87 mile to 3 ppm
j 'L
Ire
!);I
14LE4
I!
Scale 1 2400'
40!
4q
Source: Thomas Bros. Maps
Edmonds Wastewater
Treatment Plant
lorine
jv Alternate Ch
Release
0.03 mile to 3 ppm
.4r
Ilk
I-19W
M.
nIM191
tA
. zi
AM A
M
file:HA:\EDMONDS.JPG
6/18/99