Appendix C. HAZARDOUS MATERIALS STORAGE PERMIT APPLICATION

PART 2 FACILITY STORAGE MAP

A.

Provide a scale map of the facility demonstrating the following:

1.

Scale;

2.

Point of compass;

3.

Location of all structures/buildings;

4.

Location of hazardous material storage/use areas;

5.

Parking lots, internal roads and drives;

6.

Storm and sanitary sewer drains and manholes.

HAZARDOUS MATERIALS STORAGE INVENTORY

A.

Complete the inventory form on the following page for those materials stored at your facility which meet the criteria for toxicity, flammability and/or reactivity in Appendix A.

B.

In Column 1. Enter the letter or number used to denote the product or chemical storage location as shown on the map.

EXAMPLE:

The letter "A" is used to mark the area on the map where Acetylene is stored. The letter "A" is then used in column 1 prior to Acetylene which is then entered in column 2.

C.

In column 2. Enter the common chemical or product name as shown on the container or material safety data sheet for this material.

D.

In column 3. Enter the maximum amount of each material that you would have on site at any time during the year. Materials are to be listed as pounds for solids, gallons for liquids and cubic feet for gases. If required, the Hazardous Materials Section will provide conversion factors.

E.

In column 4. Enter the appropriate hazard rating for each material. If you have any questions as to the proper rating of a specific material, contact the Hazardous Material Section.

PART 3 CONTINGENCY PLAN

CONTINGENCY\PLANS (SECTION 404)

A.

The permit applicant shall develop a Contingency Plan for the facility which describes the planned response procedure that facility personnel will take in the event of fires, explosions, or any unauthorized discharge of hazardous materials. One (1) or more revised copies of this plan should be kept readily accessible at the facility and one(1) copy (to be revised as necessary) will be submitted with the permit application. The Contingency Plan shall include the following elements:

1.

Name, business address and emergency telephone numbers for the designated primary and alternate emergency response persons for the facility. Telephone numbers for both persons during work hours and after hours shall be included.

2.

A list of emergency assistance telephone numbers to be called in the event of emergencies.

3.

An evacuation plan for the facility describing signals to be used by facility personnel.

4.

A hazardous material spill containment and clean up plan describing the immediate actions facility personnel would take to contain any spilled materials, mitigate their effects on human health or the environment and clean up the affected area of the spill. The actions prescribed in the plan should demonstrate that the different types of suggested responses are based on the relative hazards of the materials involved, the physical and chemical properties of the materials, the capabilities of any emergency equipment available at the facility and characteristics inherent with the areas where the spills may occur.

5.

The name, business address and telephone number of at least one (1) contractor capable of handling the spilled material and the name and business address of at least one (1) company permitted to haul the spilled material (if a transported independent of the contractor is used).

B.

A simplified version of the emergency procedures shall be provided to each employee who deals with the hazardous materials and shall also be posted in conspicuous locations where the regulated materials are stored or handled outside of the manufacturing process areas of the facility.

C.

The Contingency Plan should be reviewed periodically and must be amended whenever:

1.

The facility design, construction, operation, maintenance, hazardous materials management or other circumstances change to increase the potential for fires, explosions or releases of hazardous materials; or

2.

The appropriate responses to an emergency change; or

3.

The name or telephone number of a primary or alternate emergency response person change; or

4.

The list of emergency assistance organizations changes; or

5.

The designated contractor and/or transported for spill cleanup changes; or

6.

The plan fails in an emergency.

PART 4 MONITORING PLAN

Monitoring Plans are required for each storage facility to describe the type of storage and the methods used to ensure that the storage containment is not leaking. The plan will include at a minimum the following:

A.

A brief description of the type of storage containment.

B.

The schedule of inspections - to be based on the type of material stored and type of storage containment.

C.

The nature of the inspection - description of visual or electronic methods used depending on the type of storage.

D.

A copy of all logs or other reports to be used in the inspections.

E.

The type of containment to be inspected - primary and secondary containment.

F.

A written evaluation of the accuracy of any mechanical or analytical methods and proposed timing and methods for equipment calibration

PART 5 CLOSURE PLAN

A.

The Closure Plan shall describe the procedures that will be taken to terminate the storage of hazardous materials at the facility in the event that:

1.

The site will be found to be uncontaminated and no cleanup will be required; or

2.

The site will have some contamination but can be proved to not require any cleanup; or

3.

The site will be significantly contaminated and some form of remedial action will be required to cleanup or decontaminate the site.

B.

Closure Plans are required for each facility to describe the actions to be performed in the event that the facility is closed. The plan will include at a minimum the following:

1.

Plans for the removal, neutralization, reuse or disposal of the materials previously stored at the site. These plans will include the following:

a.

List of those materials to be removed, and to what location.

b.

Name of the landfill to which the materials will be sent for disposal.

2.

Plans for the sampling of soil/water for contamination at those locations anticipated to have maximal amounts of contamination. These plans will include the following:

a.

Name of business conducting sampling and analysis.

b.

Type of sampling methodology to be employed.

c.

Type of test methods to be employed.

d.

Contingency Plans in the event that contamination is verified.

3.

An updated version of the Closure Plan is to be submitted 30 days prior to the actual closure if any provisions of the original Closure Plan have changed.