CHANDLER FIRE DEPARTMENT
HAZARDOUS MATERIALS MANAGEMENT PLAN

General Instructions

A hazardous materials management plan (HMMP) is required when applying for a hazardous materials permit whenever 1.) a facility is designated as a Group H, division 6 semiconductor manufacturer; 2.) a building or site has multiple Group H occupancy designations; 3.) SARA Title III "extremely hazardous substances" -at or above threshold planning quantities - are on site: 4.) hazardous materials storage is in excess of exempt amounts specified in the Uniform Fire Code (UFC), Section 80.302 through Section 80.315 and aerosol products as in Section 88.203; 5.) hazardous material dispensing, use and handling exceeds exempt amounts listed in UFC Tables 80.402-A or 80.402-B; and 6.) when otherwise determined because of unique circumstances.

A PERMIT FEE WILL BE ASSESSED FOR THE PLAN REVIEW AND INSPECTION

One draft copy of a HMMP, completed in accordance with instructions contained on the following pages, must be prepared by the permit applicant and submitted for Fire Department review and approval. One set of material safety data sheets (MSDS), in alphabetical order, shall be submitted along with the HMMP. Material within the notebook shall be divided into sections as indicated herein, and shall be marked by tab on the first page of each section. Section tabs shall indicated section number and title. All pages of the HMMP shall be numbered consecutively. An index showing section title and page number shall be included as the first page of the HMMP. Please note that any HMMP with missing, incomplete or vague information will be rejected; and that a hazardous materials permit will not be issued until the HMMP has been approved by the Fire Department. Applicants shall 1) make any necessary corrections to the package once it is reviewed and returned, 2) prepare two additional copies of the corrected original, and 3) then make the red lined (uncorrected) original and all three corrected copies available to Fire Department staff who will make the final inspection necessary for issuing a permit.

One copy of the approved HMMP shall be maintained on site by the applicant at all times following review and approval by the Fire Department. The site copy will be provided to the Fire Department on request or immediately upon arrival of Fire Department staff responding to a chemical release or other emergency.

At the time of permit renewal, the applicant need only provide information for the notebook that has been changed or revised since the time of previous application.

The HMMP requires the applicant be familiar with the fire code and related documents. The latest editions of the Uniform Fire Code and the Uniform Fire Code Standards are available from the International Conference of Building Officials ((213) 699-0541) or the Builders Book Depot located at 1033 E. Jefferson, Phx.

HMMP Contents
Section 1. Site Specific Plan (SSP) (Required Once Available)

An emergency response plan jointly developed by the Fire Department and the facility will be included in this section. The mentioned plan is a short summary of how the fire department and the facility will interact in the initial phases of an emergency. The plan will be based upon existing facility and fire department procedures.

Section 2. General Information

This section should be self explanatory. Fill out Items 1 through 10 and sign the declaration. This section is required to be updated and submitted annually, or within 30 days of a change. (See Attachment 1)

Section 3. General Site Map

a) Provide a first generation site plan on 8 1/2-by-ll inch paper showing the location of all buildings, structures, chemical loading areas, parking lots, internal roads, storm and sanitary sewers, wells and adjacent property function or use. Indicate the scale used, northern direction and date the drawing was completed, see Attachment 2 (3 Sheets). List all special land functions or uses within 1 mile of your property (Example: Hospitals, Schools, Residential Sub-divisions, other Haz-Mat facilities, etc.). b) If possible, in addition to above please provide a copy of the General Site Map(s) on a 3 1/2 inch diskette using the .TIF, .BMP, or .DXF extension format.

FD107/HMMP Rev. 01/98 1

In addition, each exterior hazardous materials storage area and tank shall be identified with a numbered diamond ( See Attachment 2, Sheet 2 of 3). The diamond shall reference a list showing chemical name and UFC Standard 79-3 (NFPA 704) health, flammability, and reactivity numbers for the chemicals identified. An example of the type and quality of map to be submitted is shown on Attachment 2, Sheet 1 of 3.

Section 4. Building Floor Plan and Hazardous Materials Storage Plan

1. Provide a first generation building floor plan using the standard symbols listed in Attachment 2, Sheet 3 of 3. The plan(s) shall be drawn to scale on 8 1/2-by-11 inch paper, showing the location of hazardous materials or waste within the building, and shall contain the 24 map elements shown on the example provided (See Attachment 3, Sheet 1 of 1). An example of a BUILDING FLOOR PLAN AND HAZARDOUS MATERIALS STORAGE PLAN is provided in ATTACHMENT 3. Indicate the scale used, northern direction and date the drawing was completed.

2. If possible, in addition to above please provide a copy of the Building Floor Plan and Hazardous Materials Storage Plan Map(s) on a 3 1/2 inch diskette using the .TIF, .BMP, or .DXF extension format.

Section 5. Roof Plan

1. Each set of floor plans shall also include a first generation roof plan drawn on 8 1/2-by-11 inch paper and shall include:
   1. all roof mounted HVAC equipment
   2. scrubber exhausts
   3. access hatches
   4. smoke hatches
   5. skylights
   6. water storage tanks
   7. other treatment systems
   8. any other process exhausts, hatches, or the like
   9. cross sectional roof detail of roof construction showing exterior and column/post supports
   10. labels on all hatches, exhausts or other equipment showing item name or purpose

2. If possible, in addition to above please provide a copy of the Roof Plan Map(s) on a 3 1/2 inch diskette using the .TIF, .BMP, or .DXF extension format.

Section 6. Vulnerability Analysis (Required only for exterior storage)

Provide information showing both the "worst case" and "most credible case" vulnerable areas for any toxic or highly toxic materials (as defined by the UFC) regularly used, handled or stored outside of the facility. In addition, vulnerability information must be provided for any SARA Title III extremely hazardous substances on site that equal or exceed threshold planning quantities.

Note: Please read Attachment 5, Sheet 1 of 2 before proceeding any further
with the vulnerability analysis.

Vulnerable area information shall be listed on the "Vulnerable area Estimate Data Sheet" (See Attachment 5, Sheet 2 of 2). Provide on a separate sheet of 8 1/2-by-11 inch paper a legible (easily read during emergencies) area map at a appropriate scale. The map shall identify the single largest worst case vulnerable area, as well as the single largest credible case vulnerable area; with the facility located at the center of the map. Provide on the map all public right-of-ways and right-of-way names within the vulnerable areas identified on the map. Identify the hazardous chemicals used to create the two vulnerable area circles drawn on the map. Illegible or outdated maps are not acceptable.

Section 7. Hazardous Materials Inventory Statement (Chemical Inventory)

Complete hazardous materials inventory form(s) for this section (See Attachment 6). Please note that any RCRA hazardous wastes are treated as "hazardous materials" by the fire code, and must be included as such.

FD107/HMMP 2

A separate hazardous material inventory and aggregate quantities form shall be submitted for each: 1.) building designated as a single occupancy, 2.) occupancy within a building (when there is more then one), 3.) exterior storage area, and 4.) control area within a building, see attachment 6. For example, a building comprised of a B-2 occupancy having 2 control areas which also has an H-3 flammable liquids storage room and an H-2 mixing room; would have four inventory and aggregate quantity forms submitted. A fifth inventory and aggregate quantities form would be submitted for an exterior storage area. Instructions for completing the forms are provided on attachment 6, sheet 2 of 6. Do not include storage tank capacities with the physical and health aggregate quantities. Complete attachment 6, sheet 6 of 6 for any storage tanks on site. The definition of each category and subcategory of aggregate quantities can be found in the UFC, Article 9, 51, 79 and 80. Assistance in classifying hazardous materials by health and physical hazard category is provided in Appendix VI-A of the UFC. Please note that the inventory and aggregate quantities forms CAN NOT be properly filled out without using Fire Code criteria.

NOTE: Any material with a primary, secondary or tertiary classification as a physical hazard may also present a health hazard and would therefore be reported on both the physical and health aggregate quantities forms.

Provide the latest Tier II reports at the end of this section. (See 40 CFR Part 372.25)

Section 8. Confined Space Locations

Provide a list of all Confined Space Locations on site and possible hazards encounter with each Confined Space. (See 29 CFR Section 1910.146- PERMIT-REQUIRED CONFINED SPACES) A detailed map may be required showing locations of Confined Spaces.

Section 9. Portable Emergency Equipment

Provide a list of all portable emergency equipment at the facility such as spill and leak control equipment, chemical protective clothing, portable monitoring/sampling devices, decontamination and neutralization supplies and equipment. Specify the number of units on hand, the capabilities of the equipment (such as chemical compatibility of protective clothing) and their normal storage/use locations.

Section 10. Hazardous Materials Handling

Provide a written summary which describes how the handling of hazardous materials between storage areas and manufacturing processes on site are conducted in a manner to prevent the accidental release of such materials. The summary should not exceed one page in length.

Section 11. Chemical Compatibility And Separation

Provide information showing procedures, controls, signs or other methods used to ensure separation and protection of stored materials from factors which could cause accidental ignition or reaction of ignitable, reactive or incompatible materials in each area.

Section 12. Hazardous Waste Disposal

A hazardous material permit will not be issued unless the facility can demonstrate that it has a formal arrangement (with at least one firm) for the clean-up and disposal of hazardous materials following an accidental release. Provide a copy of the arrangement mentioned above in this section. Be sure to include the name, location, and 24 hour emergency telephone number of the firm designated to perform the clean-up and disposal services. A written proposal or quotation for services may serve as evidence to meet requirements of this section.

Section 13. Monitoring (Detection And Alarm) Program

List information including - but not limited to - the location, type, manufacturer's specifications (if applicable) and suitability of installed chemical monitoring or detection equipment systems (see UFC Sections 80.302 through 80.315, 51.105(d)3, 51.107(c)2, 51.108(b)4, 51.110(a)6, and 51.110(b)7C for each storage facility or area when required by the Uniform Fire Code; or when otherwise in place. Provide a of list communication systems (internal and external), as well as fire detection and alarm systems (See UFC Article 14).

FD107/HMMP 3

Section 14. Inspection And Record Keeping

Information regarding a facility inspection procedure by facility staff, and a log of unauthorized discharges (see UFC 80.104) of hazardous materials shall be included in this section.

The permit applicant shall develop and follow a written inspection procedure for inspecting the facility for malfunctions and deterioration, poor housekeeping practices, which may be causing or may lead to unauthorized discharges of hazardous materials. These inspections must be a frequency appropriate to the possible deterioration of equipment and facilities and to the probability of human error and of sufficient frequency to detect problems prior to discharge. Unless otherwise approved by the fire marshal, inspection frequency shall be no less then once every 30 days. An inspection sheet shall be created and maintained for fire department review and shall include the following elements:

1. dates, times, and location(s) of inspections
2. name of inspector
3. problems discovered during the inspections
4. date, time, and nature of corrective action(s)
5. counter signature of the designated safety manager for the facility showing the corrective action has been taken

Section 14. Inspection And Record Keeping (Continued)

The separate log of unauthorized hazardous material discharges shall be created and maintained by the applicant. The log shall note the:

1. date, time, location, and reason(s) for the discharge
2. type of material and quantity released
3. corrective action taken
4. whether or not the Fire Department was contacted for emergency assistance.

Section 15. Employee Training

Specify in this section how employee training requirements (see UFC 80.106 and/or UFC 51.111(c)) are to be met. For example, contents may be in accordance with the following example.

All employees are trained in accordance with 29 CFR 1910.1200 (h) "Employee Information and Training.

Section 16. Other Hazardous Materials Related Permits

Provide a list of each hazardous materials permit required by other government agencies (example: Radioactive Materials, Wastewater Discharge, etc.). Include the type of permit, the agency which issued the permit, the permit identification number, as well as the telephone and address of the agency which issued the permit. If other permits are not required, please type "No other permits are required" in this section.

Section 17. Contingency Plan

Provide in this section a copy of the facility contingency or emergency response plan.

FD07/HMMP

FOR FIRE DEPT USE APPROVED BY_____________ DATE____________________		FOR FIRE DEPT USE APPROVED BY_____________ DATE____________________
GENERAL INFORMATION
Business Name:_____________________________ Phone:__________ Address:_____________________________________________________ Person Responsible for the Business: _____________________ Name _______________________ Title _____________ Phone Emergency Contacts\Coordinators: __________________ Name _______________ Pager\Cell Phn. ___________ Home Phone __________ Work Phone __________________________________ Home Address _________________________ Title __________________ Name _______________ Pager\Cell Phn. ___________ Home Phone __________ Work Phone __________________________________ Home Address _________________________ Title __________________ Name _______________ Pager\Cell Phn. ___________ Home Phone __________ Work Phone __________________________________ Home Address _________________________ Title Person Responsible for the Application\Principal Contact: ______________________ Name ____________________________ Title _________ Phone Property Owner: __________________ Name ___________________________ Business Address ____________ Work Phone _________________________________ Home Address _____________ Pager\Cell Phn. ___________ Home Phone Principle Business Activity: _______________________________________________________________ _______________________________________________________________ Number of Employees:___________________________________________ NumberShifts/Time Shifts Change:______________/________________ Hours of Operation:____________________________________________ Number Assigned to Each Shift:_________________________________ Declaration I certify that the information above and on the following parts is true and correct to the best of my knowledge. Signature:______________________________________ Date:________ Print Name:________________________Title:______________________ (Must be signed by owner/operator or designated representative)

HAZARDOUS MATERIALS INVENTORY (ATTACH ADDITIONAL SHEET IF NECESSARY) FACILITY:_________________________ BUILDING/AREA/CONTROL AREA______________ PAGE_______OF_________PAGE(S)

I T E M

CAS NUMBER

C O D E

CHEMICAL (IUPAC) NAME

QNTY IN STRG

QNT YUSE DOP EN

QNTYU SED CLSD

TOTAL AMNT

U N I T

NFPA 704 H | F | R | O

UFC PHYSICAL HAZARDS CLASS

UFC HEALTH HAZARDS CLASS

TYPE OF COMT.

STOR. TEMP.

0

M ,L

METHYLDTHYLUG (90%)

333

333

333

999

G A

4 | 4 | 4 |

IA FLAMMABLE OXIDIZER

IRRITANT CORROSIVE

99

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CODE _____________ P=PURE M=MIXTURE L=LIQUID G=GAS

UNIT ______________ LB=POUNDS GA=GALLONS CF=CUBIC FEET

NFPA ______________ H=HEALTH F=FLAMMABILITY R=REACTIVITY O=OTHER

STORAGE TEMPERATURE ______________________________________ AMBIENT TEMPERATURE GREATER THAN AMBIENT TEMPERATURE LESS THAN AMBIENT TEMPERTURE CRYOGENIC

TYPE OF CONTAINER _______________________________________ A-ABOVE GROUND TANK     G-CARBOY B-BELOW GROUND TANK     H-SILO C-TANK INSIDE BUILDING     I-FIBER DRUM D-STEEL DRUM     J-BAG E-PLASTIC OR NON- METALIC DRUM     K-BOX F-CAN

INSTRUCTIONS FOR COMPLETING THE INVENTORY FORM "ITEM" is a sequential number selected by the facility when filling out the form. The first chemical listed would have item number 1, the second chemical would be listed as item 2, and so on. "CAS NUMBER" is a registration number assigned by the Chemical Abstracts Service. The number uses a ######-##-# format and does not begin with the numeral "0". The CAS number normally appears on the MSDS if the chemical substance is registered. Place "N/A" on the inventory form, if the substance has not been registered with the Chemical Abstracts Service. "CODE" Enter the following descriptive codes as they apply to each material. You may list more than one code if applicable. P = Pure L = Liquid M = Mixture G = Gas S = Solid "CHEMICAL(IUPAC) NAME" stands for the chemical name of the substance being listed as identified by the International Union of Pure and Applied Chemists. "QNTY IN STRG" is the amount being reported held in storage awaiting use. For example, three 55 gallons drums of 1,1,1 TCE in a storage room that are not opened would be listed as in storage. Once however, one of the drums is opened and used as the source for filling a 1 gallon can; you would only be able to list 110 gallons in storage (the other 55 gallons would be listed as open use in the appropriate column). "QNTY USED OPEN". is the amount of material in an open state where material vapors are released (or can be expedted to be released). Open use normally includes dipping operations, plating operations, etc. "QNTY USED CLSD" is the amount of material used in a closed system. This means that the material container is connected to a system of some type WHERE MATERIAL VAPORS ARE NOT RELEASED TOTHE ATMOSPHERE. Closed use DOES NOT include materials in drums, bottles or can that were opened for filling another container and then closed again afterward. "UNIT" Enter the units used. Use the following codes: LB = PoundsGA = GallonsCF = Cubic Feet "NFPA 704" is a classification system published by the National Fire Protection Association (and the Uniform Fire Code as UFC Standard 79-3) that briefly summarizes the health (H), flammability (F), reactivity (R) and other (O) hazardou s characteristics of a substance. If characteristics have not been assigned by the NFPA, the facility using the material is responsible for obtaining qualified assistance in making a determination of the characteristics and including them on the inventory form. "UFC PHYSICAL HAZARDS CLASS" is the physical hazard (or hazards) as identified in the Uniform Fire Code. "UFC HEALTH HAZARDS CLASS" is the health hazard (or hazards) as identified in the Uniform Fire Code. "EHS" stands for an "extremely hazardous substance" as identified in SARA Title III. If the material is an EHS place a check mark in the column. "MAP REF" is a map reference utilized when a storage plan (map) is required for submittal.

AGGREGATE PHYSICAL HAZARDSS

CATEGORY Subcaategory

AMOUNT STORED

AMOOUNT USED OPEN

AMOUNT USED CLOSED

TOTAL

EXPLOSIVE/BLASTING AGENT PONDS

High Explosives

Low Explossives

Blasting Agents

Compressed Gases (CU FT)

Flammable

Inart

Unstable (reactive)

FLAMMABLE AND COMBUSTIBLE LIQUIDS (GALLONS)

Class I-A

Class I-B

Class I-C

Class II

Class III-A

Class iii-B

FLAMMABLE SOLIDS (POUNDS)

Organic Solids

Inorganic Solids

Combustible Metals (not powders/dusts)

Combustible Dusts & Powders (Inc. metals)

OXIDIZERS GASES (CUBIC FEET)