community right-to-know program (crtk)

Community Right-to-KnowProgram(CRTK)

Hazardous Material Reporting Requirements

ANCHORAGE FIRE DEPARTMENTMunicipality of Anchorage

andAnchorage Local Emergency Planning Committee

Flammability

InstabilityHealth

Special Precautions

AFD 1010 Ver. 11_10 *

ANCHORAGE COMMUNITY RIGHT - TO - KNOW – PROGRAM

Dear Citizens,This booklet is offered for the convenience of industrial, business and government facilities seeking compliance information on hazardous chemical reporting requirements under federal, state and municipal laws. In accord with the Community Right -to- Know {CRTK} program, this publication is also available to anyone interested in the emergency planning and local risk assessment process for hazardous materials, threats to life, property and the environment. Detailed instructions on determining the need to report, reporting forms and relevant regulations are included. • AllTierTwo reporting for the state is completed using the “Official State ofAlaskaTier II

Hazardous Material Inventory Form” contained in this booklet. Clients are encouraged to copy the form as needed or download duplicates from the SERC web site: http://www.ak-prepared.com/serc/tier.htm or youmay utilize the EPA website. To file an electronicsubmission, download the free software at http://www.epa.gov/emergencies/content/epcra/tier2.htm. Youwillstillneedtosendinthefirstpageofthesubmittalwithanoriginalsignature. Forquestionsonelectronicfilingcall267-4900andspeakwiththeCRTKProgramAdministrator.

• TheMOAreservestherighttorequestacompleteinventoryofhazardousmaterialsatanytime.

• PerMunicipalOrdinance,asitemapisrequiredannuallywitheachsubmittal,Noexceptions.

• ApictureofyourNFPA704Placardisrequiredifyouarefilingforthe1st time or every odd-numberedyear(e.g.2011,2013,2015&etc)

• ATransshipmentFacilityFormisprovidedforAnchoragefacilitiesinkeepingwithMunicipalCodeTitle16.

• TheannualfilingdeadlineisMarch1.Twocopiesareneeded,onetoeachaddress:

AnchorageFireDepartmentCRTK,4700ElmoreRoad.,Anchorage,AK99507{fulfillssubmissiontoLEPC}

SOA-ADEC-SERCAttentionCamilleStephens410WilloughbySt.,Suite105,Juneau,AK99801-1795

Your continuing cooperation and partnership makes the CRTK a successful model program, keepingAnchoragesaferforeveryone.Thankyou.

Sincerely,

MarkS.HallFire Chief

ANCHORAGE FIRE DEPARTMENT

Fire Prevention4700 Elmore Road

Anchorage, Alaska 99507Phone (907) 267-4900

Dan Sullivan

MayorMunicipality of Anchorage

TABLE OF CONTENTS

SUBJECT PAGE

CommunityRight-To-KnowProgram:HistoryandPurpose ............... 1

ImportantDetailsForCRTKSubmitter ......................................... 2-3

Instructions for Completing Tier Two and ................................... 4-10 Transshipment Facility Forms

AnchorageMunicipalCodeChapter16.110 ..............................11-17

Tier Two and Transshipment Forms ......................................... 18-20

SiteMapForm ................................................................................. 21

NFPA704Placarding ................................................................ 22-23

SpillReporting ................................................................................. 24

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COMMUNITY RIGHT -TO -KNOW PROGRAM (CRTK)- HISTORY AND PURPOSE

The Community Right to Know {CRTK} program has its origins in landmark federal environmental legislation enactedinl980astheComprehensiveEnvironmentalResponseCompensationandLiabilityAct{CERCLA}.Administered by theEnvironmental ProtectionAgency {EPA} this body of law provides a foundation forgovernment’scommitmenttoworkwithindustrytomitigateexistingandpotentialdamagefromhazardoussubstances. In l986, CERCLA was expanded and refined with the Superfund Amendments and Re-authorizationAct{SARA}.AcriticalpartknownasSARATitleIII,TheEmergencyPlanningandCommunityRight-to-KnowAct{EPRCRA}greatlyaffectsthesafetyofcitizensandemergencyrespondersthroughoutthe country.

Drivenbya“grassroots”approachandrelyinguponvolunteercitizenandbusinessgroups,statesweredirectedtoformaStateEmergencyResponseCommission{SERC},whoseauthorityresidesinavarietyofstateagenciesatthediscretionoftherespectivestategovernors.TheSERCthenprovidesoversightandsupporttotheLocalEmergencyPlanningCommittee{LEPC},acrosssectionofindustry,localgovernmentand citizen groups whose members serve primarily as volunteers.

InAlaska,theStateofAlaskaDepartmentofEnvironmentalConservation{ADEC}andtheStateofAlaskaDepartment of Military and VeteransAffairs, Division of Emergency Services {ADES} are charged withhelpingcommunitiesmeetprogramrequirements.TheMunicipalityofAnchorage{MOA}providesresourcesfromtheAnchorageFireDepartmentandOfficeofEmergencyManagementfortheAnchorageLEPC.Withthe cooperation of local industry and businesses, these agencies have created a model program of risk management and personnel safety for several hundred reporting client sites, their neighbors and emergency responsepersonnel.AlaskaStateStatuteTitle29outlinestherequirementsandestablishestheauthorityfortheMunicipalityofAnchorageinimplementingaCRTKprogram.AnchorageMunicipalCodeChapter16.110outlinesthereportingrequirementsfortheMunicipalityofAnchorage(seepages11-17).* Alaska State Statute Title 29 and Anchorage Municipal Code Chapter 16.110 can be accessed on our website at www.muni.org/Prevention

AllfacilitieswithinthegeographicboundariesoftheMunicipalityofAnchoragearerequiredtoevaluate the hazards of the chemicals, and any substances or materials used, stored or sold ontheirsiteandfileanannualreporttotheAnchorageFireDepartmentwithacopytoADEC.MSDS’areaprimarysourceofinformationneededtocompletethefilingrequirementsforCRTK.DependingupontechnicalhazardclassificationssuchasFlammable,Poison,Corrosive,Explosive,Toxic,Oxidizer,etc.,theamount of a hazardous chemical at a site will determine its reporting requirement. Anchorage reporting quantities differ from those minimums adopted by the State, and additional information provided for your convenience.

There are three major goals of the CRTK Program: 1. Inform citizens about locations of hazardous chemicals; 2. Formulate emergency plans in the event of a hazardous materials incident; 3. Provide safety training for initial response workers. The success of the program is

based on complete, accurate site-specific information on type, quantity and locations of hazardous chemicals provided by local businesses.

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IMPORTANT DETAILS FOR CTRK SUBMITTER

SubmissionoftheTierTwoform(approvedbytheAlaskaStateEmergencyResponseCommission)isrequiredbyTitleIIIoftheSuperfundAmendmentsAndRe-authorizationActOf1986,Section312;PublicLaw99-499,codifiedat42U.S.C.section11022.ThepurposeoftheTierTwoformsistoprovideStateandlocalofficialsandthepublicwithspecificinformationonhazardouschemicalspresent at your facility during the past year.WHO MUST SUBMIT THE FORM?Section312ofTitleIIIrequiresthattheowneroroperatorofafacilitysubmittheTierTwoformifsorequestedbyaStateemergencyresponsecommission,alocalemergencyplanningcommittee,orafiredepartmentwithjurisdictionoverthefacility.InAnchorage,theAnchorageFireDepartmenthasjurisdiction.Filing your Tier Two with the fire department fulfills your LEPC filing.

This request may apply to the owner or operator of any facility that is required, under regulations Implementing the Occupational Safety and HealthAct of 1970, to prepare or have availableaMaterialSafetyDataSheet (MSDS) forahazardouschemicalpresentat the facility.MSDSrequirementsarespecifiedintheOccupationalSafetyandHealthAdministration(OSHA)HazardCommunication Standards found in Title 29 of the Code of Federal Regulations at Section1910.1200.WHEN TO SUBMIT THIS FORM ?Ownersoroperatorsoffacilitiesthathavehazardouschemicalsonhandinquantitiesequaltoorgreaterthansetthresholdlevels(page5)mustsubmitTierTwoformsbyMarch1.WHERE TO SUBMIT TIER TWO FORMS ?SendcompletedTierTwoform(s)toeach of the following organizations.

1.AnchorageFireDepartmentCRTK 4700ElmoreRoad Anchorage,AK99507 {fulfillssubmissiontoLEPC}

2.SOA-ADEC-SERC-CamilleStephens 410WilloughbySt.,Suite105 Juneau,AK99801-1795

WHAT PENALTIES ARE INVOLVED?Anowneroroperatorwhoviolatesany Tier Two Reporting requirement shall be liable to the UnitedStatesforacivilpenaltyofupto$25,000foreachsuchviolation.Eachdayaviolationcontinues shall constitute a separate violation.WHERE TO GET HELP ?Forhelpcompletingthisform,pleasecontactFirePrevention,CRTKProgramAdministratorat(907)267-4900.WHERE TO GET ADDITIONAL COPIES OF THE FORM ?AdditionalcopiesoftheStateofAlaskaTierTwoformsmaybeobtainedfromyourlocalLEPCorthelocalfiredepartment.YoumayalsodownloadacopyfromtheinternetattheSERC’swebsiteathttp://www.ak-prepared.com/serc/tier.htm.You may obtain additional copies of the complete Tier II packet on our website at www.muni.org/Prevention. If your Tier Two responses require morethanonepage,useadditionalformsandfillinthepagenumberatthetopoftheform.

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* YOU MUST PROVIDE ALL INFORMATION REQUESTED ON THE FORM TO FULFILL TIER TWO REPORTING REQUIREMENTS.*

CHECKLIST OF ITEMS NEEDED TO FULFILL CRTK REQUIREMENTS

❏ Tier II forms-OnecopytotheAnchorageFireDepartmentAND one copy to theSOA-ADEC-SERC. Ifsubmittingcopiesorsubmittingelectronically, the first page must be submitted with an original signature and date by mail.

OR

❏ TransshipmentFacilityForm-Pleasesubmitthisform,only if you are a transshipment facility.

✱ If your facility does not meet Anchorage reporting requirements,pleasesubmitTierTwoformstatingthatyourfacilityisexcludedunderAnchoragereportingrequirements.

❏ Site Map-Asitemapisrequired every year. Can be a simple hand drawn map of the facility including the location of the hazardous materials.Formonpage21isprovidedforyourconvenience.

❏ Pictures of NFPA 704 Placarding-Picturesshowingthelocation(s)of theNFPA704Placard.This is requiredevery even-numberedyear(2012,2014,2016, etc), when filing for the 1st time OR when requestedbytheCRTKAdministrator.

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FACILITY IDENTIFICATIONEnterthefullnameofyourfacilityandcompanyidentifierwhereappropriate.Enterthefullstreetaddressorstateroad.Ifastreetaddressisnotavailable,enterotherappro-priateidentifiersthatdescribethephysicallocationofyourfacility(e.g.,longitudeandlatitude).Include city, county, state and zip code.EntertheprimaryStandardIndustrialClassification(SIC)codeandtheDun&Bradstreetnum-berforyourfacility.ThefinancialofficerofyourfacilityshouldbeabletoprovidetheDun&Bradstreetnumber.Ifyourfirmdoesnothavethisinformation,contacttheStateorregionalof-ficeofDun&Bradstreettoobtainyourfacilitynumberorhaveoneassigned.Enterthenumberof employees at your facility.OWNER/OPERATOREntertheowneroroperator’sfullname,mailingaddressandphonenumber.

EMERGENCY CONTACTEnterthename,titleandworkphonenumberofatleastonelocalpersonorofficethatcanactasa referral if emergency responders need assistance in responding to a chemical accident at the facility.Provideanemergencyphonenumberwheresuchemergency informationwillbeavailable24hours a day, every day. This requirement is mandatory. The facility must make arrangements toensurethata24-hourcontactisavailable.

IDENTICAL INFORMATION CHECK BOXChecktheboxindicatingidenticalinformation,locatedbelowtheemergencycontactsontheTier Two forms, if the current chemical information being reported is identical to that submitted last year. Chemical descriptions, hazards, amounts and locations still must be provided in this year’s form, even if the information is identical to that submitted last year.

CHEMICAL INFORMATION: DESCRIPTION, HAZARDS, AMOUNTS AND LOCATIONSThemainsectionoftheTierTwoformrequiresspecificinformationonamountsandlocationsofhazardouschemicals,asdefinedintheOSHAHazardCommunicationStandard.Ifyouchoosetoindicatethatalloftheinformationonaspecifichazardouschemicalisidenticaltowhatwassubmittedlastyear,checktheappropriateoptionalboxprovidedattherightsideofthestorage codes and locations on the Tier Two form. Chemical descriptions, hazards, amounts, and locations still must be provided even if the information is identical to that submitted last year.

WHAT CHEMICALS ARE INCLUDED?You must report the required information on this Tier Two form for each hazardous chemical present atyourfacilityinquantitiesequaltoorgreaterthanestablishedthresholdamounts(page5),unlessthechemicalsareexcludedunderAS29.35.590(6).HazardouschemicalsareanysubstancesforwhichyourfacilitymustmaintainanMSDSunderOSHAHazardCommunicationStandard,whichisreportableunderStatelaw.Youneedtoreporthazardouschemicalsthatwerepresentatyourfacilityat any time during the previous calendar year at levels that equal or exceed these thresholds.

INSTRUCTIONS FOR FILLING OUT TIER TWO FORMPleasereadtheseinstructionscarefully.Printortypeallresponses.

Reporting PeriodEnter the appropriate calendar year, beginning January 1 and ending December 31.

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ANCHORAGE HAZARDOUS MATERIALS REPORTING REQUIREMENTSAllfacilitieswithintheMunicipalityofAnchoragemustreportthefollowingmaterialsinthequantitiesspecifiedbelow.PleasenotethatsometermshavespecificdefinitionsinEPAorDOTregulations.1. ANY quantityofthefollowingmaterials: A. Explosives ClassI,Division1.1 B. Explosives ClassI,Division1.2and1.3 {excludesblackpowder,smokelessgunpowderandammunition} C. PoisonGas Class2,Division2.3 D. Poison Class6,Division6.1 E. FlammableSolid Class4,Division4.1,4.2and4.3 F. Radioactive Class72. AHazardous Chemical ormaterialrequiringanMSDS,ifhandledinasingleday,inquanti-

ties of 4,500 pounds or more.3. AnExtremely Hazardous Substance in quantities of 500 pounds or more, or the Threshold

PlanningQuantity,whicheverissmaller.4. AHazardous Waste in quantities of 220 pounds or more.5. AnAcute Hazardous Waste in quantities of 2.2 pounds or more.6. Compressed Gas with a hazard class rating of 1 or 2 inanycategoryunderNFPA704

StandardPlacardsystemfor the identificationof thefirehazardsmaterials inquantitiesof1,000 cubic feet or more.

7. Compressed Gas with a hazard class rating of 3 or 4 inanycategoryundertheNFPA704StandardPlacardsystemfortheidentificationofthefirehazardsofmaterialsinquantitiesof200 cubic feet or more.

8. AConsumer Commodityofahazardouschemicalormaterialinquantitiesof1,000poundsormorewhenpresentatafacilitylongerthan14dayspriortoplacementfordisplayorsale.

9. Reporting quantities for “retail gasoline stations” only: Gasoline stored in compliant UST’s–75,000gallons;DieselstoredincompliantUST’s–100,000gallons.

ANNUAL REPORTING FEES

DO NOT send payment with your Tier II form. You will be billed separately. QUANTITY IN POUNDS ANNUAL FEE PER FACILITY

Range Regular Transshipment 0 4,999 $65 $165 5,000 14,999 $165 $185 15,000 74,999 $225 $225 75,000 299,999 $325 $325 300,000 649,999 $950 $950 650,000 999,999 $2000 $2000 1,000,000 3,000,000 $4000 $4000 Greaterthan 3,000,000 $5000 $5000

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WHAT CHEMICALS ARE EXCLUDED?AS29.35.590(6)excludesthefollowingsubstances:

(A) Afood,foodadditive,coloradditive,drug,orcosmeticregulatedbythefederalFoodandDrugAdministration;

(B) Asubstancepresentasasolidinamanufactureditemtotheextentexposuretothesubstancedoesnotoccurundernormalconditionsofuse;

(C) Asubstancetotheextentitisusedforpersonal,family,orhouseholdpurposes,oris present in the same form and concentration as a product packaged for distribution andusebythegeneralpublic;

(D) Asubstancetotheextent it isusedinaresearchlaboratoryorahospitalorothermedicalfacilityunderthedirectsupervisionofatechnicallyqualifiedindividual;or

(E) Asubstancetotheextentitisusedinroutineagriculturaloperationsorisafertilizerheld for sale by a retailer to the ultimate customer.

OSHAregulations,Section1910.1200(b),stipulateexemptionsfromtherequirementtoprepareorhaveavailableanMSDS.

CONFIDENTIAL INFORMATIONIf you arewithholding the nameof a chemical in accordancewith criteria specified inTitle III for confidential information, Section 322, enter the generic class or categorythat is structurally descriptive of the chemical (e.g., list toluene diisocyanate as organic isocyanate)andchecktheboxmarkedTradeSecret.Tradesecret informationshouldbesubmitted toEPAandmust includesubstantiation.PleaserefertoEPA’sfinalregulationonatradesecrecy(53FR28772,July29,1988)fordetailed information on how to submit trade secrecy claims.

CHEMICAL DESCRIPTION1. Enter the Chemical Abstract Service registry number (CAS). For mixtures, enter the

CASnumberofthemixtureasawhole,if ithasbeenassignedanumberdistinctfromitsconstituents.ForamixturethathasnoCASnumber,leavethisitemblankorreporttheCASnumbers of as many constituent chemicals as possible.

2. Enterthechemicalnameorcommonnameofeachhazardouschemical.3. Checkbox forALLapplicable descriptors: pure ormixture; and solid, liquid, or gas; and

whetherthechemicalisorcontainsanEHS.4. IfthechemicalisamixturecontaininganEHS,enterthechemicalnameofeachEHSinthe

mixture,aswellastheCASnumber.

EXAMPLE You have pure chlorine gas on hand, as well as two mixtures that contain liquid

chlorine. You write “chlorine” and enter the CAS number. Then you check “pure” and “mix”, as well as “liquid” and “gas”.

PHYSICAL AND HEALTH HAZARDSForeachchemicalyouhavelisted,checkall thephysicalandhealthhazardboxesthatapply.Thesehazardcategoriesaredefinedin40C.F.R.370.2.Thetwohealthhazardcategoriesandthreephysicalhazardcategoriesareaconsolidationofthe23hazardcategoriesdefinedintheOSHAHazardCommunicationStandard,29C.F.R.1910.1200.

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HAZARD CATEGORY COMPARISON FOR REPORTING UNDER SECTIONS 311 AND 312

EPA’sHazardCategories OSHAHazardCategories

Fire Hazard Flammable CombustibleLiquid Pyrophoric Oxidizer

SuddenReleaseofPressure Explosives CompressedGases

Reactive UnstableReactive OrganicPeroxide WaterReactive

Immediate(Acute) HighlyToxic HealthHazards Toxic Irritant Sensitizer Corrosive

Otherhazardouschemicalswithanadverseeffectwithshorttermexposure.

Delayed(Chronic) CarcinogensHealthHazards Otherhazardouschemicalswithanadverseeffect

withlongtermexposure

INVENTORY* Calculate all amounts as weight in pounds or gallons. To convert gas or liquid volumn to

weight in pounds, multiply an appropriate density factor.*

MAXIMUM AMOUNT:1.Foreachhazardouschemical,estimatethegreatestamountpresentatyourfacilityon

any single day during the reporting period.2.EntertheactualpoundsorgallonsintheGAL/LBScolumn.Be sure to indicate

whether the quantity reported is gallons or pounds.

AVERAGE DAILY AMOUNT:1.Foreachhazardouschemical,estimatetheaveragequantitythatwaspresentatyourfacility

during the year.2.EntertheactualpoundsorgallonsintheGAL/LBScolumn.Be sure to indicate whether the

quantity reported is gallons or pounds.

MAXIMUM AMOUNT PER CONTAINER:1.Foreachhazardouschemical,estimatetheamountstoredinthelargestcontaineratthe

facility.2.EntertheactualpoundsorgallonsintheGAL/LBScolumn.Be sure to indicate whether

the quantity reported is gallons or pounds.

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WHAT ABOUT MIXTURES?Ifachemicalispartofamixture,youhavetheoptionofreportingeithertheweightoftheentiremixtureoronlytheportionofthemixturethatisaparticularhazardouschemical.Ifahazardoussolutionweighs100lbs.butiscomposedofonly5%ofaparticularhazardouschemical,youcanindicateeither100lbs.ofthemixtureor5lbs.ofthechemical).TheoptionusedforeachmixturemustbeconsistentwiththeoptionusedinyourSection31reporting.BecauseEHS’sareimportanttoSection303planning,theyhavelowerthresholds.TheamountofanEHSatafacility(bothpureEHSsubstancesandEHS’sinmixtures)mustbeaggregated for purposes of threshold determination. It is suggested that the aggregation calculationbedoneasafirststepinmakingthethresholddetermination.OnceyouhavedeterminedwhetherathresholdforanEHShasbeenreached,youshouldreporteitherthetotalweightoftheEHSatyourfacility,ortheweightofeachmixturecontainingtheEHS.

EXAMPLE 1:You received one large shipment of solvent mixture last year. The shipment filled 5,000 gallon storage tanks. You know that the solvent contains 10% benzene, which is a hazardous chemical. You figure that 10% of the 25,000 gallons is 2,500 gallons. You also know that the density of benzene is 7.29 pounds per gallon. Multiply 2,500 gallons by 7.29 pounds per gallon to get weight of 18,225 pounds. Enter “18,225 pounds” in the GAL/LBS column.

EXAMPLE 2:The 25,000-gallon shipment of solvent you received last year was gradually used up and completely gone in 315 days. The sum of the daily volume levels in the tank is 4,536,000 gallons. By dividing 4,536,000 gallons by 315 days on-site, you calculate an average daily amount of 14,400 gallons.You already know that the solvent contains 10% benzene, which is a hazardous chemical. Since 10% of 14,400 is 1,440, you figure that you had an average of 1,440 gallons of benzene. You also know that the density of benzene is 7.29 pounds per gallons, so you multiply 1,440 by 7.29 to get a weight of 10,500 pounds.(If you are using the form as a worksheet for completing a Tier One form, you should write 10,500 in the shaded area.)

EXAMPLE:The solvent composed of 10% benzene was present for 315 days at your facility. Enter 315 in the space provided.

NUMBER OF DAYS ON SITEEnterthenumberofdaysthatthehazardouschemicalwasfoundon–site.

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TABLE II - TEMPERATURE AND PRESSURE CONDITIONS Codes Storage Conditions (PRESSURE) 1 AmbientPressure 2 Greaterthanambientpressure 3 Lessthanambientpressure (TEMPERATURE) 4 Ambienttemperature 5 Greaterthanambienttemperature 6 Lessthanambienttemperature 7 Cryogenicconditions

STORAGE CODES: CONTAINER TYPE, PRESSURE AND TEMPERATURE

a. LookatTableI.Foreachlocation,findtheappropriatestoragetypeandenterthecorre-spondingcodeinthefirstbox.

b. LookatTableII.Foreachlocation,findtheappropriatestoragetypesforpressureandtemperatureconditions.Entertheapplicablepressurecodeinthesecondbox.Entertheapplicabletemperaturecodeinthethirdbox.

TABLE I - STORAGE TYPES

Codes Storage Conditions A Abovegroundtank B Belowgroundtank C Tank inside building D Steeldrum E Plasticornon-metallicdrum F Can G Carboy H Silo I Fiber drum J Bag K Box L Cylinder M Glassbottleorjug N Plasticbottleorjug O Totebin P Tankwagon Q RailCar R Other

EXAMPLE:The benzene in the main building is kept in a tank inside the buidling, at ambient pressure and less than ambient temperature.Table I shows that the code for a tank inside a building is C. Table II shows you that the code for ambient pressure is 1 and the code for less than ambient temperature is 6. You enter C 1 6.

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STORAGE LOCATIONS:Provideabriefdescriptionofthepreciselocationofthechemical,sothatemergencyresponderscanlocatethechemicaleasily.Youwillfinditadvantageoustoprovidetherequiredsiteplanorsitecoordinatesasexplainedbelow.Indicatenorth,south,eastorwestonthesiteplan.Foreachchemical,indicateataminimumthebuildingorlot.Additionally,wherepractical,theroomor area may be indicated. You may respond in narrative form with appropriate site coordinates or abbreviations.If the chemical is present in more than one building, lot, or area location, continue your responses downthepageasneeded.Ifthechemicalexistseverywhereattheplansitesimultaneously,youmay report that the chemical is ubiquitous at the site.

EXAMPLEYou have benzene in the main room of the main building, and in tank 2 in tank field 10. You attached a site plan with coordinates as follows: main building = G-2, tank field 10 = B-6. Fill in the Storage Location as follows:

B-6 [Tank 2] G-2 [Main Room]

CONFIDENTIAL INFORMATION

Under Title II, Section 324, you may elect to withhold location information on a specific chemical from disclosure to the public. If you choose to do so:Enter the word “Confidential” in the Non-Confidential Location section of the Tier Two form on the first line of the storage locations.

• On a separate Tier Two Confidential Location Information Sheet, enter the name and CAS number of each chemical for which you are keeping the loca-tion confidential. (page19)

• Enter the appropriate location and storage information.• Attach the Tier Two Confidential Location Information Sheet to the Tier Two

form. This separates confidential locations from other information that will be disclosed to the public.

OPTIONAL ATTACHMENTS: Ifyouchoosetoattachoneofthefollowing,checktheappropriateattachmentsboxatthebottom of the form.

a. Alistofsitecoordinateabbreviationsthatcorrespondtobuildings,lots,areas,etc.,through-out your facility.

b. Adescriptionofdikesandothersafeguardmeasuresforstoragelocationsthroughout your facility.

CERTIFICATIONTheowneroroperatorortheofficiallydesignatedrepresentativeoftheowneroroperatormustcertify that all information included in the Tier Two submission is true, accurate, and completed. OnthefirstpageoftheTierTworeport,enteryourfullnameandofficialtitle.Signyournameandenterthecurrentdate.Also,enterthetotalnumberofpagesincludedintheConfidentialandNon-ConfidentialInformationSheetsaswellasallattachments.An original signature is required on at least the first page of the submission. Submissions to the SERC and fire department must each contain an original signature on at least the first page.Subsequentpagesmustcontain either an original signature, a photocopy of the original signature, or a signature stamp. Eachpagemustcontainthedateonwhichtheoriginalsignaturewasaffixedtothefirstpageofthe submission and the total number of pages in the submission.DO NOT send payment with your Tier II form. You will be billed separately.

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21PAGE______OF______PAGES

Municipality of AnchorageANCHORAGEFIREDEPARTMENT

Floor Plan/Site Map

22

SPECIFICATIONSFOR

COMMUNITY RIGHT-TO-KNOW PROGRAMPLACARDING: NFPA 704

TheNationalFireProtectionAssociation(NFPA)704systemofplacardingshallbeusedat facilities handling hazardous chemicals, hazardous materials, or hazardous wastes in reportableamountsperthemunicipal'CommunityRight-to-Know'Ordinance,Title16.

Thissystemidentifiesthehazardsofamaterialintermsofthreecategories:"HEALTH","FLAMMABILITY"and"INSTABILITY."Thesystemindicates theorderofseveritybyanumericalratingthatrangesfrom"zero"(0)-indicatingminimumhazard,to"four"(4)-indicating severe hazard.`

The information ispresentedbyaspatial systemofdiagramswith "HEALTH'alwaysbeingontheleft;"FLAMMABILITY"alwaysatthetop;and"INSTABILITY"alwaysontheright.Inadditiontothisdesignatedconfiguration,thesecategoriesarecolor-coded.Thecolorcodesare:"HEALTH"blue;"FLAMMABILITY"red;"INSTABILITY"yellow.Exampleof spatial arrangement and color background are shown.

Thefourthspaceintheabovediagramshallbeusedtoindicate"SpecialHazard"."SpecialHazard"isusedtoindicateunusualpropertiesforthatmaterialwhichmaycausespecialproblemsorrequirespecialfirefightingtechniques.Thesymbolstobeusedinthiscategoryare:

Materialsthatdemonstrateunusualreactivitywithwatershallbeidentified ( W ) bytheletterWwithahorizontallinethroughthecenter.Materialsthatpossessoxidizingpropertiesshallbeidentifiedbythe OXY lettersOXY.Materials possessing radioactivity hazards shall be the standard radioactivity symbol.HazardousWasteshallbeidentifiedbythelettersHandW.TheWshall H belocateddirectlyundertheHasfollows: W Thecolorbackgroundfor"SpecialHazard"shallbethecolorwhite.

BLUE YELLOW

RED

WHITESPECIALHAZARD

HEALTH INSTABILITY

FLAMMABILITY

23

01234T

TTT

W WW

SPECIFICATIONS FOR SIZE AND DESIGN OF PLACARDThe following illustrations shall be used for the implementation of this standard

H

NOTE:STYLEOFNUMERALSSHOWNISOPTIONAL

SIZEOFSIGNALSH W T A B

2.13 15/32 71/2 33/4

B B

AA

B

AA

TheNFPA704placardmaterialSpecificationsare:

a)7-1/2"X7-1/2"squarediamondonend,madeoutof.080gaugeAluminiumsheeting.b)1/8"borderandsectionspacing,onablackorwhitebackground.c)Background:bakedon22903Mreflectivesheetingorequivalentmaterial.d)ScreenPrint4Colors: Blue Transparent#7103MInkorequivalentmaterial Red Transparent#7123MInkorequivalentmaterial Yellow Transparent#7223MInkorequivalentmaterial Black Transparent#7053MInkorequivalentmaterial

Allscreenprintingtobedoneon52903MPressureSensitivematerialorequivalent.Numbers:a)WhitenumbersaretobemadeoutofpressuresensitivereflectiveEngineerGradeVinyl.WhitenumbersareusedintheBlue-healthandRed-flammabilitycategories.b)BlacknumbersandspecialhazardsymbolsaretobemadeoutofpressuresensitiveOpaqueVinyl.BlacknumbersareusedintheYellow-reactivityandWhite-specialhazardcategories.

NOTE:INTERIORSIGNSsameasabove(optional.080gaugeAluminium).

FormoreinformationpleasecontacttheAnchorageFireDepartment,'CommunityRight-to-Know'Program,at267-4900.

23

24

SPILL REPORTINGEmergency — 911 —

or1-800-478-9300 24 hr.

NOTE: Written report to Office of Emergency Management [or faxed to 343-1441] fulfills notification requirement for Anchorage LEPC.

Any hazardous substance release or spill must be reported immediately. ADEC receivesnotificationthroughthis800numberandrelaysrelevantdatatotheNationalResponseCenterstaffedbyUSCoastGuardpersonnelaroundtheclock.SpillinformationisalsosharedwiththeEPARegion10Alaskaoffice inAnchorage. Federal resourcesareoftenused tomitigate theimmediateand long-termeffectsofchemical incidents. Legalactionandsignificantfinesmayresult from failure to report.

When a spill or release is reported, the following information will be needed as applicable:

• Yourname,location,business/organization,telephonenumber• Nameandaddressofthepartyresponsiblefortheincident• Date,timeandexactlocationofincident• Sourceandcauseofthereleaseorspill• Name/typeofcarrierorvessel,railcar/trucknumberorprocessequipmentidentification• Type(s)ofmaterial(s)releasedorspilled• Quantityofmaterialsreleasedorspilled• Hasreleasebeencontained/spillsourceshutdown• Statusofevacuation• Medium(land,water,air)affectedbyreleaseorspill• Threatordangerposedbyreleaseorspill• Whenapplicable,numbersandtypesofinjuriesand/orfatalities• Weatherconditionsatincidentsite• Otheragenciesnotified

community right-to-know program (crtk)

Documents