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Page 1
SAMPLE FORMAT
FOR
RELEASE RESPONSE PLAN
COMPANY NAME Ik CA �'f( /L C rn/L 14 J i' y C I(A
FACILITY NAME C"-)OO)/l. b 04 -Y4 ±
ADDRESS 130 0 1 d �(NI )al( Y.o&d
1a y — 553Ci
TELEPHONE q5 Z - +73 - //q55
TABLE OF CONTENTS: PAGES
1) FACILITY AND PERSONNEL EMERGENCY RESPONSE LIST __
2) OTHER FACILITY LIST ,3
3) EMERGENCY ASSISTANCE 4
4) PRODUCT LABELS
5) PRODUCT MSDS
6) MAP OF FACILITY 9
7) MAP KEY
8) MAP OF SURROUNDING AREA
9) MAP KEY OF SURROUNDING AREA
10) PERSONAL PROTECTIVE EQUIPMENT AND LOCATIONS J'4
11) LOCATION OF EMERGENCY EQUIPMENT AND SUPPLIES 15 - I-I
12) SPILL OF LIQUID PESTICIDES - PROCEDURES ) S 1I
A) MINOR SPILL C/v
B) MAJOR SPILL
13) FIRE FIGHTING PROCEDURES a(f) 'v�g
14) USE AND DISPOSAL OF SPILLED MATERIALS ?.9 -31
15) FIRST AID INFORMATION
Page
BZLEASL RESPONSE P
FACILITY CONTACTS
NAME -RO
TITLE rl c ►mac C l.ti _ ✓1
( T-�fit
PHONE `I"✓ 2 41L, - q N D ?J C.�,� (Q Z -
ADDRESSAAAA* **i1,r T(h* 'Blvd *,r,r*** *,r�r ** `J 591
NAME S f-6 c/c.L D X Ii✓(i
TITLE C/+SI 6 IGC w�t �5-C ��S� i✓7h J �t�� ""'�'
PHONE -ISZ - 11I " SZZ1 cmc : q5 - a50 - IC,a71
ADDRESS 1210 (I1VCV lavL-d 5-I- . &X c,d5S1)/Y ' YYI/u
*************************************************AAAA***********************
NAME t��I bIL13GU
TITLE `�{nit.Vl(/S 0-pl. 1/14_ ,d- 4t P14 Nl l }-{tea S7'i/Gc A-56/5:
\n1 I ,c'b f,, Page 3
COMPANY NAME vV Q•\\t vI (iL
OTHER FACILITIES
FAMILIAR WITH FACILITY
FACILITY #1 WC&\/ -Fj Y.� PRIMARY CONTACT:
LOCATION �-a-f r, NAME {TQ.0/ Y1 G L
PHONE 6)12- 404 5331 PHBN'Efill-1050"1-312
****************************************** ***********
FACILITY #2 \Nzy,t"7/L T6 f PRIMARY CONTACT:
LOCATIONam NAME
:404 —
PHONE 067 ! PHONE
***************************************************************************
FACILITY #3 OA D TP(� (I e J-. PRIMARY CONTACT:
LOCATION (Ya a O NAME
PHONE 11',/2 - 2-4-61 - 4n PHONE
***************************************************************************
FACILITY #4 PRIMARY CONTACT:
LOCATION NAME
PHONE PHONE
Page
EMERGENCY ASSISTANCE NUMBERS
Fire Department �z - o - 5 33'1
Police 169 - SZS loZib
Sheriff 's Department 1QI2 34� - 3-1441
State Patrol (l' J 1 I - 6 I 60
Ambulances
Doctors
Hospitals
Emergency Contractor 12)0b052-G14C1Lr 6)1- ',
(Excavation, Crane, etc. ) 4 7i _ Loq 4�
Minnesota Department of Agriculture (6.51 ) 297-5387 (Mon-Fri)
(8 : 00-4 : 30'
Emergency Management Division
24-hour numbers (6.5) ) 649-5451 (metro)
1- (800) 422-0798 (non-metro)
Minnesota Pollution Control Agency (651 ) 296-8100
CHEMTREC 1- (800) 424-9300
Minnesota Poison Control Center (6 ! ) 221-2113
1- (800) 222-1222
U. S. Coast Guard 1- (800) 424-8802
NOTE:
* THE MPDS EMERGENCY MANAGEMENT DIVISION WILL AUTOMATICALLY NOTIFY ALL
STATE AGENCIES YOU REQUEST THAT THEY NOTLFY . THIS ONE CALL THEN WILL
SATISFY YOUR REQUIREMENT FOR NOTIFYING ALL APPROPRIATE STATE AGENCIES .
BE SURE TO NOTE THE TIME AND DATE WHEN YOU MAKE THIS CALL AND THE PERSON
YOU SPOKE TO.
** CHEMTREC, MINNESOTA POISON CONTROL, AND U.S. COAST GUARD NUMBERS ARE
PROVIDED FOR INFORMATIONAL PURPOSES.
*** THE ABOVE-LISTED CONTACTS ARE THE MINIMUM RECOMMENDED BY THE MDA.
1 . Emergency Response Contact List _!■_�
C. Major Chemical Company Representatives (including pesticide,
fertilizer, and anhydrous ammonia suppliers)
•
MANUFACTURER cvyi),., C /14c
ADDRESS
I 5Zcc a EctuA ?yo vyi-c lin id 6�344(
REPRESENTATIVE'S NAME TELEPHONE NO.
RC1 r�� -1-1/uv-vi.'UVL Le I Z - o 4— i l.e 9
MANUFACTURER 1,..e,s,v
ADDRESS
(.9X153 lit)Gusl (iv,. Plan-- TKO, k YYIh( 5534(p
REPRESENTATIVE'S NAME TELEPHONE NO.
I6db oY\ci; 1 12- 3Le(e- 3031 w q5Z -942 -gzg2
MANUFACTURER }Pa vc_e_
ADDRESS
P v Poo x b91 qLe Au,e 5+. ►-1-v3 iMN( 5 ''7z
REPRESENTATIVE'S NAME TELEPHONE NO.
6/ 3L - 50
MANUFACTURER w iv. C)\( d e_v.
ADDRESS
1 2-u5 WC .nn .-4-k tCL y10 . wlnl 554 31
REPRESENTATIVE'S NAME TELEPHONE NO.
0v� la-FtI - tog Lel Z-944- 7/•
MANUFACTURER 1A-v-i -Iw va 5r cp p1�/
ADDRESS
11- 21 X./v (5 t L _ 4VY44( HU/ .dI Mi( 5J4 30
REPRESENTATIVE'S NAME TELEPHONE NO.
Ucl I Z
MANUFACTURER
ADDRESS
REPRESENTATIVE'S NAME TELEPHONE NO.
Incident Response Plan Pa 3
9. Product Labels
Insert pesticide product labels here.
14 con fjOjt, ms65 '6(0- ,-/f/J 16) 6ujje/Q
waiyk )1(7
\i MiLt osbl-Kom.
Incident Response Plan Page Lo
10. Material Safety Data Sheets (MSDS)
Insert product Material Safety Data Sheets here (pesticide, fertilizer, and anhydrous
ammonia) here.
•
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Cia-vtA_Ab-qa•cci7A4-&`frwla,w Ghor
\()-L3 \ri,u/d--Kivyvk .
Incident Response Plan Page I
Page O
SICLTCH OF FACILITY
Accurately diagram the current facility property (if previously
established) or the proposed facility property (if new)
a. All buildings;
b. All pesticide/fertilizer bulk tank storage areas, and all non-bulk
(packaged goods) pesticide/fertilizer storage areas;
c. All mixing, loading, and rinsate recycling areas;
d. All vehicle parking and washing areas;
e. All sanitary sewer inlets, storm sewer inlets and outlets, tile
inlets and outlets;
f. All wells. For wells within 150 feet of any existing or proposed
loading (rinse pad) and secondary containment (diked) areas, include
the year installed and the depth.
* Indicate distances between buildings.
** A COPY OF THE FACILITY SKETCH PREPARED FOR THE PERMIT APPLICATION
MAY BE INSERTED HERE.
802
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Fire Extinguisher
,) {1Eme g ncy Gas =; I I I,���U Fire Extinguisher __
Shut—off
— Office _w
® Fire Extinguisher IFF Main Shop _
Equipment Storage Area _
A
Back Shop ^
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Office
Floor Drain ^pp q
(--- eFire Extinguisher
I I I li
Kitchen
NTdnubc Lill _
00 Paint Storage cLI.1
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r4.) Bathroom l�T
..Portable Gas cap, Parts urc
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s .Chemical o
Equipment _
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Supply Room/ 2
Al's Office '1 U
Equipment Storage Area
Back Shop
Page ID
MAP OP SURROUNDING AREA
Attach a detailed copy of a county plat book/map or a detailed
city/village map, or a combination of maps, photographs, and diagrams
which accurately describe the location of the facility and include only
the following: ^,I
1) County ILA iJ/ , and City,/Village 'WOkIM .
2) Township lI , Range ,j , Section ,3j
3) Section , Fraction/Lot
4) Distance and direction to cropland (be specific) , residences (single
family or multi-family dwelling) , and business (type) within one-
quarter mile of the facility. Use standard compass directions and
give exact distance measurements.
5) Distance and direction to surface water (creeks, streams, rivers,
lakes, ponds, wetlands, etc. ) , drainage ditches (county and others) ,
and down gradient storm sewers within one-quarter mile of the
facility.
6) Distance and direction to any municipal water supply well within one-
quarter mile of the facility. Use standard compass directions and
give exact distance measurements.
* A COPY OF THE SURROUNDING AREA SKETCH PREPARTED FOR THE PERMIT
APPLICATION MAY BE INSERTED HERE.
4) Distances from the Main Shop to... 6) Distances from water supply (wash pad) to...
a. Clubhouse = 1240'S a. Clubhouse = 1240'S
b. West Residence = 160' W b. Main Shop = 60'S
c. Old Long Lake Road= 800' W c. West Residence = 120' W
d. Northwest Residence = 640'NW d. Old Long Lake Road= 780' W
e. Luce Line Trail = 60'N e. Northwest Residence= 660'NW
f North Residence = 320'N f. Luce Line Trail =200'N
g. Green Shed = 40'E g. North Residence =280'N
h. White Shed= 200'NE h. Green Shed = 180'NE
i. Oasis= 760'E i. White Shed= 360'NE
j. Oasis = 860'E
4) Distances from the Green Shed to...
a. Clubhouse = 1280'S 7) Distances from water supply (oasis) to...
b. Main Shop = 40' W a. Clubhouse= 1340'SW
c. West Residence = 280' W b. Main Shop = 760' W
d. Old Long Lake Road = 920' W c. West Residence = 940' W
e. Northwest Residence= 720'NW d. Old Long Lake Road = 1520' W
f. Luce Line Trail = 60'N e. Northwest Residence = 1400'NW
g. North Residence = 440'N f. Luce Line Trail = 80'N
h. White Shed= 160'N g. North Residence = 1080'NW
i. Oasis = 700'E h. Green Shed = 700'NW
i. White Shed= 700'NW
4) Distances from the White Shed to...
a. Clubhouse = 1480'S
b. Main Shop = 180'S
c. West Residence = 480'SW
d. Old Long Lake Road= 980' W
e. Northwest Residence= 680' W
f. Luce Line Trail = 120'S
g. North Residence = 340' W
h. Green Shed = 160'S
i. Oasis = 700'SW
5) Distances to surface water...
a. Main Shop to Residence Pond= 160' W
b. Main Shop to #6 Pond= 480'NW
c. White Shed to Residence Pond= 180' W
d. White Shed to #6 Pond=240' W
e. Green Shed to Residence Pond= 180'SW
f. Green Shed to #6 Pond= 460' W
g. Wash Pad to Residence Pond= 260' W
h. Wash Pad to #6 Pond = 640'NW
FORM NO.0261-10
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White Shed 60'
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Fertilizer Storage
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Page 14
PERSONAL PROTECTIVE EQUIPMENT AND LOCATIONS
ON OTHER LOCATION & PHONE
5OUIPMENT ,SITE _
Pesticide rated [ ) [ ) .140-0ti �ry . 1,WL
respirators
Rubber or neoprene boots [ b( ) ( ) \i C, A/ - C)2YZ513VIA
Disposable boots [ ] ( ]
Rubber gloves [ t( ) [ ) 0‘i Vti.Q,(.tit,i LY?1?SLi/k_
Chemical suits [ b( ] ( ] & A) C& lq)251/LA
Rubber raincoats ' [ K ] [ ] b( bk io
Face shield or similar [ ] [ ]
protection
Safety goggles ( p( ] [ 1 hJ \Lt ��
Hard hats [ V( ) [ i
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Soap [ D( ] [ 1 h\I Y.A -"Z Uw + b(c ✓152Din_
Other ( ) [ ]
Other ( ] [ 1
THE ABOVE-LISTED ITEMS ARE THE MINIMUM TYPES OF PERSONAL PROTECTIVE EQUIPMENT
RECOMMENDED BY THE MDA.
•
FORM NO.0261-10
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Page IS
LOCATION OF EMERGENCY EQUIPMENT & SUPPLIES
(available 24 hours/day; include location, description and phone
numbers)
Beveled wooden stakes & mallet: 41,04, ' ' O p V,-J.Ui 4 1,td
Rubber strips, plastic tape & duct tape: <Jtpp
Assorted bolts, machine screws & hand tools: Iti.p e l y Y 'vL 1
-1 C
Rain gutter or plywood for overflow control:
Caulking material: ��N cAVrivuut
TRAFFIC CONTROL:
Street barriers or barricades: r..(,(,{A. `JA
Rope (for use in isolating spill areas) : O\-y'e,e4k tLtQ
CONTAINMENT / CLEANUP MATERIALS
HAND SHOVELS:
BROOMS: \OC 4c, ' h0767
SAND OR SOIL FOR EMERGENCY CONTAINMENT (note: if sand is used to
smother a- fire, it must be decontaminated) :
ClArt- a0- ArMYiLio r oi
Storm sewer covers:
Page 1 l.X
LOCATION OF EMERGENCY EQUIPMENT & SUPPLIES (continued)
(available 24 hours/day; include location, description and phone
numbers)
Absorbent materials for small spills: •
Activated c:harcoal:
Absorptive clay: O \At\O
Vermiculite:
Pet litter:
Lime:
Absorbent pillows:
Strong detergent for final cleanup:
Water supplies:
Location & type (i.e. tanks, public water, wells, ponds, ditches,
canals, etc. ) .
LIQUID RECOVERY EQUIPMENT:
Liquid transfer pumps: YY1C(, 4z;4/11)1)
Gasoline for pumps: \' e..N\. 5 b12
Hoses and fittings for pumps: Ah 5411.0 p
Emergency electrical generating equipment: 1V S kul
Leak proof drums with lids for collection of absorbed material from
clean up of minor spills.
Page `\
LOCATION OF EMERGENCY EQUIPMENT & SUPPLIES (continued)
(available 24 hours/day; include location, description and phone
numbers)
Tanks of adequate capacity for holding recovered material:
Portable storage tanks (i.e. tanker truck, nurse tank, etc. ) :
EXCAVATION EQUIPMENT
Front-endloaders:
Bulldozers: -1.)0bOS -CAASk-( 61'1-S
Dump trucks: IDO b0 5 t-et.45 1Yl,S
Back hoe: D0 SzY 3 •
* THE EQUIPMENT LISTED IS THE MINIMUM EQUIPMENT RECOMMENDED BY
THE MDA.
** ADDITIONAL RELEASE REMEDIATION EQUIPMENT MAY BE NEEDED AS THE
SITUATION DEMANDS.
Page I O
SPILL OF LIQUID PESTICIDES
SAFETY FIRST:
•
CONTROL
CONTAIN
CLEANUP
* THE PROCEDURES LISTED ARE MDA RECOMMENDED PROCEDURES ONLY. ADDITIONAL
PROCEDURES MAY BE REQUIRED TO CONTROL, CONTAIN, AND CLEANUP RELEASES.
A. MINOR SPILLS
A minor spill is basically a spill small enough to be controlled,
contained and cleaned up using readily available equipment and
materials.
Our most likely sources of minor spills are: T.Ls-jiu (,E- j - {/yr+1I! -11. i
0II , sors
Our most likely procedure for containing minor spills would be to
first contain the spill using:
Page 16i
SPILL OF LIQUID PESTICIDES (continued)
A. MINOR SPILL (continued)
1. First determine whether it is appropriate to stop the source of
the spill or to limit the flow.
Be sure to protect yourself before proceeding.
Wear appropriate personal protective equipment.
Do not allow anyone to walk in the spilled material. Prevent
vehicles from driving over spilled material . For traffic control
materials, see page
a) STOP SPILL: Location of beveled stakes, a mallet, rubber
strips, plastic tape and duct tape is listed on page
b) CONTAIN: If the material starts to spread, contain by
diking with sand, soil . Do not allow material to enter
storm sewers, waterways, etc. , or pool at well heads.
Our nearest source of sand is listed on page where we
have access to about yards of sand.
Our nearest source of soil is listed on page 15 where we
have access to about yards of soil.
Tools for moving these materials are listed on page )1 .
Our own front end loader is listed on page 11 .
•
For larger spills which might go beyond the capacity of our
own equipment, move to the following section on MAJOR
SPILLS.
2 . After emergency containment is completed, start the recovery and
clean up operation.
If the spill is large enough use a pump to transfer spilled
material into an emergency holding tank.
Locations of pump, gasoline, appropriate fittings, and holding
tanks are given on page )(2 .
After first response and evaluation of the situation, notify
appropriate authorities per the call list on page of this
plan.
Page (240
SPILL OF LIQUID PESTICIDES Lcontinped)
A. MINOR SPILL (continued)
2. (continued) Request appropriate assistance and materials.
3 . Clear the contaminated area of all personnel except for a small
clean up crew.
Do not allow anyone to smoke near the spilled pesticide or to
provide any other source of ignition.
4 . Wear appropriate protective equipment which may include a hard
hat, respirator, goggles, rubber gloves, rubber boots, rubber
suit, and other equipment as needed.
This equipment is listed on page � . under "Location of Personal
Protective Equipment" .
5. Except for contained areas, do not moose down spill because hosing
spreads the spilled material.
Small spills within a paved loading area may be using a low
pressure water line and as little water as possible into
for recovery.
Different pesticides should be separated by use-sites for
possible re-use. See USE & DISPOSAL on page ZGI .
6. Except for a small spill recovered under step 5 above, absorbent
material should be spread over the entire spill. See page J
' for a listing of absorbent materials.
Enough absorbent should be used to soak as much liquid as
possible. Allow time for the absorbent to work.
7 . Sweep or shovel the absorbed material into a large, leak-proof
recovery drum. See page 15 for a listing of tools and drums for
recovery.
Repeat cleanup process outlined in steps 5 and 6 above, one or
two more times until all visible residue of spilled material is
removed.
Page P-I
,,PILL OF LIOUID PESTICIDES (continued)
B. MAJOR SPILL
A major spill is one which involves a significant quantity of materia:
from both product value and substantial environmental standpoints. A
major spill demands your immediate attention and immediate notification
of both company personnel and appropriate authorities.
What might be a minor spill on your own facility property quickly
becomes a major spill if it occurs 15 feet from a storm sewer that
empties directly into a trout stream.
1) FOR ANY MAJOR SPILL, BEFORE RESPONDING:
QUESTION: RESPONSE:
A) Am I equipped to respond a) Notify others of the 3
safely? situation. See page
for phone numbers.
Do not allow anyone to walk
or drive in the spilled
material. See page 15 for
traffic control supplies.
Get needed protective gear.
See page 14 for listing.
B) Does the spilled material b) Be certain you and all
have any special properties responding are aware and
to consider (i.e. , flammable, and consider these
acid, high toxicity, 41
g properties. See page
reactions with other stored for product information
products?) locations.
C) Are any electrical components c) Shut down all power until
wet or submerged? it is determined what can
be safely used.
Other pre-response considerations for this facility are:
Question: Response:
Page
$PILL OF LIQUID PESTICIDES (continued)
B. MAJOR SPILL (continued)
Refer to MINOR SPILLS for more general guidelines for control ,
containment and cleanup procedures with regard to spills.
2) FOR A SPILL WITHIN SECONDARY CONTAINMENT:
Question: Response:
Is the leak fully contained?
a) Is leak squirting over wall? a) Deflect into containment
or pail with plywood or
rain gutter or
See page 15 for listing
of emergency repair
materials.
b) Is containment drain (if any) b) Close or otherwise plug
closed? valves. See page
for spare plugs.
c) Is there a crack or leaking c) Brace board with caulking
seal? on inside against crack.
See page for locatir
of caulking and repa.
materials.
Place absorbent pile on
outside to recover leakage.
See page 1(..p for absorbent
materials.
Caulk crack, preferably
from inside. See page I5
for location of caulking
materials.
d) Is the capacity sufficient d) Start pumping to empty
considering precipitation tank, nurse tanks or other
in dike? tanks with compatible
products. Seepage 1(p for
location of storage tanks
and liquid transfer
equipment.
If overflow has already
occurred, concentrate
efforts on controlling
overflow material first.
See page for locatir
of materials.
Other unique problems: Solutions:
Page 6713
SPILL OF LIQUID PESTICIDES (continued)
B. MAJOR SPI IL (continued)
2) FOR A SPILL WITHIN SECONDARY CONTAINMENT (continued) :
e) Are other tanks sufficiently e) Pump water or spilled
anchored? into these tanks. For
location of liquid transfer
equipment, see page 1(p .
Remove or restrain small
tanks.
Other:
f) Are other materials being f) Remove or transfer material
contaminated?. to another storage area.
For location of liquid
transfer equipment, see
page I (0
Other:
g) Can the leak be easily g) Check valves.
stopped.
Plug holes with wood stakes
or replace parts. See page
15 for repair materials.
Tape or strap over leak.
See page ) S for materials.
Transfer to another tank.
See page for location
of other tanks.
Other:
Page
SPILL OF LIQUID PESTICIDES (continued)
B. MAJOR SPILL (continued)
3) LOADING AREA SPILLS:
Questions: Response:
a) Is the leak fully contained? a) Divert to contained pad.
(Spraying beyond pad, drain See page for emergency
for pad closed?) repair materials. See page
for liquid recovery
materials.
b) Can the leak be reduced by b) Use correct start up or
starting or stopping transfer? shut down procedures.
c) Is or can spill come from c) Close valve on storage tank
storage system rather than or manifold, or
mobile vehicle?
d) Does loading system have d) Make connections to rinsate
capacity for entire content storage, emergency tank,
of leaking mobile? tank with compatible
product or pump into dike.
See page for liquid
recovery equipment.
4) OTHER SOURCES OF SPILLS:
a) Other likely sources of major spills at our facility are:
b) The most likely locations of filled transport vehicles coming
to or leaving our facility are:
c) From the above locations (4a and 4b) drainage moved toward:
d) Particular care would have to be taken to prevent the spill
from reaching:
e) Emergency berms can be constructed:
f) Under these conditions it would be better to try and move the
mobile container to a loading area or to
area even though a spill trail may be made.
Page S
SPILL OF LIQUID PESTICIDES (continued)
B. MAJOR SP__LL (continued)
4) OTHER SOURCES OF SPILLS (continued)
g) Other response procedures include:
5) HIGHWAY SPILLS:
a) If a spill occurs on a highway, call the State Highway Patrol
_21/3- 591- 5100 or the local sheriffs office
4Q.- 344(- 5144 , and MDA for assistance. Do not
leave the area until responsible assistance arrives.
b) Do not walk in spilled pesticide. Prevent vehicles from
driving over spilled material. See page k5 for a listing of
traffic control materials.
c) Do not handle leaking containers or go into a truck-van
without the appropriate personal protective equipment.
d) Do not allow anyone to smoke near the spilled pesticide or
provide any other source of ignition.
e) Dike the spill to prevent runoff of pesticide into any nearby
waterways, ditches, streams, ponds, storm sewers, etc.
6) FOR ANY MAJOR SPILL:
a) Pump into storage as much spillage as possible and hold for
analysis and use or reprocessing.
b) Follow minor spill procedures after initial recovery.
c) If a cleanup job appears to be too big to handle, or if there
is any doubt about the correct procedure, telephone
4r;y4_ of ..÷ and the 61 QA 5 p)i Gtr-s1'sht n r_A__
for asst tance.
d) See USE AND DISPOSAL on page p2'
Page
FIRE FIGHTING PROCEDURES
* Informati,n regarding fire fighting procedures is not required to r
provided to the MDA, and is included for informational purposes only
A) PREFIRE PLANNING
1. Local fire department should visit the facility at least annually.
They should be thoroughly familiar with the following:
a) Locations of hydrants and 9ther water sources;
b) Location of normal and alternate access road, gates, fences,
etc. ;
c) Surrounding building occupancies and land use;
d) Precautions and tactics for fighting garden and agricultural
chemical fires;
e) Day and night telephone numbers of the facility operators,
physician familiar with the products, and manufacturers of
the products;
f) Means of controlling drainage at and adjacent to the facility;
g) Symptoms of pesticide poisoning;
h) What to do in case of contact with toxic chemicals;
i) Use of self-contained breathing apparatus (Air Paks) ;
j) Means of ventilating the warehouse.
B) GENERAL RULES TO FOLLOW IN CASE OF FIRE:
1. Call the fire department at g and clear all
personnel from the building to a safe distance upwind from smoke
and fumes. Isolate the area if necessary.
Have plan of burning facility and its contents ready to show to
fire team when they arrive. This plan is on page of this
response plan.
Pay special attention to the location of particularly hazardous
chemicals and containers.
Clarify a water use strategy. How much, if any, water will be
used, where will it be used, how much if any diking will be
necessary to contain this water?
PROVIDE LABELS AND MATERIAL SAFETY DATA SHEETS.
Locations of labels and safety data sheets is described on par
Page (1
FIRE FIGHTING PROCEDURES (continued)
B) GENERAL RULES TO FOLLOW IN CASE OF FIRE (continued)
2. Protect the firemen. Fire-fighting personnel should wear
impervious clothing, including liquid-proof hats, coats, trousers,
full face, self-contained breathing apparatus, rubber boots, an
rubber gloves to prevent contact with the pesticide. This
equipment is listed on page
3 . Self-contained breathing apparatus should be used while fighting
a pesticide fire to provide respiratory protection against both
toxic vapors and an oxygen deficiency (oxygen less than 19 .5%) .
Caution: Do not use gas masks with canisters in fire fighting.
Protection against oxygen deficiency is not provided by these
respirators or by, gas masks ordinarily used to protect against
pesticide inhalation.
4 . Use standard organic chemical fire fighting techniques in
extinguishing fires involving pesticides. Use dry chemicals, foam
or carbon dioxide.
5. Confine and isolate the fire and contamination. Keep stored
pesticide containers cool, if possible, by water spray. Use spray
to diminish smoke and vapor if necessary. Trench or dike around
the area, if possible, to contain contaminated water. Location of
materials for diking is listed on page
The greatest risk of run off in this facility is:
This hazard will be protected by:
Page
FIRE FIGHTING PROCEDURES (CONT. )
B) GENERAL RL LES TO FOLLOW IN CASE OF FIRE (Cont. )
5. (Cont. )
NOTE: Use only as much water as necessary because excess water
compounds the cleanup problem. If the structure cannot be saved, it may
be better to let it burn if additional water application will result in
extensive contaminated water runoff or incomplete combustion of
chemicals resulting in a release of toxic compounds into the air. This
decision will need to be made by the commanding fire official at the
scene.
6. Evacuate people who might be endangered by the fire or resulting smoke
and fumes. Keep out of smoke from burning pesticides.
C) POST FIRE CLEANUP
1) Isolate and secure scene to keep people away; waste and run-off may
be toxic.
2) Contact MDA for disposal instructions and approval.
3) Handle waste and run-off the same as for a product spill.
Directions for handling spills are located on pages to
IMPORTANT NOTE:
Should this facility become involved in fire, the Commanding Officer at the
scene should be in a position to let the facility burn if he determines that
continued water application: 1) will result in extensive contaminated water
run-off, or 2) could result in incomplete combustion of chemicals resulting
in a release of toxic compounds into the air. It would be desirable if he
had advance written authority from the Facility Manager to do so if necessary
or appropriate. This eventually should be discussed with insurers of the
establishment.
I hereby authorize the Fire Department to make necessary decisions in
handling any fire at the facilities covered by this document.
Signed Date
Authorized Facility Representative
Signed _ Date
Authorized Fire Department Representative
Page
USE AND DISPOSAL OP SPILLED MATERIALS
Whenever possible, spilled material should be used as originally intended.
When reuse is not possible either because of excessive contamination or
cross-contamination with an incompatible material, the material must be
disposed of in accordance with MDA requirements. Depending upon the chemical
involved, disposal may be a local landfill that will accept the material , or
may need to be sent to a hazardous waste landfill. Do not begin disposal
until the MDA has granted approval.
OUR MDA DISPOSAL CONTACT IS:
TELEPHONE NUMBER:
A) RECOVERED PESTICIDE CONCENTRATE:
1) Spilled material that is still usable can be used.
Before using any spilled material , contact
The approximate analysis of material must always be known before
use.
_) & kt€ V1-,C_D L I is responsible for
locating and approving persons willing to accept these materials.
2) Other use or disposal procedures are outlined below:
Page ?j U
USE AND DISPOSAL OF SPILLED MATERIALS (CONT. )
B) RECOVERED PESTICIDE RINSATEB:
1) Small spills and rinsate resulting from daily spill cleanup should
be (prioritize appropriate options and delete inappropriate
choices) :
a) Used as make-up water in the present or future outgoing
pesticide loads of the same pesticide or same use-site
compatible pesticides. Approximate concentration of rinsate
should be accounted for when intended application is near
maximum label rate. At no time should a rinsate exceed 5% of
the total load. All customers receiving rinsate as makeup
water should be informed in advance and approve. If a
customer does not approve
b) Applied as-is to
as directed by
These sites must be used in the current and following season
for a crop specified by the pesticide label (s) . Also, over
the course of the season, the rinsate applied cannot exceed
label rates. Rinsate application records are kept
c) Disposed of according to label directions and as directed by
our MDA contact
d) Other acceptable procedures as outlined below:
Page 3
USE AND DISPOSAL OF SPILLED MATERIALS (CONT.)
C) SOLID MATERIALS AND CONTAMINATED EQUIPMENT FROM PESTICIDE SPILLS:
Absorbent materials, contaminated soil and gravel, equipment and other
solid materials will be disposed of (prioritize appropriate options and
delete inappropriate choices) :
1) Land spread on as
directed by and
approved by our MDA contact Sites and
methods of application will be chosen by
and approved by the MDA.
2) Securely packaged in barrels and disposed of as required by
our MDA contact
3) Other acceptable procedures:
Page 3;2-
FIRST AID - IN CABE OF ACCIDENTAL CONTACT
Refer to product label and MSDS on pages l) to 1 for
instructions. If in doubt about nature of material, get medical
attention immediately.
NOTE: If medical attention is sought, take labeled container.
SYMPTOMS OF PESTICIDE POISONING MAY INCLUDE:
1) Headaches 7) Nausea
2) Dizziness 8) Abdominal Cramps
3) Weakness 9) Diarrhea
4) Incoordination 10) Profuse Sweating
5) Muscle twitching 11) Blurred vision
6) Tremors
Location of:
First Aid Kit y 1 b a.+41 KU-OWN.
.
Eye Washer IVl a
Oxygen CAu.,h In(Sl, S e
Page 3s
1505.2100 BULK PESTICIDE STORAGE RULE -
PREPA;'ATION FOR CONTROL AND RECOVERY OF PESTICIDE RELEASES
A copy of the plan must be kept at a prominent location at the
storage facility and at the nearest local office from which the
storage facility is administered, and must be made available for
employee use and for inspection by the department. The operator
of the storage facility shall provide a current copy of the plan
to the local fire and police departments.
COPIES OF THE PLAN-a ARE LOCATED:
LOCATION �'L✓ 1,VL,(i& OL If
CONTACT lil`( y13 G O (( PHONE 9s z -4i 3 -(.Q q S5
LOCATION (-\w0 ►101kd2 V/VI.&i11.
CONTACT . al tk PHONE6Z" 473 --8v4Le
LOCATION
CONTACT PHONE
LOCATION
CONTACT PHONE
PLAN WAS LAST UPDATED:
DATE PAGES DATE PAGES DATE PAGES