Clark County Fire Department Hazardous Materials Application Package

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CLARK COUNTY FIRE DEPARTMENT Fire Prevention Bureau 575 E. Flamingo Road, Las Vegas, NV 89119 (702) 455-7316 FAX (702) 455-7347 Clark County Fire Department Hazardous Materials Application Package This package is meant to help you satisfy the requirements of obtaining a Hazardous Materials permit from the Clark County Fire Department. Please take the time to read the enclosed materials that is designed to assist you with preparing your Hazardous Materials permit submittal. These materials are not all inclusive and additional information or requirements may be necessary prior to the approval of your permit. If you feel you are unable to complete the guideline requirements on your own, the Clark County Fire Department recommends the use of a licensed Fire Protection Engineer to compile your submittal, as well as, address the safety issues associated with your Hazardous Materials operations. The completed Hazardous Materials submittal must be mailed or hand delivered to the Clark County Fire Department, Plans Check Division located at 575 E. Flamingo Rd, Las Vegas, NV 89119. Our hours of operation are between 8am and 4pm Monday thru Friday, excluding Holidays. There is a $75 minimum plan review fee, which is due upon submittal of the plans. Hazardous Materials submittals may be charged escalating fees after the plans are reviewed. Escalating fees are calculated by the quantities reported in your plan submittal. You can review our Permit Calculation Table and Fee Schedule by visiting our website at www.accessclarkcounty.com/fire. You must pay any additional fees before you receive your reviewed plans. It is important to note that once you have received your approved plans, you must schedule an inspection to finalize the permitting process. An inspector will conduct an on-site inspection and verify that the approved plans match the location set-up. If the inspection is approved, the permit will be signed and issued by the Inspector. Note: Your Hazardous Materials submittal must include three (3) copies of the following information: Fire Department Renewable Permit Application Form (provided) Operational Narrative Chemical Inventory Sheet Site Map - 1 -

CHEMICAL INVENTORY SHEET You should fill out the information on the chemical inventory sheet as thoroughly as possible. Each one of the fields is necessary information to ensure that the proper safety requirements are met. Chemical Name/Product Name Chemical name is the name that appears on the corresponding Material Safety Data Sheet (MSDS). The product name is the common name, or the name that appears on the packaging or container. Many chemicals have several different names associated with them. It is important that you use a name that appears on the MSDS as well as the product name so that the chemical can be matched to the appropriate MSDS and located in the field inspection. Chemical Classification - this is the classification that describes the hazards associated with the chemical. There are specific chemical hazards that are addressed individually by the 2005 Clark County Fire Code. It is important to know the hazard classification of each chemical in order to determine many different aspects of safely handling that chemical, such as permit amounts, exempt amounts, storage requirements, use requirements, fire safety system requirements, etc. In order to classify the chemicals used in your operation, you will need to consult the MSDS. Every hazard category has a specific definition that can be matched using the information provided on the MSDS. Some of the possible chemical classifications include: flammable and combustible liquids, oxidizers, explosives, corrosives, irritants, sensitizers, flammable solids, and more. Please group all like hazard categories and indicate the totals for each category on your inventory sheet. Physical State - this is the physical form of the chemical. Chemicals can either be solids, liquids, or gases at standard atmospheric temperature and pressure. NFPA 704 Hazard Ranking - these are the numbers that correspond to the level of possible threat of a chemical in three aspects. The numbers are represented in a four color diamond, in which each color represents a separate aspect. The health hazard (blue), fire hazard (red), reactivity hazard (yellow), and special hazard (white) give an emergency responder the information necessary to safely secure an incident scene. The health, fire, and reactivity categories are all represented by numbers from 0-4, with 0 representing the least hazard and 4 representing the most hazardous. The special hazard section will not have a number, but instead a word or symbol that denotes a hazard. For example: a W with a line drawn through it would represent a water reactive chemical; OXY would indicate an oxidizer; COR would represent a corrosive. Most MSDS will have listed the NFPA 704 hazard numbers associated with that specific product. They will usually be listed as: H-1 F-3 R-0 to represent the corresponding health, fire, and reactivity numbers. There is another hazard ranking system that uses a very similar number system called HMIS. The NFPA 704 hazard rankings and the HMIS hazard rankings are NOT the same and are not interchangeable. In an effort to save space on your inventory sheet, you can simply list the numbers in the box in the following order: Health, Fire, Reactivity, Special. If your MSDS does not contain the NFPA 704 hazard rankings, and you have already attempted to contact the manufacturer for the information, you can then leave this box empty. Inventory Amount - This number represents the highest amount of that chemical you may have on hand at any given time. This number DOES NOT represent the average amount of chemicals on hand. For the purposes of this permit, it is important to know how much of any chemical may be on hand, including fluctuations due to shipments, seasonal changes, use, or any other reason the amount might change. Please indicate the units of measurement for each chemical entry using standard abbreviation. If the chemical is in an aerosol can or other similar container, please be sure to indicate the size of each can as well as the total number of cans. Please use gallons, pounds, and cubic feet when stating quantities. Storage/Use Location - Include the grid number from the site map that indicates the storage and or use location of the chemical. If there are multiple storages and use locations, indicate all locations on the inventory sheet. - 2 -

Container type - This is the method in which the chemical is stored. Please indicate one of the methods of storage listed below using the letter associated with that container. Also indicate the size of each individual container in parenthesis next to the letter. Aboveground tank (60 gal. Or More) Below ground tank (60 gal. Or More) Tank inside building (60 gal. Or More) Steel Drum (55 gal. Or less) Plastic or non metal drum (55 gal. Or less) Can Carboy Silo Fiber drum Bag Box Cylinder Glass bottles or jugs Plastic bottles or jugs Tote bin Tank wagon Rail car Plastic bucket Metal bucket Cryogenic metal drawer Aerosol cans Other - 3 -

Product Name/ Hazard NFPA Physical Maximum Storage Container Chemical Name Class 704 State Quantity Location Size & Type - 4 -

HAZARDOUS MATERIALS CLASSIFICATIONS CARCINOGENS Carcinogens are those substances that cause a development of cancerous growths in living tissue. A chemical is considered to be a carcinogen if: 1. It has been evaluated by the International Agency for Research on Cancer and found to be a carcinogen or potential carcinogen. 2. It is listed as a carcinogen or potential carcinogen in the latest edition of the Annual Report on Carcinogens published by the National Toxicology Program. 3. It is regulated by OSHA as a carcinogen. Examples: asbestos, benzene, beryllium, carbon tetrachloride, chloroform, ethylene dichloride, PCBs, and vinyl chloride. COMBUSTIBLE LIQUIDS Class II : liquids that have a flash point at or above 100 F but below 140 F. Class III-A: liquids that have a flash point at or above 140 F but below 200 F. Class III-B: liquids that have a flash point at or above 200 F. COMPRESSED GAS Compressed gas is a material, or mixture of materials, which: 1. Is a gas at 68F or less at 14.7 psia of pressure and 2. Has a boiling point of 68F or less at 14.7 psia which is either liquefied, non-liquified, or in solution, except those gases which have no other health or physical hazard properties are not considered to be compressed until the pressure in the packaging exceeds 41 psia at 68F. Examples: Flammable Examples: acetylene, carbon monoxide, ethane, ethylene, hydrogen and methane. Oxidizing Examples: oxygen, ozone, oxides of nitrogen, chlorine, and fluorine. Chlorine and fluorine do not contain oxygen but reaction with flammables is similar to that of oxygen. Corrosive Examples: ammonia, hydrogen chloride and fluorine. Highly Toxic Examples: arsine, cyanogens, fluorine, germane, hydrogen cyanide, hydrogen selenide, nitric oxide, phosphine, and stibene. Toxic Examples: chlorine, hydrogen fluoride, hydrogen sulfide, silicon, tetrafluoride, and phosgene. Inert Examples: argon, helium, krypton, neon, nitrogen, and xenon. Pyrophoric Examples: diborane, dichloroborane, phosphine, and silane. Unstable Examples: butadiene, ethylene oxide and vinyl chloride. CORROSIVES A corrosive is a chemical that causes visible destruction of, or irreversible alterations in, living tissue b chemical action at the site of contact. A chemical is considered to be corrosive if, when tested on the intact skin of albino rabbits destroys or changes irreversibly the structure of the tissue at the site of contact following an exposure period of four hours. This term does not refer to action on inanimate surfaces. Examples: Acids chromic, formic, hydrochloric (muriatic greater than 15%), hydrofluoric, nitric (greater than 6%), perchloric, and sulfuric. Bases hydroxides ammonium (greater than 10%), calcium, potassium (greater than 1%), sodium (greater than 1%), and certain carbonates. Other bromine, chlorine, fluorine, iodine, and ammonia. CRYOGENIC FLUIDS Cryogenic fluids are those fluids that have a boiling point below 150 F. Flammable Examples: carbon monoxide, deuterium (heavy hydrogen), ethylene, hydrogen, and methane - 5 -

Oxidizing Examples: fluorine, nitric oxide, and oxygen Corrosive Examples: fluorine and nitric oxide Inert Examples: argon, helium, krypton, neon, nitrogen, and xenon. Highly Toxic Examples: fluorine and nitric oxide. EXPLOSIVES AND BLASTING AGENTS Explosive is 1. A chemical that causes a sudden, almost instantaneous release of pressure, gas, and heat when subjected to sudden shock, pressure, or high temperatures, or 2. A material or chemical other than a blasting agent, that is commonly used or intended to be used for the purpose of producing an explosive effect. High Explosives Can be detonated by means of blasting cap when unconfined. Examples: dynamite, TNT, nitroglycerine, C-3, C-4. Low Explosives Can be deflagrated when confined. Examples: black powder, smokeless powder, propellant explosives and display fireworks. A blasting agent is a material or mixture consisting of a fuel and oxidizer intended for blasting. The finished product as mixed and packaged for use or shipment cannot be detonated by means of a No. 8 test blasting cap when unconfined. Under Department of Transportation regulations, blasting agents are classified and labeled as 1.5D. Blasting Agents Oxidizer and liquid fuel slurry mixtures. Examples: ammonium nitrate combined with fuel oil. FLAMMABLE LIQUIDS Class I-A: liquids having a flash point below 73 F and having a boiling point below 100 F Class I-B: liquids having a flash point below 73 F and having a boiling point at or above 100 F. Class I-C: liquids having a flash point at or above 73 F but below 100 F. FLAMMABLE SOLIDS A solid substance, other than one which is defined as a blasting agent or explosive, that is liable to cause fire through friction or as a result of retained heat from manufacture, which has an ignition temperature below 212 F (100 C), or which burns so vigorously or persistently when ignited that it creates a serious hazard. Flammable solids include finely divided solid materials which when dispersed in air as a cloud could be ignited and cause an explosion. HIGHLY TOXIC MATERIALS Highly toxic material is a material which produces a lethal dose or lethal concentration which falls within any of the following categories: 1. A chemical that has a medium lethal dose (LD50) of 59 milligrams or less per kilogram of body weight when administered orally to albino rats weighing between 200 and 300 grams each. 2. A chemical that has a median lethal does (LD50) of 200 milligrams or less per kilogram of body weight when administered by continuous contact for 24 hours, or less if death occurs within 24 hours, with the bare skin of albino rabbits weighing between 2 and 3 kilograms each. 3. A chemical that has a median lethal concentration (LC50) in air of 200 parts per million by volume or less of gas or vapor, or 2 milligrams per liter or less of mist, fume or dust, when administered by continuous inhalation for one hour, or less if death occurs within one hour, to albino rats weighing between 200 to 300 grams each. Mixtures of these materials with ordinary materials, such as water, might not warrant classification as highly toxic. While this system is basically simple in application, any hazard evaluation which is required for the - 6 -

precise categorization of this type of material shall be performed by experienced, technically competent persons. Examples: Gas arsine, chlorine trifluoride, cyanogens, diborane, fluorine, germane, hydrogen cyanide, nitric oxide, nitrogen dioxide, ozone, phosphine, hydrogen selenide, and stibene. Liquids acrolein, acrylic acid, 2-chloroethanol, hydazine, hydrocyanic acid, 2-methylaziridine, methyl ester isocyanic acid, nicotine, tetranitromethane, and tetraethylstannane. Solids phenylmercury, arsenic pentoxide, arsenic trioxide, calcium cyanide, aflatoxin B, decaborane, mercury bromide, mercury chloride, pentachlorophenol, phosphorus (white), and sodium azide. IRRITANT/SENSITZER An irritant is a chemical which is not corrosive, but which causes a reversible inflammatory effect on living tissue by chemical reaction at the site of contact. A chemical is a skin irritant if, when tested on the intact skin of albino rabbits for four hours exposure or by other appropriate means, it results in an empirical score of 5 or more. A chemical is an eye irritant if so determined under approved procedures or techniques. A sensitizer is a chemical that causes a substantial proportion of exposed people or animals to develop an allergic reaction in normal issue after repeated exposure to the chemical. Examples: diphenylaminechloroarsine, xylyl bromide, chloracetophene. ORGANIC PEROXIDES Organic peroxide is an organic compound that contains the bivalent 0-0- structure and which may be considered to be a structural derivative of hydrogen peroxide where one or both of the hydrogen atoms have been replaced by an organic radical. Some organic peroxides can present an explosion hazard (detonation or deflagration) or they can be shock sensitive. Organic peroxides will decompose over time at a rate that increases with increasing temperature. Decomposition products may be flammable. Organic peroxides are subdivided into classes as follows: Detonatable: Detonatable organic peroxides are capable of detonation. These organic peroxides present an extremely high explosion hazard through rapid explosive decomposition and are regulated as explosives. Class I: Class I organic peroxides are capable of deflagration, but not detonation. These organic peroxides present a high explosion hazard through rapid decomposition. Examples: acetyl cyclohexane sulfonyl (60-65% concentration by weight), fulfonyl peroxide, benzoyl peroxide (over 98% concentration), t-butyl hydroperoxide (90%), t-butyl peroxyacetate (75%), peroxydicarbonate (98%) Class II: Class II organic peroxides burn very rapidly and present a severe reactivity hazard. Examples: acetyl peroxide (25%), t-butyl hydroperoxide (70%), t-butyl peroxybenzoate (98%), di-sec-butyl peroxydicarbonate (98%), peroxydicarbonate (75%), and peroxyacetic acid (43%) Class III: Class III organic peroxides burn rapidly and present a moderate reactivity hazard. Examples: acetyl cyclohexane sulfonal peroxide (29%), benzoyl peroxide (78%), benzoyl peroxide paste, cumene hydroperoxide (86%), di-peroxydicarbonate 98%, t-butyl peroxy-2-ethytehexanoate, and methyl ethyl ketone peroxide. Class IV: Class IV organic peroxides burn in the same manner as ordinary combustibles and present a minimum reactivity hazard. Examples: benzoyl peroxide (70%), benzoyl peroxide paste, benzoyl peroxide slurry, decumylperoxide (98%), laurel peroxide (98%) Class V: Class V organic peroxides burn with less intensity than ordinary combustibles or do not sustain combustion and do not present a reactivity hazard. Examples: benzoyl peroxide (35%), 2 5 di hexane (47%). OXIDIZERS Oxidizer is a material, other than a blasting agent or explosive, that readily yields oxygen or other oxidizing gas, or that readily reacts to promote or initiate combustion of combustible materials. - 7 -

Gases Examples: oxygen, ozone, oxides of nitrogen, fluorine, and chlorine. Liquids Examples: bromine, hydrogen peroxide, nitric acid, perchloric acid, and sulfuric acid Solids Examples: Chlorates, chormates, chromic acid, iodine, nitrates, perchlorates, and peroxides. Class 4 An oxidizer that can undergo an explosive reaction due to contamination or exposure to thermal or physical shock. In addition, the oxidizer will enhancethe burning rate and may cause spontaneous ignition of combustible materials. Examples: ammonium perchlorate (particle size greater than 15 microns), ammonium permanganate, guanidine nitrate, hydrogen peroxide solutions (greater than 91 percent), and tetranitromethane. Class 3 An oxidizer that will cause a severe increase in the burning rate of combustible materials with which it comes in contact or that will undergo vigorous, self-sustained decomposition dute to contamination or exposure to heat. Examples: ammonium dichromate, calcium hypochlorite (over 50% by weight), chloric acid (10% maximum concentration), hydrogen peroxide solutions (greater than 52% up to 91%), mono (trichloro) tetra (monopotassium dichloro) penta s triazinetrione, nitric acid, fuming (more than 86% concentration), perchloric acid solutions (60% to 72% by weight), potassium bromate, potassium chlorate, potassium dichloros-triazinetrione, sodium bromate, sodium chlorate, sodium chlorite (over 40% by weight), and sodium dichloros-triazinetrione Class 2 An oxidizer that will cause a moderate increase in the burning rate or that may cause spontaneous ignition of combustible materials with which it comes in contact. Examples: barium bromate, barium chlorate, barium hypochlorite, barium perchlorate, barium permanganate, calcium chlorate, calcium chlorite, calcium hypochlorite,(50% or less by weight), calcium perchlorate, calcium permanganate, chromium trioxide (chromic acid), copper chlorate, halane, hydrogen peroxide (greater than 27.5% up to 52% concentration), lead perchlorate, lithium chlorate, magnesium perchlorate, magnesium bromate, magnesium chlorate, nitric acid (40% concentration to 85% concentration), perchloric acid solutions (more than 50% but less than 60%), potassium perchlorate, potassium permanganate, potassium peroxide, potassium superoxide, silver peroxide, sodium chlorite (40% or less by weight), sodium perchlorate, sodium permanagante, sodium peroxide, strontium chlorate, strontium perchlorate, thallium chlorate, trichloro-s-triazinetrione (trichloroisocyanuric acid), urea hydrogen peroxide, zinc bromate, zinc chlorate, and zinc permanganate. Class 1 An oxidizer whose primary hazard is that it slightly increases the burning rate but does not cause spontaneous ignition when it comes into contact with combustible materials. Examples: all inorganic nitrates (unless otherwise classified), all inorganic nitrites (unless otherwise classified), ammonium persulfate, barium peroxide, calcium peroxide, hydrogen peroxide solutions (greater than 8% up to 27.5%), lead dioxide, lithium peroxide, magnesium peroxide, manganese dioxide, nitric acid (40% concentration or less), perchloric acid solutions (less than 50% by weight), potassium dichromate, potassium percarbonate, potassium persulfate, sodium carbonate peroxide, sodium dichloro-s-triazinetrione dihydrate, sodium dichromate, sodium perborate (anhydrous), sodium perborate monohydrate, sodium perborate tetrahydrate, sodium percarbonate, sodium persulfate, strontium peroxide, and zinc peroxide. PYROPHORIC MATERIAL Pyrophoric is a material that will spontaneously ignite in air at or below a temperature of 130 F. Gases Examples: diborane, phosphine, and silane. Liquids Examples: diethyl aluminum chloride, diethyl beryllium, diethyl phosphine, diethyl zinc, dimethyl arsine, triethyl aluminum etherate, thriethyl bismuthine, thimethyl aluminum and teimethyl gallium. Solids Examples: cesium, hafnium, lithium, white or yellow phosphorus, plutonium, potassium, rubidium, sodium, and thorium. TOXIC MATERIALS Toxic material is a material which produces a lethal does or a lethal concentration within any of the following categories: - 8 -

1. a chemical or substance that has a median lethal does of more then 50 milligrams per kilogram but not mor than 500 milligrams per kilogram of body weight when administered orally to albine rats weighing between 200 to 300 grams each. 2. A chemical or substance that has a medial lethaldoes of more than 200 milligrams per kilogram but not more then 1000 milligrams per kilogram of body weight when administered by continuous contact for 24 hours, or less if death occurs within 24 hours, with the bare skin of albino rabbits weighing between 2 and 3 kilograms each. 3. A chemical or substance that has a median lethal concentration in air more then 200 parts per million but not more than 2000 parts per million by volume of gas or vapor, or two milligrams per liter but not more than 20 milligrams per liter of mist, fume, or dust, when administered by continuous inhalation for one hour, or less if death occurs within one hour, to albino rats weighing between 200 and 300 grams each. Examples: Gases boron trichloride, boron trifluoride, chlorine, hydrogen fluoride, hydrogen sulfide, phosgene, and silicon tetrafluoride Liquids acrylonitrile, allyl alcohol, alpha-chlorotoluene, chloroformic acid, o-cresol, crotonaldehyde, sulfuric acid, furfuryl alcohol, phorphorus chloride, phosphyoryl chloride, and thionyl chloride. Solids acrylamide, barium chloride, barium nitrate, benzidine, beryllium chloride, cadmium chloride, chloroacetic acid, chromium oxide, hydroquinone, mercury chloride, osmium tetroxide, phosphorus sulfide, potassium fluoride, potassium hydroxide, and sodium fluoride. UNSTABLE MATERIALS An unstable material is a material, which in the pure state or as commercially produced, will vigorously polymerize, decompose or condense, become self-reactive, or otherwise undergo a violent chemical change under conditions of shock, pressure or temperature. Class 4 Materials that, in themselves, are readily capable of detonation or explosive decomposition, or explosive reaction at normal temperatures and pressures. This degree includes, among others, materials that are sensitive to localized thermal or mechanical shock at normal temperatures and pressures. Examples: acetyl peroxide, dibutyl peroxide, dinitrobenzene,ethyl nitrate, peroxyacetic acid, and picric acid (dry) trinitrobenzene. Class 3 Materials that, in themselves, are capable of detonation or explosive decomposition or explosive reaction, but that require a strong initiating source or that must be heated under confinement before initiation. The class includes, among others, materials that are sensitive to thermal or mechanical shock at elevated temperatures and pressures. Examples: hydrogen peroxide (greater than 52%), hydroxylamine, nitromethane, paranitroaniline, perchloric acid, and tetrafluoroethylene monomer. Class 2 Materials that readily undergo violent chemical change at elevated temperatures and pressures. This class includes, among others, materials that exhibit an exotherm at temperatures less than or equal to 302 F when tested by differential scanning calorimetry. Examples: acrolein, acrylic acid, hydrazine, methacrylic acid, sodium perchlorate, styrene, and vinyl acetate. Class 1 Materials that, in themselves, are normally stable, but that can become unstable at elevated temperatures and pressures. This class includes, among others, materials that change or decompose on exposure to air, light, moisture, and materials that exhibit an exotherm at temperatures greater than 302 F but less than or equal to 572 F when tested by differential scanning calorimetry. Examples: acetic acid, hydrogen peroxide (35% -52%), paraldehyde, and tetrahydrofuran. WATER REACTIVE MATERIALS Water reactive materials are those materials which explode, violently react, produce flammable, toxic, or hazardous gases, or evolves enough heat to cause self-ignition or ignition of nearby combustibles upon exposure to water or moisture. Class 3 Materials which react explosively with water without requiring heat or confinement. Examples: aluminum alkyls such as triethylaluminun, isobutylaluminum, trimethylaluminum, bromine pentafluoride, bromine trifluoride, chlorodiethylaluminum, diethylzinc. - 9 -

Class 2 Materials which may form potentially explosive mixtures with water. Examples: calcium carbide, calcium metal, cyanogens bromide, lithium hydride, methyldichlorosilane, potassium metal, potassium peroxide, sodium metal, sodium peroxide, sulfuric acid, and trichlorosilane. Class 1 Materials which may react with water with some release of energy, but not violently. Examples: acetic anhydride, sodium hydroxide, sulfur monochloride, and titanium tetrachloride. - 10 -