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Appendix H Hazardous Materials Management Plans and Hazardous Materials Inventory Statements

(See Sections 5001.5.1 and 5001.5.2)


CALIFORNIA FIRE CODE — MATRIX ADOPTION TABLE
APPENDIX H — HAZARDOUS MATERIALS MANAGEMENT PLAN
AND HAZARDOUS MATERIALS INVENTORY STATEMENTS
(Matrix Adoption Tables are nonregulatory, intended only as an aid to the code user.
See Chapter 1 for state agency authority and building applications.)
Adopting AgencyBSCBSC-
CG
SFMHCDDSAOSHPDBSCCDPHAGRDWRCECCASLSLC
T-24T-19*121/ACACSS11R2345
Adopt Entire ChapterX
Adopt Entire Chapter as amended (amended sections listed below)
Adopt only those sections that are listed below
[California Code of Regulations, Title 19, Division 1]
Chapter / Section
* The California Code of Regulations (CCR), Title 19, Division 1 provisions that are found in the California Fire Code are a reprint from the current CCR, Title 19, Division 1 text for the code user's convenience only. The scope, applicability and appeals procedures of CCR, Title 19, Division I remain the same.

Section H1 Scope

H1.1 Scope

Hazardous materials inventory statements (HMIS) and hazardous materials management plans (HMMP) which are required by the fire chief, pursuant to Chapter 50, shall be provided for hazardous materials in accordance with Appendix H.
Exceptions:
  1. Materials which have been satisfactorily demonstrated not to present a potential danger to public health, safety or welfare, based upon the quantity or condition of storage, when approved.
  2. Chromium, copper, lead, nickel and silver need not be considered hazardous materials for the purposes of Appendix H unless they are stored in a friable, powdered or finely divided state.
Proprietary and trade secret information shall be protected under the laws of the state or jurisdiction having authority.

Section H2 Hazardous Materials Inventory Statements (HMIS)

H2.1 When Required

A separate HMIS shall be provided for each building, including its appurtenant structures, and each exterior facility in which hazardous materials are stored.
The hazardous materials inventory statement shall list, by hazard class, all hazardous materials stored. The hazardous materials inventory statement shall include the following information for each hazardous material listed:
  1. Hazard class.
  2. Common or trade name.
  3. Chemical name, major constituents and concentrations if a mixture. If a waste, the waste category.
  4. Chemical Abstract Service number (CAS number) found in 29 Code of Federal Regulations (C.F.R.).
  5. Whether the material is pure or a mixture, and whether the material is a solid, liquid or gas.
  6. Maximum aggregate quantity stored at any one time.
  7. Storage conditions related to the storage type, temperature and pressure.

H2.2 Changes to HMIS

An amended HMIS shall be provided within 30 days of the storage of any hazardous materials which changes or adds a hazard class or which is sufficient in quantity to cause an increase in the quantity which exceeds 5 percent for any hazard class.

Section H3 Hazardous Materials Management Plan (HMMP)

H3.1 General

Applications for a permit to store hazardous materials shall include an HMMP standard form or short form in accordance with Section H3.3 and shall provide a narrative description of the operations and processes taking place at the facility. See Figure A-H-1.

H3.2 Information Required

The HMMP standard form shall include the information detailed in Section H3.2.

H3.2.1 General Information

General information, including business name and address, emergency contacts, business activity, business owner or operator, SIC code, number of employees and hours, Dunn and Bradstreet number, and signature of owner, operator or designated representative.

H3.2.2 General Site Plan

A general site plan drawn at a legible scale which shall include, but not be limited to, the location of buildings, exterior storage facilities, permanent access ways, evacuation routes, parking lots, internal roads, chemical loading areas, equipment cleaning areas, storm and sanitary sewer accesses, emergency equipment and adjacent property uses. The exterior storage areas shall be identified with the hazard class and the maximum quantities per hazard class of hazardous materials stored. When required by the chief, information regarding the location of wells, flood plains, earthquake faults, surface water bodies and general land uses within 1 mile (1.609 km) of the facility boundaries shall be included.

H3.2.3 Building Floor Plan

A building floor plan drawn to a legible scale which shall include, but not be limited to, hazardous materials storage areas within the building and shall indicate rooms, doorways, corridors, means of egress and evacuation routes. Each hazardous materials storage facility shall be identified by a map key which lists the individual hazardous materials, their hazard class and quantity present for each area.

H3.2.4 Hazardous Materials Handling

Information showing that activities involving the handling of hazardous materials between the storage areas and manufacturing processes on site are conducted in a manner to prevent the accidental release of such materials.

H3.2.5 Chemical Capability and Separation

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.

H3.2.6 Monitoring Program

Information including, but not limited to, the location, type, manufacturer's specifications, if applicable, and suitability of monitoring methods for each storage facility when required.

H3.2.7 Inspection and Recording Keeping

Schedules and procedures for inspecting safety and monitoring and emergency equipment. The permittee shall develop and follow a written inspection procedure acceptable to the chief for inspecting the facility for events or practices which could lead to unauthorized discharges of hazardous materials. Inspections shall be conducted at a frequency appropriate to detect problems prior to a discharge. An inspection check sheet shall be developed to be used in conjunction with routine inspections. The check sheet shall provide for the date, time and location of inspection; note problems and dates and times of corrective actions taken; and include the name of the inspector and the countersignature of the designated safety manager for the facility.

H3.2.8 Employee Training

A training program appropriate to the types and quantities of materials stored or used shall be conducted to prepare employees to safely handle hazardous materials on a daily basis and during emergencies. The training program shall include:
  1. Instruction in safe storage and handling of hazardous materials, including maintenance of monitoring records;
  2. Instruction in emergency procedures for leaks, spills, fires or explosions, including shutdown of operations and evacuation procedures; and
  3. Record-keeping procedures for documenting training given to employees.

H3.2.9 Emergency Response

A description of facility emergency procedures is to be provided.

H3.3 HMMP Short Form—(minimal Storage Site)

A facility shall qualify as a minimal storage site if the quantity of each hazardous material stored in one or more facilities in an aggregate quantity for the facility is 500 pounds (227 kg) or less for solids, 55 gallons (208.2 L) or less for liquids, or 200 cubic feet (5.7 m3) or less at NTP for compressed gases and does not exceed the threshold planning quantity as listed in 40 C.F.R., Part 355, Sections 302 and 304. The applicant for a permit for a facility which qualifies as a minimal storage site is allowed to file the short form HMMP. Such plan shall include the following components:
  1. General facility information,
  2. A simple line drawing of the facility showing the location of storage facilities and indicating the hazard class or classes and physical state of the hazardous materials being stored,
  3. Information describing that the hazardous materials will be stored and handled in a safe manner and will be appropriately contained, separated and monitored, and
  4. Assurance that security precautions have been taken, employees have been appropriately trained to handle the hazardous materials and react to emergency situations, adequate labeling and warning signs are posted, adequate emergency equipment is maintained, and the disposal of hazardous materials will be in an appropriate manner.

Section H4 Maintenance of Records

H4.1

Hazardous materials inventory statements and hazardous materials management plans shall be maintained by the permittee for a period of not less than three years after submittal of updated or revised versions. Such records shall be made available to the fire chief upon request.

FIGURE A-H-1
SAMPLE FORMAT
HAZARDOUS MATERIALS MANAGEMENT PLAN (HMMP) INSTRUCTIONS
SECTION I—FACILITY DESCRIPTION
1.1 Part A
  1. Fill out Items 1 through 11 and sign the declaration
  2. Only Part A of this section is required to be updated and submitted annually, or within 30 days of a change.
1. 2 Part B—General Facility Description (Site Plan)
  1. Provide a site plan on 81/2-by 11-inch (215 mm by 279 mm) paper, using letters on the top and bottom margins and numbers on the right and left side margins, showing the location of all buildings, structures, chemical loading areas, parking lots, internal roads, storm and sanitary sewers, wells, and adjacent property uses. Indicate the approximate scale, northern direction and date the drawing was completed.
  2. List all special land uses within 1 mile (1.609 km).
1.3 Part C—Facility Storage Map (Confidential Information)
  1. Provide a floor plan of each building on 81/2 by 11-inch (215 mm by 279 mm) paper, using letters on the top and bottom margins and numbers on the right and left side margins, with approximate scale and northern direction, showing the location of each storage area. Mark map clearly "Confidential—Do not disclose" for trade-secret information as specified by federal, state and local laws.
  2. Identify each storage area with an identification number, letter, name or symbol.
  3. Show the following:
    1. Accesses to each storage area.
    2. Location of emergency equipment.
    3. The general purpose of other areas within the facility.
    4. Location of all aboveground and underground tanks to include sumps, vaults, below-grade treatment systems, piping, etc.
  4. Map key. Provide the following on the map or in a map key or legend for each storage area:
    1. A list of hazardous materials, including wastes.
    2. Hazard class of each hazardous waste.
    3. The maximum quantity for hazardous materials.
    4. Include the contents and capacity limit of all tanks at each area and indicate whether they are above or below ground.
    5. List separately any radioactives, cryogens and compressed gases for each facility.
    6. Trade-secret information shall be listed as specified by federal, state and local laws.
SECTION II—HAZARDOUS MATERIALS INVENTORY STATEMENT (HMIS)
2.1 Part A—Declaration
Fill out all appropriate information.
2.2 Part B—Inventory Statement
  1. You must complete a separate inventory statement for all waste and nonwaste hazardous materials. List all hazardous materials in alphabetical order by hazard class.
  2. Inventory Statement Instructions:
    Column               Information Required
    1. Provide hazard class for each material.
    2. Nonwaste. Provide the common or trade name of the regulated material. Waste. In lieu of trade names, you may provide the waste category.
    3. Provide the chemical name and major constituents and concentrations, if a mixture.
    4. Enter the chemical abstract service number (CAS number) found in 29 C.F.R. For mixtures, enter the CAS number of the mixture as a whole if it has been assigned a number distinct from its constituents. For a mixture that has no CAS number, leave this item blank or report the CAS numbers of as many constituent chemicals as possible.
    5. Enter the following descriptive codes as they apply to each material. You may list more than one code, if applicable.
      P = Pure
      M = Mixture
      S = Solid
      L = Liquid
      G = Gas
    6. Provide the maximum aggregate quantity of each material handled at any one time by the business. For underground tanks, list the maximum volume [in gallons (liters)] of the tank.
      1. 6.1 Enter the estimated average daily amount on site during the past year.
    7. Enter the units used in Column 6 as:
      LB = Pounds
      GA = Gallons
      CF = Cubic Feet
    8. Enter the number of days that the material was present on site (during the last year).
    9. Enter the storage codes below for type, temperature and pressure.

      • Type
        A = Aboveground Tank
        B = Belowground Tank
        C = Tank inside Building
        D = Steel Drum
        E = Plastic or Nonmetallic Drum
        F = Can
        G = Carbon
        H = Silo
        I = Fiber Drum
        J = Bag
        K = Box
        L = Cylinder
        M = Glass Bottle or Jug
        N = Plastic Bottles or Jugs
        O = Tote Bin
        P = Tank Wagon
        Q = Rail Car
        R = Other
      • Temperature
        4 = Ambient
        5 = Greater than Ambient
        6 = Less than Ambient, but not Cryogenic [less than -150°F (-101.1°C)]
        7 = Cryogenic conditions [less than -150°F (-101.1°C)]
      • Pressure
        1 = Ambient (Atmospheric)
        2 = Greater than Ambient (Atmospheric)
        3 = Less than Ambient (Atmospheric)
    10. For each material listed, provide the Superfund Amendments and Reauthorization Act (SARA) hazard class as listed below. You may list more than one class. These categories are defined in 40 C.F.R. 370.3.
    11. Waste Only. For each waste, provide the total estimated amount of hazardous waste handled throughout the course of the year.
SECTION III—SEPARATION AND MONITORING
3.1 Part A—Aboveground
Fill out Items 1 through 6, or provide similar information for each storage area shown on the facility map. Use additional sheets as necessary.
3.2 Part B—Underground
  1. Complete a separate page for each underground tank, sump, vault, below-grade treatment system, etc.
  2. Check the type of tank and method(s) that applies to your tank(s) and piping, and answer the appropriate questions. Provide any additional information in the space provided or on a separate sheet.
SECTION IV—WASTE DISPOSAL
Check all that apply and list the associated wastes for each method checked.
SECTION V—RECORDING KEEPING
Include a brief description of your inspection procedures. You are also required to keep an inspection log and recordable discharge log, which are designed to be used in conjunction with routine inspections for all storage facilities or areas. Place a check in each box that describes your forms. If you do not use the sample forms, provide copies of your forms for review and approval.
SECTION VI—EMERGENCY-RESPONSE PLAN
  1. This plan should describe the personnel, procedures and equipment available for responding to a release or threatened release of hazardous materials that are stored, handled or used on site.
  2. A check or a response under each item indicates that a specific procedure is followed at the facility, or that the equipment specified is maintained on site.
  3. If the facility maintains a more detailed emergency-response plan on site, indicate this in Item 5. This plan shall be made available for review by the inspecting jurisdiction.
SECTION VII—EMERGENCY RESPONSE TRAINING PLAN
  1. This plan should describe the basic training plan used at the facility.
  2. A check in the appropriate box indicates the training is provided or the records are maintained.
  3. If the facility maintains a more detailed emergency-response training plan, indicate this in Item 4. This plan shall be made available for review by the inspecting jurisdiction.
FIGURE A-H-1
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION I: FACILITY DESCRIPTION
PART A—GENERAL INFORMATION
  1. Business Name: __________________________________________________________Phone:_____________________
    Address: __________________________________________________________________________________________
  2. Person Responsible for the Business
    Name: Title: Phone:  
    ____________________________________ __________________________ _________________________  
  3. Emergency Contacts:
    Name: Title: Home Number: Work Number:
    ___________________________ ________________________ ___________________ __________________
    ___________________________ ________________________ ___________________ __________________
    ___________________________ ________________________ ___________________ __________________
  4. Person Responsible for the Application/Principal Contact:
    Name: Title: Phone:  
    ____________________________________ __________________________ _________________________  
  5. Property Owner:
    Name: Address: Phone:  
    ____________________________________ __________________________ _________________________  
  6. Principal Business Activity: ___________________________________________________________________________
  7. Number of Employees: _______________________________________________________________________________
  8. Number of Shifts: _______________________________________________________________________________
  9. Hours of Operation: _________________________________________________________________________________
  10. SIC Code: ________________________________________________________________________________________
  11. Dunn and Bradstreet Number: ________________________________________________________________________
  12. 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)


PART B—GENERAL FACILITY DESCRIPTION/SITE PLAN
(Use grid format on next page.)
Special land uses within 1 mile (1.609 km):______________
_________________________________________________
_________________________________________________


PART C—FACILITY MAP
(Use grid format below.)
(Use grid format above)


SECTION II: HAZARDOUS MATERIALS INVENTORY STATEMENT
PART A—DECLARATION
  1. Business Name: __________________________________________________________
  2. Address: ________________________________________________________________
  3. Declaration:
    Under penalty of perjury, I declare the above and subsequent information, provided as part of the hazardous materials inventory statement, is true and correct.
    Signature: _________________________________________________Date: _____________________________________
    Print Name: _______________________________________________Title: ______________________________________
    (Must be signed by owner/operator or designated representative)
PART B—HAZARDOUS MATERIALS INVENTORY STATEMENT
(1)
HAZARD CLASS
 (2)
COMMON/
TRADE NAME
 (3)
COMPONENTS AND
CONCENTRATION
 (4)
ABSTRACT
SERVICE NO.
 (5)
PHYSICAL
STATE
 (6)
MAXIMUM
QUANTITY ON
HAND AT ANY
TIME
 (7)
UNITS
 (8)
DAYS ON
 (9)
STORAGE
CODE (TYPE,
PRES., TEMP.)
 (10)
SARA
CLASS
 (11)
ANNUAL WASTE
THROUGHPUT
SECTION III: SEPARATION, SECONDARY CONTAINMENT AND MONITORING
PART A—ABOVEGROUND STORAGE AREAS
Storage Area Identification (as shown on facility map):_____________________________________
  1. Storage Type:
    ___________ Original Containers ___________ Safety Cans  
    ___________ Inside Machinery ___________ Bulk Tank  
    ___________ 55-gallon (208.2 L) ___________ Outside Barrels  
                  Drums or Storage Shed    
    ___________ Pressurized Vessel    
    ___________Other:_____________________________________________________________________________________
    ______________________________________________________________________________________________________
    ______________________________________________________________________________________________________
  2. Storage Location:
    ___________ Inside Building   ___________ Outside Building
    ___________ Secured    
  3. Separation:
    ___________ All Materials ___________ One-hour Separation  
    ___________ Compatible Wall/Partition    
    ___________ Separated by 20 Feet (6096 mm) ___________ Approved Cabinets  
    ___________Other:_____________________________________________________________________________________
    ______________________________________________________________________________________________________
    ______________________________________________________________________________________________________
  4. Secondary Containment:
    ___________ Approved Cabinet   ___________ Secondary Drums
    ___________ Tray   ___________ Bermed, Coated Floor
    ___________ Vaulted Tank   ___________ Double-wall Tank
    ___________Other:_____________________________________________________________________________________
    ______________________________________________________________________________________________________
    ______________________________________________________________________________________________________
  5. Monitoring:
    ___________ Visual   ___________ Continuous
    ___________Other:_____________________________________________________________________________________
    ______________________________________________________________________________________________________
    ______________________________________________________________________________________________________
    Attach specifications if necessary
  6. Monitoring Frequency:
    ___________ Daily ___________ Weekly    
    ___________Other:_____________________________________________________________________________________
    ______________________________________________________________________________________________________
    ______________________________________________________________________________________________________
    Attach specifications if necessary
SECTION III: SEPARATION, CONTAINMENT AND MONITORING
PART B—UNDERGROUND
SINGLE-WALL TANKS AND PIPING
Tank Area Identification (as shown on facility map): ___________________________________________
  1. _____ Backfill Vapor Wells
    Model and Manufacturer:______________________________________________________________________________________________________
    Continuous or Monthly Testing:____________________________________________________________________________
  2. _____ Groundwater Monitoring Wells
  3. _____ Monthly Precision Tank Test
  4. _____ Piping—
    Monitoring Method:_____________________________________________________________________________________
    Frequency:_____________________________________________________________________________________
  5. _____ Other: _________________________________________________________________________________________
DOUBLE-WALL TANKS AND PIPING
Tank Area Identification (as shown on facility map):_____________________________________________________________
  1. Method of monitoring the annular space: ___________________________________________________________________
  2. Frequency:
    _________ Continuous _________ Daily _________ Weekly
    _________ Other: _______________________________________________________________________________________
  3. List the type of secondary containment for piping: _______________________________________________________________________________________________________________________________
    ______________________________________________________________________________________________________
  4. List the method of monitoring the secondary containment for piping: _____________________________________________
  5. Are there incompatible materials within the same vault?
    _______ Yes   _______ No
    If yes, how is separate secondary containment provided?_________________________________________________________
    ______________________________________________________________________________________________________
    Note: If you have continuous monitoring equipment, you shall maintain copies of all service and maintenance work. Such reports shall be made available for review on site, and shall be submitted to the fire prevention bureau upon request.
    Attach additional sheets as necessary.
SECTION IV: WASTE DISPOSAL
_____ Discharge to the Sanitary ____________Pretreatment—  
Sewer  Wastes: _________________ Wastes:___________________________________________________________  
______________________________________________________________________________________________________
Licensed Waste Hauler _________________ Recycle_________________  
Wastes: _________________________ Wastes: ________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
__________ Other—    
Describe Method: _______________________________________________________________________________________
Wastes: ________________________    
_________ No Waste    
B. Spill Containment:    
_____ Absorbents _____ Other: ______________________________________  
C. Spill Control and Treatment:    
_____ Vapor Scrubber ______ Mechanical Ventilation  
_____ Pumps/vacuums ______ Secondary Containment  
_____ Neutralizer ______ Other: _____________________________________________________  
4. Evacuation:    
_____ Immediate area evacuation routes posted    
_____ Entire building evacuation procedures developed    
_____ Assembly areas preplanned    
_____ Evacuation maps posted    
_____ Other: ______________________________________________________  
_________________________________________________________________  
5. Supplemental hazardous materials emergency response plan on site  
Location: _____________________________________________________________________________  
Responsible Person: __________________________________________________________________  
Phone: ________________________________________________________________________________  
SECTION V: RECORD KEEPING
Description of our inspection program: ______________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
_____We will use the attached sample forms in our inspection program.
_____We will not use the sample forms. We have attached a copy of our own forms.
SECTION VI: EMERGENCY RESPONSE PLAN
  1. In the event of an emergency, the following shall be notified:
    1. On-site Responders:
      Name: Title: Home Number:
      ____________________________ ____________________________ ____________________________
      ____________________________ ____________________________ ____________________________
    2. Method of Notification to Responder:
      _____ Automatic Alarm _____Phone
      _____ Manual Alarm _____Verbal
      _____ Other: ___________________________________________________________________________________________
      _______________________ _______________________________________________________________________________
    3. Agency: Phone Number:
      Fire Department:
      California Emergency Management Agency (Cal EMA):
      Other:
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
    4. Designated Local Emergency Medical Facility:
      Name: Address: Phone (24 hours):
      ____________________________ ____________________________ ____________________________
    5. Mitigation Equipment:
      1. Monitoring Devices:
        ______ Toxic or flammable gas detection
        ______ Fluid detection
        ______ Other:__________________________________________________________________________________________
        ______________________________________________________________________________________________________
SECTION VII: EMERGENCY-RESPONSE TRAINING PLAN
  1. Person responsible for the emergency-response training plan:
    Name: Title: Phone:
    ______________________ ______________________ ______________________
  2. Training Requirements:
    1. All employees trained in the following as indicated:
      _____ Procedures for internal alarm/notification
      _____ Procedures for notification of external emergency-response organization
      _____ Location and content of the emergency-response plan
    2. Chemical handlers are trained in the following as indicated:
      _____ Safe methods for handling and storage of hazardous materials
      _____ Proper use of personal protective equipment
      _____ Locations and proper use of fire- and spill-control equipment
      _____ Specific hazards of each chemical to which they may be exposed
    3. Emergency-response team members are trained in the following:
      _____ Procedures for shutdown of operations
      _____ Procedures for using, maintaining and replacing facility emergency and monitoring equipment
  3. The following records are maintained for all employees:
    _____ Verification that training was completed by the employee
    _____ Description of the type and amount of introductory and continuing training
    _____ Documentation on and description of emergency-response drills conducted at the facility
  4. A more comprehensive and detailed emergency-response training plan is maintained on site.
    Location: ______________________________________________________________________________________________
    Responsible Person: _____________________________________________________________________________________
    Phone: ________________________________________________________________________________________________