TOWNSHIP OF FAIRFIELD

230 FAIRFIELD ROAD, FAIRFIELD, NJ 07004-2460

WILLIAM F. SMITH, FIRE MARSHAL

Bureau of Fire Prevention

Hazardous Chemical Control

(TEL) 973-882-2740

(FAX) 973-882-0365

e-mail: wsmith.fireprev@fairfieldtownhall.com

HazChem Application Instructions.doc

HAZARDOUS CHEMICAL CONTROL APPLICATION/PERMIT INSTRUCTIONS

A separate application must be filled out for every lot or site upon which a significant quantity of hazardous chemicals are located or, If the number or types of chemicals exceed the provided number of spaces on the application.

1. If a response is “none” or “not applicable”, it must be so stated.

A separate “Material Safety Data Sheet” or approved alternative must be submitted for each hazardous chemical appearing on the application, except that materials having similar properties may be grouped on the same sheet if approved.

Two approved copies of a floor plan must be submitted before an application can be approved. A separate list of floor plan guidelines is attached to the application. The floor plans will not be returned to the applicant.

A copy of a certificate of liability insurance in the amount of $1,000,000.00 must be included with the completed application before approval can be granted.

The required fee must be included with the application. The fee, which will be determined by the Chief is payable through check or money order to the “Township of Fairfield”. A copy of the current fee schedule is attached.

Approved permits must be kept on the premises at all times, and must be shown to any municipal official upon request

The types and classes of hazardous chemicals cannot be altered following permit approval, nor can the amount exceed the maximum amount approved on the permit, without written notice to the Fire Prevention Chief at least 24 hours prior to the intended change and his approval.

Permit applications, which are denied, will be returned to the applicant with all accompanying fees and enclosures and the reason for disapproval. Appeals must be filed in writing within seven days to the Mayor and Council of Fairfield who will act on the appeal within thirty days. The appeal ruling and permit denial will be in no way prevent or prohibit refilling by the applicant.

All permits expire on December 31^st of the calendar year for which they are issued. Applications for renewal of Hazardous Chemical Permits must be filed ninety days prior to the expiration date so that applications may be properly reviewed. New data sheets and floor plans must be submitted with each application unless otherwise approved by the Chief.

MATERIAL SAFETY DATA SHEET

Chemical Name

Other name

Chemical Family

Appearance & Odor

Hazardous Ingredients

CAS Number

UN Number

Fire and Explosion Hazards

Flash Point

Auto Ignition Temperature

Flammable Limits in Air

Extinguishing Media

Special Fire Fighting Procedures other than normal

Fire Fighting Procedures to be avoided

Unusual Fire and Explosion Hazards

Description of Special Fire Fighting Supplies

Quantity of Special Fire Fighting Supplies on Premises

Health Hazard Data

Threshold Limit Value

Effects of over exposure

Emergency and First Aid Procedures

Reactivity Data

Stable

Unstable

Incompatibility (Material to avoid)

Conditions to Avoid

Hazardous Decomposition Products

(May occur or may not occur)

Hazardous Polymerization Products

(May occur or may not occur)

Spill or Leak Procedures

Waste Disposal Method

Special Protection

a) Respiratory protection

b) Ventilation local exhaust / mechanical exhaust

c) Protective gloves

d) Other protective equipment

e) Eye protection

f) Precautionary labeling

g) Other handling & storage conditions

Note: Form LSB00S-4 provided by the U.S. Department of Labor shall be an acceptable alternative. In either case, material having similar properties may be grouped on the same sheet.

FLOOR PLAN GUIDELINES – FROM ORDINANCE #758

1) Standard size sheet 24” x 36” or on computer disk in a bitmap file format

2) Scale to be 1/8” or more = 1’

3) Plan must show partitions, bearing walls & non-bearing walls

4) All doors, both overhead and personnel must be included

5) Distinct work areas should be labeled “office”,”shop”, “warehouse”, etc.

6) Location of sprinkler control valve, fire department connection, gas shut off, and main electrical service must be shown.

7) All Stairwells open and closed, and all elevator and other open shafts must be so indicated.

8) Location of all HAZARDOUS CHEMICAL STORAGE AREAS must be shown, including all stationary containers and their sizes, and other storage areas containing significant quantities of Hazardous Chemicals.

9) Waste Disposal Methods, including names and addresses of persons and contractors authorized to clean up spills and remove waste of material.

10) Legend must include applicant name, address, block and lot numbers, use group and construction class.

HAZARDOUS CHEMICALS

ORDINANCE #758: A permit is required for the manufacturing, processing, handling, using or storage of a significant quantity (more than 54 gallons, pounds, or cubic feet in any combination total) of the following hazardous chemicals:

1) Flammable liquids, gases or solids

2) Combustible liquids or gases

3) Corrosive or otherwise toxic liquids, gases or solids

4) Oxidizing solids or gases

5) Organic peroxides

6) Liquefied Petroleum gas

7) Organic coatings

COMBINED TANK & DRUMS ANNUAL PERMIT

OR OTHER INVENTORY PERMIT PER GAL PER C.F. PER POUND

54-1,000 total gallons and / or pound and / or cubic feet	$250.00 permit	$0.03 gal.	$0.02 c.f.	$0.10per lb.
1,001-4,999 total gallons and / or pound and / or cubic feet	$750.00 permit	$0.03 gal.	$0.02 c.f.	$0.10per lb.
5,000 and more total gallons and / or pound and / or cubic feet	$2,500.00 permit	$0.03 gal.	$0.02 c.f.	$0.10per lb.

NOTE: The fee shall be a total of the annual Permit to Operate plus the total quantity stored multiplied by the applicable rate.

NFPA 704 System Placard