HomeMy WebLinkAboutBldg Permit 01-1413 & 0776
CITY OF PRIOR fAKi\UILDING PERMIT,
TEMPORARY CERIUICATE OF ZONING COMPLIANC
AND UTILITY. . :nON PERMIT ~
/----
()/-~ lIb ~: ~i~: ~:e PE - T NO. C/-J"/rz
3. Yellow \jeant "Y ~
W8U- fttJUS6-#~
(Please type or print and sign at b" .."~)
ADDRESS
15;).4~ ~lds ~o.rtv.:xbJ
I
LEGAL DESCRIPTION (office use only)
LOT / BLOCK 3 ADDITION
7H~ #111'-05
~
ZNO
.=
~~~~I't~r \.o..KL \Jdl ~
(Address) ~ l'.L() ~
BUILDE~ /.
(Name) ~IMM~t t"tA.,L (>rC)t~dt~
(Contact Name) ~hl ~ l!..-
. (Address) 7301 Apollo ~, ~ ~/.A; 6dtJ/Y
TYPE OF WORK.
. ~iSC.(~
(phone)
Date Rec'd
/Z-/3-D/
ZONING (office use)
PUJ)
PID 25- 3z;3 - 025 -0
(Phone) -J.r.1 - af)/ -IKKO
(Phone)
OLower Level Finish
ODeck OPorch ORe-Roofing
o Fireplace OAddition ~tion
PROJECfCOSTIVALUE (excluding land) $ tf"t/S.-
ORe-Siding
OUtility Connection
o New Construction
$
$
$
$
$
$
$
$
4~.cxL
'(t}2~
f11.ii
2.()()
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enx :..0;; to perfo nee d i spections.
I'~- 075 12-12-01
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
es Your Building Permit ~ Approved
-! 2.... fe-QI
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
. Paid
Date 12.-18 -0 (
# $
# $
$
$
# $
# $
$
$
. I I
$ IltJ2 .If(/J
. Req:Wt No. 4/ In i
Bvfr.b
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a k...t'u....j Certificate of Zoning compliance and allows consttuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. YeUow Applieant
PERMIT NO.
ff;i;;;~~~.:~ 1>~~
LEGAL DESCRit'uON (office use only) .' j\J:f
LOT I BLOCK 3 ADDITIONj .iJ~d _
~WNER A ~
(Name) LL'1
Date Rec' d
fJ1 - 2.fD-O J
PI~.s--1)-'3- OJ;--=t)
oF 1>Rl~ ~
(Address) l10.,3 kcc..L.M.A-M.~ ~" c::z:E
.TTLDERrN\ i::> _
'~~me) "\lltJ~l=>td- 1>t1\1 b~ - ~
(ContactName) -Cf4RJ~ ~t~ I
(Address) MlLS ~ ~ New
~E OF WORK.
(Phone)
CJsz -L/L.(1-<1~90
(Phone) 7u;~ -"lZI-~l'l~
(phone)
ANltrU~ ) rf'tJ.l
FD3C>~
~ew c~s6ee HOVSg>eck OPorch ORe-Roofing ORe-Siding
OLower Level Finish 0 Fireplace OAddition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) S l'ZD ('V'Y.") -
,
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorize gent for the above-mentioned pr~t'....J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submi lans. ware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter the pr erty perform needed inspections. (p ,/u. ~
I Contractor's License No. ~
V -
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
$ (,0 DO
~ ~l .
Recr--iP~)
By
,
o Misc.
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
t 20,000. c;b
$ An r4!4'!o LU~iV4e l
$
$
$
$
$
$
$
Other
TOTAL DUE
I Park Support Fee
I SAC
Water Meter Size 5/8"; 1";
#
#
Gl>. DO
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
#
#
Paid
Date
flU.tv
r-~
b- 2for~
Date
,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a t......y"...ry Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~IflIl-O-l S i Conditions,ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
\,
Tho ("on lor nf Iho tab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUIl..DING PERMIT APPLICATION DEPARTMENT CHI;.CKLlST
NAME OF APPLICANT HU tv I C,;J PA t.... BUI CD 5~
APPLICATION RECEIVED fa - 2-0 - 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
152~B W/(...;OS PAe~WAV
w eL.-L..- Hov~~ I
Accepted Accepted With Corrections x...
:::::edBY: ~~
Comments:
Date: ,- ~ .. '6,o(
" "---..-
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
"
~ l
Th. C.nl.r of Ih. !.ok. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,.,
..-...
NAME OF APPLICANT tlU tv I c'1 VA L,.... ~G/l U E~ S
/
APPLICATION RECEIVED tt,"" - 2 (c; - C I
~.
:t~J "\
,. \
:,/~~ ~.\
;"t:,l:. \,
~#',"",
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Jr:J21/1 ~~/LJ)~ PAI2K:-\i\JAV
/ \~ E I)", I-(G v;::,~ I
Accepted Accepted With Corrections
Deniea~
"~.
I
'.
Reviewed By:
r
Date: 1/16/61
, I
Comments:
t ',,"
~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
L ,,~
~,
.~
Th. C.nl.. of Ih. !.ok. ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ..sUMn " FI f2.6, pea I (;;;.011 ON
APPLICATION RECEIVED /2--/3 -0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5248
WI '-05
PfleK-WAY
( WUL-floust;-#t,)
Accepted
Accepted With Corrections X
Denied
Reviewed By: ~
Comments:
J. 911nJtA.e Ht-e ~ ~r- \-to A-\+lL ic\.1IeC\,
Date: 1'-- Ice -~,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
..
Wbi1e . Rldldina
CC8narv . Enaineer.!!'g)
Pink . Planning
Th. ('.nt.r of Ih. ...k. Counlry
B.WLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
- .
NAME OF APPLICANT fvlU tv le.I PA l- BUll_ObI? <
APPLICATION RECEIVED ~ - 2 f.o - 0 (
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: "
152MB WIt-OS PAe~WAV
w ~ lA... H6V;;.E: I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
I IV It.l3
Date:
/-~ -J I
Comments: See Reverse Side for Additional Information I
)
i,
. 3~~ Attachrrl~ll(s: 1) l:iradlng Plan, 2) Erosion Control Measures
3) Erosion Control Plan .
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or. cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
. 1 5 . 4 1 FROM.
JKlI~ t'J
DEFn..u.l.ONS
ACGm is the AlMricau Conference of GovcrnnJCDtallnduslrial
Hygienists. It rec;ommends upper limil$ (caJled 1LVs) foe
ex.posure to ~..:.l'rlacc c:,_..i':cal5.
A carciJIoCeD is a substance tb81 causes _,.......
The CAS Dumber is assigned by the Chemical Abs.1ncts Se:rvic:e
to ida:1city a specifie cbemical.
A CGIObu5dble substanc:e is a solid, liquid or gas that will bum.
A.. i i ." H; I '. sub$ran~ is a cas. liquid ot" solid that eauses
irrevenible damage to hl......... tissue or contaimn.
VJ!.r' is the New Jersey J)epar1:rocnt of Environmental P...~....~on.
DOT is the Deparanent of Transportation. the federal apncy
that ~ the tran..,r... :ation of chemicals.
EPA is the Environmental Protection Ageracy. the fedcnl apncy
. -"'w . ..sible fot" replacing eDvironmr:ntal hazards.
A fetns is aD unborn human or animal.
A O___lale substance is a solid, liquid. ""A" .1. or ps that will
ipite easily and bum npidly.
The flub point is the .....iW ..."",.,..... at which a liquid Of solid
gives off",.,.... that can fonn a flammablcmi...__ widl air.
BRAG is the Human Health Assessmcat Group of the fedenl
EPA.
lA.RC is the Inten\a.tiOIUll Apncy for Research on Cancer. a
scientific: Do".'F' that classifies chemicals ae.....r.:.., to tbe1r
c:aucc.r-causiJJ& potential.
A miscible substance is a liqUid or ps that will evenly dissolve
in another_
mrf..;J means milligrams of a chemical in a cubic: meter of m.
It Is a measure of con........ation (weightlvollUl'le).
MSHA is the Mine Safety and Health Admini..." , , ,:,'.011, the federal
agency that regulates mining. It also evaluatos and, lI' ~.. . YeS
I1IIpi._....
10.
PACE 81'10
page S of 6
A mutagen is a substance that causes mutatiOlU. A mntatioD is a
chlUlJe in the genetic: nweri8J in a body cell Mutations can lead
to binb defects, mi~a&es. ot cancer.
NAERG is the North American E......~_cy R.,~ ......e
Guidebook. It was jointly developed by Transport Canada, the
United Stares Depa.:.........;. of Tran..*"...~OD and the S.....:.arlat
of C.,..,,,,, ,i. Jlications and Tnn.......:ation of Mexic:o. It is a guide:
for first 1\\.,. "li.':etS to quickly identify the specifie or poc:rie
hnards of material involved in a rransp....~on ineidem, and to
protect themselves and ~ general public during the initial
. .",. ...se phase: of the incident.
NCl is the National ClUJc;er' Institute, a federal ~ that
cldennines the c:ancer-causing potential of chemicals.
NJPA. is the National Fn Protection Associalion. It classifies
substaDCCS ac... ."''':':'',8 to their fire and explosion hazard.
NIOSB is the NatiOl'lal Institute for Occupational Safety and
Health. It tests equipment. evaluates and '"rl"'" lea respirarors.
conclucu SlUdies of workplace b8zards. and W""I' "..es standards
to OSHA.
NTP is the National Toxicology Pro...."",. which teSts chemicals
and reviews evidence for eancer,
OSHA is the ()Q;upational Safety and Reallb Administration,
which adopts and enforces health and safety standards.
PEOSHA is the Public Employees Occupational Safety and
Health Act, a state law which setS PELs for New Jersey public
employees.
ppID melDS parts of a substauce per million parts at air. It is a
measure of COl'1Centntion by vol\UDe in air.
A reactive sub$tanc;:c is a solid, liquid or gas that ~Ieascs encqy
IlDdcr certain conditions.
A teratogeD is. substance that c:auses birth d..f_..:.. by damaging
the feQ1s.
TLV is the thteahoid Umit Value, the workplace ...,.......-.-limit
m::ommendcd by ACOUi.
1bc vapor p,......... is a meaaure of how readily a liquid or a
soUd mixes with m at its surface, A higher vapor pressure
indic:all:S . bichet concenrzation of the substance in air and
them'orc increases the likelihood of breathing it in.
15.42 FROM.
ID. PACE 7/10
EMER pagc6of6
>>>>>>>>>>>>>>>>> G ENe Y IN FOR MAT ION <<<<<<<<<<<<<<<<<
Common N.:.,. _. LIlLORINE
DOT Number: UN 1017
NAERG Code: U4
CAS Number: I IcN.-50-5
Hazard rating NIDHSS
FLAMMABn.ITY
REALd.f.LJ. i
CONTAINERS MAY EXPLODE IN FIRE
NFPA
o
o
HQQlrd RtJting Key: Oraminimal: l.s1ighl; 2=rrrotkrate;
3=scrio'll.s; 4=st!Vere
~ll\E HAZARDS
... Althollgb Chloriu is nOD.ofX)mbustible. it is a ........1 oxitlizer
and <:oIlUK:t with other materials may cause a ftre.
... Extiquisb fire using an apat suitable fQ[' type of
surrounctiDg fin:..
· Use waru IplBY to bep fire.cxposed contamas cool.
" CONTAINBRS MAY EXPLODE IN FIRE.
* If employees are -or ....led to filbt fires, they amsl be Irainccl
and equipped as stated in OSHA 1910.1.56.
SPILLS AND EMERGEN\....u.S
11 Chlorine sa or liquid is spilled or leaked, tab the foDowina
steps:
" EVacualO per.;ons not wearing pro~ve equipment from area
of spill CI' ]Qk until clean-up is _wO&ol'lcte.
· If the pi is leaked, STOP nm FLOW OF GAS. If me
8OUrC'4 of the leak is a cylinder UId the leak caDDOt be st. 4: ~ ..1
in pJa::e. nmove the leakiDa cylinder to .. safe plac:e in the
opeD air, and, A '1' .",'. the leak or allow rho qtUnder to empty.
.. If the leak can be stoppoci in place, bubble Chlorine throulh
a Sodium Sulflde and excess Sodium Bictl.riHRrtlle solution
includiDa a trap m the linc:.
lit For liquid spills. ventilate area and wash down spin area wirh
water_
III It may be Dcc:ess&1')' to contain and dispose of ChloriDe as a
HAZARDOUS WASTE. Contact your state DepanJnent of
EnviX'onmenw Protection (DEP) or your reeional oftic:e of
the federal Bnvironmental Protection At,e1Jty (EPA) for
..,t'....:fjc: RCommendations.
· If employees are required to clean-up spills, they must be
properly trained and equipped. OSHA 1910.12O(q) may be
applicable.
FOR LARGE SPllLS AND FIRES immediately call your fin::
depertmeDt. You can IeqUClSt c:mcrgcncy infonnlliOll from the:
following:
CHEMTREC: (800) 424-9300
NJ.LIu' Hon..IN.E: (609) 29'1.-7172
HANDLING AND STORAGE (See page 3)
~ AAST AD>
1" Nl. PQ1~ON INFORMATION 1-800-764-7661
Eye Contact
· Immediately flush with large amounts of water. Continue
without ~.. 't,. ~" ,g for at least 30 minutes. ~ona1Iy IiftinC
"r. _C IUld lower lids. Seek medical a~...,...:'oo iInmediately.
Skin Contact
* Quickly remove contaminated clothing. Immediately wash
arr:a with wee amounts of soap and water. Seek medical
attention immediardy.
BreatbiDg
... Remove the peI101I ~"'" exposure.
· Begin l'e$CQe breatIliq if breathing _ SlOpped and CPR if
bun ecdon has st... r .1-
" Transfer It I. ':".r t1y to a medical taeility.
· Medical observation is l'!:CoJ'DlDended for 24 to 48 hours after
brea!biDg ov.1O ""J' osure. as pulmonary edema may be
delayed.
PHYSICAL DATA
Vapor Pressure: 4.800 mm Hg at 6SOF (200C)
Water Solubility: Slightly soluble
O.a.DI!..':' COMMONLY USED NAMES
Chemical Name:
Chlorine
Other Names:
B..::...1ite; MolecularChlorine
Not intended to bt! copied and sold fOT commercial
purposes.
NEW JERSEY DEPARTMENT Of: HEAL'l'H AND
SENIOR SERVICES
JUpt to XDow I" ,~"I.ID
PO Box 368. Trenton, NJ 0$625-0368
(609) 984-2202
\J 11 TUE) 12: 08
I....v A I" 0:.':' laD' "tIC.
...(.tlE FlA. IlAllaN... onrlSlOtI
TEL:9S2 8312179
P. 002
.
_ iICi&L.QW I\&DING
.'fIG NORTH SYNDICAT! &If&eeT
::tr. PAIJL.. MINNESOTA Utoa-4'27
TEiLEPI'IOtlI!: Cl1zt 143-3010
.e
....1/~
.'., I .
STAtE 0' MINNESOTA
D"'A"TIi~ 0' PUIUC SAFETY
August 27. 1993
PosI.,t'" brand _Iran.millal m8IhO 1B71 1- 8.'...... 'Z-
... r; _ tv....... f. .. "'.':Y. '- G:~'--
CIa. . ~_.'
1...,1,_ f ~ ...., A.s,JOCJ..-e.... ~ ~..... M.~r4"t.' ..,rt.~
"pi. ....~./~ J ~~~-.J,;oE.~
,... 'a~f.1. ,., of Pu.' .
To Whom IE May Concern;
Th~ Idopdon of mo Minncsola. UnitOI m fire Code occurred on ^Ucu~ 23. 1993. WiUl this
a.c.luptiOD. Anicle 10 Huardogs Mat&tialt. Iecdon 10.303(&)2 Bxemp~ Ampgnu and Tabl.
SO.303-A Compraaed Oases Cx&mpt . \mOQIlIS have become la\ll ill me Sca&c. Tho IOpic of
chlorine IllS is still 111 l.~c at & S~lC Ie~cl. U *cU as p issue at dv. nadona1 c:od~ nearinls,
The SC4~ fire: Marshal Division has 1 II Ibl. issue and will enforce Arlicle 80
rC'luircmcnts on III new chlorine ladoa. reDOvar.ed inaalladolls, or inslallauons thll arc
found to be a distin" buud. The fo lowinc informaaon wiD assiSt you in ldenlifyiAl your
facility .
What is an .cxisdnclO chlorine insWl. don? These iAs1I11adooa would be chlarine i)'stems thac
w~r' in existence prior to Occober 2. 198' · .. daac chat the 1~18 ,Mlnnesotlt Uniionn Fit.:
Code (MUPC) wu adoplDd. The ML'FC(9t). Sec. 1.103(b) allows the SlarG Fire Marsha! Ind
local file chiefs lO accept exisDna ~ dldons mu were in exiStence iLl [he. ume Ehc code was
atJoprc:d. OVI;lD t.bCIIUlh mey arc ftOI in ,itdt;l compUanco with Ihe n.~ code. so 10111 iLl d,c
cxislinS condidons do nOI consdtu~dlsdAcl hazard co ute ex propertY. Based OR thai
authority. this ollke has caken Ihc doalbal wo will nm ellfOIctl dulllclunent syStem
requirements of MUFC AI1icJe 10 to oaecively. unws I specific disDncE hazard is idenlified.
When wW a modUkauon lasquUO a ~Ia&menl systcm1 We feel that.cc~ modiftcations an
l)C made U) an cxisliell system ~= lnaeuing the hazard involved ",Ia:h. daat syStem. .W~
lh~reroreJ tlke die po.dan that &laY of Ihe foUowing conditions oJ.ist. a ereaanent
jystem for clLloriAe IU diu is in &lit ar srara. price rD Occaber 2. 1989. and in the proc:e.ss
01 ~inl modiftecl \lliU be COnsidctcd UI .ulsdD. system" and will not IN required to upgrade
10 the Dew l:(eauneDl requitcmalCs of the 1991 MlJtiC:
- There 11 IQ iac:rea.sc 10 &he amount of c:hlorinc in aa. Of storace.
- Then: arc nructural clw\les made to eM physical plant IE the specific sUa wbere
chlorine cy~c;OlUS.ineI'l arc SIored QI" connec&ed for De.
- The dearee of haza:rcl is lnc:r,ued thI'oulh chaoles ill eM syscem desip. suc:h IS
whon presa"TC lIMs are eXr.lnded (e.l. rhe pressure head is lIlovec1fanhcr away from
lbe cyUnder/cont.alaer) and/or Iddili000al presaare Unes He Idded.
AN ICM IAt.: OPPORTUNllY i.UPlOTef'
....
. "...
P. 003
P.Z/2
w. hav~ coosldcl'ad ODly .uJsdn&'lt ., SCUftl to rhia polnc. The Rlquilemcncs for & 4new"
I)'SleID or syam. mil do DOC "-'cet tb4 ~uinments of uiSliq shaD mccc &ha rl4uirc;menu
of cbe 1988 WUfC (it cbIariac it scar" or ..lid trona OClCbcr 2. 1989 10 AUpa 22. 1993) or
shall II\OOC Ibo requkCIMllct of duI 1991 MUFC (nqWnm~n" lor aIl1ucall.dona from
AllPSC 2], 1993 to prest.).
() 1 (TUE I 12: 09
TEL:9S2 8312179
As you may remember from ear1icf ~lio&1l from QUI' otftcc. &he eumpc amounlS thaI: were
developed lor UIC In dla 1991 UfC welre used fa fCplac.e me cumpc unOUQts in Lhe 1988
UFC. They were u foUows:
1 98~ UPC"s e~clDpc amountS (( :lIbic Feet u h 1 C J
1lI.hJy toxic toxic
UnprOleatlld by spriAkJen. IU I :abinecs 01' "pIR~ roams - 0
WllhiD gas cabiDcu iD IIIISprink lcrcd bu.iJdin.s . 20
In spiualdcred balldia,s. noc ill IU cabbacm ar separara roomJ = 0
In sprin.kNrcd bui1cliDlS, within pi cabiDets 101 40
650 . .
1300
1300
2600
Wd Brd, once a,ain, eakin, the poatdon at lIRq cbe larta code requiremenu ror me exampc
amOUntS for dlc enforcement of die 19!1l MUfC. Tho rcquiromaRu rhu we will be eAforcing
arc hom che 199. UPc. Theil: CXllDplllllOllDC arc u fonows:
1991 lIFes exempr amountS (Cllbic Feet at NTP)
hiChJy tO~ic to~ic
Unprorccr.ed by .lprintlen, 'U c .1ncts or scpara~ room. ::;;;; 0
Within lIS c.abiAots in IIRlpriAJd.red buildiD'J . 20
IA sprinklcrcd buDdin,1, ROllA 1?&$ cabiGets Dr separate rooms - 0
In spri.nkJ.etcd buUdIn,s. widWI .IS cabinca ~ 40
810
1610
1620
3240
As you may be aware. chloriAc ps in Ij aGile ODe: huadrcc1 and dfty pound cylinder is 810
cubic rcer. Due to the &.:, mat dalorlnt ,u is classitlcd as il toXic gu. l buildinl may bav.
ii sin8lc o~ huDdled aad lift)' pouDCl cJIiDdcr pet coAtrol EeL ,_,;"",,,-, " W w-'
""; ".' I.... - ' .;, "'_"".., ",.,;",..;,'_,.""",""'.."'"''''''.''.'..''''' If5p(2..!>-.l","~.L-(1.bD INY26ASb Ia::.'r""
11Jc ftnal paine I woulcllib to Dlaba:e 'ardi.D. dais issue: is ma, Ibis lener wu deSlDed Co
provide inf9lJl11doR OD cblorinc .11 .heA il is exempt from Tibia 80.303-A. TK
requiremenLt tound in Division I Arc 1m rr.aAr UId wW aced to biI cOl1\plkd wtlh n:ludless
of tba quancir.y at buadou awaial on si~.
Please /Uk for I. Code Specialist JIlt rM S tara Flro Marshal Divisioll II (612) 643-3080 ..ida
an)' co~rns or commcQU rellll'CWlI dWc ar MY fire code issue. TbW you for )'ow inr&reSL
s~~,
~~--~ /L ~-
'---
'I'hOlDas R. 8r~
Sial!: Fire Marshal
~t
~
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-
MUNICIPAL BUILDERS
r
I
PROJECT DIRECTORY
JOB #870 WELLHOUSE #6
PRIOR LAKE, MN 55372
SUBCONTRACTORS & SUPPLIERS
HVAC
C.O. Carlson
Attn: Tom Lindskog
1203 Bryant Ave. N
Minneapolis, MN 55411
Phone: 612-521-7694
Fax: 612-521-4154
ENGINEER .J
WSB 7 ~ s- 2 at. , ( <is
Attn.: Dave Hutton u\' 1.0 1'2.... - 't <f.~ ,. ~ 1 ((
4150 Olson Memorial Highway
Suite #300
Minneapolis, MN 55422
Phone: 763-541-4800
Fax: 763-541-1700
.~
PAINTING
RL Haagenson
Attn: Roger Haagenson
16411 Limerick Lane
Minnetonka, MN 55345
Phone: 612-933-1892
Fax: 612-933-2825
CONCRETE & MASONRY
Municipal Builders, Inc.
Attn: Chris
17125 Roanoke St. NW
Andover, MN 55304
Phone: 763-421-8790
Fax: 763-421-1028
ELECTRICIAN
Twin City Electric
Attn: Dean Nicholson
10724 Morgan Ave. S.
Bloomington, MN 55431
Phone: 952-881-5717
Fax: 952-881-5717
OWNER
The City of Prior Lake Public Works
17073 Adelmann Street SE
Prior Lake, MN 55372
Phone: 952-440-9675
CURB & GUTTER
North Country Concrete
Attn:Bob
7040 143rd Ave. NW
Ramsey, MN 55303
Phone: 763-576-8602
Fax: 763-576-8636
MBI SUPERINTENDENT
JERRY ADRlAENS
CELLULAR: 612-232-7872
HOME: 763-753-3592
CHEM FEED
Hawkins
Attn: Kim Putz
3000 East Hennepin Ave.
Minneapolis, MN 55413-1851
Phone: 612-331-9100
Fax: 612-331-1851
MBI OFFICE CONTACT
\..-.mUS SLl.Ju.I!.R
OFFICE: 763-421-8790
CELLULAR: 612-232-7872
HOME: 763-593-5643
if
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15.39 FROM.
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'NEW .'FRS."
D['PAmMLNl
HE"ALTH
SENIOR SER\tIC[S
------
ID.
PAGE 2/10
I U'-\ I. \ ".J
['lev\! Jl~r',ev Dcp<..H!:lJent of HCcllth and Senior Services
HAZARDOUS SUBSTANCE
FACT SHEET
Commoa Name: \,ttLORJNE
CAS Number: 7182.50-5
DOTNumber: UN 1017
IIAZA1U> SUMMARY
· Chlorlae em affect you when breathed in.
* Bxposure QID L.:...... the DO$C and throat causing tcarin,.
cauJhini, '~~"'~'m. bloody nose. and chest pain.
'" B......,;;..mg CJIIorlae can Irritate the lUD.g$ causiDa eougbing
8DdIClI' shortness of bn&rh. Higher e:ll... . ..._... can ~ a
build-up of fluid in the lunp (polwury edt:ma). a medical
em...-cy. with severe shonuess of breath.
. Cotatac:t can $everely iaitate 8Dd bmn the eyes 8Dd skin
causing t .,'" ..anent damage.
'" R-r;..~ cxr.._- or a sin&le high -'z' ...UR may
permanently damaae the lungs. It can also damlie the teeth
and <:a1ISe a skiD rash.
IDE~ J.uJ.CATION
Chlorine is a ........ish~yeUow gas with a ..;....g. irriwinJ ocfor
which is otmn used in solution. It is used in rnaldJJ, other
chemicals. as a CUsi.n:.........nt, in bleaching, and fer pwifyiDg
W81er and sewaJe.
REASON FOR UJ.ATlON
· CbJorlae is on the Hazanfous Substance Li$t r. ........se it is
replatrd by OSHA and cited by ACGIH. NIOSH, EPA,
DOT, DEP and NFPA.
· Definitions are ~",.,."decl on pap s.
HOW TO DE....eAMINE IF YOU ARE BEING
EXPOSED
The New Jersey Right to Know Act requires most employers to
label chemicals in the \h..I't'lac:e and requires public: employers
to provide their employees with inf':'i.. dion and training
con.._"':'.g cl.....".:cal hazards and CODU'Ols. The federal OSHA
Hazard Communication Standard. 1910.12(X). requites private
employers to provide similar trainin& and information to their
employees.
· &posme to hazardous suL~ces should be routinely
evaluatl:ld. this may include collecting air samples. Under
OSHA 1910.20, you have a leeal right to obtain copi. of
sampliq results from you employer.
· If you think you are exponeac:ing any work-related health
problems., see a dOCtOr crained to recopizo. .-'1',..:: ."....1
disdses.. Takc tbis Fact Sheet with you.
RTKSubs.:'".._numbcr: 0367
Date: August 1992 Revision: AUlust 1998
· ODOR THRESHOLD. O.Gl ppm.
· The range of ac:cepted odor threshold values is quite broad.
Caution sbould be used. in relying on odor alone as a
warning of poteDtially hazardous cxposures.
WORKPLACE EXPOSUBEL-IMI1'S---
OSHA: Thc legalairbOme ~ .......issible exposure limit
-(PELns 1 ppm, not to be exceeded at any time.
NIOSH: The .....,..""_.;'Ed I:.~ .:"..= \....l'.....1re limit is
0.5 ppm. wbich should not be exceeded durina any
IS minute wark period.
ACG1H: The... _.....mcnded ai.t ...,e exposure limit is
0.5 ppm averaged over an 8-hour workshift ADSi
1 ppm as a ~1,CL. (short tetm cxl"......re limit).
WAYS OF REDUCING EXPOSURE
· Where possible. enc:losc '&' ...",,,::.oos and use local exhaust
vatllation at the site of cbemic:a1 release. If local exhaust
ventilation or enclosure is DOt used, .....r:ra.t.ors should be
warn.
· Wear protective work c;lotlUng.
· Wash tborou&blY imfNlll'liet..ly after exposure to CbJorine or
ChloriDe solutions.
· On skin......~t with lifuified cfJilflPTfJ$S~ ChloriDe.
iDUDeCliately submerse the affected body pan in warm water.
· Post hazard and warning information in the work area. In
addition. as pert of an ongoing education BJ1d training effort.
colDlDUJlicate all information on the health and safety
hazards of Chlorine to I' .,J....tially exposed workers.
,.,
.1 Ill!. ENCLOSED INFORMA nON 'VAS
GAl. ~IJ FROM A V ARlETY OF SOURCES.
IT DOES NOT NECESSAJUL Y RElt"LECf .ltU!..
OPINIONS OR OaeaelCIAL POLICIES OF NlOSH.
15.40 FROM.
......11'1 J!,
t'his Faa Sheet is a SUID11WY source of infonnation of .&II
potential and most severe boalth hazards that may _alt fcom
CXp08UR. Durarion of exposure. concentration of the substance:
and other fl.o........ win affect your susceptibility to may of the
potential ot'fea5 doscribcd below.
HEALTH HAZARD INFORMATION
Acute Health Effects
The following acute (shott-term) health effec:u may occur
immodiately or sbottly after e..1" ....ure to Chlorine:
· E............ue can irriWe the nose and throat causing rarinJ.
couibinl. ,"'t'.,...m, bloody nose. and chest pain.
· Breatbina Cblorioe can ml8!e the: lung$ causinc couJhjng
anellor shoctDess of bRath. HiJher exposures can cause a
build-up of fluid in the lungs (puImonruy edema). . medical
eru..j/"....cy.9'itb severe sl....~,~ ofbreath.
· Contact c:an severely irritate lIDd bum tho oyes aad skin
causing ~ ___.ment darnap.
Chrome Health Effects
The following chronic OOl1&-rerm) health effects CIID occur at
.".... time after ..... .5W'C to CbloriIM and am Jut for m...,:";,.. or
years:
Cancer Hazard
· According to 1be informadon r....._tly available to tbe Nevi
Jersey Dcpar1mcmt of Health and Semor Services, CaIortae
bas not been tested for its ability to cause cancer in animal$.
Reprodnctive Hazard
· A........:ine to the wonoatioo ~dy available to the New
Jcncy D.~ '''' ~,.. .cnt of Health and Senior Services. CbJorine
has .Dot been te6ted for ils ability to affect ......... .:&1c:don.
Other Long-Term Etfed:s
· QJorlDe can irritate the lungs. lUpeatEd ., " ....IIeS or a
singlo high -'r"&Ure may cause bronchitis to develop with
cough, pbXeam, anellor shortness of ~. IIId may
r _....anent1y datnI8C the hmgs..
· Lcag-tc:nn exp......,'. can damage the teeth and cause a skin
rQh.
It-.uwICAL
Medical Testin:
Before beeUminB ctI1ployment and at replar ;:....... after that,. the
following are rec .1,1,,,.. ,ended:
* Check ~rh for sips of erosion.
· LuDJ function tests.
If S)'Jnjo" .I".,.s develop or OVeteltposure is suspected, the following
may be usefW:
· Consider chest x~ray after acute overexposure.
ID.
PAGE 3/10
page 2 of 6
AzJy evaluation should include a careful history of past and
present 51.Ii..~..'".s with an exam. Medical leSts that look for
damllge already done are Imt a subsQwlC for controlling
.-... ..sure.
Request copies of your medical testing. You have a tep( right
to this inforrnatlon under OSHA 1910.20.
Mixed Exposures
· Because smol:ine can cause beart dilleUO. as well as lung
c:ancer. emphysema. and otller respiratory problems. it may
wotSOD uolit'ntory conditions caused by chornic;al exposure.
Even if you have smobd for a long time. stopping now will
reduce your risk of developing health problems.
WORKPLACE COl'l'I.:a.OLS AND PRAt.. .l.lCES
Unless a Iesa toxic chcm1ca1 can be substituted for a hazardous
subttanco.. ENGJll.u..NNG CONTROLS are the most
effec:dve way of reducing _...........re. 'Ibe bc$t J'.~'....tiOD is to
eaclose "~.. .., 1i0D$ IJlldlor provide local exhaust ventilation It the
sire of cbemtc:al reJcaso. Isolating.w .....dons can also reduce
...... ....ue. Using "........;.rators or protective c:qui..'.,......t is less
effective than the .....,..,.Is mentioned above. but is sometimes
nc-sfary.
In evaluating the controls present in your workplace. cOlISidet:
(1) bow hazardous the suL,..,...ce is. (2) how mw::h of the
substance is released into the workplace and (3) whether bannful
skin or eye ,.....:..,~. could occur. S~ia1 ~trols should be in
place for hiIb1y toxic chemicals or when sipjficant skin. eye. or
bnsathin& expo.._.... me possible.
In addition, the following control is ncommended:
· Liquid and C&seOUS CbIoriDe should be bandIed in enclosed
system&.
Good WORK PRAClICES can help to n:d\ICC hazanlous
'~'r .1" _'_'. The followiDJ work practices are ~mmenclod;
· Workers whose clothing has been contaminated by ChloriDe
should change into clean clothinC 't:, ....pt1y.
.. WOIk clothes COIltmJlD..~ with ChloriM liquid should be
laundered by individuals who bave been informed of the
hazards of ~.~ ~..JR to OlIoriIae.
· Eye wub fountains should be provided in [be immediate
work area for cmccgc::ncy use.
· If tbcrc is the poSsibility of skin -"r .",.ne, em...._..ey shower
faeilities should be provided.
· On skin ..........ct with Chlorine, immediately wash ot shower
to . .....,. ve the chemical.
· Do not eat, smoke,. or drink where ChloriDe is hllDdled,
processed. or storul, since the chemical can be swallowed.
Wash hancls carcfuJly before eauIII or smoJcine.
15.40 FROM.
^11"~
. eERSONAL PROTECTIVE EQUIPMENT
WORKPLACE CONTROLS ARE ,lSJ:,.l .lCoK THAN
PBRSONAL PRV1J::l.\,.U VB EQUIPMENT. However. for some
jobs (such as outside work. confined space entry. jobs clone only
0DCe in a while, or jobs done while work:pl..::e conuols are being
Installed), personal protective equipment may be. ~ & .. . J!' .:ate.
OSHA 19l0.132.."l"':'..smnployers to dctcnninctbe I:~..:,...'.re
pusonal proleCdve equipment for eacll hazard and to train
employees on how and when to use protective eqnipment
The following rec:ommendatioJl$ -.re only JUide1ines and :may not
apply to every sitUation.
Oothing
* Avoid $kin contaCt with aaIorine. W~..~ .'._ ~Iive poves
and clothing. Safety equipment supplicrslmanufa....__.. can
provide recommendadons on the most protecdve
glowlc1othina material fot your . r - ...!ion.
* Where exposure to cold equiPment. ..,. ".... or liquid may
occur, employees should be provided with "l' ....:..u clothini
daigned to prevent the :freezing of body tissues.
'" All protective clothing (1Uir.. gloves, footWear, bead.......~
showd be clean. available each day, and put on before wOrk.
'" ACGIH and safety equipment manufadurcrs I'CCOII'1IDeDd
Neoprene as a r.'.'~. ....:ve material.
Eye Protection
· Wear splash-proof chemic:ll ,ogles and face shield when
working with liquid soludons containing OIlorille, UDless
full faeepiece .,.""t'datoIy protection is worn.
'" For gaseous ChloriDe wear gas........f ,ogles and face
shield, unless full f~.. -.... :ratory protcc::tioo is .1 .:......
Respiratory PtotediOD
IMPR.O..: ~ USE Oll' RF,.). '~TORS IS DANGEROUS.
Such equipment should only be used if the employer bas a
written ~...~.~.. that takes into a............t \\..~...IflC$ <:ondidons,
requirements for work<< trainjq. respirator fit testins and
medical exams. a.s deseribed in OSHA 1910.134.
· Where the poura1ia1 eldsrs for exposure over o..s ppm., use a
MSHAlNIOSH ~t'J"..,...ed fbIl facepicee A'......d'ator equipped
with a chemical cartridp ~,. ..:tically 3z. 'II:' .. led for Cbloriae
or a gas masli: with a Chlorine canister. More proteCtion is
provided by powered air.purityina' respirators.
" If while wearing a filter. c:arai. or canister .....~;.6'..tor. you
can $lDCll. taste, or otherwise detect ChloriDe., or m the case
of a full facepiece . ~tntor you experience eye britation,
leave the area immeclWely. Check to mab sun: the
._...~.,.(Or-tc>-face seal is still good. If it is. replace the filter.
cartridge, ot cani$ta. If the seal is no longer good. you may
need a new~.
· Be sure to COIISider all poteDtial...... ....lIeS in yaar \\..~...lace.
You may Deed a combination of filters. prefilttr'S, cartridge$,
or canisters, to protect against different forms of .. chemical
(such as vapor and mist) or against a mixture of c:hemic:aIs.
10.
PACE 4/10
page 3 of6
· When: the potential for high exposure exists, use a
MSIWNlOSH ':'n'" leel supplied-air .......:...tor with a full
fac:epiece .:to .....red in a pres.sure-dQwmd or other po&itive-
snssure mode. For inc:rasecl r. ........:00 use in combination
with an auxiliary se1f-amtaincd breathin: apparatus operated
in a ~d or other positiVo-pressUR mode.
· Exposure to 10 ppm is immediately dan~..v.1S to life and
health. If the possibility of exposure above 10 ppm exists,
use an MSHAlNIOSH ..'ttl,..!ed self c."..:.ned breathing
apparatw; with . full fac:epiece operated in pressure-demand
or other positive pl"CSSUR mode.
HANDLING AND STORAGE
* Prior to ~ 'I,~~'.....g with Chlorine you should be trained on its
......, ph handUng and storage..
· ChloriDe reacts explosively or forms explosive compounds
with mmy c............... substances sucb as FUEL GAS,
FLUORIDES, JnHER.. TURPENTINE, ALCOHOLS,
&..e! lLBNE. HYDR.OGEN, AMMONIA, SULF'UR, finely
divided METALS. and MBTAL HYDRlDES.
'" Store in tiahdy closed c:ontainers in a cool, well-ventilated
area away from HEAT and SUNUGHT. Heat may cause
caatainer$ to :........_
'" ChloriDe cylinder t--.., -.L..res should not exceed l2SOf
(S2OC).
QlJE:) A.lONS AND ANSWERS
Q: If I have acute health effectst will I later get chronic health
cffec:ts?
A: Not always. Most duonic (long-term) effects result from
repeated exposures to a eberoical.
Q: Can I let long-ram effects 'Without ever baving sbon-term
effects?
A: Y CSt k,,""'" lq-mrm effoc:ts can ..........t from repeated
exposures to a chanieal at levels not high enouih to make
you inunediarely sick.
Q: What ~ my ctwaces of getting sick when I have been
exposed. to chemicals?
A: The likelihood of beeornin.g sick from chemK;als i,;
iner1::.ucd as the amount of w't".sure increases. nus is
determined by tbe length of time and the amount of
material to wbich someone is expo$eCl.
Q: When are higher...... .,sures more Uke1y?
A: Conditions whicb increase risk ot expOSUre include phvsiSiiIJ
and mechanical prooesscs (hcatinl. pouring, sprayiol. spills
and evaporation from larle surface areas such as open
containers), and "confined SDace" ex.."'......"""' (working
inside vats, reaetors, boilerst small.. ...,.5, etc.).
15.41 FROM.
.t<.lNt;
Q: Is the risk of :edin: sick hip for workers than for
community residents?
A: Yes. n..,......Jre5 in the...I'H."JDity. except possibly in eases
of ftRs or spills. are usuaUy much 1..., .... than those fOlmd
in the workplal;C. However. people ia the community may
be expolCd to contaminated \Vat=' as well lIS to cbernlc:a1s in
the air over long periods. Because of this. and because of
exposure of ehildren or ......,.le who 8fe almdy m.
....",.....,.."..ity exposures may cause health problems.
ID.
PACE 5/10
page 4 ot' b
The following information is available from:
New Jersey DepartmQat ofHoaIth and Senior Services
Oc:cupational Disease and Injury Smvic;es
PO Box 360
Tnmton. NJ 08625-0360
(609) 984-1863
(609) 292-5677 (fax)
Web address: btt:p:lIwww.$tatE.nj.usIbeaJtbleohIodiswebf
Jaslustrial avl!lcne lDformation
Induslria1 hygienists aro available to answa- your questions
rcsarding the .......~..l of chemical .....r w......~ using exhaust
ventilation, ..,. .":aI work practic:es. good housekeeping. lood
hygiene practiees, and personal protective equi..I.,....' I. includin:
respirators. In addition, they can help to int... ....... the reswb of
fnduslrial hygicoc survey data.
Medical EvaloatiCIII
If you think you lIE be.........:n, siek becaU$e of ....r....ure to
chemicals at your "., .:..,lece, you may caJl peISODDcl at the
Dep""~~",,,".t of Health and Senior Servic:es. Oc:c:opatiOllaJ Disease
and Injury Services. who C;Q help you fDu1 the informati01l you
need.
:hblic PtesentatlOJll
L ..., .,..radoDs aod educational prell> .,,,..... on OCQ1pational health 01'
the Rilht to Know Aa c:an be t...",...,:z.ed f~ labor lKIio1l$, Ifadc
UAOCiations and otbct groups.
RlPht to Know IDrOrmatiOD RA.... . I ... .' . ."',
The Right to Know JnfoIiDe (609) 984-2202 QD. &li$weI'
questions about the identity ancl ... .._..tial health effects of
chemicals. list of edneational DJI.TCrials in oc:cupalional hc:alth,
references used to r" "'t'.are the Fact Sheets,. .:'......L .radon of the
Right to Know survey. I.. .:.I....,:.:OD and tr3ining proarams,labelin&
requL.~.,. .,...&. and gencnl iD:I.:.""ution ~aardiDg the Ri&bt to
Know Act. Violalions of the law should be ...... ..~...d to (609)
984-2202.
15.44 FROM.
ID.
HAlARDOUS'MATERIALS
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Chlorine
Safety
INWAl.tBAND
WAsTEWAl'.tR
TREA~'l'
Ie of ch10nne (Cl,) in both
liquic:l and go... , .. . .IS loaN is
ox:nmon at water and wasle-
~ater treatment fadUties;
i.. oxidizin8 1'. ".,. ....::.es are
usedint:reatirlgwater'bac-
teria.. Chlorination is used
to kill mi-......b~ in wastewater,
sewage and cooling water toWers, as
well as those in clrinking water.
'SineR these treatment plan" IJe.l'VC a
coa,unUtlity's raidential and commer-
cial needs, they are often located. dose
to populated arellS. This rOo ..,.Jm1ty
brin8s into play the federal Em""9 ~ ,.cy
~ and Community RighMo-
lCzaow".Ad \uUlA) of 1986, whidt. is
~pplCawnted. by state regulatioN..
. The ~ statute requires owners/
. . " ,~e ....~ ,tors of tadlities wiiD an e..~ ......ely
~ous su1..,,:....,..ce (EHS) in quanti-
~ ,~~ for SARA Title m W.I' .rting
to cOmply with regulations_ These in-
clude ett.1-~......j '. ~t ""''''., training,
and. w""r ....q both the,presence and l'e-
leue of hazardous matll!rla1s-
.Common se.ctioJ15 of ~n...M (fol'-
: ~Iy known~' SARA Title III) are:
. '302: Nod.ftcadon of r"-''''.re to
O)~.and LEPC
· 30;3; Facility .. "'l'. .....e.ntative
. 304: RequUed. reporting of releues
. 311: Submission of M;.,u;>
II PRurA:li:lOIONAL SAFETY
ch:,~~~~~~~:~~ ~.:r =' ~r"=.e ~~~
of ner Two ;.."..$ illnesa, ir1jury ard/ar cleath if 181., ....1
. 324; Public availability of lnfor- into the atmosphere in quanti.t:ie$ al " ...
mation 1- __I~1e '.. 'r . ".I1V Umlt
.325; Civil and c:rimina1 penalties/ Use and transp~~:..,:A\ of ch10rlne is
fines. regulated by TItles 49, 29 and 40. It is
As not:ed. Sec:tiorl 304 requires the also regu1ab!d by the US_ Federal In-
owt\f:t/_. ......tor to immediately notify sectidde. Fungicide and Rodenticide
the State Wmdng Point (SWP) upal\ reo- Act, the Canadian Tran,,;,.... t Commi&-
lease of an BHS or CERCLA-Usted sub- sian and. the 1"~.,,, .lltional Maritime Or-
s..1...., ... in an amount equal to or .,.... .,1- gaNzation. Facilities where chlorine is
1ng establ1shed .. 'I'" "ble quantity t.l.."...t in an amount at ar a: ,,'I. .lr\i
(1tQ). Mcst state em...~ on.cy '"'':''' ,....a must" "r . ..:: UU\ually under u~
~ (SERes) lIS8 a 15-minute Section 312 (UX\l.8ss eumpt). In add.i-
period as a guide. A written " 'r . rt don,. the facility m.~ -=.:.:t. r.ly material
must be filed. with the SERC and Jocal $&fety data sheets (l\Il:)U:::;) or list haz-
em ""'o.....ty planning cmnmittee (L.erq ardous c:hemiea1s t''' ..II_..t.
as soon at I . ,I i,ble after the eztL....6.".r::y; ~aUure to .........T!d. with " "r "..~'.ng reo- '
only the urgency of aba&\g the erner- Ql1.. .....,.et\IS may to fines of up to
~ _.. -I should d.eJtly its issuanCe. All $25,000 per violation. per day. Many
drcumstances surrounding the emer- SERe chlorine 'riolations involve water
gtn:.Y IlftJd not be Ir::nown In order to is-- and waStewater plants. FadUties not
sue ~ "J.., I... follow-up. Supplemental ptopa'ly reporting can be identified. via
A..r....;..canbe~udata 1 h"""S the EnvL.,.,. ....ental ProtRc:tion Agency's
avai1able. A chI.;,~.,~ rel__ ~",,_..IS or (EPA) r .1...b1e water and. grouMwater
liquid) in an amount equal to ar ~- management databases. ~, which are
ins 10 lbs. within a 24-baur period trig- submitted annually to SERe; apply to
gers the not:i&atian ~ _,,ent. facilities ,., ~.:,..1 to report under Sec-
Bued en .cr~ Sedians 30Z and. tians 302 or 312. G.. ,.......mcnt entities,
3m, the thmhokl planning quantity although exempt ,:,..11I. fees in many
l."l'\l} for chlorine is 100 n.. n.e Me- scates, must submit applicable notiflc:a-
tions have a ~time . -r "lo::ng require- lions and. annual filfnp. '
Alru:.N,..:.AN ~~ , OF SAIl1iN ENQ1I..~
By USS& I. PIE
PACE
8/10
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'.;
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15,44 FROM,
-::.
... ..,_ AII8
Gaseous c:h1Drine is soluble in water
and is not explosive or flaInxnab1e. As
an oxidizer, however, it will S1J.,.(~.l
the bumitlg of annbustibles (much Jilce
oxygen)- In gas phase, chlorirle exhibib
a yeDO', tr.:...... color and. pt." "'., .todor.
In addition, it is 2.5 times heavier than
air and, therefore, remains c10se to the
gJOund. upon release. In ~ liquid
c:hlmine has 11 :........:,0 ",,rent amber c:a1or.
In this .tate, it s:.....:.~ "'r ~..:aI risk of
c:ont:ai:nment failure during thennal ex-
pansion.
Chlodne ClI1l react explosively with
powdered metals. Moist chlorine ~
tains hydrochlorlc and hypoch1arous
acids, and is Vf!!rY Io....~....:ve to some
metals. It reacts violently with hydro-
gen when either eleD\ll\t is C'............t in
concentrations b':" :.'l' than 15 p.... ,....t
by volume within a udxtwe.
Ch.lorine NJXU)v~ hyd,..~ _" atoms
l.~t.JI..., other c;ampounds 8$ well. For ex-
axnple, the reaction that OCCW'S between
c:hlorlne and hyd.'''b-' sulfide form$
hydrogen chloride and sulfur, while the
teadlon L .~lleen dUorine and c:a/.. ...
monoxide fcmns pho$gene. Other :p0-
tentially toxic, explosive and/ at flam.
mable compounds include guoli1\e,
akohoJ,s, ethers, acetylene, oils, organk
solvents, hydnxa...l....,,5 and alkali.
'if'
....:: '
:,t..::
iJ.
I",:
~\
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o.
:r
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!\,', .'
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i\.~.,.. .
nr.;::'.:'
Chlorination
is . used to kill
IRlaaarganis.s . in
wastewater, sewage
lid drinking water.
IBLlI.-s
In addition to being highly ~
chlorine is a severe lung and. skin ifrl..
tanto r:. 'i' . ,. m _ to small c:oncentralicms
I;U\ cause symptoms similar to a severe
allergic: attack-bumina eyes, c0ugh-
Ing, tearing, OusMd skin, sneezing aNi
hoars... _'.1. Inhaling chlorine in higher
.." .... !..."lions affects the u."l' p- and
lower .. .", ,', ,I .tory b:act and can " .. . ':u.ce
pulmonary edema. SIan contac::t with
the llquid or vapor ;...._. may nsult in
ulceration or It.... ....:s.
.,.,.".. WfSIS
ChloriM can negatively affect the en.
vi..,......S\t, including vesetalian, ani-
mals and acpatic life. For example,
chlorine attacks chlorophyll. ptoducing
bleach spots on leafy pIants. Althou.gJ\
the plant will likely llve, its growth rate
~
I
I
. !
i
I.
T
,
" i
,.
~
f
and. yield will be retarded. The Regi.stzy
of Toxic Effects of Chemkal Substances
1ist:s lethal a:mamtrations for mammals
as; 1) humans - 840 "I';"'~ in 30 :minutes;
2) rats .. m r r"" in 60 minutes; and 3)
mice -137 r r'..... in 60 D\U1\1b=5.. Although
aquatic Ute b adversely affedecl Dr
chlorine CClI\Cefttratlons well below 1
r.'!"~" hannful ~tratiotlS are un-
~y without direct discharge into a
body of water.
..........N l
Most contairwl'l are similar: Pressure
raW valvlS must be ino.r ..._tIed ancl
pressure-tes~ ~y; containers
must be placarded. ............:ing to US. ~
Dept. of Tra:_ '_r ... Uion (DOT) tegWa- i
tions. Key ctiIl;'-....ces do exist, how-
fJ!Vf!!t, bel" _ -'.. em...o....cy equipment
for handling l-ton containers and C)'l-I
Inders.. U a loading dodc. lacks the
r'..r lo. equipment to unload 1-ton c0n-
tainers, . hydraulic lift tailgate can be !
used. Containers must be secured. to I
prevent roll off. A monorail or crane :'
with lifting beam 1s prelo.-_..l when :
moving these COtItainel's. ~
Optluullly,.cylind.ers should. be I!!
moved with a r" "r .,.ly-bel.,,,, ..Ii hand !
truck. If a hoist is employed, a spe- 8
c;ia1ly-designed aadle should be used. 6
Because neck rinp are not designed to It
JANUARY 1995 ZJ
. i;,~_f~~~Aefs~~i~f 'MiIiIr . .,",...;.:
,.>.....,. ",..fl''''''' ...... :_... .:,.....,. '. ...:~:' mw..~' ",tnlUdngsbouldadClra.ay ~::...}
.. ...... M_...... "~."'" ,..' ",",.' .,.... ;'~" ."~ eJeiraents of the SP--Qos and clon'ts, . ....~
... .... Resources to axdaClI wheal d.velopiQ& r .. ..ket gulc:l8s, telephcme 1i$u, plant'd.i- ..... '::
Chlodne ClOfttainef.uhould he etoted III ERP at npartiDC at..... ao...,....I, etc. Topics that should be cov- ',::'
~~~~~1.=~~~ 'WAII.~ a-I ~Y*ol~~~.:~~.'sMSI$;.'~ ".
"~ -yo _ NIL..... Or. t:U ....) <<-> ~ . '
0Ilt5ide.. cotdainel's mc1 c:yJirlda& shouJd EPA ao...... ~ ~ liOn I' A_ -. ':ures, fint ~ lolt .",,,Ie ptoc::eo'
be,.,~.,._JonpalIetslU'ld..cured. to pre- =~ ~~ dures,.~I"I!.J."CY ..~t'.!" kits, t .,d .1, al
vent t.Wng. They must be located far c::a...-~IIr.) :::: t',.I.,....,'e cq\lipment (PPE), ~.,....o-,,-J
&om haat .1... ... (radiant or other- ' aa.n....... (>>2) m-mt ~uipmatt a1\d B:rst aid(CPR. All train-
wise) L ..."... ma.l surrounding the,., . mg.. ~ emp~ o.rienta. "
fwdbJe plug will me1t if lis teal.a-.. ._, ,lute ., 1 .. . don uad . _ ' should. be thor~. ,: ':': ;:
IHChes 158" F. . . . .'. .,". ) ~ y the :'.1.t"'J'".&le cm'''o..q oushly ~...:__.l'" . ' .' ',' :';;::{.
" ~ a,mta'"".., should be labeled . ::~,derice: A Em: 10Q....10. ancl'l50-lb. cyl. " AudIts and. ~ axe the most~ ");~':)i
,.''NT'' ~ l.'..""J in ,a 1IepUll~ am.' '~;B~l-tonCXlll'lt..t _'~\ranclC.for tiveway toa.,..._.~~~..t#.~,':~~~~:
Noanal 'u*"'_ ~- ....'L.'1--:"'_ _ 1 lS' . tank ~1Ql'S. ERP and re1ated..,..."l~., ,J)rl)JS, which .",.'~"
, ' --- ~ ~~ -rrt oJ 5) [)o . _'-':-"_11. =--, .'.' ,,,., "
~" cylinders at ,1-ton..d..~, ..., '.. rIOt submerge or tluow ,con- . &.....U&_y im:I~, ~.. . ,em,"'6~'-0'.: -:,~~;:;
_.lL'_"'&__' ...._........ . ..... '",--:. ' L..., ",'~' mtoDodiesofwater.' t ...~.i,".el uul....I......"Al team zncnl..~. ",,'..j'~
-..I&l. ........a&UIUU ......... ~ ..,l1ll''I1~7. '-'IaJI: . . . . .' .... .,. ~...
::.:'~~.~~,~~.':_;should~.~ii~~;::'~~,":"'::"':'-":""'~ lief . .'. '. '~~sd~~,::.{~~~
".r: ......,...,.>-1- .,' '. :'.', :..',., ",' _ _.-; .' '..' _. " " "" '.' ' " ....,"'...i
, ',: ....,.:: ',',' "",:. ,"~~.":'~" :',;-:':A..wiittislan", ,r"V .....;.p,-_. cqu't.,..... , be eVtiu&tacl forel.-' ..~':<-q
..' ,." ,', ...... "., 'l!I"'-,,"."X""- 'atII, $;";__' ~I~.c . '.' . ',''::,
" ,.._...... ':':'::< ';",",',' "nN')~~whenchlorine.used --"'!or.m UII.\'I.:"...t,~. u. W81:L':':';~~~i:
, Risk of,cIeveIQpJng Jeab Is l:~, I~t .~~iftamounts .......!mg.100lbs.. "~~",:~,,,,:,,,,:-,'.IS,~!'dP~ "':~'i'"
. dlD'inS cjtin4er-/container h8nd1ing pr" ThiS'p1m 0Ut1ina the ac:tio1\ that must L. .....'"J ~ their abili,ty.to ldentify md. ~:.:YX~i
~,"Fau1ty ~ ClIt,1u.Un.Ui ,'be,~in,orclertominimize~to '~8Il,cm...o"'''!Y.m.~~ .". .</~:.)~~
_:..." ,may crIiate an em....o~"cy.~., empJ,;i' ..",'.dIe 01"...,1 public and the ' . " .,'.. ',:,".'. ..' .:i~:.!.~;
Don.: Jm..c. "':r- '" 'CCXU'Il!IC.'ti can reult in CODilIiunlty. Under Al'~ key ERP TI I ;"1' 1 -. It . .', . ~~ ;.;
~"of 'w... into 1M c:antafDer;' ,~aze,~ I'''':'''''~'on mcf mini- . E\', '''o...,.c.y~..~",.,;t8Upply.hou1d::.':~?~
~ ,..~ can Cluse in~ ............. I1UZIngNlpl:iVeenh.." ~ta111npact. include PPB, ~ ~~9-:::r.".~'':'' ,>~~}
S1ota- w~"'1 remain and..L;..L ~! un- . ~ holds ultimate ,. ."J' 'iI.. ki~~ Cl~.t!i . ,_l:Y ~ ~c:a1 po- - ,'>; ~
~ . mi$h.ap OCCWB. Nil..t!i'"'' is oa:aA sibility for ERP ~ent. The plan t.:.~..., ~ dothiDg. """J"~.....,~....' and fire '.'~~
, . 5ionaI1y ~ to pad . ~ feed. IhouId be ""-r." j -..I. ve, :d .......1 all ClJuiplnent. '!I- BP should. list each .,<;
~ or qrJinder; if the systeal IS de- typet o! ~ . I,." ..:aI emsgcnaes (i.e., Nt- P*'* of. a~ailabJe equi~t and note
. '~.In.uul.Jy.c:h1orlnemayentlera, w::-J disuta', me, Mbotage. l..."",jner Its location. ~.~cilij:y. should evUu- '::'.
t\.l"b'~.line. ,tailuze, utiliiy faDure, human ,...._.".). It ate the N:ed for uan..,.....:.;.,tion ecJUiP" ..
A ''bQddy sy.tan" is ., .... i, ,mended should be updated annually and when. ment (i.e., medi~ ~:r _A:.) as weij.
d~ CICIIltainer ~ .\"A___- C'Ver 6dI1ty eq..:i..,..ent c:NngeL All Should a chlorine ,reJe.C occur, "
d~ The person chaDgiz\g the con- penonnel, indwiitlg new employees, ground-level air sampling awl/or ccxn.
taka: . ~ self<Cllt:alned. bratbittg must ~ tr.tnecL perloclic drWs he1lo.-~ p1.lter modeling .may .,be WJed to
".Z'....mtws~)/wlWeal......_c1indi- sa. the pJ.r\'s ef!._r.::,c'ElN!SS. a.:;_".,.1ne.im~ on surrou:NIing ar--
"". vidual ~,by wit:h..scBA for.mer.. ' an""o-:q ~. should be iii- . cas. ~tive ~ :~" ,~ .,..
\getq ;,...., .,1e.: ,\ . ,." duded.. m such drills. ~ lighting ~ an al~tift water
'.., . If a:a morutoring indicates the fIllS'" supply Should be av.aibble- Alternate
'~ Of chlorine, UmnedJatl!...t "If" mu.st ., - I If' ,lO1l~ and road b~b should be ~
~ ~ to ~te its a.,... _ _. Am- . Dlvic:ling the ERP into sepante see- ordir\ated . with ~cica.l au~ties, to en-
mpNa vapor di.....~wJ toward a leU tIons sbnpWies the ~,.. ..,'.. Sections sure that 1nc:oming Ji01lte5 remain c:Iear
wW-fo?:ma whit-=clow1 at the soura:. If that should. be included: for U$C by en'l.-o-.,.J' ~ .,.',,,,, ,L." ,',
~ ~ l......1D' d~ transit throQgh. - R,ol' .,.llbllitias
. ~ .':.-',~ azea.. 1M vehide 01: ~ ex .' ~ i~
~ 1?e kept Il\OVitlg until it reKbes ' - Communkations
. ' '-.rnd .' .
II ..I. P'"-~-" . . ,. - Bclacuation
. I" '.\ . . . . ", -Fintaid'
. '''" ,~. . \ ,~ ~.aFEIY IUS -: . - Utilities
'~....... : 1) ~ .. vehidc. :. .""' '''r '" q cyt-, . - Employee eeJec:tion
. ~ or CCII'ltak1e!s II ~ 'In an: :- AA'ountil'lg lor persomel
, . ~~ remove the cylinders (if po&" R.&pomibDides that must be oJ' ,..~-
. s~~) in ~ to avoid risk of fin=. fled in tile. BRP include the trPe of
:.2).,~te1y eva(Wlte downwind ~.'I!I.".j ,to which ead\ r .........01 will
.~ " foll.,,,!..g ~y. 'reJeue..1nstall "."'&" ,4 ~ hls/htr role in that ~
~ 1IOCb .atop ~ tha~ &tON 0It' , '': ." ..' " not1ficatian t" . _.ldW'CS and ac-
: . ~ply chlOrfN: " CIIS6. Shift chan.... vacations illDas
. ,~. \3) .If. ~ ~ container is l~ and mcuviclual capabilities/lidtations
_. l.Utn\it (if ~~) 80 the PS:-'~"'( .., . shouJdbefa....L". "Jinto the plan uwell
t,~.. ,rJ of.the Uquld. Gueous ~ Routine r.. ..laa!mmt ph-ica1 ex.uN-
I acapes at about oo.e-ftfth the te Of ,..... . . ~-
. uich:blo.rine. . ra . '"""1- na~ aN .. ........,... .mdeel (and. ~
. , . ~,by OSHA for SCBA use).
':..:,:',:y\...~SAr . '
.: ',:: ~.~. .::. ',' . DU . . .
15.45 PROM.
.~ the weight of cylinder$, they
shoul4 not be BfIed or puUecl by pro-
~ve v.lve howdng. "
10.
PACE
10/10
",'
, .' _1 1 tlIt' , '
Da'liis,. DS... G.B. ~ J:D. ,QUass :'.-:~
uad n. Wert. 'CqrttTtA of Acci4iJIf8l ,k- ' ,:.....,
"'*' of a.IDrbre. Au$tii\; Tx: Radian COrp. "'. .::'::,::
~. Mark. CIIlDrbrt' An . El'If1irrm- ,<':,~;
_...._1 _ .",'. . ~. . " '.:':,):.
"..,.11II 1"1 ,J,,, ....'..II'~ ... ". . .... ....
HsfZIzrrlDu.sM#t~:EIn..:~..,~JR...,.:,.~ ~': '.~
, C~ W~ IX;: us. Dept. of . .)j
Tn", "\~ "" tion. ". . ,,' ,.' ',~:
HClSty, JoM W. A PJ'fIdiaIl GuiU to Spill '. . ..~"
R,-,~~ ,'I.II!. Vol 9.. ..', . . ..' d!;
u.... Poe ia ';'~I.._~.lI/.ijay tmIl_lt1rpr ':':,}~
u_.~ "PV'L......... P I '-'", /- 11- ',',,..:r.
~n., JA~ 1,,'~I,II~ ';' ~l..... .~., ',"~
wJdl:II.... _tm' m4 GIIIIllt.,,;.,~l.o ',."" "..! , . ';~~
ldilitlJ ill the u.s., 0uIR4IJ II1UJ PIMI1J1 RD. S1w ':J \
L-17.-" ',. ,."if.,
_ ~'" ...."...:~rn~bI".,.. : ,;,J.~.t
'"'- .L. ... ~~L.. '" ~ . ...,
~.". --:r.', ,I...".,,, .. ~ ~.I..."., "I ~ ..~' ...~;:~i
A_ . ~JA~~ :.)1,.
~, .. ___',"1 ,~F:$ T~~. ;::~j.:~!:,:t
, ':,. . " " . . .,~;fJ~
~ ' ,', ,..,J I~'~
:,:,:-~",\
C-5
.----
\
)
O~~(S=>~
P.O. Box 1346
Pittsburgh, PA 15230-1346
Phone-(412)494-8000
CHEMTREce 1-800-424-9300
MATERIAL SAFETY DATA SHEET
Section 1. PRODUCT IDENTIFICATION
PRODUCT NAME: c.o
CHEMICAL DESCRIPTION: Aqueous phosphate solution
PRODUCT CLASS: Corrosion and deposit inhibitor
MSDS CODE: OK26
Section 2. INFORMA nON ON INGREDIENTS
Ch~mlcal Name
CAS
Number
0/0 by
Weight OSHA PEL
ACGIH n..V
-No ingredients listed in this section.
This product is not considered to be hazardous according to the criteria of the U.S. Federal OSHA Hazard
Communication Standard'(29 CFR 1910.1200) and is not a controUed product under WHMIS in Canada.
Section 3. HAZARDS loeNTIFlCA nON
**** *************** * * EMERGENCY OVERVIEW
*********************
Clear, slightly viscous liquid
This product poses little or no immediate hazard.
********~***~***************************************************
PRIMARY ROUTES OF ENTRY: None
TARGET ORGANS: None
MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: None known
PVI t:JfTIAL HEALTH EFFECTS:
EYE CONTACT: This product would be classified as practically non.irritating to the eye.
SKIN CONTACT: The product is not expected to cause skin irritation upon contact. No data is available to
suggest that this product may produce an allergic skin reaction or be absorbed through the skin in
harmful amounts.
l
MSDS Code: 01<26
Issue Date: 8/20/97
Page 1
Continued on Page 2
C-5
_.~
INGESTION: This product would be considered practically non.toxlc by Ingestion. If ingested in large
amounts. nausea. vomiting, and diarrhea are probable. Since phosphates are slowly and incompletely
absorbed, systemic reactions are unlikely when these salls are swallowed. Polyphosphates are thought
to be hydrolyzed to orthophosphates before absorption, which may Induce a metabolic acidosis. If
appreciable amounts of the Intact polymer are absorbed from the alimentary tract, hypocalcemic tetany
(muscular contractions, pains, tingling, etc. caused by a deficiency of calcium salts) may be a danger
due to the binding of ionized calcium.
INHALATION: This product Is not expected to present an inhalation hazard.
SUBCHRONIC, CHRONIC:
No applicable Infonnatton was found concemlng any potential health effects resulting from subchronic or chronic
exposure to the product.
CARCINOGENICITY:
NT?:
.No ingredients listed in this section'
tARC:
'No ingredients listed in this section"
OSHA:
'No Ingredients listed In this section"
Section 4. FIRST AID MEASURES
EYE CONTACT: Not expected to require first aid measures. However, follow good industrial hygiene practices and,
in case of col,tact. flush eyes with plenty of water.
SKIN CONTACT: Not expected to require first aid measures. However. follow good Industrial hygiene practices and,
In case of contact, wash affected skin areas thoroughly with soap and water.
INGESTION: Not an expected route of overexposure. If swallowed, do not induce vomiting. Call a physician. This
product would be expected to be practically non-toxic by ingestion.
INHAlA TlON: Not an expected route of overexposure. However, If exposure by Inhalation Is suspected. move
individual to fresh air. Aid In breathing If necessary and seek medical aid if symptoms occur.
Section 5. F1RE~FIGHTtNG MEASURES
FLASH POINT: None
LOWER FlAMMABLE LIMIT: Not available
UPPER FlAMMABLE LIMIT: Not available
AUTO-IGNITION TEMPERATURE: Not available
EXTlNGUISHING MEDIA:
Use extinguishing media appropriate for the surrounding fire.
FIRE-FIGHTING INSTRUCTIONS: Exercise caution when fighting any chemical fire. A self-contained breathing
apparatus and protective clothing are essential.
F-\Ri: &. EX?LQS\Q~ \-\i\1.Af\US: No ut\\ls\la\ na'Zaros.
(
MSDS Code: 0K26
Issue Date: 8/20/97
Page 2
ConUnued on Page 3
C-5
""
) DECOMPOSITION PRODUCTS: Thermal decomposition or combustion may produce dlsodium oxide and phosphorus
oxides.
NFPA RATINGS: Health = 0
Flammability = 0
Reactivity = 0
Special Hazard = None
Hazard rating scale: O=Minimall-5/1ght 2..Modera18 3=Serious 4=5evere
Section 6. ACCIDENTAL RELEASE MEASURES
S I t:l""S TO BE TAKEN IF MATERIAL IS RELEASED OR SPILLED: Wearing appropriate personal protective
equipment, contain spill, collect onto Inert absorbent and place Into suitable container.
Section 7. HANDLING AND STORAGE
HANDLING; As part of good industrial and personal hygiene and safety procedure, avoid all unnecessary
exposure to the product and ensure prompt removal from eyes, skin and clothing.
Wash thoroughly after handling. Keep container closed when not in use.
STORAGE: Froduct must be maintained at 3S"F or higher. Protect from low temperatures.
Section 8. ExPOSURE CONTROLS I PERSONAL PROTECTION
PERSONAL PROiECTlVE EQUIPMENT:
EYElFACE PROTECTION: Chemical splash goggles recommended as a good Industrial hygiene practice.
SKIN PROTECTION: No special requirement.
RESPIRATORY PROTECllON: None required.
ENGINEERING CONTROLS: No specific recommendations.
Section 9. PHYSICAL AND CHEMICAL PROPERTIES
BOIUNG POINT: > 212.F
SOLUBILliY IN WATER: Complete
VAPOR PRESSURE: Similar to water
SPECIFIC GRAVITY: 1.37 - 1.42 @ 25.C
VAPOR DENSITY (air=1): Similar to water
pH: 6.0 - 7.0 @ 25 .C
%VOLAllLE BY WEIGHT:
- 62 (water)
FREEZING POINT: Not available
APPEARANCE AND ODOR: Clear, slightly viscous liquid.
(
MSDS Code: 0K26
Issue Date: 8120197
Page 3
Continued on Page 4
C-5
"'\
) Section 1 o. STABILITY AND REACTIVITY
CHEMICAL STABILITY: Stable
HAZARDOUS POLYMERIZATION: WfII not occur
CONDITIONS TO AVOID: No specific In/onnatlon.
INCOMPATIBILITY: Carbon steel
DECOMPOSITION PRODUCTS: Thermal decomposltlon or combustion may produce d1sodium oxide and
phosphorus oxides.
Section 11. TOXICOLOGICAL INFORMATION
ON PRODUCT:
Product Oral LDso (rat): > 5 glkg
Eye Irritation: Instillation 0' 0.1 ml of the product In rabbit eyes produced slight conjunctival irritation but showed no
iritis or corneal opacity. All eyes cleared by day 2. The eye scores on day 1 ranged from 0 . 4/110.
Skin Irrltatl~n: The primary skin irritation Index (rabbits) Is 0.21/8.
Section 12.. ECOLOGICAL INFORMATION
ON PRODUCT:
Aquatic toxl~fty data:
96 hr LCso (fathead minnow): 1,162 ppm
Environmental data:
Although the principal problem of phosphates In the environment is not directly related to human health, there Is
considerable concern about the effects of phosphorus from various sources on water quality. Phosphate Is a major
cause of the eutrophication process In lakes and ponds.
Section 13. DISPOSAL CONSIDERATIONS
RCRA STATUS: Discarded product, as sold, would not be considered a RCRA Hazardous Waste.
DISPOSAL: Dispose of in accordance with local, state and federal regulations. Keep from entering streams or Jakes.
Section 14. TRANSPORT INFORMATION
DOT CLASSIFICATION:
Class/Division: Not restricted unless shipped In a quantity> 13,251 Ib, then: 9
Proper Shipping Name: Environmentally hazardous substance, liquid, n.o.s. (contains Sodium phosphate,
tribasic), RQ
Label: CLASS 9
Packing Group: III
10 Number: UN 3082
lj
MSDS Code: OK26
Issue Date: 8/20197
Page 4
Continued on Page 5
C-5
.)
Section 15. REGULATORY INFORMATION
OSHA Hazard Communication Status: Nonhazardous
TSCA: The ingredients of this product are listed on the Toxic Substances Control Act (TSCA) Chemical Substances
Inventory.
CERCLA reportable quantity of EPA hazardous substances in product:
Chemica.l Name
Sodium pOlyphosphate
Sodium tripolyphosphate
BQ..
5000lb
5000lb
Product RO:
13.251 Ib
(Notify EPA of product spills exceeding this amount.)
SARA TITLE III:
Section 302 Eo!. ....."ety Hazardous Substances:
Chemical Nama.. CAS # sa..
There are no SARA 302 Extremely Hazardous Substances in this product.
.:r:EQ..
Section 311 and 312 Health and Physical Hazards:
, Immediate Delayed Fire
[no] [no] [no]
Pressure
[no]
Reactivity
[no]
Section ~1 3 Toxic Chemicals:
Chemical Name QASJl
There are no reportable SARA 313 Toxic Chemicals in this product.
% by Weicht
FDA: This product Is FDA approved under 21 CFR Section(s):
173.310 (Boiler water additives)
176.170 (Components of paper and paperboard in contact with aqueous and fatty foods)
176.180 (Components of paper and paperboard in contact with dry food)
Consult your sales representative for any use Umitations.
Section 16. OTHER INFORMATION
HMIS RATINGS: Health = 0 Aammability = 0
Personal Protective Equipment = A
Reactivity = 0
Hazard rating scale: o..Mlnlmal1cS1ight 2-Moderate 3-5erlous 4..severe
MSDS REVISION SUMMARY: Supersedes MSDS issued on 2/10/97. Only the MSDS Code has changed.
c
MSDS Code: 0K26
Issue Date: 8120/97
Page 5
Continued on Page 6
c
C-5
"
\
While tbi. inlor.aatioa And reco~.nd&c1oD8 set fortb herein are beli..ed to be accurate aa of the date hereaf. CALGON
CORPORATtOlr KAICES NO IfARIlAIII'n' WInt RBSPI!:CT HSIUl'1'O AlIIO DISCI.o\!HS AL1. 1.!....II.ITY P'ROII RB['rAIfC! 'l'HBRIlCN.
PREPARED BY:
MSDS Code: 0K26
Issue Date: 8/20/97
P.J. Maloney
Page 6
Last Page
**on
MATERIAL SAFETY DATA SHEET
,.,....,
I
~i",;lIiClft of VWCMln Mennu Company
P 0 Bene 530390
B1rm1ngMm, AL 3S~S3-03ao
24 Hour Emergency Phone 316/524-5751
,SECTION 1 PRODUCT IDENTlF1CA T10N
CHEMICA1. NAME
Chlcrine
CHEMTCAL FORMULA
CI2
MOLECULAR WEIGHT
70.90
PRODUCT NAME
Chlorine
SYNONYIotS
UqUid ClWOMe
DOT IOENTlFICA nON NO.
UN 1017
,SECTION '2" COMPONENT DATA
~1l"':AIN~
CAS NUMBER
'!(. lwt.l AODrox
OSHA Pe..
· Chlorine
7782-50-5
100
1.0 ppm Ceiling
. Denote. chemiclli ,ubiec;t to reponing requiremonts of Section .l1 3 of Title III Qf tho 1986 SUP8rlllnd Amendment. and R.alJthori;eoon
Act (SARA) ~ AD CfR Pan :372
SECTION 3 PHYSICAL DATA
APflEARANC2 AND ODOR
Ci(eeniah-yellow ga., amber liquid;
pungent. odor
SPECFlC GRAVITY
uQuid .. 1.467 @ Oae
BOLING POINT
-29.30F (-34.0oCI
VAPOR CENsrrf IN AIR (Air a 11
2.5
VAPOR PRESSURE
71 psig @ 60QF
% VOLA nLE BY VOLUME
100
e'I APORA TION RAn:
Not Applicable
SOLUBlUTY IN WATER
Slight
SECTION 4 REACTlVITY INFORMATION
ST ABlUTV
Stable
CONomONS TO AVOID
Dry chlorine is highlv reactive with ti't3nium and tin. Reacts with most metals at high temperatures;.RI!:l CIS
with water to produce hVd(ochloric and hvdrochlorous acids, which are corrosive to most metals (See ~iection
81
IICOMPAnBLE MATERIAU
Ammonia, elemental metals, certain metal hvdrides, carbides, nitrides, oxides, phosphides and sulfid'e,;, easily
oxidized materials, organic materials le.g. petrochemicals. oils, greases) and unstable and reaclive-
I compounds. .
\.
1
l
.AI DECOMP08. PRODUCTS
. not decompose.
HAZARDOUS POL YMERIZA noN
Will not occur.
.seCTION 5 ARE AND EXPLOSION HAZARD INFORMATION
R.A&H POWr
None
R.AMMABLE UMITS IN AIR
Non-flammable but does SUPPO" combustion.
~11"'GUlSHINQ MEDIA
None
NfPA RATINGS
Health 3; Aammability 0; ReactivitY 0; 0 X
UNUSUAL. Fla.e AND EXPLOSION HA2ARDS
ApplV water to k86p conuinefS cool. 00 not apply water to leaking containers, refer to ReactivitY Data.
Section 4. Remove chlorine containers from fire zone if pO~$ible. Firefi~hters should wear self-contained,
positive-pressure breathing apparatus,. and a one piece, total-encapsulating suit of Butyl coated nylon or
equivalent.
SECTION 6 TOXICITY AND FIRST AID.
EXPOSUAESTANDAADS
ACGIH: 0.5 ppm (8 nr) TWA, 1 ppm ~ I t:L
OSHA: 1.0 ppm Ceiling
IMMEDIATELY DAJ\IGEROUS TO UFe OR HEALTH:
IOLH: 30 ppm
(Odor threshold appro)fim~telv 0.3 ppm - highly variable especiallv with individuals routinely exposed)
When oxposure to tN. product end orner chemica!. i. concurrent. [1'18 dxposurs limit must be donned in the workplace. Effscts deseritldd
In till. ..ction .... ~i.ved 1001: to occur if ..... ur.. lII'O maintAined ot or bolow the appropriato Tl.V'". ftOWO_' beoouse of t.... wide
V.,iIHiDR in indi..tdu" ou.captibility, thea. expo.ure limits Mev not b. applicable to all p.reono and thoo. with the medical cQnditions
llaud below.
, MEDICAL CONDmONS AGGRAVATED BV EXPOSURe
Asthma, branchitis, emphysema and other lung diseases, and chronic nose. sinus or throat conditions.
ACUTE TOXICITY
PttINARY ROUTES OF EXPOSURE
Innalation
1NHAl.A T10N
Major potQntial route of exposure. Chlorine is a respiratory irritant. Concentrations of 3-6 ppm can cause
irritation at the nose and mucous membrane of the upper respiratory tract followed by headache and
coughing. 10 ppm can cause severe irritation of respiratory tract with 15-20 ppm causing intense cough.
Other symptoms of overexposure can include nausea, vomiting, dizziness. shortness of breath and chest pain.
Pulmonary edema and chemical pneumonia can develoc and may occur hours after exposure. Exposures to
concentrations above 25 ppm can cause unconsciousness and death. Exposures to humans to .5 ppm for a
hours and 1 ppm for 4 hours have caused transient decreased pulmonary capaci~. as measured by pulmonary
function tests. In persons exposed to acute. non-lethal levels, decreased pulmonary capacity is followed bV a
gradual return to normal. In some cases long lasting effects have been observed.
SKIN
Liquid contact can cause local irritation and bums. Chlorine vapors can cause irritation. burning and blisters.
EYE
Liquid contact can cause irritation and bums. Vapor concentrations of 1 ppm can cause redness, teari "lg and
irritation of eyes.
'I
lNGesnON
Chlorine is gas at room temperature. Ingested liquid chlorine can cause severe bums of mouth. esoph;lQUS
and stomach. Nausea and'vomiting are likelv to occur.
2
..J
.iALA lION
If person experiences nausea. headache, dizziness, difficulty breathing or ather symptoms. remove to fresh air
until Iymotoms disappear. If breathing remains diffieult. administer oxygen and contact .. D"ysician
immediately. tf breathing stops, start artificial respiration and call for emergency assistance. Keep patient
warm and a't test.
..--:- ~,
~..-;..
Note to Physician: Monitor ctosely for delayed onset of pulmonary edema and chemical pneumonia. Provide
treatment as is medically indicated.
101
Remove contaminated clothing and shoes. Wash exposed area thoroughly with large Quantities at water for
at least 1 5 minutes. Wuh contaminated cJothing betore reUSe.
EVES
Rush Byes immediately with water tor at least 15 minutes, periodically lifting the upper and lower evelias.
Call a physician at once if irritation of the eyes, skin or other body surfaces persists.
INGESTION
00 not induce vomiting. If gerson is conscious. give water or milk and contact physician immediately. Do
not give anything by mouth if unconscious.
CHRONIC TOXJCSTY
Numerous studies nave been conducted to determine the potential chlorine has to cause chronic effects. tn
rat.S 8XQOSed to concentrations up to 9 "pm for 6 hours a day, 5 days a week for 6 weeks. decreases in 4io.dY
weight and inflammation of the r&&piratory tract were observed. At exposures of 3 and 9 ppm. changes in
the liver and kidneys were also no*. Rabbits and guinea pig~ exposed to 1.7 ppm for 9 months showed
weight loss and a decreased resistance to disease.
No adverse effectS were observed in rabbits and guinea pigs at levels of .7 ppm. Guinea p;gS exposed to.1 .6
ppm for 5 hours a dav.. tor 47 days and iniected with tuberculosis (bacterial displayed shorter life cycles. than
. those exposed to JUS"!: one at the agents. RatS with pulmonary disease showed an increased response to
. chlorine. Rhesus monkeys exposed to concentrations up to 2.3 ppm for 6 hours a day, 5 days a week ror
one year did not exhibit any signs of chronic toxicity, except for eye i..;....~on.
A study of 600 diaOhragm call workers from 25 plants with an average duration of exposure at 11 years
exposed to .006 to , .42 ppm. showed no statistically significant increase in abnormal chest x-rays. EKGs or
pulmonary function tests.
CAAClNOGEHJCSTV
On8 study has been conducted to evaluate chlorine's ability IO cause cancer in experimental animals. Seven
generations of rats were exposed by ingestion to highly chlorinated water daily (100 ma/literl. No increased
incidences of tumors were observed.
Chlorine is not listed on me IARC. NTP or OSHA carcinogen lists.
RCPRQOUCTNI! TOXJaTY
Two swdies have been conducted to assess the ability of chlorine to cause reoroductive effects. Rabbits
exposed by inhaJation to concentrations up to 1.5 ppm and r3ts exposed by ingest:ion to highly chlorinated
drinking water daily for seven generations did not display any adverse regroductive effects.
~TION 7 PERSONAL PROTECTION AND CONTROLS
RESPlAATCRY PROTECT1OH
Where vapor concentration exceeds or is likely to exceed 0.5 porn, a NIOSH/MSHA approved full face
chlorine type respirator is acceptable. A NJOSH/MSH.A. approved self-contained breathing apparatus, with full
facepiece, is required for vapor concentr.tions above 30 ppm and for leaks and/or emergencies. Follow any
'. applicable respirator use standards and regulations.
(
'\
:)
.oJflf
.tecessary to maintain vapor conc8nU'3tion& below 1 ppm, at all times.
sKIN PROTEC'11CN
Wear _.......... or lather gloves during nonnal operations to avoid free~e bums.
\iVE PROTEC'TION
Wear safety gfasaes. C....;,..c:t lenses should not be worn. Chemical goqgles should be worn when operating
valves and connecting or disconnecting ctIlorine lines.
HYGIENE
Avoid contact with skin and avoid breathing vapors. Do not eat. drink. or smoke in work area. Wash hands
prior to eating, drinking, or using restroom. Any ClOthing or shoes which become contaminated with chlorine
should be remo~d immediately and thoroughly laundered before wearing again.
OTHER CONTROL MEAaURS
To determine the exposure level(s), monitoring should be performed regularly. Wear respirator while operating
val"es and connecting or disconnecting lines. Safety shower and eye wash fountain should be available.
NOTE: Protective eQuipment and clothing should be selected. used, and maintained according to applicable
standards and regulations, For further information, contact the clothing or equipment manufacturer or the
Vulcan Chemicat5 T .dlnical Service Department.
SECTION 8 HANDLJNG AND STORAGE
Follow protective controls set forch in Section 7 when handling this product.
Do not anempt to handle. store. or use chlorine without complete review 01 The Chlorine Instltute's- Chlorine
Manual. Any use as a pesticide must be in a manner consistent with the labeling.
Store property labeled containers in :I cool, dry, well.ventilated area and away from basements. pits. etc.
Room vems should be located at floor level. Vapors are heavier than air and will collect jn low areas. Do not
entet' confined spaces suetr as tanka or pic without following proper entry procedures as required by 29 CFR
1910.146. 00 not aoplv heat to a chlorine container. Do not remove or deface label or tags.
Chlorine piping and eQuipment must be thoroughly ch~aned of organics and moisture before use. Keep
chlorine piping and handling equipment clean and dry. liqUid chlorine lines must have suitable expansion
ch3mbers between bjocJe valve. due to the high coefficient of expansion.
SARA Title UI Hazard Categories: Immediate Health, Fire. Sudden Release of Pressure.
SECTION 9 SPII..L......L.EAK AND DISPOSAL PROCEOURE~
.
., CJr.. TO Be TAJCEN IN CASE MATERIAL" AS.J!ASED OR SPtUEO
Move unprotected personnel upwind or crosswind out of danger area. Wear one-piece, total encapsulating
suit of Butyl coated nylon or equivalent with self-contained br~athing apparatus. Isolate leak to whatever
extent possible. If a chlorine container i$ leaking. trY 10 position it so that gas rather than liquid leaks; apply
emergency kit device it possible. For other than minor lealeS, immediately implement predetermined
emergency plan. Call CHEMTREC or supplier when help is needed. Reportable Quantity (RQ) is 10 Ibs.
Notify National Response Center /800/424-8802) of uncontained releases to the environment in excess of the
RO.
WASTE DISPOaAL METHOD
Chlorine gas will disperse to the atmosphere leaving no residue. Chlorine may be neutralized by intrOducing it
in te caustic soda. soda ash, or hydrated lime. liqUid and/or solid residues from neutralization must be
disposed of in a permitted waste management facility. Consult federal. state, or local disposal authorities for
approved procedures.
(
,-
4
...IN 10 TRANSPQ.BIATIQN INFORMATlON
.lOT SfIPIIlWG DESc:APTICN 14S CRl172..1011
Chlorine, 2.3, Poison Gas, UN 1 017, RQ
PoisorWnhalation HOIzard, Hazard Zone B, Marine POllutant
PLACARD REQUIRED
Poison G~s, 1017, Cla.sa 2
"'--).Ass. ReQUlRS)
.-" Poison Gas. CJaSJi 2, Corrosive
Label as required by OSHA Hazard Communication Standard. and any applicable state and local regulations.
S~;:~':~~~~~~~'~~~;~;F~~~:.::~~~t;;.:a:~~~~~;i~;~j:~~:.~:~~.~~~;~.. ::.::':: ,: , .;< ~:::~ ~ ...~~:~.~,.~;:~:~. :~;~.~~.~~.~: :'~~' .: <... ~ ',. . ~:. :.. ':'.~ " .";: :..- . .. ~".: . ~ <~~.::~~~~.
~:U~rc.'.ltrie"98r'iC:les..;~;:;....~" ".~.~:;w-:.:.::;~~..~..~::.~.::;:::~:::.'... .;. '.' :.:.::'.. ':" Fo;; .anv' oifter.' infDrmlIJon. t':Qntact: '. ...... . :~~', :..... . :::
~~a.r;~~~lIe~:?;~~.~~~~~~~'.> _~...,._ :~,t.t<~;;if.C~:~.;~2~}:'( :.::~<>;t~:VuIC.~~lCh~..,,~C3fs...:> ":..; . .....:. .., ...:..' :":<~~;:ij'~
':'~f.o;;:::'m~-:~ ~ ' ...' c.i~.toxrco',ogicilr::~~~EE;:;;.:-:;':"': ;~:;:::2:::::,. :::::i''':: ~;.: : ';::;.; ':; ':]7 och"i'lic31:'and~ Environment3I' Ssr.vices' '.,~. :S~::i.>~::
~ii\f~i:41:.5'l:8i;t~3j'~--:;~~i:::~;;.?.~:::.:.:.: :;..;~7:'~~d::;:.;:;::i:. '::;.L.:;:. p:.a.'.ebx:;S3039Q::':'" ",;.'. ; ,,;. .' ".~; . .:....::..:::;..;;.":',;<.
IJ.. .~.... ~'~~~,d\~~~~~L 352534lg90.. _..=-?!t}:
::..::~j~,caif:;3J6'I5.2:4;:.5:-75:!:~a4:.;:t:f0W'$1:.:~;;';;';;':":;.;.:';:. ;:.:::;:.~::.:' .::' ..:..::::.~':....: .: .:.:: a::AM---:5: PM,' CantraVTima. . ... . ... .. ." .;.'
~~tlg~::.~'" '::5~~5~$I~i2I~:~~~ii}>~k~;~~~;:"~:'~'~:~.~1i:~~r.~;;o.iT Fti.~~V"'" ...:>....~ ..' '.' .~.~,:;~.:;r;):~:
'::':':).Nonca::.'~.ulCiift~ ""Cil.:bMi. " , ,. tfi'.c:~I"forrtUltia!l:;con(ained OIl';thic:.moMrillr. .safetY. d.18' sheet i.'aceur.~... Th. $uggested :. .... '.:'::'
~P'.~idu,~.i _;~b-:_:I.in;.~,~?..:oi:ttie~dac... of. 'iiDb;i~.r!Dn~ :.Th~Y' .~.."o.6t~e...nly' IIIf-inclUSI\;e'. nor'lully anequ.na in .~.,';':;.=:;:;,;.
~~t~)il~Ti~j~iMII
O.ate of Preparaoon: January 1, 1995 (A.",sed. R.formatted and Reprinted: January 15. 19961
FORM 3239-310
\.-
5
j
..
MATERIAL SAFETY DATA SHEET
'0.
This Information
is provided for
your protection
by:
LeI L.lJJ
THe fLUORIDE SPECIALIST,
1-904-241..1200
~):7N4cnb)
. 'R~lhlc
~~~~~~Qll
.?~ .
'...... .. r . ..
" 1
. co~
'~~ecl~~~~:~CE~ ~
ACID '" Acid RF.ACTIVITY
ALl< = Alkaline 4 = May Detonate
COR . Corrosive 3 '" Shock & Heal May Detonate
"It = Usa No Water 2 = Hazardous
.... '" Radiation Hazard 1 '" Slighlly Hazardous
.. 0 = N~rmal Material
For 24 Hour
Emergency
Assistance
Call :
CHEMTJltEC
1-800-424..9300
\~
Responsible C~re
A Public Cummi<lr.eni
,
I1'LUOROSILICIC ACID
SECTION I
SECTION II
SECTION 111
SECTION IV
SECTION V
SECTION VI
SECTION VII
SECTION \'111
SECTION IX
SECTION X
SECTION XI
Product Name And Description
Personal Protection Information
Health Information
Emergency And First Aid PrOCedllJoeS
Ingredi ellts
Physical Data
Reacti vi ty
Fire And Explosion Hazards
Storag€ And Special Precautions
Transportation Requirements'
Emergency Action - (Spill or Leak)
.~
~
--.,
MATERIAL SAFETY
SHEE.T
DATA
Supplier: LeI Ltd.
Address: P.O.Box 49000
Jacksonville Beach, FL 32240-9000
1 - 904 - 241 -1200
24 Hour Emergency Assistance:
Chemtrec 1 - 800 - 424 . 9300
Section I
PRODUCT NAME AND DESCRIPTION
DOT Chemical Name:
Fluorosilicic Acid
Synonyms:
Hydrofluosilicic Acid, Fluosilicic Acid, Hexafluosilicic Acid
Chemical Family: . Inorganic Acid
CAS Number: 16961r83-4
Note: N/A indicates Not Applicabfe where shown.
Formula: H2SiFs
NIOSH Registry Number. V V B:~25000
Section 11
PERSONAL PROTECTION .INFORMATION
Respiratory Protection: A NIOSH approved cartridge respirator with full-face shield. Chemical
cartridge should provide protection against acid fumes, (Hydro'gen Fluoride). For concentrations
greater than 20ppm, a NIOSH approved self-contained breathing apparatus with full-f~1( e shield
should be used.
Eye and Face Protection: Use tight-fitting chemical splash goggles and a full-face shid:1, 8 inch
minimum. Contact lenses should not be worn.
Hand, Arm and Body Protection: Prevent contact with skin by use of acid-proof c1othin~l. gloves
and shoes. Use a NIOSH approved acid proof suit and boots where liquid or hi~~h vapor
concentration is possible.
Other Protective Clothing and Equipment: Eye wash and emergency shower facilitie'5 should
be available in handling area.
Engineering Controls: General or local exhaust systems sufficient to maintain vapors below
2.5mgim' (as F).
-
FJuorosilicic Acid . MATERIAL SAFETY DATA SHEET
Page 3 of 6
"",".--..",
Section 111
HEALTH INFORMATION
OSHA Pennissible Exposure Limit (PEL): 2.5mg/m3 (as F)
ACGTH Threshold Umit Value (TLV): 2.5mg/m3 (as F)
Usted in the following -
Department of Transportation Hazardous Materials Regulations (49CFR)
Massachusetts Hazardous Substance List
Toxic Substances Control Act Inventory of Toxic Substances (TSCA)
OSHA Health Hazard Classification: Corrosive
Primary Route(s) of Entry: Eye and skin contact, inhalation.
Symptoms of. Exposure:
Acute: Liquid or vapors can cause severe irritation and bums which may not be apparent
for hours. Can cause severe irritation to the lungs, nose and throat. If swallowed, can cause severe
damage to throat and stomach.
Chronic: Prolonged exposure could result in bone changes, corrosive effect an mqcous
membranes including ulceration- of nose, ttlroat and bronchial tubes, cough, shock, pulmonary
edema, Fluorosis, coma and death.
Aggravated Medical Condition: Any SKin condition and/or pre-existing respiratc,r'l disease
including asthma and emphysema.
Toxic Data: LDso 200 mglkg (Oral- Guinea Pig)
Section IV
EMERGENCY AND FIRST AID PROCEDURES
Inhalation: Remove exposed person to en uncontaminated area immediately. If breathing has
stopped, start artificial respiration at once. Oxygen should be provided for an exposed person
having difficulty breathing (but only by an authorized person) until exposed person · s able to
breathe easily by themselves. Exposed person should be examined by a physician.
Eye Contact: Flush eyes for at least 15 minutes with large amounts of water. t::yelids should be
held apart during the flushing to insure contact of water with all accessible tissue of the eyes and
lids. Medical attention should be given as soon as possible.
Skin Contact: Exposed person should be removed to an uncontaminated area and subjected
immediately to a drenching shower of water for a minimum of 15 to 20 minutes. h~~move all
contaminated clothing while under shower. Medicsl attention should be given as soon as possible
for all bums, regardless of how minor they SBem.
FJuorosilicic Acid . MATERIAL SAFETY DATA SHEET
Page 4 of 6
Ingestion: if conscious, give the exposed person large quantities of water immediately to dilute
the acid. Do NOT induce vomiting. Milk may be given for its soothing effect. A physician shoutd be
contacted immediately.
Note to Physician: Beware of late onset of pulmonary edema for up to 48 hours. Treat severe
bums similar to Hydrofluoric Acid exposure.
Section V
INGREDIENTS
Composition
H2SiFs
H20
Percentage
25.0 .:!: 2%
75.0 .:!: 2%
Section VI
PHYSICAL DATA
J.
Boiling Point:: 2220 F or 1500 C Melting Point -40 F
Specific Gravity (H20 = 1): 1.234 @ 25% Vapor Pressure (mm Hg): 24 @
nGF
Percent Volatile by Volume: N/A Vapor Density (Air = 1): N/A
Solubility in Water: Complete Evaporation Rate: N/A
Physical State: Fuming Liquid Molecular Weight: 144.06
Bulk Density: 10.29Ibs/gal @ 25% pH (1% Solution): 1.2
Appearance and OdC?r: Water white to straw yellow, burning liquid, with pungent odor.
Section VII
REACTIVITY
Stability: Stable.
Hazardous Polymerization: Will not occur.
Conditions and Materials to Avoid: Metal, glass, stoneware, alkali and strong concentrated
adds.
Hazardous Decomposition Products: When heated to decomposition (227GF), it emits highly
toxic and corrosive fumes of Hydrogen Fluoride, Silica Tetrafluoride and Hydrogen Gas.
Fluorosilicic Acid. MATERIAL SAFETY DATA SHEET
Page 5 of 6
Section V'111
FIRE AND EXPLOSION HAZARDS.
Flash Point and Method Used: N/A
Flammable Limits. % Volume in Air: Lower NJA Upper N/A
Extinguishing Media: Use agent which is appropriate for surrounding fire.
Special Fire Fighting Procedures and Precautions: Wear NIOSH approved self-contained
acid suits.
Auto Ignition Temperature: NJA
Unusual Fire and Explosion Hazards: Reads with many metals to produce flammable and
explosive hydrogen gas. Keep container cool with water, using fog nozzles, as decomposition will
occur above 227.oF and produce toxic and corrosive fumes of fluorides.
Section IX
I STORAGE AND SPECIAL PRECAUTIONS
Handling and Storing Precautions: Store in containers in cool, dry, well ventilated area away
from sources of heat or ignition. Do NOT sture in glass or stoneware. Use non-sparktrJg tools.
Keep separate from alkali metals, oxidizing agents, combustible solids and organic peroxid;s.
Ventilation: Provide adequate general andior local exhaust to maintain vapors below 2.5mg/m3
(as F).
Other Precautions: Do not inhale fumes and prevent skin contact. If pungent, irritating odor can
be detected. workers are being over-exposed. Eye wash and safety shower should be available in
all acid handling areas.
Section X
TRANSPORT A rlON REQUIREMENTS
DOT Proper Shipping Name: Fluorosilicic Acid
DOT Hazard Class: 8 (Corrosive)
~. Identification Number: UN 1778 Placarding
EP A Hazardous Substance: No
Packing Group: 1/
Subsidiary Hazard Class: NJ A
Requirement: Corrosive
Reportable Quantity: N/A
Fluorasilicic Acid . MA TERlAL SArI: I '( DATA SHEET
Page 6 of 6
RCRA Status of Unused Material if Discarded: Not listed.
HCk.&:ll Jous Waste Number: Not listed.
Waste Disposal Method: Disposer must comply with federal, state, and local disposal or
discharge laws.
AdditionaJ Comments: For intemational transportation, Fluorosilicic Acid is regulated by the
International Maritime Organization (IMO) and the International Air Transport Association (lATA)
for vessel and air movement as a Class 8. Packaging, marking, labeling and shipping paper
descriptions must precisely reflect the regulation for export movement.
Section XI
EMERGENCY ACTlON - SPILL OR LEAK
Emergency Action: Keep unnecessary people away. Stay upwind, keep out of low areas.
Isolate hazard area and deny entry. We recommend that the user establish a spill prevention,
control and countermeasure pl~n. This plan shoul:d include procedures for proper storage as well
. ,: as containment and clean-up of spills and leaks. The procedures should conform to safe practices
and provide for proper recovery and disposal in accordance with federal. state and local
regulation. Contact Chemtrec at 1-800-424-9300 for 24-hour emergency assistance,
SmaJl Spills: Any personnel in area should wear a NIOSH approved air supplied acid suit. Dike
area to contain material. Do not anow solution to c:nter sewers or surface water. Take up with sand
or non-combustible absorbent material and place in containers for later disposal. j'rovide
ventilation and be wary of hydrogen generation upon reaction with some metals. Contact (,1. emtrec
at 1-800-424-9300 for 24-hour emergency assistance.
Large Spills: Contact Chemtrec at 1-800-424-9300 for 24-hour emergency assistance. Any
personnel in area should wear a NIOSH approved air supplied acid suit. Dike area ahead of spill to
contain material. Do not allow solution to enter sewers or surface water. Provide ventilation and be
wary of hydrogen generation upon reaction with some metals. Notify the National Re:3ponse
Center, if required.
DISCLAIMER
The infol111atian presented herein is based on data considered to be accurate and that reflects the requirements ot the
OSHA Hazard Communication Standards in effect as of the date of preparation of this Malerial Safety Dat~ Sheet.
However, no warranty or representation, express or implied, is made as to the accuracy or completeness at the
foregoing data and safety intormation. In addition, no responsibility can be assumed by vendor tor any d;lr1age or
injur{ resulting from abnormal use; from any failure to adhere to recommended practices, or from any hazards i nherem
in the nature of the product.
Revised September 1997 by J. Micha~t Coates
Regulatory Compliance Officer
-~----- -----......-.--..- .--....-..
IF You Do NOT RECEIVE A~ES.
DATE:
TO:~~
(W # ~/2- G'30-007S-
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flV.#
flV.#
:::;7217C~~
FAX No.: 447-4245
(including cover)
952- o/Cf'/- qe5~
Notes From The Sender:
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16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
.".-
AN EQUAL OPPORTUNITY EMPLOYER
t
GYPSUM BOARD, WOOD JOISTS, ROOF COVERING
Bue layer 1/.. type X gypsum wallboard applied at right angles to 2 x 10 wood joists 24.
o.C. with 11{.. Type W or S drywall screws 24. o.c. Face layer 1/.. type X gypsum
wallboard or gypsum veneer base applied at right angles to joists with 17/.. Type S
drywall screws 12. O.C. at joints and intennedlate joists and 1'/2. Type G drywall screws
12. O.C. placed 2. back on either side of end joints. Joints offset 24. from base layer
joints. Wood joists supporting '/2. plywood with ",;, 'or glue applied at right angles to
joists with 8d nails. A.,. ~ . . ~ : ate roof covering. Ceiling provides one . hour fire
....1st8nce protection for wood framing, Including tru.....
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Approx. Ceiling
Weight: 5 pst
Fire Test: FM Fe 172, 2-25-72
GA-6QO-2OOQ
t Contac:t the manufacturer for more detailed information on proprietary products.
115
"
}
Work Description
Prior Lake Wellhouse No.6
Page 1 of3
- WORK DESCRIPTION -
Project:
Date:
Prepared By:
Remarks:
Construction
Delivery:
Schedule:
Testing:
Civil:
Mechanical/
Electrical:
Code:
1.
Alternates:
Wellbouse No.6
Prior Lake, MN
26 February 2001
Ellen Luken, Luken Architecture
The project is for a new wellhouse to be located in the area of an existing booster
pumping station. The pumping station will remain in operation during constnJction with
minimal disruption to service in order to extend the electrical distribution to the new
wellhouse and to tie in the new well into the City water distribution system.
. It is intended that the new constnJction match the existing building in design
character and materials.
It is intended that the documents will be issued as a combined bid package
for new constnJction for General Contractor bidding. All aspects of the project including
the well pumping and chemical feed system, site access, and electrical distribution will be
included as part of the general contractors work.
Issued for bidding on/about mid May 2001 with a constnJction start immediately
following.
The Owner will contract for required testinglUBC Special Inspections.
Estimating for sitework will be done byWSB& Associates.
Estimating for building mechanical and electrical and for the well water system
will be done by Wentz & Associates and Paul Kaeding & Associates.
Occupancy Classification:
. F2 with H3 attachment (Chemical Room);
One hour fire separation required
Type VN
19,087sfGross (Blended 9,543sf: F2 @ 64.4% & HJ@
35.6%; x 2 for separated all sides)
548 sf Gross
One exit required under 200sf (1 007.4.1).
Panic hardware required.
Maximum 75' exit distance.
-----
Construction Classification:
Allowable Area:
Actual Area:
H3 Special Conditions:
Sprinkler System:
Provided in H3.
None
Luken Architecture, P.A.
322 First Avenue North · Suite 303 · Minneapolis, Minnesota 55401 · Phone (612) 630-0074 · Fax (612) 630-0075
Work Description
Prior Lake WelIhouse No.6
Page 2 of 3
II. General Notes
Furnish and install labor and materials to complete the following work:
1. All work will be in accordance with established codes, guidelines, standards and
procedures as set forth by the industry for good quality workmanship.
2. The Contractor is required maintain the agreed upon Project Schedule. The Contractor shall
coordinate the work of all trades/sub-contractors and the work of independent Contractors
employed by the Owner.
3. The Contractor is required to follow industry standard for coordination of work with the owner's
hazardous materials abatement contractor.
4. The Contractor will maintain the site in an orderly manner; and is required to clean up both the
interior and exterior project areas affected by the work on a regular basis.
5. The Contractor shall be responsible for the site erosion control for areas affected by the new
construction and site work.
6. The Contractor is to provide/pay for all permits, licensing, taxes, temporary facilities, etc.
required to perform the work.
7. Coordinate the location of all Contractor trailers, parking, storage areas, staging areas, etc. with
the Owners project representative.
8. The Contractor is required to maintain site/well security to prevent well contaimination.
III. Soecification Outline
9. Under Division 2 - Site Work:
a. Site Preparation: Excavation & back filling for piling and foundation walls.
b. Landscaping: Sod/seed as required in areas of remodeling. Planting allowance of$3,500.
c. New roadways & re-surface of existing: By WSB & Associates.
d. Utilities: By WSB & Associates and Paul Kaeding & Associates.
10. Under Division 3:
a. Concrete footings.
b. Concrete floors/pads with clear sealer and concrete stoops.
c. Miscellaneous concrete.
11. Under Division 4:
a. Concrete Block: Foundation walls and masonry bearing walls. One hour fire separation
required between rooms.
b. Exterior finish: Combination 4" brick and rockface masonry veneer in cavity wall system
to match existing building.
12. Under Division 5:
a. Steel bollards (2).
b. Miscellaneous metals.
13. Under Division 6:
a. Wood trusses, decking and framing.
b. Finish Carpentry: Exterior wood soffits and fascia.
c. Rough carpentry.
d. Miscellaneous accessories.
Work Description
Prior Lake Wellhouse No.6
Page 3 of3
14. Under Division 7:
a. 30 Year asphalt shingle roof, Timberline or equal.
b. Roof waterproofing.
c. Roof vents and accessories.
d. Joint sealers.
e. Insulation & vapor barrier at all exterior walls.
15. Under Division 8:
a. Hollow metal doors/frames and windows. One hour fire separtion required between
rooms.
b. Hardware: Best locksets on all doors. Service doors require door contacts. Chemical
Room requires panic bar for exiting.
c. Access panel at ceiling.
d. Interior Glass: Fluoride resistant, one hour fire rated.
16. Under Division 9:
a. Ceiling: Durock over wood stud framing OR Moisture resistant ceiling panel system.
b. Painting: Paint all metal doors/frames, bollards, miscellaneous metals, etc.
c. Epoxy Paint: Epoxy coat all interior walls (and ceiling if gypsum system).
17. Under Division 10:
a. Fire extinguishers (2).
18. Under Division 11:
Not Required
19. Under Division 12:
Not Required
20. Under Division 13:
Not Required
21. Under Division 14:
Not Required
22. Under Division 15:
a. Prepared by Wentz & Associates.
23. Under Division 16:
a. Prepared by Paul Kaeding & Associates
Bud Osmundson
From:
Sent:
To:
Subject:
Dave Hutton [DHutton@wsbeng.com]
Tuesday, March 27, 2001 8:47 AM
Bud Osmundson (E-mail)
FW: Prior Lake NO.6
FYI - note Dan's discussion on the number of cylinders required.
* Dave Hutton *
dhutton@wsbeng.com
(763) 287-7195
> -----Original Message-----
> From: Dan Sieben [SMTP:dsieben@wentzassoc.com]
> Sent: Monday, March 26, 2001 11:12 AM
> To: Dave Hutton
> Subject: Prior Lake No.6
>
> Hi Dave,
> The mechanical construction cost estimate is $45,000. If you need it
> broken down let me know.
>
Si.,....?
On re-review of the code, Chlorine storage is based on volume of gas. The
> maximum volume of gas allowed is equivalent to four bottles (cylinders).
> More than that, regardless of storage configuration, and additional
> treatment equipment is needed (scrubbers, etc.). The city is officially
> allowed only four cylinders in the building (unless they get a variance by
> the city Fire Marshall). We need to change the floor plan of the Chemical
> Room back to only one storage closet.
>
> Call me
> Thanks,
~
with questions or comments.
---
fJf/~ L-
8AUlVU G-A~T;J U<
1
Wellhouse No.6
Design Review Meeting
March 13, 2001
WSB Project No. 1244-00
Minutes
Attendees:
WSB-Dave Hutton, Gene Anderson
Luken Architecture-Ellen Luken
Kaeding & Associates- Stewart Stevens
Wentz Mechanical-Dan Sieben
City of Prior Lake-Bud Osmundson, Paul Bomgartener (Building Inspector), and Doug Hartman
The following issues concerned were discussed at this meeting:
I. Architectural-Ellen Luken
1. Ellen passed out typical sections, details, and plan views for the wellhouse.
2. Dave passed out a revised site plan, site and utility plan. Comments were discussed
and redlined on the architectural plans.
3. Roof Hatch. It was proposed that a 3x3 rectangular roof hatch would be placed
within the triangular shape of the roofpeaks. Bud requested that Ellen make this roof
hatch as big as possible. Ellen indicated she would do that. Bud also requested that it
be a design for natural light with either glass or plastic. Bud summarized his
priorities for the roof hatch as the following: make it as large as possible, easy to open
for access and let natura1light in.
4. Because of shifting of the building, clearance around the well is 3 ft. in the front
(including the door width) and 5 ft. 4 in. on both sides. This clearance is acceptable
to the City.
5. It was decided that the thresholds should be metal set in the concrete so they can be
replaced if damaged.
6. Regarding the concrete path for the electrical, Ellen is proposing
20 in. wide x 10ft. long. Stewart indicated that he would like those increased to
22 in. wide
F:\ WPWIN\ 1244-00\03130 I-meeting minutes -I 244-00 ,doc
7. Ellen passed out the attached work description for the wellhouse. She has talked to
Bob Hutchinson, the building inspector, on the code issues outlined in her work
description. Paul said he would review those items with Bob.
8. Ellen inquired at to what the height of the louvres would be. Dan indicated they are
proposing 8 ft. high, Ellen requested that they move those to 7 ft. 4 in. high to match
the doorframes. This was acceptable to the City.
An issue was brought up regarding the front louvre that it could be a safety problem
in regards to head clearance. It was decided to move it to the side the adjacent side
wall to avoid this problem and then relocate the chlorine cylinders to the front wall.
This change was acceptable to the City.
9. A discussion ensued as to the number of cylinders that could be stored in the chlorine
room. The City requested that two closets be built such that four cylinders could be
stored in those two closets. Dan indicated that would be possible, but a sprinkler
head would need to be placed in each closet. The fmal decision was to go with six
cylinders total in the room- two active and then two stored in each of the closets. The
closets will be somewhat "L" shaped in the comer of the building with the 3 ft. doors
opening in to each other.
10. Doug Hartman indicated he had trouble with corrosion on the panic hardware in their
other pump houses. Ellen indicated this could be a quality issue. Doug indicated he
would like to avoid any corrosion problems with this item in this pump house.
11. Ellen indicated that the material and patterns are going to be matching the existing
building. This was acceptable to the City.
12. The concrete stoop around the side of the building will be included in Ellen's plans
and will be part of the structural concrete slab as opposed to included in the site utility
work.
13. Doug indicates he would like the keys to the doors to match the existing pumphouses.
II. Electrical-Stewart Stevens
1. Stewart passed out plans and specifications for the electrical portion of the project.
He summarized the modifications that would need to be made to the existing booster
station in order to use this as an electrical feed to the new wellhouse.
2. There will be electrical heaters in each room and dehumidifiers.
3. He inquired as to the size of the pump. Gene indicated to use a ISO-horse power
pump for now, but that we would need to test pump the well before we decide on the
. final pump.
F:\ WPWIN\ 1244-00\03130 I-meeting minutes -1244-00,doc
4. Stewart indicated that back up power will be provided by the exiting generator and
that there is enough capacity for that.
5. Exterior light, it was stated that there would be one exterior light by the door. The
City indicated that no yard or rear lights would be necessary.
III. Mechanical- Dan Sieben
1. The eyewash required was discussed. It was indicated that a 30-gallon water heater
would be in the main room with the eyewash being located in the chemical room.
The drainpipe for the eyewash would then be piped back to the main room, which has
four drains.
2. The City Inspector will check on the building code to find out if containment is
required for the fluoride.
3. Dan indicated there would be two hose bibs, one in the main room and one outside,
but that there would be none in the chemical room. This is acceptable to the City.
IV. Site work
. The site plans should be revised to include a sump manhole for the drain located
on the south side of the building, approximately 50 ft. from the well.
. The City indicated that they would be doing all the irrigation and landscaping and
this should not be included in the project.
. The Contractor will install watermain from the pump house to the property line. A
hydrant should be installed in the back for draining and well maintenance. This
work will need to be coordinated with the Developer's work.
These items summarize the items that were discussed at the design meeting. Attached are the
handouts and other information that was presented at this meeting.
F:\WPWIN\1244-00\03130I-meeting minutes -1244-OQ,doc
CITY OF PRIOR LAKE
WELL NO.6
DESIGN TEAM MEE ImG
March 13,2001
AGENDA
Issues/topics for discussion
1. Architectural
2. Electrical
3. Mechanical
4. Site plan
5. Costs
6. Pcu1.lits
7. Schedule
8. Other items
9. Next meeting
!
March 13,2001 -
April2, 2001 -
Apri116, 2001 -
May 15, 2001 -
May 21,2001 -
June 1,2001 -
Well House Schedule
Design meeting with City.
95% plan submittal to City for review.
City accepts plans and authorizes-bidding.
Open bids
Council awards bids
Construction starts.
November 1, 2001- Substantially complete. Well operational
C:\TEMP\02230 I-meeting minutes-1244-003,doc
,.Work ~.;...":'on
':Prior I;ake~WellhollSe: No~ 6
.' ' Page lof3
- WORKDESCRlPTION- .
Project:
Date:
Prepared By:
Remarks:
Construction
Delivery:
Schedule:
Testing:
Civil:
MeehanicaiJ
Electrical:
Code:
I.
Alternates:
WeUhoue.No..6
Prior Lake, MN
26 February 2001
Ellen Luken, Luken Architecture
The project is fora new well house to be located' in the area of an existing booster
pumping station. The pumping station will remain iii operatioRduringconstruction with
minimal disruption to service in order to extendtheelv...~;cal diStribution to the new
wellhouse arid to tie in th~ new well' into the City water distribution system.
. . It is intended 'that the new constCuction match the.existirig building' in design
ch8racterartd materials. '. . . .
. , ' - .
It is intended that the documents wilfbeissued;asia combined bidpaekage
fornew construction for General Contractor biddiitg. All aspects of the project including
the well pumping andchemical feed system, site access, and electrical distribution will be
inCluded as part of the general contra...,(u.,) work., .
. Issued for bidding on/about mid May 2001 with: a construction start immediately
following.' . .
. The Owner will contract for required testiliglUBC SpeciaUnspectio':ls.
Estimating for sitework will be done byWSB& Associates.
Estimating for building mechanical arid electrical and for the well water system
. willbe.(forie by Wentz & Associates and Paul KaeCiing & Associates.'
Occupancy Classification:
Construction Classification:
Allowable Area:
Actual Area:
H3 Special Conditions:
'Sprinkler System;
Provided in H3.
None'
. . Luken Architectur~, P.A; .
,322 FirstAvenue North '-~uite 303 -Minneapolis, Minn~ota55401 - Phone (612)630-0074' - . Fax (612) 630-0075
Work Description
Prior Lake Wellhouse No. 6-
Page 2 on
II. General Notes
Furnish and install labor and materials to complete the following work:
I. All work will be in accordance with established codes, guidelines, standards and
procedures as set forth by the in~ustry for good quality workmanship.
2. The Contractor is required maintain the agreed upon Project Schedule. The Contractor shall
coordinate the work of all trades/sub-contractors and the work of independent Contractors
employed by the Owner. '
3. The Contractor is required to follow industry standard for coordination of work with the owner's
hazardous materials abatement contractor.
4. The Contractor will maintain the site in an orderly manner; and is required to clean up both the
interior and exterior project areas affected by the work on a regular basis.
5. The Contractor shall be responsible for the site erosion control for areas affected by the new
construction and site work.
6. The Contractor is to provide/pay for all permits, licensing, taxes, temporary facilities, etc.
required to perform the work.
7. Coordinate the location of all Contractor trailers, parking, storage areas, staging areas, etc. with
the Owners project r .;.ea.;.sentative.
8. The Contractor is required to maintain site/well security to prevent well contaimination.
III. Specification Outline
9. Under Division 2 - Site Work:
a. Site Preparation: Excavation & back filling for piling and foundation walls.
b. Landscaping: Sod/seed as required in areas of remodeling. Planting allowance of $3,500.
c. New roadways & re-surface of existing: By WSB & Associates.
d. Utilities: By WSB & Associates and Paul Kaeding & Associates.
10. Under Division 3:
a. Concrete footings.
b. Concrete floors/pads with clear sealer and concrete stoops.
c. Miscellaneous concrete.
11. Under Division 4:
a. Concrete Block: Foundation walls and masonry bearing walls. One hour fire separation
required between rooms. -
b. Exterior fmish: Combination 4" brick and rockface masonry veneer in cavity wall system
to match existing building.
12. Under Division 5:
a. Steel bollards (2).
b. Miscellaneous metals.
13. Under Division 6:
a. Wood trusses, decking and framing.
b. Finish Carpentry: Exterior wood soffits and fascia.
c. Rough carpentry.
d. Miscellaneous accessories.
Work Description
Prior Lake Wellhouse No.6
Page 3 00
14. Under Division 7:
a. 30 Year asphalt shingle roof, Timberline or equal.
b. Roof waterproofing.
c. Roofvents and.accessories.
d. Joint sealers.
e. Insulation & vapor barrier at all exterior walls.
15. Under Division 8:
a. Hollow metal doors/frames and windows. One hgur fire separtion required between
rooms.
b. Hardware: Best locksets on all doors. Service doors require door contacts. Chemical
Room requires panic bar for exiting.
c. Access panel at ceiling.
d. Interior Glass: Fluoride resistant, one hour fire rated.
16. Under Division 9:
a. Ceiling: Durock over wood stud framing OR Moisture resistant ceiling panel system.
b. Painting: Paint all metal doors/frames, bollards, miscellaneous metals, etc.
c. Epoxy Paint: Epoxy coat all interior walls (and ceiling if gypsum system).
17. Under Division 10:
a. Fire extinguishers (2).
18. Under Division 11:
Not Required
19. Under Division 12:
Not Required
20. Under Division 13:
Not Required
21. Under Division 14:
Not Required
22. Under Division 15:
a. Prepared by Wentz & Associates.
23. Under Division 16:
a. Prepared by Paul Kaeding & Associates
d'HUI 16:56
Wentz Assoc:iates.IDc.
7300 France Avenue South
Edina, Minnesota 55435
Over 20 Yelld
FAX MEMO
TEL:952 8312179
P.001
Phone: (952) 831-1180
Fas: (952) 831-:z179
E-Mail: infoJi, ". 1...,.Sloc:.com
~nginee"lIg SUlIk.
Number ofPages:3
Paul Baumgartner, eil. ' J.' c, Ii,.\: 952.447-4245
EUeD Luken, Luken Ar, : j"',;J:',v I";; 612-630-0015
David Hutton, 'VSB 76",";1-i.
TO:
FROM:
Dan Sieben
RE:
Prior Lake Well #6
SUBJECT: Chemical Roon: '~',on;; I ,J. ,
DATE:
May 31, 2001
Attached please fmd a part ph.!, OJ .JC
d Chemical room, and a ductwork section.
The eX"'~"r't amount of chlorine ga.::; (a L,
Uniform Fire Code Table 8001.15-3 aJ ,.
Cubic; Foet (two (2) 150-poulld.:y~;nd~
by the Uniform Fire Code Ta' 1, Sc
hour fire resistive occupancy sr..,>:; ,,0:,
'L:t:r' presenting a health hazard as indicated in the
J y,);lf office is a maximum quantity of 1,620
,.:cd control area. Control areas as described
",:'xated from each other by not less than a one-
,JlT of control areas shall not exceed foUl"_
The chemical room at Wellhous<
and each closet. The in1t::rpg~kd
be six (6) 1 SO-pound cylind,-
A1Jy questions please call.
.' ; f:red control areas. the chemical room
. C' f chlorine in use or stored on site shall
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- MEMORANDUM:""
Date: 31 May 200'1
To: Dave Hutton ..,...WSB.& Associates, Inc. (WSa)
Re: REVISIONS: M.emorandum 26 May 2001
Wen House No.6.
Prior Lake, MN
LANo. 99024
. Ellen Luken-LUken Architecture, P A (LA) ti::F~
From:
Copies:
Paul Baumgartner -City of Prlor.Lake, Inspections
Bud Osmundson'~City of ' Prior Lake, Public Works(PL)
Dan. Sieben..,... Wentz Associates rw A) ,
Stuart Stephens - Paul Kaeding & Associates (pKA)
Mel Uriacher - Anderson Urlacher & AsSociate, (AU)
Carrier:
USPS
Per conversation with Paul Baumgartrier of the City of Prior Lake Inspections
Department, We have ~en advised of the following revisions to the 26 May 2001
, Memoranduri1:
1. Re~se.Item 2: Indicate' 1,620 cu.ft. (2 tanks)' of chlQrine gas are allowed per'
controlled area in lieu of the 3,240 indicated.; .. .
2. Add to, Item 11: l11e Building Inspections departnierit requires an outline of
hazardous materials operations procedures priorto the issuance of an occupancy
permit. . The Department asks that prior to the subnrlssion,all consultants have
reviewed this .planand are in agreement with it.' -
3. Direct further questions regarding these items to Paul Baumgartner at the City of
Prior Lake. (952) 447-9853 '
. " . . Luken Architecture, P.A.
322 FitstAvenue North .'Suite303 'eMinneapolis, Minnesota 55401 . e Phone (612) 630-0074, e Fax(612)630~0075
RECEIVED
JUN 6 2001
WSB& ASSOCIATES
I,.",.,.",:,.~ 1'1I4i7J"";"';'K -J ';".1"'''';'<'> tIH htuJd, ofIlilMimJ..."".....s
June 4, 200 1
City of Prior Lake
clo Mr. Frank Boyles, Manager
Prior Lake City Hall
16200 Eagle Creek Avenue
Prior Lake, Minnesota 55372
Gentlemen/Ladies:
Subject: . Pumphouse at Wellhouse No.6 Construction and Appurtenant Work, Prior Lake,
Scott County, Minnesota, Plan No. 013178
We are enclosing a copy of our report covering an examination of plans and specifications on the
above-designated project. A set of the identified plans and specifications is also being returned
to you. It is the project , II,. .er's .. wronsibility. to retain the plans at the project location.
The submitter shall give the owner a set of plans and specifications .....,t'4.;.Sentative of the
completed construction within six months of fInished construction.
If you have any questions in regard to the information contained in this report, please contact me
at 651/215-0947.
Sincerely,
c-.~~
Brian A. Noma, P.E.
. Public Health Engineer
Section of Drinking Water Protection
P.O. Box 64975
St. Paul, Minnesota 55164-0975
BAN:cac
~closure . ~
cc: WSB"& Associates, .Inc.
Bassam Banat, Metro District Office
GcncraIlaformadon: (651) 215-5800. TDDITTY: (651) 215-8980. Minnesota Rday Scnic:c: (800) 627-3529. , ""Jiea1duute.JIUI.1U
For direc1iODllO any oftbc MDH loc:uioDl, c:alJ. (651) 215-5800. An equal op,~ ,... Dicy employer
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS.
Plans and specifications on pumphouse: Wellhouse No. 6 Construction and Appurtenant Work. Prior Lake,
Scott County, Minnesota. Plan No. 013178
OWNERSHlP: City of Prior Lake, clo Mr. Frank Boyles, Manager, Prior Lake City Hall, 16200 Eagle Creek
. Avenue, Prior Lake, Minnesota 55372
SUBM.u J.~(S): WSB & Associates; Inc., 4150 Olson M,;,.......,&~al Highway, Suite 300, Golden Valley,
Minnesota 55422
Plans Dated:
Date Received: May 14, 2001, May 9, 2001
Date Reviewed: May 30, 2001
SCOPE: This report covers the design of this project insofar as the safety and sanitary quality of the V\.'"~"... for
public consumption may be affected, and applies to this project only and not to the entire system or any other part
thereof. The examination of plans is based upon the supposition that the data on which the design is based are .
correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the
design of structural features and the efficiency of equipment must be taken by the project designer. AI't'&"'.ral is
contingent upon satisfactory disposition of any requirements included with this Ao;.t''''A~'
Water supply plans are examined with regard to the location, construction and operational features of the design
and maintenance of all parts of the system which may affect the safety and sanitary quality of the water.
ExaminationJs based on the standards of this department.
This project consists of the installation of a new pumphouse for Well No.6 in the city of Prior Lake, Minnesota.
The pumphouse will house the well, and there will be fluoride, polyphosphate, and gas chlorine chemicatfeed
systems. In addition, a:t'l"A..ximately 90 lineal feet of 12-inch ductile iron watermain will be installed to connect
the well to the distribution system.
REQUIREMENT(S):
1. The finished floor grade shall be at least 6 inches above the outside fmished grade.
2. The seepage pit/manhole shall be labeled such that no other drain or sewer shall connect to the pit. ,
3. Verify that the gas chlorine cylinders are located inside the chlorine closet (Room 104). Drawing 4 of 12
shows the gas chlorine cylinders to be located in the northeast comer of the chemical storage room, outside
of the chlorine closet.
4. The gas chlorine room shall be equipped with a ventilation system that provides at least one air exchange
per minute. The intake for this system shall be located near the fiOOI:
5. A "Danger Chlorine Gas" sign shall be displayed on the door of the chlorine room.
6. Verify that the gas chlorine .u....... doors are equipped with panic hardware.
7. It is i"ecw.....~nded that the project owner or owner's agent contact the state or local FIre Marshall's Office
for any addition requirements for the gas chlorine room design.
Wellhouse No.6 Construction and Appurtenant Work
Pumphouse
Plan No. 013178
Page 3
May 30, 2001
Authorization for construction in accordance with the at' .t'..... led plans may be withdrawn if construction is not
undertaken within a period of two years. The fact that the plans have been a.t'.t'.....ved does not necessarily mean
that rec"'l~ndations or requirements for change will not be made at some later time when changed conditions,
additional information. or advan!=ed knowledge make :..u.t'...... Jements necessary.
A............ved:
j5~~,~
~
<:~~
Brian A. Nonia. P.E.
Public Health Engineer
Section of Drinking Water Prol.;...~on
P.O. Box 64975
St. Paul. Minnesota 55164-0975
651/215-0947
Bassam H. Banat, P.E.
Public Health Engineer
Section of Drinking Water Protection
P.O. Box 64975
St. Paul, Minnesota 55164-0975
651/643-2105
:::'''::~MoIb\N))l1Mi
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Tp: O~ve,Hu@tJ.~ W$U~:Associates~~c. (WSB)
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'w~RaoUse No:' 6.:. .
..PtiQiLake,'MN' ' .;' .
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F-r~m:. ~ Elle~:r:uken ".Luken Atc~tectUre~ PA (L~ ' t3!;~,
....C"p~(./~~~L~o/,~f)>rlot~i~~.. .',
.: ' <,',a~(.tOsmupdS~n-:Gif;Y'otPrior Lake,.~ublic:'Yotk$'~Lr
:D,a.lfSie~n;,,;;'Wentz'AsSQciates'(WA}'?, '< ". . ,
",S~ StePp.~..-.Patli'~ding& Associa.tes(i?Iq\)'.. '..
',~eIUd~h~r:": An.derSoIll;Jrlachet&As~ia~(AUl'
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e~thaillUSPS (l'P~ge~)'~
.Per COJlvetsatiohwith~au1Ba~gartnei of the :CityofPriorL~eIris;~tio~" .
DepartIn;ent; ~e,~y~,beenadvi:s~d::~the following n~ed.requh~~u~~8d<>r':. c,. .
correctig~tQl>~ made.~Qn the~rior'Lake.WellH9use No. 6 :pr0j~t;,pript:to. the General
Gontractor~ s .~~~;t application:', . . ,. .'. '
" '. "":~.,, ',: \ "" . .:; . '. ' '- - . /
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L' A1rWQrkm~bereVise,d,()Iithe~~~'andsigile(fsheets:ie-is$ued;forthe
':pemuf~ppiJCatio*,(Ailf "':.': ; . ...", ,,{',/ .:) '" '.' :. ',:,;
'2'.~...J........~~.....~.'..~..~...Jl.r..i;::...'~. '.Olt.' . .:!~ ::::..~.. .~..,'~s~...~...:.....~~.~..:. ..::.:..........e.e. =..' The.se
" .'eontrQl1ed $tea::~:' -. ulres information regardittgtlle .amount of gaS'Jo.be
i... :.~ore~',lll'~if~ntrolled~.:{WSB) .'. ..' .,' ".:.' :.:,' ...... ..:'.. . ::'.' .' .
,'o..fi.~..3. < The~C... ltY're<jWr. :' es'datasbeeispn\a11hazardo~cllelIDca.1sto'beUSed1rithe.~
.'r'1?tillding.(WS~}..:',' . " ..,' . .. . '. . :'
, ~. ,.4;:CQtttroUeg::ch.1ofqte.m:ea.#Iustbe separ~ted'nu~eaooo~er;.therefore a'fuerated
- . ~':cei1lng'is;reqUiredm.Ch~calRn1. 1 02,.B.eca1,1Se the'atti~s ~non;ol1ea~. spaces,
. ~,.tI1i#.{:lHayers ~~518nT~}(gyp~umboard ~. req~toachieveao!1e hour
fire i:atWgin lteu~fthe 2:1~yc;rs' indicate&.(LA) , . ,......: H. . - . " . .
'5. "'.(lOMiDutefi!e iated,d~o~aI;e r,eq~ atthe .ConttoU~ ch}orit1e;:~ separations.
.' ,'.'(Li\)':':'-";':'e"" .,'":','. .. ,c',:,:. ", ", .'," . .
c. '.. 6., 1f/SJb~e~~":10?is. to be USt"4 forchlorin~g~lsto1'age~:,Yentil~~on.anda
,"':' \:s~~ li~lu:e~.:~e~hanicalb4Ckgi'oUnds':4~:;iWfsh(>wtbi$room.. .
., '. ..... .(Jf':A:),'.....,.'.< ." :::.0 : " ..... '.". '.':,'" '.'. ,. .' '. .', .
., ':. ,. ':"~)I~Rfu.:l~-~rb~~~~i:l1\~~~~,imkelectri~~~#ds;;4qriO;~h~~,ims~oom~. .'
:.", ". ":. ~,'T MY'l~\. ".' ;,. . " .' '.'
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/
PROJECT SCHEDULE
Project Number: 870
Project: WELL NO.6
Location: PRIOR LAKE, MN
Period From: 7/20/01 TO 12/31/01
DESCRIPTION
MOBILIZATION
BLDG. EXC. & BACKFILL
WATERMAIN TO BLDG
CONCRETE WORK
FOOTINGS
PUMP BASE
FLOOR SLAB
STOOP
DRAIN M.H. & DRAINS
MASONRY WORK
DOORS, FRAMES & HRDW
ROOF SYSTEM
INTERIOR MECHANICAL
INT. ROOM FINISHES
HVAC
WELL PUMP
CHEMICAL FEED EQUIP,
PAINTING
BIT DRIVE
ELECTRICAL & CONTROLS
SOD
SYSTEM START UP
COMPLETION DATES
SUBSTANTIAL NOVEMBER 1.5, 2001
FINAL DECEMBER 15, 2001
July August September October November December
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8. The entire buildinl! is reouired to be fullv sorinklered. all rooms irregardless of
use, including attic spaces above the ceilings. It is suggested that attic spaces use
frost proofheads extended into the area thus leaving the head control valve and
main line in the heated space. (W A)
9. The City requires that the truss connection to the top wall plate be specified. (AU)
10. The City requires information regarding the secondary containment system for the
fluoride. (WSB)
11. The City requires additional information/data/operations regarding leak detection
and alarm systems. (WSB/PKA)
12. The City requires that one hour glass be tested glass. (LA)
13. Direct all questions to Paul Baumgartner at the City of Prior Lake. (952) 447-
9853
\
MINUTES OF J..tl.I!. PRE-CONSTRUCTION MEETING
Lu i OF PRIOR LAKE
WELLHOUSE NO.6
June 26, 2001
The City of Prior Lake requires that the Project Designer sets up the Pre--construction Meeting and conducts the meeting.
PROJECT NAME: Wellhouse No.6
PROJECT #: C.P. 01-02/ WSB 1244-01
DATE: June 26. 2001
1. General introduction and sign-up sheet; provide name, organization, telephone number.
See attached sim-un sheet
2. Contractor shall provide names, phone numbers of three (3) people and their emergency phone numbers.
See attached list from Municinal Builders
3. Project Design Firm: WSB & Associates. Inc.
4. Project Manager: Dave Hutton. (763) 287-7195 Proiect En2ineer : Gene Anderson. (763) 287-7147
5. City Project Inspection:. a) Citv Insnector: Broce Vaml b) WSB Insnector: Blair Fowler. (612) 245-7835
- CitY will set un insnection schedule when nermit issued. Tvriical insnections - framine,
electrical. etc.
- Conditional use nermit (CitY) auoroved
- Submit 2 conies of revised nlans
- No fee will be charged
- State fee still auolies
- Alarm svstem not reviewed vet
- Citv to need 1-2 weeks to comnlete review and issue nennit
6. Project Architect: Ellen Luken. (612) 630-0074
7. Project Description: Construction of Well house No.6
Site Address: 15250 Wilds Parkwav
8. Verify Contract, Performance and payment Bond and Insurance Certification have been submitted:
Turned in todav at nreconstruction conference.
9. All permits and easements have been obtained: - MDH nermit obtained
- Citv nermit still needed
Page 1 of 4
F:\WPWIN\t244-0t\Meetinp\06260t pcec:on noteS mm.wpcI
MINUTES OF J..ttJ!; PRE-CONSTRU,-uON MEETING
~u i OF PRIOR LAKE
WELLHOUSE ~O.6
June 26, 2001
10. Prime Contractor: Municioal Builders
a. Superintendent: Jerrv Adriaens
11. Sub-Contractors: See attached list
12. Contractor's proposed schedule - written schedule and bar chart required:
· See attached bar chart
a. Startup date: Aooroximatelv mid-Julv: deoends on kevs finiShinll and movimr off site.
b. Days and hours of work: 5 davslweek.: 7am-5om
c. Completion date: November 15th (Substantial): December 15th (Final)
d. Special scheduling needs: - Will take 6-8 weeks to llet electrical oane!. Ron Smith to llet started.
- Coordinate our construction with Wilds Construction
e. Detours: None
13. Supplier List: See attached
a. Shop drawings required: Submit to WSB to route. Electrical shoo drawinllS can 110 directlv to Kaedinll.
14. Concrete Mix Design submitted: No
15. Bituminous Mix Design submitted: No
16. Utility companies and locations:
a. Gas: Not in attendance
b. Telephone: Don (lntellI'a.): Electrician can run 6 oair wire in orooosed conducted between booster station and
Well C.
c. Electric: MVEC: - Won't locate existinll services
- Will be chanllinll transfonner out from 70k to 120k
- Call MVEC to coordinate
- Suvllest a site meetinll
- Need load data sheets from Kaedinll
- Need 10' clear soace fro trees and landscaoinll
Page 2 of 4
F:\WPWIN\1244-011Meetinp1062601 precon_ mm,wpd
MINUTES OF IJ:1J!. PRE-CONSTRUCTlON MEETING
~u i OF PRIOR LAKE
WELLHOUSE NO...6
June 26, 2001
d. Cable: Not in attendance
e. City Utility Department: Call for water. Notifv when booster station out of service. Have back Ul) in 12
hours. City will work with contractor.
17. Maintenance of traffic: No closures anticinated
18. Special concerns for easements and private property: No easements needed. Trailer will be stored on site.
19. General surveying for utilities and street: 48 hour notice. WSB to survev
20. Project meetings: Tuesdavs - 9:00 am: Once nroiect starts
21. CUll.l}laction requirements: Per snecs
22. Testing firm: Contractor recuired to nrovide. Ellen! City to a...,...~...le
23. Estimates/payment vouchers: All 4 must be simed bv WSB and contractor: Then to City
24. Erosion Control, Silt Fence and Seeding Requirements: Keen dirt offroad. Rock entrance needed
25. Changes in work: Status ofPR #1 (additional "..n;..Jders): Still in nrocess: Will be nrovidinll cost e",l;"uate soon.
26. Extra sets of plans and specifications: Provided at nrecon.
27. Provide and maintain proper warning control devices: N/ A
28. 48-hour notice for road closure: N/ A
29. Temporary removal and reinstallation of existing street signs and mailboxes: N/A
30. Use of City water system: Call DOUll Hartman first
31. Contact Gopher One (454-0002 or 1-800-252-1166) for locations:
32. Other items:
a. Brick snec from Booster Buildinll - no information found
h. _City to remove existinll trees in drivewav
c. City to do SOddinll. irrillation lines ner nlans and snecs
Page 3 of 4
P:\WPWIN\I244-01IMeelinp\062601 JlI"'CCII DOteIlIlIILwpd
MINUTES OF HiE PRE~CONSTRU\" uON MEETING
\....11 i OF PRIOR LAKE
WELLHOUSE ~O..6
June 26, 2001
d. Trailer to be stored on site - OK with city
e. 2 sets ofkevs for existinsr Booster Buildinsr to be nrovided to contractor
~// //
<:,j ~\. ~#ftj/4
... -- v
Dave Hutton, P.E.
Project Engineer
Page 4 of 4
F:\WPWlN\1244-011M.......\062601 pncoa _lIIIILwpcl
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PROJECT SCHEDULE
Project Number: 870
Project: WELL NO.6
Location: PRIOR LAKE, MN
Period From: 7/20/01 TO 12/31/01
DESCRIPTION
MOBILIZATION
BLDG, EXC. & BACKFILL
IWATERMAIN TO SLOG
ICONCRETE WORK
1 FOOTINGS
PUMP BASE
FLOOR SLAB
STOOP
DRAIN M.H. & DRAINS
MASONRY WORK
DOORS, FRAMES & HRDW
ROOF SYSTEM
INTERIOR MECHANICAL
INT. ROOM FINISHES
HVAC
WELL PUMP
CHEMICAL FEED EQUIP,
PAINTING
BIT DRIVE
ELECTRICAL & CONTROLS
SOD
SYSTEM START UP
July 1 Au,ust 1 September 1 October
... 1 1 'I 1 1 1
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.
COMPLETION DATES
SUBSTANTIAL NOVEMBER 1.5, 2001
FINAL DECEMBER 15, 2001
November I December
..
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1 1
J-
, 1
TO FLOOR DRAIN
~
./ "'-..
11,,4" BOOSTER PUMP
SUCTION WITH VALVE
2" OIA. AIR RELEASE
VAL VE ASSEMBLY
12" DIA. FLOW METER
12" CHECK VALVE
12" OIA. X l' SPOOL PIECE
WELL DISCHARGE
POLYPHOSPHATE
FEED LINE
TO
CHEMICAL INJECTION FITTING
ROOM 3 II
PRESSURE n' J r- "'I PVC BALL VALVE /
.......... GAUGE t:7 &. MAIN PROBE. NPT / I (12" GATE VALVE
~ ~ FITTINGS
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./ I - - - _:..:...-- H WITH POLY LINING - --
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CODE:
OCCUPANCY CLASSIFICATION:
F2 WITH H3 ATTACHMENT (CHEMICAL ROOM):
.ONE HOUR FIRE SEPARATION REQUIRED
CONSTRUCTION CLASSIFICATION:
TYPE VN
ALLOWABLE AREA:
19.QS7 SF GROSS (BLENDED 9.543 SF: F2 e64.4~ & H3 e
35.6~; X x 2 FOR SEPARATED. ALL SIDES)
ACTUAL AREA:
548 SF GROSS
H3 SPECIAL CONDITIONS: ,
ONE EXIT REQUIRED UNDER 230 SF. (1007.4.1).
PANIC HARDWARE REQUIRED.
MAXIMUM 75' EXIT DISTANCE.
SPRINKLER SYSTEM:
PROVIDED IN H3
j", 1244-00J\cod' 1244-t..d?"
~
--Wellhouse No.6 Construction
and Appurtenant Work'
for the City of Prior Lake
SHEET NO.
1
2
3
..
5
.1.1 - .1.3
Sl - S3
M1-l(Z
El - ES
INDEX
DESCRIPTION
TITLE SHEET
SITE PUN
DETAILS
PROCESS PIPING
CHEMICAl SCHEMATIC
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STRUCTURAl PLANS
MECHANICAL PlANS
ELECTRICAl PlANS
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EXCAVAllpN NOTICE SYSTEM
--
A CALL TO GOPHER STATE ONS (612-454-0002) IS
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'.
CllY PROJECT NUMBER 02-00
TITLE SHEET SHEET
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-CONTRACTOR TO FURNSH HYDRAFIN>ER
HGH VlSIBLITY LOCATING DEVICE, ROOON,
r- OR APPROVED EQUAL TO BE INCLUDED
/. _ IN UNIT BlD PRICE FOR HYDRANT .
PACER HYDRANT~
8'-6" BURY
VALVE BOX
AS SPECIFIED \ I
. f ~ ) .
24"
J. ,.. I
~\II1\\\~\JIlIt~' 1~\r\JIIII~\~1 ~\\II1II~\lI~\
lolL POLY
.1'- 0"
8'-0"
MIN,
NOTE; ALL HYDRANTS SHALL BE GIVEN ONE
ADDITIONAL COAT OF PAINT AFTER INSTALLATION,
ALL ABRAIOED SURF ACES SHALL BE CLEANED
PRIOR TO APPLICATION OF' THE F'INAL COAT,
ALL AT NO ADDITIONAL COMPENSATION,
PAINT TO BE APPROVED BY CITY ENGINEER
BEfORE APPLYING
~'\ 1244-003'cacl\deIOilo,~
TYPICAL HYDRANT
INSTALLATION
NO SCALE
't.
4" MIN. TOPSOIL
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NOTES. 0 =fI[oot~::: ~~*.'..,:~~~I6~~RB
~A~~~:IZ9 END RADIUS WITH
CD ~~~EF~-8ACK T5FD~WAY
G) CDNCRETE 11IX DESIGNATION
SHALL CDNFIlAIl'TD "'/001'
SPECIFICATIONS Filii WIX NO. 34.12
0TYPlCAL 21' F-F DRIVEWAY WIDTH
IH EXISTING CONDITIONS WIN 2~'
IIAX. ]2' F-F DRIVEWAY WIDTH
<!)'..- EXPANSION JOINT
0CONTRACTlDN JOINT
CD IF DR IVEWAY NOT POURED INTEGIW.
WiTH CURB AND GUTTER. INST....L
~~r~;TE~~g.~~ g~~.
PLACED AT WID-DEPTH SUB.
o IF EXISTING DR PRDPOSED CURB
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THIlOlGH WIDTH OF TRAIL,
--~I~I'
I'Cl.5 I:"'I~
GRAVEL BASE_j______________ I I 11'--/
..). WIN. B'~'
SECTION A-A
TYPICAL COMMERCIAL
DRIVEWAY ENTRANCE
NO SCALE
-11/2" - 2340, WEAR COURSE MIXTURE 41WEA50055
TACK COAT - MN/DOT 2357 .
21/2" - 2340, BASE COURSE MIXTURE 31BBAS0055
a" - AGGREGATE BASE CL 5 (MOD. l
SCARIFY 6" &. RECOMPACT
TYPICAL SECTION FOR
BITUMINOUS DIVEWAY
NO .SCAlE
CITY PROJECT NUMBER 02~
DETAILS
SHEET 3
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ADDRESS
1S-2-4}l5
fATE/
SCHEDULED 1:, I~ 103
W(,-qS~'pt". - Yh
,
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01--((,-
o FOOTING 0 PLUMBING RI
o FOUNDA nON 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~FINAL 0 PLUMBING FINAL
o SITE INSPECTION C 0 MECH F~
COMMENTS: L..6~ --~ c..,V"
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\
~
A-N1
~
-h~
~ORK SATISFACTORY, PROCEED
o CORRECT A~~N AND PROCEED
o CORRECT :~: \ALL FOR REINSPECTION BEFORE COVERING
Inspector: 1-J. Owner/Contr:
I "
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIiSI'IOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE J(~ SCHEDULED
ADDRESS /5"Z$iO W,./eLJ p(Vy
CONTR. lYlu~'G;~UI'tJ,p
PERMIT NO. t;) 1- ..,7h 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6r~ - &~
"'
DATE TIME
II~L
~ ~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
1 IJe) ( j..J l) U. se
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpect~ ..... Owner/Contr:
~ --
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE
?/J:ihf q:DO
lLJd.f ~.tJ=,~ /~ y~ ~ ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
TIME
~/- 77'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK\ ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: 'g. V ~ Owner/Contr:
CALL 44;.9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
q)~JOI /~~
/5348 ~~<k 'P ~~I
/ .- 77~
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
tt ~OOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o ~CH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: _ \
~ ~ O'O!J(-
f (
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR"TV' '
o ~
/'
jWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ LL FOR AElNSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447.9850 FOR THE XT INSPECTION 24 HOURS IN ADVANCE.
IN9N0TI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETYI