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HomeMy WebLinkAbout420 John Fitch Blvd - Tier II Reports - Tier Two Reporting Period: January 1 to December 31, 2017 -Emergency and Hazardous Chemical Inventory Page 1 Specific Information by Chemical Printed: February 16, 2018 Facility Name: Suburban Propane FACILITY IDENTIFICATION: Suburban Propane Dept: 420 John Fitch Blvd South Windsor, CT 06074 USA County: Hartford Fire District: - Latitude:41.812895 Longitude:-72.611726 MAILING ADDRESS: 195 Commerce Way South Windsor, CT 06074 USA Facility Phone: 18007767163 [ j All facility information (not including chemical information)is identical to last year's submission IDENTIFICATION NUMBERS: Dun& Bradstreet:93-924-1584 NAICS:454310(Fuel Dealers) Is the facility manned? [ ] Manned [x] Unmanned - Maximum No. of Occupants:0 REGULATORY INFORMATION: Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? [ ]Yes [x] No Subject to Chem.-Accident Prevention..:under:Section,112(r)of CAA(40 CFR part68, Risk Mgmt. Pgm.)?[ ]Yes [x] No CONTACT INFORMATION: Burroughs,April Title: CSC Manager Contact Type 1: Emergency Contact Contact Type 2:Tier If Information Contact Contact Type 3: Submitter Address: 195 Commerce Way, South Windsor,CT, 06074 USA Phones:24-hour:8609126341 Work: 8605197157 Emergency:8609126341 - Email:aburroughs@suburbanpropane.com LP Transport,- Contact Type 1: Other Address: 54 Brookside Ave, Chester, NY, 07981 USA Phones:24-hour:8009502129 Email:georgescott@lptransportation.com Propane,Suburban - -- itle LP- -Contact Type 1-: Emergency Contact Contact Type2 Owner 7 Operator Address: 240 Route 10 West,Whippany, NJ,07981 USA Phones.- 24-hour: 18007767263 FAX: 18005262620 Emergency: 18007767263 Email:aburroughs@suburbanpropane.com Tier Two Reporting Period: January 1 to December 31, 2017 Emergency and Hazardous Chemical Inventory Page 2 Specific Information by Chemical Printed: February 16, 2018 Facility Name: Suburban Propane CHEMICAL DESCRIPTIONS: ------------------------------------------------------------ CHEM NAME: PROPANE CAS: 74-98-6 EHS: No [ ] Identical to previous year [ ]TRADE SECRET [x] Pure [-]Mix [ ]Solid [x] Liquid_ [x] Gas PHYSICAL HAZARDS: [ ]Explosive [x]Flammable (gases, aerosols, liquids, or solids) [ ]O.:idizer (liquid, solid or gas) [ ]Self-reactive [ ]Pyrophoric (liquid or solid) [ ]Pyrophoric Gas [ ]Self-heating [ ]Organic peroxide [ ]Corrosive to metal [x]Gas wider pressure (compressed gas) [ ]In contact with water emits flammable gas [ ]Combustible Dust HEALTH HAZARDS: f ]Acute toxicity (any route of exposure) [ ]Carcinogenicity { ]Skin corrosion or irritation ( ]Reproductive toxicity [ ]Serious eye damage or eye irritation [ ]Specific target organ tonicity (single/repeated exposure) [ ]Respiratory or skin sensitization [ ]Aspiration hazard [ ]Germ cell mutagenicity [x]Simple Asphyxiant [ ]Hazard Not Otherwise Classified INVENTORY: [ ] Below Reporting Thresholds - Max Daily Amt code: 10(100,000-499,999 pounds) - Avg Daily Amt code: 06(10,000-24,999 pounds) No.of days on-site: 365 STORAGE LOCATIONS: [ ]Confidential Container Type:Above ground tank Pressure: Greater than ambient pressure Temp:Ambient temperature Location: Yard Amount: pounds CHEMICALS IN INVENTORY STATE FIELDS: Connecticut requests the following: Mode of Shipment: [x]Trucks [x]Tank Trucks [ ] Rai[Car [ ]Tank Car [ ] Pipeline [ ] Barge j ]Other(Specify) Specify other: Frequency of Shipment: per - Maximum capacity per single vessel Max Shipment Qty(lbs): Ave Qty(lbs): Physical State in Transit: Comments(please provide both the primary and alternate routes of travel): 191 to Route 5 ` Carrier: LP Transport 54 Brookside Ave PO Box 489, Chester, NY 10918 24hr 800-950-2129 ------------------------------------------------------------ FACILITY STATE FIELDS: No additional information is required by Connecticut STATE/LOCAL FEES: None. [ ] I have attached a site plan [ j I have attached a list of site coordinate abbreviations [ j I have attached a description of dikes and other safeguard measures Tier Two Reporting Period: January 1 to December 31, 2017 Emergency and Hazardous Chemical Inventory Page 3 Specific Information by Chemical - - Printed: February 16, 2018 Facility Name: Suburban Propane Certification (Read and sign after completing all sections) - - - - -- - I certify under penalty of law that I have personally examined and am familiar with the infoOu submitted in pages one' rough 3, and that based on my inquiry of those individuals responsible for obtaining this informatieve that th ubmit in rmation is true accurate,and complete: April M. Burroughs/CSC Manager `I{ �i ' 2/16/2018 Name and official title of ownerfoperator OR owner/operator's authorized representative Sign Date signed Tier Two Reporting Period: January 1 to December 31, 2017 Emergency and Hazardous Chemical Inventory Page 1 Specific Information by Chemical Printed: February 16,2018 Facility Narne: Suburban Propane - -- FACILITY IDENTIFICATION: Suburban Propane Dept: 195 Commerce Way South Windsor, CT 06074 USA County: Hartford Fire District: Latitude:41.85922 Longitude:-72.595775 [ ]All facility information (not including chemical information) is identical to last year's submission IDENTIFICATION NUMBERS: Dun& Bradstreet:93-924-1584 NAICS: 454310(Fuel Dealers) Is the facility manned? [x] Manned [ ] Unmanned Maximum No. of Occupants: 17 REGULATORY INFORMATION: Subject to Emergency Planning under Section 302 of EPCRA 40 CFR art 355?J 9 Y g ( p ) [ ]-Yes [x]No Subject to Chem.Accident Prevention under Section 112(r)of CAA(40 CFR part 68, Risk Mgmt. Pgm.)?[ ]Yes [x] No CONTACT INFORMATION: Burroughs,April Title: CSC Manager Contact Type 1: Emergency Contact Contact Type 2:Tier 11 Information Contact Contact Type 3: Submitter Address: 195 Commerce Way, South Windsor,CT,06074 USA Phones: 24-hour:8609126341 Work:8605197157 Emergency: 8609126341 Email:aburroughs@suburbanpropane.com - Propane,Suburban Title: LP Contact Type 1: Emergency Contact Contact Type 2: Owner/Operator Address: 240 Route 10 West,Whippany, NJ,07981 USA Phones: 24-hour: 18007767263 FAX: 18005262620 Emergency: 18007767263 - Email:aburroughs@suburbanpropane.com LP Transport, Contact Type 1: Other Address: 54 Brookside Ave, Chester, NY, 07981 USA - Phones:24-hour:8009502129 Email:georgescott@lptransportation.com - - -- CHEMICAL DESCRIPTIONS: - Tier Two Reporting Period: January 1 to December 31, 2017 Emergency and Hazardous Chemical Inventory - Page 2 Specific Information by Chemical Printed: February 16,2018 Facility Name: Suburban Propane CHEM NAME: PROPANE CAS: 74-98-6 EHS: No [x] Identical to previous year - [ ]TRADE SECRET [x] Pure [ ] Mix [ ] Solid [x] Liquid [x] Gas PHYSICAL HAZARDS: [ ]Explosive [xIFlammable (gases, aerosols, liquids, or. solids) ( ]Oxidizer (liquid, solid or gas) [ ]Self-reactive ( ]Pyrophoric (liquid or solid) [ ]Pyrophoric Gas [ ]Self-heating [ 10rgan:i.c peroxide [ ]Corrosive to metal [x]Gas under pressure (compressed gas) [ ]In contact with water emits flammable gas [ ]Combustible Dust HEALTH HAZARDS: ( ]Acute toxicity (any route of exposure) [ ]Carcinogenicity [ ]Skin corrosion or irritation [ ]Reproductive toxicity [ ]Serious eye damage or eye irritation [ ]Specific target organ toxicity (single/repeated exposure) r ]Respiratory or skin sensitization [ ]Aspiration hazard t ]Germ cell mutagenicity [x]Simple Asphyxiant [ ]Hazard Not Otherwise Classified INVENTORY: [ ] Below Reporting Thresholds Max Amt: 201600 pounds Max Daily Amt code: 10(100,000-499,999 pounds) Avg Amt: 12209 pounds Avg Daily Amt code:06(10,000-24,999 pounds) Max quantity in largest container: 100800 pounds No.of days on-site: 365 STORAGE LOCATIONS: [ ]Confidential Container Type:Above ground tank Pressure: Greater than ambient pressure Temp:Ambient temperature Location: Storage Tank on East side of Property Amount: 100800 pounds Container Type:Above ground tank Pressure: Greater than ambient pressure Temp:Ambient temperature Location: Storage Tank on East side of Property Amount: 100800 pounds - CHEMICALS IN INVENTORY STATE FIELDS: Connecticut requests the following: - Mode of Shipment: [x]Trucks [x]Tank Trucks [ ] Rail Car [ ]Tank Car [ ] Pipeline [ ] Barge [ ] Other(Specify) Specify other: Frequency of Shipment:2 per Week Maximum capacity per single vessel: 42400 Max Shipment Qty(lbs):42400 Ave Qty(lbs): 42400 Physical State in Transit: Liquid - Comments(please provide both the primary and alternate routes of travel): 191 to Rte 5 to Sullivan Ave to Rye St to Commerce Way Carrier: LP Transport 54 Brookside Ave PO Box 489 Chester, NY 10918 24hr 800-9500-2129 - ------------------------------------------------------------ FACILITY STATE FIELDS: No additional information is required by Connecticut-STATE/LOCAL FEES: None. [ ] I have attached a site plan [ ] I have attached a list of site coordinate abbreviations [ ] I have attached a description of dikes and other safeguard measures Tier Two Reporting Period: January 1 to December 31, 2017 -- Emergency and Hazardous Chemical Inventory Page 3 Specific Information by Chemical Printed: February 16,2018 Facility Name: Suburban Propane Certification (Read and sign after completing all sections) I certify under penalty of law that I have personally examined and am familiar with thetinfomat \subm�ed in pa es one through 3, and that based on my inquiry of those individuals responsible for obtaining this infor ,I behev that the submi to m o mation is true,accurate,and complete. April M. Burroughs/CSC Manager 2/16/2018 Name and official title of owner/operator OR owner/operator's authorized representative - ure / Date signed