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HomeMy WebLinkAboutApplication APPLICANT 1/24/2023City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 SPRINGFIELD w * Drinking Water Protection Overlay District Development Required Project Information (Applicant., complete this section) Applicant Name: Chad Pollock Phone 208-345-1462 Company: Petersen Staggs Architects Fax: Address: 5200 w. State St. Boise, ID 83703 Applicant's Rep.: Chad PollockPhone 208-345-1462 Company: Petersen Staggs Architects Fax: Address: 5200 w. State St. Boise, ID 83703 Property Owner: Phone 208-377-0110 Company: winCo Foods I Fax: Address: 650 N. Armstrong Place Boise, ID 83704 ASSESSOR'S MAP NO: 1703254201601 TAX LOT 1601 Property Address: 1920 Olympic St Springfield, OR Size of Property: 6'4 Acres ❑x Square Feet ❑ Zoning: Existing Use: Grocery Store Description of If you are filling in this form by hand, please attach your proposal description to this application. Proposal: Si natures: Please si n and Drint vour name and date in the aDDroDriate box on the next Daqe. Required Property Information (City Intake Staff., complete this section) Associated Cases: Case No.: Date: Reviewed by: Application Fee: $ Technical Fee: $ 1 Postage Fee: $0 TOTAL FEES: $ PROJECT NUMBER: Revised 1/15/09 ddk 1 of 5 Signatures The undersigned acknowledges that t e information in this application is correct and accurate. Date: 12-2-22 Signature Chad E. Pollock Print If the applicant is not the owner, the owner hereby grants permission for the applicant Mau in his/her behalf. Owner: Date: Signature Print Revised 1/15/09 ddk 2 of 5 Drinking Water Protection Application Process 1. Applicant Submits a Drinking Water Protection Application to the Development & Public Works Department The application must conform to the Drinking Water Protection Submittal Requirements Checklist on pages 4-5 of this application packet. Planning Division staff screen the submittal at the front counter to determine whether all required items listed in the Drinking Water Protection Submittal Requirements Checklist have been submitted. Applications missing required items will not be accepted for submittal 2. City Staff Conduct Detailed Completeness Check • Planning Division staff conducts a detailed completeness check within 30 days of submittal. • The assigned Planner notifies the applicant in writing regarding the completeness of the application. • An application is not be deemed technically complete until all information necessary to evaluate the proposed development, its impacts, and its compliance with the provisions of the Springfield Development Code and other applicable codes and statutes have been provided. • Incomplete applications, as well as insufficient or unclear data, will delay the application review process and may result in denial. 3. City Staff Review the Application and Issue a Decision • This is a Type I decision and thus is made without public notice and without a public hearing since there are clear and objective approval criteria and/or development standards that do not require the use of discretion. • Decisions address all the applicable approval criteria and/or development standards. • Applications may be approved, approved with conditions, or denied. • The City mails the applicant and any party of standing a copy of the decision, which is effective on the day it is mailed. • The decision issued is the final decision of the City but may be appealed within 15 calendar days to the Hearings Official. Revised 1/15/09 ddk 3 of 5 DWP Overlay District Development Submittal Requirements Checklist NOTE: If you feel an item does not apply, please state the reason why and attach the explanation to this form. ❑ Submitted Concurrently with Site Plan Review or Minimum Development Standards applications, where applicable. ❑ Application Fee - refer to the Development Code Fee Schedule for the appropriate fee calculation formula. A copy of the fee schedule is available at the Development & Public Works Department. The applicable application, technology, and postage fees are collected at the time of complete application submittal. ❑ DWP Overlay District Development Application Form ❑ Copy of the Deed ❑ Copy of a Preliminary Title Report issued within the past 30 days documenting ownership and listing all encumbrances. ❑ Narrative explaining the proposal and any additional information that may have a bearing in determining the action to be taken, including findings demonstrating compliance with the Standards for Hazardous Materials within Time of Travel Zones (TOTZ) listed in SDC 3.3-235. NOTE: Before the Director can approve a DWP Overlay District Development request, information submitted by the applicant must adequately support the request. All of the Standards for Hazardous Materials within TOTZ must be addressed. Incomplete applications, as well as insufficient or unclear data, will delay the application review process and may result in denial. In certain circumstances, it is advisable to hire a professional planner or land use attorney to prepare the required findings. ❑ Three (3) Copies of a Plot Plan reduced to 8 1/2' by 11" outlining the applicable TOTZ boundaries in relationship to the property boundaries ❑ Three (3) Copies of the Following: ❑ Use of hazardous materials that pose a risk to groundwater that existed on the property prior to May 15, 2000, if applicable ❑ Hazardous Material Inventory Statement and Material Safety Data Sheet for all materials entered on the Statement. Hazardous material weights shall be converted to volume measurement for purposes of determining amounts (i.e. 10 pounds shall be considered equal to one gallon) ❑ List of chemicals to be monitored through the analysis of groundwater samples and a monitoring schedule if groundwater monitoring is anticipated to be required ❑ Detailed description of the activities conducted at the facility that involve the storage, handling, treatment, use, or production of hazardous materials in aggregate quantities greater than 500 gallons ❑ Description of the primary and any secondary containment devices proposed, and, if applicable, clearly identified as to whether the devices will drain to the sanitary sewer or stormwater system Revised 1/15/09 ddk 4 of 5 ❑ Proposed Hazardous Material Management Plan for the facility that indicates procedures to be followed to prevent, control, collect, and dispose of any unauthorized release of a hazardous material ❑ Description of the procedures for inspection and maintenance of containment devices and emergency equipment ❑ Description of the plan for disposition of unused hazardous materials or hazardous material waste products over the maximum allowable amounts, including the type of transportation and proposed routes Revised 1/15/09 ddk 5 of 5 FAR do /ap 9 11 �� �l 1 6 36 ARCHITECTURAL SITE PLAN 1" = 30'-0" GENERAL NOTES 1. GENERAL CONTRACTOR SHALL COORDINATE UTILITY LOCATIONS AT THE BUILDING WITH SITE DRAWINGS, SITE CONTRACTOR AND LOCAL UTILITY COMPANIES (IF REQUIRED). 2. GENERAL CONTRACTOR SHALL PROVIDE S ECURE STORAGE AND STAGING AREA PER SPECIFICATION SECTION 015000 TEMPORARY FACILITIES. COORDINATE LOCATION WITH WINCO'S CONSTRUCTION MANAGER. 3. IF CERTAIN SITE WORK IMPROVEMENTS ARE COMPLETE, G.C. SHALL PROTECT ALL COMPLETED GRADING, UTILITIES AND FINISH SURFACES FROM DAMAGE DURING BUILDING CONSTRUCTION. 4. PRIOR TO BIDDING, CONTRACTOR SHALL BECOME FAMILIAR WITH ALL SITE CONDITIONS THAT AFFECT CONSTRUCTION. 5. INSTALL (2) SIDED PROJECT "COMING SOON" SIGN AT LOCATION AS DIRECTED BY WINCO'S CONSTRUCTION MANAGER, RE: SPEC. SECTION 015000, TEMPORARY FACILITIES. 6. ALL FINISH GRADES ON THIS SHEET ARE REFERENCED TO ACTUAL FINISH FLOOR ELEVATIONS. KEYED NOTES 1. BUILDING/SITE LIMIT LINE, RE: BID FORM & LEGEND. 2. EXISTING PROPERTY LINE, RE: LEGEND. 5. EXISTING FIRE DEPARTMENT CONNECTION, RE: F2. 6. EXISTING GAS METER AND SERVICE LINE, RE: P2. 12. EXISTING RAIN WATER DOWNSPOUT, RE: Al & AT 14. EXISTING WET COMPACTOR. 15. EXISTING DRY COMPACTOR. 16. EXISTING ELECTRICAL TRANSFORMER, RE: E4. 17. EXISTING ACCESSIBLE CURB RAMP. 18. EXISTING CONCRETE SIDEWALK. 19. CONCRETE SLAB, RE: Al. 23. 8" PIPE BUMPER, RE: SD2-5. FIELD VERIFY NUMBER & LOCATION OF PIPE BUMPERS AT GAS METER & ELECTRICAL TRANSFORMER WITH A.H.S. REQUIREMENTS. 36. EXISTING PIPE BUMPER. PREP AND PAINT TWO (2) COATS 'TRAFFIC YELLOW. 37. EXISTING ADJACENT BUILDING, NOT A PART. LEGEND BUILDING/SITE LIMIT LINE PROPERTY LINE 'GATEKEEPER' LOCKING CABLE PARKING RECAP ON WINCO PARCEL: TOTAL PARKING REQUIRED 248 STALLS TOTAL PARKING PROVIDED 299 STALLS TOTALACCESSIBLE PARKING REQUIRED 7 STALLS TOTALACCESSIBLE PARKING PROVIDED 10 STALLS ACCESSIBLE PARKING 7 STALLS VAN ACCESSIBLE PARKING 3 STALLS REVISIONS ARCH PROJECT NO. 2203 DRAWN N.C. CHECKED C.P. SUBMITTAL DATES OTB DATE Q��S®�ON Qm�a° EIa O� KN Z. o oo ggro�p�G'� Y V Om OF M a �o L ch •W a_,Z Fw � v W H a `W Q 0 W o U�Cq a Q � gW o ox v 4B 1S 1 8015 A1i0 L #667P OF O� /gyp I� w M 0 z �o aQ C) w C) w� U O Z x y O O �r O SHEET TITLE RCHITECTURA SITE PLAN SHEET SDI 81 7 1 6 5 4 S 2 neo. m 0 0 0320.0 [012.60] O O D D 0208.0 [08.11] #2W.o [011,02] T e 022.0 [3.67] EOVALIY SPACED P Lin DETA�ILEA 0 0 (SEE OEfAIL A) C C -1947[76.61- 847[76.6]B B _ B ® p 0 i N ° ° O O• O O METRIC CAD FILE A NEL RETURN A m 3/4' NPT MALE DIMENSIONS IN [ ] ME INCH EOUNALENTS. 2098 [82.6] o mo Yuoa mea aQ Y 2488 [97.2] INLET 33/4- NKNK MALE 750/800 MODEL 50/60 HZ i'7" ulTfiii '^ �• 5144032, 5144034, 5M4036, 5144038, 5M4166, SM4168, SM4276, SM4278, 5M4280 DIME SION PRINT MW, 8 ALTERNATORS 750 BOOREOZMD 50C COOUNO SYSTEM i MITSUBISHI, TIER II +0 ADV -8207 D 8 7 6 5 4 3 2 019 (6 019.1 [0.751 (4 PN ) misos [nso] i [09.00] 0152.4 [06.0] TSO] &C. 3.75] I.D. IND NOTE DIMENSIONS NOT LISTED DN THIS SHEET, FOR ISOIATION NOUNNNG HOBS. 5M4032. 5M4034, SUGGESTED NEL INLET, CONDUIT ENTRY 51W4166, MEAS AND 9A7ERY RACK LOCATIONS SEE SHEETS 1 h 2. EMER (GEEN5S5ET WEIGHT (Kg (11 e]): (L REMOIE�RAD�=(WET) 5751 [12,700] METRIC CAD FILE DIMENSIONS IN [ ]ARE INCH EOUNALENM SEE SHEET 2 FOR EXH4UST LOWON FLEXIBLE EXHAUST 0254.1 04320 [017.00] 0483.0 DETAIL C 12' MSI 816.5 CUSS 150 .2 SC 750/800 MODEL 5( 5M4032. 5M4034, 5M4036. 5M4038. 5M4168, SM4276. 5M4278. 38 , BOON PLUI SOC COOUNG ITER METRIC CAD FILE DIMENSIONS IN [ I ME INCH EOUNMENIS. BLOCK HEATER FUEL/WATER SEPARATOR 51W4032. 51W4034. 5M4163. RETURN W NP1E METRIC CAD FILE DIMENSIONS IN [ ] ME INCH EOUMALENIS. 8 1 7 1 6 1 5 41 4 1 3 2 1 I N� �, .3 m.,« 6 o law 1. a*®m D D C BATTERY CHARGER C ® m 685 127.01 558 121.9] N n BATTERY AND BATTERY RACK B 8 o 0 o O O, o O 1548 [61.0] 5M4032. 5144034. 5M4276 1/2 CONDUIT CONNECTION 175 [6.6] 1726 [68.01 5M4036. 5144038. 5M4166 5M4168. 5M4278. 5M4280 BATTERY CHARGER METRIC CAD FILE A A DIMENSIONS IN [ ]ARE INCH EQUIVALENTS. �LQCQ 750/800 MODEL 50/60 HZ :':® ®�v�^ 5144032, 5M4034. 5M4036, 5M4038. 5M4166. —&I 5M4168, 5M4276, 5414278. 5M42B0 '� DIME SIGN PRINT 3BOV, 600V ALTERNATORS 750 800REOZMD 50C COODNG SYSIEII MITSUBISHI, TER II ADV -8207 I D 8 7 6 5 4 1 3 2 HAZARDOUS MATERIALS MANAGEMENT PLAN January 2023 WinCo Foods is a committed partner in the effort to protect Springfield's drinking water supply. Our hazardous materials management program emphasizes the importance of preventing chemicals leaks and spills and responding promptly and effectively should a release occur. We strive to increases awareness that the property lies within a sensitive drinking water protection area among both our employees and the public who visit our business. This hazardous materials management plan outlines WinCo Food's protocol for preventing, controlling, collecting, and disposing of any unauthorized releases of hazardous materials. The plan also identifies the greatest areas of risk within our facility and outlines the steps we take to reduce the risk. Any questions about this plan or how WinCo Foods manages its hazardous materials should be directed to Dale Patton, WinCo's Director of Environmental Compliance, at 288-481-5268. MAIA a n !r fu�ARC(LA IRC Legend -Z i f 126 Pioneer P�y E Autzen Stadium CostcoWholesale Foods 37. x 1WirU. .9 ni R i �� Y1R CII<¢ Al u10, —Il � I' - a 1 .. all = N GoogleE9rth- I - 2m' Section 1: Facility Description Part A—General Information 1. Business Name: WinCo Foods #34 Address: 1920 Olympic Street Springfield, OR 97477 2. Person Responsible for the Business `Ilam€ Nathan Tucker 3. Emergency Contacts: Title Chief Operating Officer Phone: 541-746-6593 Phone 208-672-3356 Name Title Work Phone Cell Phone Daniel Dixon On -Site Manager 541-746-6593 208-501-3227 Tammi Arosemena Operations Manager 208-972-7925 208-972-7925 Dale Patton Dir. of Env. Conmhance 208-672-2440 208-401-5268 4. Person Responsible for the HMMP Name Ti& Phone Dale Patton Dir. of Env. Compliance 208-672-2440 S. Property Owner: Name Address Phone WinCo Foods LLC. 650 N. Armstrong Place 208-377-0110 Boise, ID 83704 6. Principle Business Activity: Retail Grocery Store 7. Number of Employees (maximum number expected): 165 S. Number of Shifts: 3 9. Hours of Operation: 24 hours/day, Monday - Sunday 10. Declaration: I certify that the information above and on the following parts is true and correct to the best of my knowledge. Signature: �E�Date: z-3 Print Name: Dale Patton Title: Director of Env. Compliance S\ ® & « \ ) ! ) | , Part B -- General Facility Description/Site Plan The facility is Retail Grocery Store, WinCo Foods Store #34. The stores sells grocery and related sundries. It incudes a Deli Dept., Meat/Seafood Department, Produce Department and Bakery Department. See attached site plan. Part C -- Facility Map/Hazardous Material Storage Locations See attached Store Plan 0 €Pi wlnCO=011.IREN° IVIV OL YNPC SRREGi a O P LLOCH €a° `€ " °TILL°°�W." FOODS p Section III: Separation, Secondary Containment, and Monitoring Part A—Above Ground Storage Areas - Emergency Generator Package Unit Generator that contains 538 gallon double walled Steel Fuel Tank. WinCo has weekly inspection of the generator to document run hours Attached. The Generator also includes a low fuel alarm. 1. Storage Type _Original Containers Inside Machinery 55 -Gallon Drums Pressurized Vessel 2. Storage Location: Inside Building 3. Separation: All Materials Compatible Separated by 20 feet 4. Secondary Containment*: Approved Cabinet Tray Vaulted Tank Other: N/A S. Monitoring: X Visual 6. Monitoring Frequency: Daily Other: E3 Safety Cans X Bulk Tank Outside Barrels Other: X Outside Building Secured One -Hour Separation Wall Approved Cabinets Other: Secondary Drums Bermed, Coated Floor X Double -Wall Tank X Continuous Other: X Weekly WIWCo FOODS An Employee Owned Company WHAT TO DO >Poal Acitls > Lime antl Scale Removers TO PROPERLY HANDLE AND > Silver Cleaner > Tarnish Remover DISPOSE OF CONSUMER PRODUCT WASTE Alkaline Waste Only 1 WASTE MATERIAL IS DEFINED AS: >Drain Openers • SPILLED PRODUCT >Lye • DAMAGED PRODUCT >Ammorn > Degreasers IDENTIFY THE PRODUCT AND USE THE >Detergents, Soaps, Hand Soaps 2 EXAMPLES AND COLOR CODE SYSTEM TO THE RIGHT TO DISPOSE OF THE • MATERIAL. CALL THE PHONE NUMBER AT THE TOP WITH ANY QUESTIONS. >Lighter Fluids/Lighters > Adhesives PLACE THEMATERIAL UPRIGHT IN THE > Match Light Charcoal 3 2 GALLON CLEAR PLASTIC BAG IN SUPPLY > Hairspray TOTE (IF LEAKING, ADD AN ABSORBENT > Nail Polish/Polish Remover PAD). ANY ITEMS PLACED IN THE YELLOW (OXIDIZER) TOTE MAY NOT HAVE PAPER Oxidizer Waste Only OR ABSORBENT IN THE SEALED BAG WTH THE WASTE MATERIAL. BAG THESE >pool Chlorine MATERIALS SEPARATELY. > Hydrogen Peroxide > Bleach 4 FOLD THE BAG AND SEAL, VERIFY THAT , Chlorine Tablets (Never IT IS CLOSED AND NOT LEAKING. DO Mix with a Liquid) NOT STORE MORE THAN ONE TYPE OF MATERIAL IN THE SAME BAG. 5 PLACE THE BAGGED MATERIAL UPRIGHT ,Pesticides IN THE CORRECTLY DESIGNATED TOTE. > Insecticides > Rodenticides IF THE MATERIAL IS FROM A SPILL CLEAN > Mothballs UP AND LESS THAN 5 GALLONS, ALWAYS > Over The Counter Medicines > Antifreeze WEAR NITRILE GLOVES AND PROTECTIVE GLASSES WHEN HANDLING. FOLLOW STEPS 2 THROUGH 6. PLACE THE SEALED PLASTIC Universal Waste BAG INTO A SECOND PLASTIC BAG AND PLACE UPRIGHT IN THE CORRECTLY > Incandescent Bulbs DESIGNATED TOTE. > Fluorescents Bulbs > LED & HID Bulbs > Halogen Bulbs IN CASE OF AN EMERGENCY > Household & Button OR SPILL LARGER THAN 5 GALLONS Batteries > Consumer Batteries Was jq Seco log\/ ,Aerosols' t EX{ MP •e QITAIL [A,Z wA%Te �Te„�. Srs�a•� WIMCO Weekly Store Environmental Inspection Report i FOODS Store #_ Inspected Date & Time: Hazardous Materials & Waste Stora a Area: Yes No' 1Is area easily accessed 1 unobstructed (minimum 6' clearance in front)? ❑ ❑ 2 Is the US ecology poster posted nearby, readily viewable and unobstructed? ❑ ❑ 3 Are all container bins property closed? ❑ ❑ 4 Are all of the bins and lids in good condition (clean)? ❑ ❑ 5 Is the area well maintained? ❑ ❑ 6 Are all bins clearly labeled with both a contents label and a hazardous materials label? ❑ ❑ 7 Do all hazardous waste accumulation labels have an accumulation start date? ❑ ❑ 8 Inspect the bin contents. (1) Are wastes stored In the proper bins? (2) Are leaking products bagged in proper Haz Waste Bags, and are absorbent padsbein used no free liquid)? ❑ ❑ 9 Is the spill kit labeled and is it adequately stocked with absorbents, sealable hazardous waste bags, eye protection, and loves? ❑ ❑ 10 Is a US ecology waste pickup needed? (Either bins are full or the accumulation start date is approaching 18D days old with the exception of CA which is 90 days old. ❑ ❑ 11 Is the hazardous waste manifest file readily available and well organized? ❑ ❑ 12 Were any waste products reclaimed for resale, markdown ordonation? (Note: see guidelines in section 3.3.1. ❑ ❑ If yes, list on reverse Backup Emergency Generator: 1What is today's hour meter reading? 2 er ading recorded on the backup generator log sheet? ❑ ❑ Was the metre Refrigeration Service Records: 1 Are refrigeration service records readily available and well organized? ❑ ❑ 2 Are there daily or weekly alarms associated with the same system(s)? ❑ ❑ If yes, list below 3 Verify the control room door is locked or otherwise secured. ❑ ❑ Wastewater. Stormwater. Trash, rats Oils & Grease Management: 1 Grease interceptor cleanout disposal records are available upon request from WInCo's Env. Compliance Dept. 2 Is the trash compactor gauge operating rc erl .(perform testcycle) ❑ ❑ 3 Is the cardboard compactor gauge operating properly? (perform test cycle), ❑ ❑ Any" No" answers and their resolutions are to be detailed in the Corrective Actions Required Section Corrective Actions Required: Weekly Inspection Form 11-621 �� i ���� ���� ���� ���� ���� ���� ���� ���� �C�� ���� ��C� ���� ���� ���� ���� ���� ���� ��C� ���� ��C� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� Section IV: Waste Disposal All hazardous materials and wastes, regardless of container size, must be kept in secondary containment. WinCo Stores have a retail hazardous waste system in place for the disposal of damaged broken or unsaleable retail items. See attached file photo. For example of secondary containment and labeling. US Ecology has been retained to remove, treat and dispose of the items. x Discharge to Sanitary Sewer x Pretreatment Wastes: Potable water along with water Wastes: Grease interceptor for wastewater from our service depamnenls Bakery, discharge serviced quarterly by Deli Seafood Meat and Pias Depts. Liquid Environmental Solutions x Licensed Waste Hauler Wastes: x Recycle Retail HAZ Wastes - US Ecology Wastes: Card Board- International Paper X Other Describe Method: Damm Sowlions Wastes: Used cooking oil from deli -fryers No Waste Section V: Record Keeping (Inspection and Maintenance) Description of our Inspection Program: WinCO Store Management Teams perform Weekly Store Environmental Inspection Reports in accordance with WinCo's Environmental Compliance Guide and Best Management Practices Manual • How frequently will inspections take place? Weekly Who will conduct inspections? Store Management Team Store Manager or Assistant Managers Where will completed inspection forms be kept and for how long? Records are kept in the Store Managers office and are kept for 3 years. What methods will be used to inspect secondary containment devices? Weekly Visual Inspections and alarm monitoring Section VI: Spill Prevention WinCo stores follow the guidelines in the companies Environmental Compliance Guide and Best Management Practices manual. Which addresses training, storing of materials, segregating incompatible materials, monitoring containers in good condition, conducting regular employee training, storing of chemicals and retail haz waste inside. WmCo utilizes compactors for trash and cardboard to eliminate weather impacts. WiNco retains a 3rd Party to perform semiannual maintenance (debris cleanouts and repairs) to its stormwater drains Section VII: Emergency Response Plan 1. In the event of an emergency, the following shall be notified: A. On -Site Responders: Name Title Phone Daniel Dixon Store Manager 208-501-3227 Jnhn Doe District Manager 208-972-7925 Jimmy Joe Env. Health & Safety Manager 208-401-5268 B. Method of Notification to Responders: Automatic Alarm ,X_ Telephone Manual Alarm X Verbal X Other: E-mail C. Agency Phone Number Fire Department 911* Oregon Emergency Response System 1-800-452-0311 U.S. Ecology (WinCo's Emergency 1.800.839.3975 Response Contractor) Other Dial 911 in the event of an emergency or hazardous material *The standard procedure for notification of a hazardous material release in Springfield is to call 911. The first responder will dispatch information to Springfield Utility Board, which must be notified as soon as possible if a chemical release has the potential to contaminate municipal wells. 2. Designated Local Emergency Medical Facility: Address Phone McKenzie Willamette Medical Center 541-726-4400 1460 G Street 3, Mitigation Equipment: A. Monitoring Devices: Toxic or flammable gas detection Fluid detection Other: B. Spill Containment: X Absorbents Other; C. Spill Control and Treatment: Vapor Scrubber Pumps/Vacuums Neutralizer Mechanical Ventilation X Secondary Containment Other: 4. Evacuation: x Immediate area evacuation routes posted X Entire building evacuation procedures developed X Assembly areas pre -planned X Evacuation maps posted Other: S. Supplemental Hazardous Materials Emergency Response Plan on Site: Location: Responsible Person: Phone: See Attached Spill Placards SPILL IDENTIFICATION • Never leave spills unattended • Ensure the spill will not spread • Determine if it is a toad item or non -load item COMMUNICATION Should another associate or the maintenance staff assist or cleanup the spill themselves, make sure they are made aware that the material is hazardous. (Use of the floor machine (Ta) is prohibited on hazardous spills). nlyl1113a1 Place bagged product container antl cleanup material in the applicable bin or barrel of the retail hazardous waste stalion CLASSIFICATION If spill is a non-food Hem, use option N6 on a hand scanner or AS400 reclamation terminal to determine if the product is hazardous and what the hazardous material classification is (If uncertain as to food/non-food always scan) CLEANUP Follow WinCo clean up policy and save ALL material that the spill made contact with and absorbent material used for cleanup (cardboard, absorbent powder, absorbent pads). Place product cantai ner and clean a materials in a sealable bag from the hazardous waste area, with additional absorbent material if the product is still leaking. Place in appropriate bin NOTE: • Use only approved sealable bags from the haze rdaus waste station • Do not combine items in one bag that dnn't have the same UPC • Should you have any questions regarding spill cleanup 1 contact store management ' • How to clean up spill: �. Mark spill with safety cone. ■ 2. Cover outer edge of spill with Safegard Absorbent ■ first, then add to center. ■ ■ Let the absorbent sit for a ■ ■ 30 to 60 seconds... ■ 3. Take squeegee and bring covered spill into lobby1 ■ dust pan. If small amount F` ■ ■ of absorbent is still on ■ floor use soft lobby . broom to clean up. Important Notes: ' NEVER AVE A ILL UNATTEDED ■ F DO NOT LEAVE ANYIABSOR ENT ON FLOOR. ■ ■ CLEAN UP COMPLETELY. ■ ■ - Dispose of product in trash can or bag. Follow ■ your county's disposal requirements. ■ Use FOROIL absorbent on oil-based spills. It is ■ ■ important to let set for 60 seconds. A second ■ application may be needed to remove all residue. ■ High viscosity spills such as corn syrup may ■ become hard from sitting. Use water or milk . to dilute before using your Safegard absorbent. . .a Spill pads: Place pad over spill, waiting at least . one minute, so it can completely absorb the spill. ■ Wipe and discard pad. . ■ Small pads absorbs up to 12 oz liquid, Large CS ■ pads 32 oz liquid. ® . ■ STOCK SPILL CENTER WITH: 36 Small pocket Pads, 5 large pads, 1 soft broom, ■ 1 squeegee/lobby dust pan, 1 box of gloves, 2-18" cones, ■ 1;,.- 117-1.k—k—+ 1 k. ftl< PARA a6�or6eot ■ 0 Safegard Absorbent ■ ■ item # 685805 - 19 -Ib. Box ■ (Order from Warehouse) ■ ■ Q Small Spill Pads ■ item # 685830 - 804 per Case (Order from Warehouse) ■ ■ Q Large Spill Pads . item # 685832 - 400 per Case (Order from Warehouse) . 0 FOROIL Absorbent ■ item # 6135803 - 17 -Ib. Pail (Order from Warehouse) . ■ © 18" Cone w/ Strap ■ item # 3126 . (Order from Engineering) ■ ■ Q Squeegee/Lobby ■ Dust Pan Set ■ item # 3124 ■ (Order from Engineering) ■ ■ Q Soft Lobby Broom ■ item # 3125 ■ (Order from Engineering) ■ i. Maio ■ LIU;a1 ■ WinCo Foods absorbents are supplied in bulk containers, ■ ■ with refillable plastic jugs. DO NOT DISPOSE OF THESE . PLASTIC JUGS. Refill them with Safegard absorbent. . This both reduces waste and saves money, helping the ■ . environment AND our bottom line. ■ Section XIII: Emergency-Response Training Plan 1. Person Responsible for the Emergency-Response Training Plan: Name Title _ _ Phone Dale Patton Director of Env. Compliance 206-672-2440 Daniel Dixon Store Manager 541-746-6593 2. Training Requirements: A. All employees trained in the following as indicated: •i Procedures for internal alarm/notification X Procedures for notification of external emergency-response organizations X Location and content of the emergency-response plan X Awareness of the facility's proximity to sensitive drinking water protection area X Drinking water protection presentation (contact SUB Water Quality Protection Coordinator, Amy Chinitz, at 541-744-3745) B. Chemical handlers are trained in the fallowing as indicated: X Safe methods for handling and storage of hazardous materials Proper use of personal protective equipment — Locations and proper use of fire- and spill-control equipment Specific hazards of each chemical to which they may be exposed C. Emergency-response team members are trained in the following: Procedures for shutdown of operations X Procedures for using, maintaining and replacing facility emergency and monitoring equipment 3. The Following Records are Maintained for All Employees: X Verification that training was completed by the employee Description of the type and amount of introductory and continuing training Documentation on and description of emergency-response drills conducted at the facility 4. Amore comprehensive and detailed emergency-response training plan is maintained on site. Location: Responsible Person: Phone: Section IX: Process for Updating HMMP All new products before they can purchased/ ship or sold mustbe registered with UL Insights Weresmart who vettes them for hazardous components for WmCo foods. This occurs daily, weekly and monthly and the information is fed to Wince's UL Werc's Portal. The portal is monitored by W1nC's Env. Compliance Dept daily. Section X: Notes NONE A private service contractor manages all outdoor landscaping chemicals. The contractor is not allowed to store any landscaping chemicals at the facility. WmCo uses a company named Comeland to perfrom janitorial services at the subject location.