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Home My WebLink AboutApplication APPLICANT 10/14/2011 rte' 'City of Springfield SPRINGFIELD Development Services Department 225 Fifth Street 6k ho Springfield, OR 97477 / Drinking-Water Protection Overlay District Development . . Phone Applicant Name: r - 7455 Company: U ' ' _ Fax: S 1 . 1q(a• 050 Address: VY75 S ,- Znd St, OR 9 -47 Applicant's Rep.: Phone Company: Fax: Address: Phone PropertOwner: ax Yl I 71i - �{' Company: Fax: 6l. 1�7• 0149 Address: `47q0 is t O ASSESSOR'S MAP NO: 1Tn3'3(y' - TAX LOT Z Property Address:)I Z _ i n S+. 50cino�'ela OK 97477 Size of Property: x{000 sq.PC Z� Acres ❑ Square Feet [?r Zoning: Existing Use: u bocLq CoW5kop Description of If you are filling in this form by hand, please attach your proposal descriptiA to this application. Proposal: t 'si a.r huSi red oso, Signatures: Please si n andrint our name and date in thea ro riate box on the next a e. . 72MM of Associated Cases: TLICIIPJ02J1 Case No.: 0002-4 Date: K) 1111 Reviewed by: Mrai Ilk Application Fee: $ J OV) .UU ITechnicalFee: $ a l • U Postage Fee: 0 TOTAL FEES: $ I" I PROJECT NUMBER: Date Received: OCT 14 2011 Revised 1/15/09 ddk 1 of 5 Original Submittal Signatures The under ned a nowledges that the information in this application is correct and accurate. Applicant: I/ _ t Signature odd M �r liar Print If the applicant is not the own e owner hereby grants permission for the applicant to act in his/her behalf. Owner: Date: Signature Cmc; X0 /t) Print Date Received: OCT 14 2011 Revised 1/15/09 ddk 2 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. o ❑ Application Fee - refer to the Development Code Fee Schedule for the appropriate fe calculation formula. A copy of the fee schedule is available at the Development Services 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 7 Q ❑ Copy of a Preliminary Title Report issued with documenting ownership and listing all encumbrances. u 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 Z ❑ 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 sample and a monitoring schedule if groundwater monitoring is anticipated to be required h/C,. ❑ 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 p//� ❑ 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 Date Received: OCT 14 2011 Revised 1/15/09 ddk 4 of 5 Original Submittal AFFIDAVIT OF HEURSHH' STATE OF OREGON ) ss. County of Lane ) I. 1, Cecil Saxon, Jr., being duly sworn,do depose and say that i am the surviving spouse of Beverly Jo Saxon, who died February 12,2003,and who at the time of death was survived by me. 2. Said Beverly Jo Saxon left the following children or lineal descendants surviving her: NAME: RELATIONSHIP AGE Teryl Saxon Hill Daughter 51 Cindy Jo Boyd Daughter 47 Kelly Steele Daughter 42 Kaylee Saxon Grandchild(daughter of John R. Saxon,deceased) 17 John Cameron Saxon Grandchild (son of John R. Saxon,deceased) 15 3. There are no other children or children of deceased children surviving the decedent. 4. All of the children/grandchildren listed above are children/grandchildren of the surviving spouse. 5. Said decedent did not leave a will providing for the disposition of her estate, making me her sole heir pursuant to ORS 112.025(1). 6. All debts, expenses of last illness and funeral expenses, and taxes due the State of Oregon and the United States have been paid in full, and there are no unpaid claims against said decedent or her estate. 7. No probate of the decedent's estate has been commenced in any state. 8. 1 make this affidavit to induce Cascade Title Company to issue its title insurance policy insuring the grantee of the following described real property, which was owned by said decedent at the time of death, without probate of the estate, and I hereby agree to indemnify and hold harmless said Cascade Title Company from any loss or damage it may sustain by reason of issuing its said title insurance policy without probate of said estate. 9. The real property herein referred to is described as follows: Lots 5 and 6, Block 4, Railroad Addition to Springfield, as platted and recorded in Volume 7, page 17, Lane County Oregon Plat Records, in Lane County, Oregon, together with all interest of said Grantors in vacated street or alley abutting on said lots. DATED this 7 day of April, 2003. Date Received: Cecil Saxon,Jr., sole eir at law of Beverly 10 Saxon, deceased OCT 14 2011 SUBSCRIBED AND SWORN to before me this i!ty of'April, 2003. / Original Submittal OFFICKI,SEAL TAN21 L CLARK otary public for Oregon i NOTARY PU2LIC-OREGON CWeMJ`-T01N0.$S7499 My commission expires: LIA: Loi/ EXHIBIT A WYCOMMtMON EIMRICS OCT.RO PAGE__, OF I Cecil Saxon.Jr..sole heir at law of Beverly Jo Saxon,deceased 4740 Main Street.Suite A Springfield OR 97478 Grantor's Name and Address Cecil Saxon,Jr. 4740 Main Street.Suite A Springfield,OR 97478 Grantee's Name and Address Atter recording,return to: Division of Chief Deputy Clerk 003.030934 Cecil Saxon,Jr. lLane County Deeds handl Records rnMain SB 97478Suite A Springfield,OIIIIIIIIIII III III�IIIIIIIII�I�I II IIIIIIIIIIIII�II $31,00 Until requested otherwise,send all tax statements to: 00413631200300309340020021 Cecil Saxon Jr. 04/08/2003 01;11;27 PM 4740 Main Street.Suite A RPR-DEED Cntml Stn=7 CASHIER 07 Soringfield.OR 97478 $10,00 $11.00 $10.00 BARGAIN AND SAYE DEED KNOW ALL BY THESE PRESENTS that Cecil Saxon, Jr., sole heir at law of Beverly Jo Saxon, deceased, hereinafter called grantor, for the consideration hereinafter stated, does hereby grant, bargain, sell and convey unto Cecil Saxon,Jr., hereinafter called grantee, and unto grantee's heirs,successors and assigns, all of that certain real property,with the tenements, hereditaments and appurtenances thereunto belonging or in any way appertaining, situated in Lane County, State o!'Oregon, described as follows, to-wit: Lots 5 and 6, Block 4,Railroad Addition to Springfield,as platted and recorded in Volume 7 page 17, Lane County Oregon Plat records, in Lane County,Oregon, together with all interest of said Grantors in vacated street or alley abutting on said lots. 1'o Have and to Hold the same unto grantee and grantee's heirs, successors and assigns forever. The true and actual consideration consists of other value. This deed is made in Conjunction with that certain Affidavit of Heirship executed by Cecil Saxon,Jr.,sole heir at law of Beverly Jo Saxon, deceased, copy of which is attached hereto as Exhibit A. IN WITNESS WHEREOF, the grantor has executed this instrument on April �7, 2003. THIS INS'T'RUMENT WILL NOT ALLOW USE OFTHE PROPERTY DESCRIBED ` IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USF-L.AW S AND REOULATIONS.BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT,THE PERSON ACQUIRING FEE"TITLE TO THE PROPER'T'Y SHOULD CHECK WITH Cecil Saxon,Jr., sole heir at la of THEAPPROPRIAl ECITY OR COUNTY PLANMNG DEPARTMENT TO VERIFY Beverly Jo Saxon, deceased APPROVED USES AN D TO DETERMINE ANY LIMITS ON LAW SUITS AGAINST FARMING OR FOREST PRACTICES.AS DEFINED IN OILS 30.930. STATE OF OREGON, County of Lane )ss, This instrument was acknowledged before me on April f 2003 by Cecil Saxon,Jr., sole heir at law of Beverly Jo Saxon, deceased. OFFlCIAL SEAL TAN;i L.IC OA Notary Public for Oregon `. N0T0.Wv PUBLIC-OA80DN tty� COMMISSION NO W7489 My commission expires: t0�f*/ReyeelVed. MY COM. <L5SiCN E. ?'R_30CT.20 2004 OCT 14 2011 Original Submittal . 0 • MILLER Liz From: CHINITZ Amy C. [AmyC@subutil.com] Sent: Tuesday, October 11, 2011 12:06 PM To: MILLER Liz; MILLER Liz Cc: info@ToddsAutoBodylnc.com Subject: MSDS for Todd's Auto Body Liz, This e-mail is to confirm that the DWP application for Todd's Auto Body will not need to include copies of MSDSs. The HMIS that Ranelle has prepared will suffice. If 1 need to see specific MSDSs, I will request them from Ranelle. Thank you, Amy E.Chintz Water Quality Protection Coordinator Springfield Utility Board 202 South 18th Street Springfield,OR 97477 Phone:541.744.3745 Fax:541.747.7348 Date Received: OCT 14 2011 Original Submittal 1 HAZARDOUS MATERIALS MANAGEMENT PLAN for TODD' S AUTO BODY, INC. Date Received: OCT 14 2011 original Submittal • HAZARDOUS MATERIALS MANAGEMENT PLAN FOR TODD'S AUTO BODY, INC. (October 10, 2011 - TO BE UPDATED ANNUALLY) TODD'S Auto Body, Inc. is located in the 10-20 yr,time-of-travel zone to one of Springfield's municipal drinking water wells. This means that chemicals that spill or leak onto the ground surface have the potential to contaminate the well in 10-20 years. TODD'S Auto Body, Inc. 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 the protocol for TODD'S Auto Body, Inc. 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 TODD'S Auto Body, Inc. manages its hazardous materials should be directed to Todd Fortier, president of TODD'S Auto Body, Inc.,at 541-746-7455. Date Received: OCT 14 2011 Original Submittal Revised:April 1,2009 Qimmy Joe) � s i�l �, �'"i Ri.Ri� _ � � (�J�////� �� !/ _ � p �� 9 3 I�� '� � ` �` � � � q �� (� 57� (r { ®__ I�:R§ t rte., r� �� . �. ��- �i lP` s w �� , � .�!! ��Y5 � � � f *�, �rt� .. �� ■ •� �� b '�T�I® °�� •vii■.�4t�'� . . d4 ��` {'� a • � �. If 4 + � v ■ - ,i �y 1 1 ' � � _ < ■ Section I: Facility Description Part A—General Information 1. Business Name: TODD'S Auto Body Inc. Phone: 541-746-7455 Address: 2325 Main Street Springfield, OR 97477 2. Person Responsible for the Business Name Title Phone Todd Fortier Owner/President 541-746-7455 3. Emergency Contacts: Name Title Home Phone Work Phone Ranelle Fortier: o-Owner Secreta , C 9'" / r} .54.1-517-,1996 ". 541,746=7455' F Joshua Fortier . Manager 541-870-4060 541-746-7455 4. Person Responsible for the HMMP: Name Title Phone Todd Fortier Owner/President 541-746-7455 S. Property Owner: Name Address Phone Cecil Saxon Jr. 2325 Main St Suite A 541-746-0047 Springfield, OR 97477 6. Principle Business Activity: Automotive Paint and Collision Repair 7. Number of Employees (maximum number expected): 10 8. Number of Shifts: 1 9. Hours of Operation: 8:00 am - 5:00 pm, Monday- Friday 10, Declaration: I certify that the information above and on the following parts is true and correct to the best of my knowledge. Signature: Date: I O/I b�i I Print Name: Todd . Fortier Title: Owner/President Date Received: OCT 14 2011 Original Submittal Revised:April 1,2009(Jimmy Joe) Part B -- General Facility Description/Site Plan In front of the building is paved parking for up to 8 vehicles.The building is a concrete block building with cement floors.The office space is located up front with a restroom. Inside the shop work space, is found a secondary containment storage cabinet,AREA#1 (see below on facility map in yellow).The spray booth sits in the back, middle of the work space. Up to 10 vehicles can be parked inside the building on either side of the paint booth. There's also a restroom and lunch room. Outside the building, on the back of the lot is more parking and an alley (some paved, most gravel). There is also two storage containers located in this back part of the lot.The first storage container, (8' x 30'), is used to store all our metal fabrication equipment and tools. The second storage container, (8' x 14'), is the secondary containment storage for paint products and other chemicals,AREA #2 (see below on facility map in green). This second container is also covered with a stick built roof, (approx. 17'x 17',shown below on facility map),that creates an overhang for protecting another secondary containment,AREA#3 (see below on facility map in blue). Part C Facility Map/Hazardous Material Storage Locations Front Office Space Shop7R,,tw, Restro Lunch Room TODD'S Auto Body, Inc. 2325 Main Street Springfield, OR 97477 Spray Booth XSpill Kit 0AREA#1 1 AREA 11 I*--Outline of roof that covers the container I 1 Storage I O I ARES# �O i Date Received: -clo - I OCT 14 2011 Original Submittal Section II: Hazardous Materials Inventory Statement for AREA #11 These products are stored in a metal cabinet inside the main shop Manufacturer's Name Product Name Quantity Permatex Tune-Up Grease 3 oz Permatex Anti-Seize Lubricant 8 oz STP PowerSteering 12 oz Chevron&Carquest Motor Oil 4- 1 qt Carquest Spray Lubricant Grease 10 oz DAP Gear Oil 2-1 gal Lucas Heavy Duty Gear Oil 32 oz K&N Air Filter Oil 12 oz Sta-Lube Marine Grease 14 oz 3M Spray Lubricant 2-9oz WD-40 Spray Lubricant 1 pal Cable Life Cable Lubricant 6.S oz Car uest Li uid Wrench 11 oz Permatex Gasket Sealant 4 oz Carquest Gasket Silicone 3 oz Me uiars TireSpray 24 oz 303 Spray Vinyl Protector 16 oz Caruest Brake Fluid 32 oz Carquest Transmission Fluid 2 gal Preston Anti-Freeze 3 gal Carquest Quick Starting Fluid 11 oz Rotanium Spray Rust Pre 2- 13 oz Rain-X Windshield Protector 16 oz Carquest Windshield De-Icer 1 gal Wurth Rubber Glue 3-6.5 oz DAP Contact Cement 2-32 oz 3M S ra Adhesive 2-18 oz Elmers Wood Glue 16 oz Klean-StripDeNatured Alcohol 1 gal Kent Glass Cleaner 2-18 oz Sem Spray Guide Coat 3-15 oz Wurth Spray Weld-Thru Primer 2-400ml Plastic-Kate Spray Engine Enamel 12 oz If hazardous material inventory changes,this HMIS shall be updated to reflect those changes and provided to SUB for review for compliance with SDC 3.3-200 on an annual basis. Date Received: OCT 14 2011 Original Submittal Revised:April 1,2009 Qimmy Joe) Hazardous Materials Inventory Statement for AREA #2 These products are stored outside of the main shop but in a separate storage container/room that we refer to as "The Paint Room." Manufacturer's Name Product Name Quantity PPG Refinish Products AcrylicEnarnel Man colors 90 quarts PPG Refinish Products Acrylic Urethane Sealer PPG Refinish Products Acrylic Urethane Clear PPG Refinish Products Color Blender PPG Refinish Products Basecoat PPG Refinish Products Basecoat Converter PPG Refinish Products Balancing Clear PPG Refinish Products High Velocity Clear Coat PPG Refinish Products High Solids Pol rethane Clear PPG Refinish Products Low VOC Speed Clear PPG Refinish Products Flexed"N" Flat Clear PPG Refinish Products Stratoclear PPG Refinish Products High Solids Hardener PPG Refinish Products Compliant Hardner PPG Refinish Products Epoxy Primer Catalyst PPG Refinish Products Non Sanding Epoxy Primer Gra Lead Free PPG Refinish Products Evoxv Primer PPG Refinish Products Etching Primer Catalyst PPG Refinish Products Reactive Reducer PPG Refinish Products Bonding Clear PPG Refinish Products Compliant Reducer Normal PPG Refinish Products Compliant Reducer Medium PPG Refinish Products Compliant Reducer Slow PPG Refinish Products Reducer PPG Refinish Products Urethane Hardner PPG Refinish Products All Pu ose Fla tening Base PPG Refinish Products Fast Evaporating Cleaner PPG Refinish Products Wax&Grease Remover PPG Refinish Products Aluminum Conditioner PPG Refinish Products Roadguard PPG Refinish Products Fisheye Eliminator PPG Refinish Products Flop Adjuster PPG Refinish Products Universal Blending Solvent PPG Refinish Products Flattenin A ent PPG Refinish Products Mixing Clear PPG Refinish Products Urethane Hardener PPG Refinish Products High Build Primer Surfacer PPG Refinish Products Pearl(Many colors PPG Refinish Products Wash Thinner 30-gal waste barrel PPG Refinish Products I Waste Paint 30-gal waste barrel Date Received: OCT 14 2011 Original Submittal Revised:April 1,2009 Qimmy Joe) Hazardous Materials Inventory Statement for AREA #3 These products are stored on the outside;of "The Paint Room" but under the overhangof the roof. Manufacturer's Name Product Name Quantity Carquest Waste Oil 30 al waste barrel Carquest Waste Anti-freeze 30-gal waste barrel Date Received: OCT 14 2011 Original Submittal Revised:April 1,2009(Jimmy Joe) Section III: Separation, Secondary Containment, and Monitoring For Area #1 Part A—Above Ground Storage Areas Storage Area Identification (as shown on Site plan &Floor Plan): Storage Cabinet(see AREA#1) 1. Storage Type: X Original Containers Safety Cans Inside Machinery Bulk Tank 55-Gallon Drums Outside Barrels Pressurized Vessel Other: 2. Storage Location: X Inside Building Outside Building X Secured 3. Separation: All Materials One-Hour Separation Wall X Compatible Approved Cabinets Separated by 20 feet Other: 4. Secondary Containment*: Approved Cabinet Secondary Drums Tray Bermed Floor Vaulted Tank Double-Wall Tank X Other: Inside metal cabinet with bermed floor S. Monitoring: X Visual Continuous Other: 6. Monitoring Frequency: Daily Weekly Date Received: X Other: 5 days a week OCT 14 2011 Original Submittal *All hazardous materials and wastes, regardless of container size, must be kept in secondary containment. Revised:April 1,2009 Qimmy Joe) Separation, Secondary Containment, and Monitoring for Area #2 Part A—Above Ground Storage Areas Storage Area Identification (as shown on Site plan &Floor Plan): Paint Room Lsee AREA#2) 1. Storage Type: X Original Containers Safety Cans Inside Machinery Bulk Tank X 30-Gallon Drums Outside Barrels Pressurized Vessel Other: 2. Storage Location: Inside Building X Outside Shop Building X Secured Storage Container 3. Separation: All Materials One-Hour Separation Wall X Compatible Approved Cabinets Separated by 20 feet Other: S. Secondary Containment*: Approved Cabinet Secondary Drums X Tray X Bermed Floor Vaulted Tank Double-Wall Tank X Other: Bins 6. Monitoring: X Visual Continuous Other: 7. Monitoring Frequency: Daily Weekly Date Received: X Other: 5 days a week OCT 14 2011 Original Submittal *All hazardous materials and wastes, regardless of container size, must be kept in secondary containment. Revised:April 1,2009 Qimmy Joe) Section III: Separation, Secondary Containment, and Monitoring for Area #3 Part A—Above Ground Storage Areas Storage Area Identification (as shown on Site plan &Floor Plan): Outside Paint Room (see AREA #3) 1. Storage Type: Original Containers Safety Cans Inside Machinery Bulk Tank 55-Gallon Drums X Outside Barrels Pressurized Vessel Other: 2. Storage Location: Inside Building X Outside Building under roof cover Secured 3. Separation: All Materials One-Hour Separation Wall X Compatible Approved Cabinets Separated by 20 feet Other: 6. Secondary Containment*: Approved Cabinet Secondary Drums X Tray Bermed Floor Vaulted Tank Double-Wall Tank Other: 7. Monitoring: X Visual Continuous Other: 8. Monitoring Frequency: Daily Weekly Date Received: X Other: 2 days a week OCT 14 2011 Original Submittal *All hazardous materials and wastes, regardless of container size, must be kept in secondary containment. Revised:April 1,2009 aimmy Joe) Section IV: Waste Disposal Discharge to Sanitary Sewer Pretreatment Wastes: Wastes: X Licensed Waste Hauler Recycle Wastes: Paint,thinner, oil,and Wastes: anti-freeze Other Describe Method: Wastes: No Waste Date Received; OCT 14 2011 Original Submittal Revised:April 1,2009(Jimmy Joe) Section V: Record Keeping (Inspection and Maintenance) Description of our Containment Inspection Program: • Monthly inspections will be conducted and recorded on a "Containment Inspection Log" that is on a clipboard located in the front office. (See example of that log included with this report). • The inspections will be visual, and will be conducted by Todd Fortier or Joshua Fortier, both being authorized/responsible to sign off on the Inspection Log. • The completed Inspection Forms will be kept in our records for 3 or more years. If any problems are detected,they will immediately be reported to Todd Fortier. Todd will take appropriate measures to resolve any problems. If Todd is unavailable for immediate response,Joshua Fortier will take appropriate measures to resolve the problems. Date Received: OCT 14 2011 Original Submittal Revised:April 1,2009(Jimmy Joe) Section VI: Spill Prevention All new employees are trained immediately after hiring, about the importance of safety, the hazards of chemicals and the prevention of chemical spills. Once a year, in January, all employees are re-instructed. If a new hazardous chemical is introduced into the shop, all employees be immediately instructed and educated with that product. Measures being taken to prevent spills: • All materials are stored at eye level or below. • All shelves and cabinets are maintained to be safe and secure. • Secondary containment is being used in three designated areas according to our site & floor plan. • Emergency spill kits are in place, at AREA #1 and AREA #2. The spill kit in Area #2 is also easily available for AREAU if necessary. (See locations of the Spill Kits clearly identified on the: Part C Facility Map/Hazardous Material Storage Locations). Date Received: OCT 1 Al 2011 original Submittal Revised:April 1,2009 aimmy Joe) Section VII: Emergency Response Plan 1. In the event of an emergency, the following shall be notified: A. On-Site Responders: Name Title Phone { Todd.FortteF � President/Owner -541-517 2092 Joshua Fortier Manager 541-870-4060 B. Method of Notification to Responders: Automatic Alarm X Telephone Manual Alarm X Verbal Other: C. Agency Phone Number Fire:Department Oregon Emergency Response System 1-800-452-0311 Other Dial 911 in the event of an emergency or hazardous material spill * 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: Name Address Phone i McKenziefiWillamette -0:,a-t 1460 G ' Spr nv ' '-Id.OR'97477:.541 345 2800. 3. Mitigation Equipment: A. Monitoring Devices: Date Received: Toxic or flammable gas detection X Fluid detection OCT 14 2011 Other: Original C)ubmittal B. Spill Containment: X Absorbents: In Emergency Spill Kits Other: —Kitty Litter Revised:April 1,2009(Jimmy Joe) C. Spill Control and Treatment: Vapor Scrubber Mechanical Ventilation Pumps/Vacuums X Secondary Containment Neutralizer Other: 4. Evacuation: Immediate area evacuation routes posted Entire building evacuation procedures developed Assembly areas pre-planned X Evacuation maps posted in work area next to phone Other: S. Supplemental Hazardous Materials Emergency Response Plan on Site: Location: 2325 Main Street, Springfield, OR 974774 Responsible Person: Todd Fortier Phone: Date Received: OCT 14 2011 Original Submittal _ Revised:April 1,2009(Jimmy Joe) Section XIII: Emergency-Response Training Plan 1. Person Responsible for the Emergency-Response Training Plan: Name Title Phone L4T or :, "' Td kierZ�'� res"ide"nE dwner Ranelle Fortier Secretary/Co-Owner 541-746-7455 2. Training Requirements: A. All employees trained in the following as indicated: Procedures for internal alarm/notification 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 following as indicated: X Safe methods for handling and storage of hazardous materials X Proper use of personal protective equipment X 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: Todds Auto Body, Inc. 2325 Main Street, Springfield, OR 97477 Responsible Person: Todd Fortier Phone: 541.746-7455 Date Received: OCT 14 2011 Original Submittal—_ Revised:April 1,2009 aimmy Joe) Section IX: Process for Updating HMMP 1. Person(s) responsible for keeping the Emergency-Response Training Plan updated: Name Title Phone � odd�Fortiei President%Oovner 541-746 455 , •j Ranelle Fortier Secretary/Co-Owner 541-746-7455 2. A current copy of the HMMP is located in the front office, onsite in a clearly marked notebook. The plan will be reviewed yearly and revised if necessary. Section X: Notes • A Wellhead Protection Sign is installed on-site to inform staff and visitors of the importance of reporting and cleaning up spills. This sign is located on the outside, front of the building. Damaged or missing signs will be replaced. • Vehicle Washing Policy: To keep car wash water out of the storm drain,all cars being washed behind the shop will be done over gravel with biodegradable soap. Intermittently,smaller cars will be washed inside the shop,and is advised whenever possible. Date Received: OCT 14 2011 Original Submittal Revised:April 1,2009(Jimmy Joe) HAZARDOUS MATERIAL STORAGE MONTHLY INSPECTION FORM Completed inspection sheets are to be maintained in the inspection log for at least three years Storage Area: Inspected By: Date: INSPECTION TOPIC OK COMMENTS PROBLEMS RESOLUTIONS (Include dates and times corrective actions taken Area is free of leaks and/or sills Secondary containment devices intact and secured to shelves Original containers not leaking, rusted,bulging,or dama ed Hazardous material containers are properly labeled Containers closed and sealed Spill kit accessible with signage and instructions Incompatible materials are stored separately NOTES: ®ate Recez+ved: OCT 14 2011 Original Submittal Revised:April 1,2009 Oimmy Joe) PL 0 T PLAN SCAT.>± "=20' MAIN STREET PTIBLIC NIBEWALt Y�AL A�I�G A$ P (S89 44'00 E 64.00 5' SIDEWALK Ci 63 33' —i l w N ' 41_ CDtVG?24TE APRON 4 A COMPRESSOR � . .A ,. Y 800 4 ,4. 4 Date Received STORAGE CONTAINER 14.83' STORAGE OCT 14 1011 CONTAINER —N893500-W 31.96 ginal Submittal,_____ (32.0'-CSF 11671) o 16 FOOT ALLEY (VACATED) N8955100-if 64.00' -- -- - REGISTERED PROFESSIONAL SURVEYOR BASIS OF BEARING: SOUTH LINE OF CSF 11671 �'Zi' LEGEND 0"' 0 v 16, 1sa2 O - CORNERS FOUND - 1/2' IRON PIPE PER CSF 11671 LDANI�1978gAKER O - CALCULATED POINT (NOTHING FOUND OR SET) EXPIRES 12/31/11 - PROPERTY UNE OF SURVEYED PROPERTY PLOT PLAN SE 1/4 OF SECTION 36, TI7S, R3W, W.M. SPRINGFIELD, LANE COUNTY, OREGON ate. TODD'S AUTO BODY, INC. ORAW sy.� O*B RAKER AND ASSOCIATES, SURVEYORS 9/30/11 1347 AWKET STREET MAP N0. 17-03-36-41 TAX LOT 2400 � SPRNGRFLD, OREGON 97477 (54 1) 343-7243 MAIN STR ET e 'PTIBLIC 45FDRW4a 4, Sp1�AL AVING A P (S69'44'00 F 64.00) 5' SIDEWALK i e . . 63 Jr G 1� so 4 � rq w �. `1-7 CO� CRZTE •COMPRESSOR �... 1 APRO Y a� J4.3" CONTA RANER v-, Received. 14.83' I STORACB —� CONTAINER OCT ,i 4 2011 N89'S5'00-W 31.96,�� -- O - -_. (32.0'-CSF 11671) $> iginal Submittal 16 FOOT ALLEY (VACATED) N8935 00"W 64.00" — — REGISTERED PROFESSIONAL SURVEYOR BASIS OF BEARING: SOUTH LINE OF CSF 11671 LEGEND OREGON JMY ie, ices DANIEL W. BAKER O - CORNERS FOUND - 1/2" IRON PIPE PER CSF 11671 1978 0 - CALCULATED POINT (NOTHING FOUND OR SET) EXPIRES 12/31/11 - PROPERTY LINE OF SURVEYED PROPERTY PLOT PLAN -QF. 1/d nF .QR.lrTJnAf .4Fi T774 R.4W W U