RFP-1801-049-005-GS_Solicitation

Transcription

Please return this form by 5/11/15
PROPOSAL INTENT NOTIFICATION
TO:
SUBCONTRACTS DEPARTMENT
CDM FEDERAL PROGRAMS CORPORATION
3201 Jermantown Road, Suite 400
Fairfax, VA 22030
DATE: ______________
EMAIL to: meroldkz@cdmsmith.com
RE: SOLICITATION NUMBER:
SITE NAME:
RFP-1801-049-005-GS
KLAU/BUENA VISTA MINES SUPERFUND STE
SAN LUIS OBISPO COUNTY, CALIFORNIA
FROM: Company’s Name:
Address:
_______________________________
_______________________________
_______________________________
Contact:
_______________________________
Telephone: ______________ Fax: ___________
Email:
________________________________
Indicate Business Size:
(check all that apply)
___ Large ___ Small ___ Woman Owned ___ Disadvantaged
___ Veteran Owned ___ Service Disabled Veteran ___HUBZone
The above named company (mark one):
[ ] Intends
[ ] Does Not Intend
to submit a proposal for the above referenced solicitation.
***
REQUEST FOR PROPOSAL
FOR
BATHYMETRIC SURVEYING SERVICES
FOR THE
KLAU/BUENA VISTA MINES SITE
SAN LUIS OBISPO COUNTY, CA
SOLICITATION NO. RFP 1801-049-005-GS
MAY 2015
CDM FEDERAL PROGRAMS CORPORATION
Fairfax, VA 22030
TABLE OF CONTENTS
Part
Page
1.
PROPOSAL REQUIREMENTS ................................................................................ RFP-1
2.
RESERVED .........................................................................................................................
3.
STATEMENT OF WORK/SPECIFICATIONS ...................................................... SOW-1
• Figure 1
• Figure 2
4.
HEALTH AND SAFETY PLAN ............................................................................... HSP-1
5.
PRICE SHEET (To be Submitted upon request of Subcontract Administrator) ........ RFP-1
6.
REPRESENTATIONS AND CERTIFICATIONS
7.
SAMPLE STANDARD SERVICE ORDER AND TERMS AND CONDITIONS
• SUPPLEMENTAL TERMS AND CONDITIONS
8.
SERVICE CONTRACT ACT - WAGE DETERMINATIONS
PART 1
PROPOSAL REQUIREMENTS
1.
This project is being conducted by CDM Federal Programs Corporation (CDM Smith) (the
Contractor) on behalf of U. S. Environmental Protection Agency (EPA) under the GSA
Prime Contract No. GS-10F-0227J. The Contractor is soliciting services for a
Subcontractor to perform bathymetric surveying services at the Klau/Buena Vista Mines
Superfund Site in San Luis Obispo County, California. A CDM Smith Project Manager
will be assigned to this project. A Subcontract Agreement will be made between CDM
Federal Programs Corporation and the selected Subcontractor.
2.
This is a "Brooks Act" procurement.
Subcontractor shall be registered and active in the System for Award Management (SAM)
at www.sam.gov prior to receiving payment from CDM Smith for
services/materials/supplies, etc. Firms not willing to register in SAM should not respond
to this solicitation.
In accordance with Federal Acquisition Regulations (FAR) 52.204-10 Reporting Executive
Compensation and First-Tier Subcontract Awards (July 2010), all awards greater than
$25,000.00 will be entered into www.fsrs.gov by CDM Smith.
3.
This procurement is NOT reserved for small businesses. The North American
Industrial Classification System (NAICS) code is 541370, with a size standard of $15M.
NAICS size standards may be accessed via the internet at www.sba.gov/size/.
4.
It is the responsibility of the responding firm to read and become completely familiar with
all information in this Request for Proposal (RFP) and failure to become familiar with the
RFP and the desired services will be at the offeror's own risk. Additionally, the Offeror
must be familiar with the procedures, terms, conditions and requirements associated with
performing the services described in this RFP.
Offerors are responsible for checking the CDM Smith solicitations posting page at
http://cdmsmith.com/Shared-Items/Solicitations.aspx for amendments issued prior to
proposal submittal.
5.
The subcontract document CDM Smith intends to use for this project will be based on the
Sample Service Order Terms and Conditions in Part 7 of this RFP. The Statement of
Work/Specification included in this RFP will be incorporated into the subcontract.
Offerors are not required to complete any information in Part 7 at this time.
6.
Firms that do not have the capability to meet the required specifications should not submit
a technical proposal. Please notify Kathy Merold, Sr. Subcontracts Administrator, by
returning the enclosed Intent Form if a technical proposal will or will not be submitted. A
brief explanation as to why the firm is declining to submit a technical proposal should be
submitted if the firm wishes to remain on CDM Smith’s Offerors list.
7.
Reserved.
RFP-1
8.
A representative of the Contractor will be present during all site related activities.
Activities included in the Statement of Work/Specifications shall commence within 10
calendar days of a Notice to Proceed issued by the Contractor or as directed by the
Contractor for weather delays.
9.
It is anticipated that the Subcontractor will begin activities in June 2015 and complete the
work described herein in accordance with the schedule provided in the Statement of
Work/Specifications (Part 3).
10.
The Subcontractor must meet the health and safety requirements as described in the Health
and Safety Plan included as Part 4. The Subcontractor shall perform the surveying services
in modified Level-D personal protection at the site.
11.
Proposals shall be submitted electronically (contained in 1 email, 2 separate pdf files) in
the order specified below:
A.
B.
Administrative Proposal (pdf File 1)
(1)
Completed and executed Representations and Certifications (Part 6).
(2)
Generic Certificates(s) of Insurance (Proof of Insurance) for the specific
types and values indicated in Attachment E of the Standard Service Order
Terms and Conditions including Professional Liability Insurance and
Vessel Liability Insurance.
Technical Proposal (pdf File 2)
(1)
Subcontractors who have had experience in performing similar bathymetric
surveying services and who have the capacity of providing the required
services within the stated timeframe specified in the Statement of
Work/Specifications and without the use of lower-tier subcontractor(s)
should detail this in their technical submittal.
Provide three (3) recent (within 2 years), client references for which the
Subcontractor has performed work similar to the work described in the RFP.
Client reference list must include the project name, a summary of the scope
of work, date work performed and the client name, address, contact name
and telephone number.
(2)
Resume(s) of key personnel who will be responsible for the work specified
in the Statement of Work/Specifications, including the Quality Assurance
Manager.
(3)
Outline of procedures for complying with the
Work/Specifications. This information must include:
(a)
Statement
The firm's ability to meet or exceed the schedule requirements.
RFP-2
of
(b)
(c)
(d)
C.
(4)
Copies of current State of California license(s) for key personnel.
(5)
Copies of license for Professional Land Surveyor in the State of California.
(6)
Written evidence that the Subcontractor’s health and safety plan is in full
compliance with Part 4 as stipulated in this solicitation.
(7)
Number of Personnel that will be on site during surveying activities.
Price Proposal (To be submitted upon request of Subcontract Administrator)
(1)
12a.
Technical approach to complete and Statement of Work and list of
equipment to be used.
Example of the survey log format and standard symbols to be used.
Offeror’s QA Management Plan or description of QA procedures
Completed Price Sheets and Conflict of Interest Statement (Part 5) including pricing detail (position, rate, hours, materials, etc.). Altering the
price sheet may cause a proposal to be rejected.
EVALUATION CRITERIA: Selection of a Subcontractor will be based on technical
qualifications. Technical evaluation criteria will include:
•
Demonstrated understanding of the Statement of Work/Specification as
shown by the technical approach proposed (25%).
•
Demonstrated availability, competence, and professional qualifications of
experienced surveyors, draftsman and other technical personnel (25%).
•
Demonstrated relevant past performance on contracts or subcontracts in
terms of cost control, quality of work and compliance with performance
schedule (25%).
•
Demonstrated capacity to accomplish the work in the required timeframe
(20%).
•
Demonstrated understanding of required levels of quality control and
documentation to ensure compliance with this SOW (5%)
12b.
Consideration for equal technical scores will be given in accordance with what is in the
best interest of CDM Smith. CDM Smith reserves the right to make an award without
discussions in accordance with FAR 15.306 (a) (3).
12c.
Cost Services: The cost to provide the required services will be negotiated between the
selected Subcontractor and CDM Smith (Contractor). A cost proposal will be requested
from the firm selected as the most qualified (based on technical merit) and will serve as
the starting point for negotiations with that firm.
RFP-3
If an agreement cannot be reached with this firm, the firm will be notified by the
Subcontract Administrator. CDM Smith will then follow the same procedure with the
firm ranked second technically until an agreement can be reached with a qualified firm.
The cost proposal must include all costs for completing the services described herein,
including, but not limited to: equipment, materials, supplies, all labor (including
overtime) insurance, taxes, licensing and permit fees, per diem, overhead, profit, and
conformance with health and safety protocols other Federal, State, and local requirements,
as well as regulations and requirements of the owners of the surrounding public and/or
private properties. The cost proposal shall be submitted on the Price Sheets provided in
Part 5.
13.
Offerors shall submit responses to this Solicitation, RFP-1801-049-005-GS, via email in
the format specified in Item 11 above no later than 4:00 p.m. (Virginia prevailing time) on
May 13, 2015. Offerors shall submit responses to meroldkz@cdmsmith.com with a
mandatory copy to thompsondr@cdmsmith.com. Submissions must be received in the
CDM Smith email system no later than the due date and time indicated herein.
14
No alternate proposals will be considered in response to this solicitation.
15.
All questions pertaining to this solicitation must be addressed in writing, and shall be sent
via email to Kathy Merold at meroldkz@cdmsmith.com with a mandatory copy to
thompsondr@cdmsmith.com for receipt by 2:00 p.m. (Virginia prevailing time) on May
7, 2014.
Verbal explanations or instructions given before the award of RFP will not be binding.
Any information given to a prospective proposer concerning the RFP will be furnished
promptly to all other prospective offerors as an amendment to the RFP, if that information
is necessary for submittal or if the lack thereof would be prejudicial to other prospective
offerors.
16.
Amendments. If this RFP is amended, then all the terms and conditions which are not
modified remain unchanged. For amendments go to http://cdmsmith.com/SharedItems/Solicitations.aspx and locate the solicitation.
Offerors shall acknowledge receipt of any amendments to this RFP in the cover letter of
the Technical Proposal. CDM Smith must receive the acknowledgment by the time
specified for receipt of proposals.
17.
All proposals must remain valid for one hundred twenty (120) days after the actual date
the responses are due.
18.
Late submissions, modifications, and withdrawals of proposals shall be determined by
CDM Smith in accordance with FAR 52.215-1. However, CDM Smith will not accept
facsimile submissions, notifications or withdrawals of proposals. Written notice or
telegram (including mailgram) can be issued to withdraw a proposal providing such notice
is received by CDM Smith at any time before the exact time set for receipt of proposals.
RFP-4
19.
CDM Smith reserves the right to reject all proposals and award the subcontract on what it
determines to be in the best interest of the CDM Smith and the Client.
20.
This RFP does not commit CDM Smith to pay for any costs incurred in the preparation and
submission of technical and/or price proposals or for any other costs that may be incurred
prior to the award of a subcontract agreement.
21.
Exceptions to the terms, conditions and requirements of this RFP, including but not
limited to the terms and conditions of the sample Service Order Terms and
Conditions may cause a proposal to be rejected. Any exceptions must be clearly
addressed in the cover letter of the proposal submittal.
RFP-5
PART 3
STATEMENT OF WORK
STATEMENT OF WORK
Statement of Work/Specifications for Bathymetric Survey
3.1 Scope of Work
A. This statement of work (SOW) is intended to give a general description of the work required, but not
cover all variations which may occur during the actual work, for conducting a bathymetric survey in a
small private reservoir at the Klau/ Buena Vista Mines Superfund Site (Site). CDM Federal Programs
Corporation (CDM Smith, herein after referred to as Contractor) is under contract with the United States
Environmental Protection Agency (EPA) to conduct a bathymetric survey at the Site. This SOW is intended
to cover the successful completion of the work specified, whether every detail is specifically mentioned or
not. All work shall be performed in accordance with the terms of this SOW.
B.
The Site is located in the Santa Lucia Mountain Range of the California Coast Mountain Range (Figure 1).
The Site is drained by tributaries to Las Tablas Creek which flow roughly south to north and is within the
headwaters of the Nacimiento River, a major tributary of the Salinas River, which drains the east side of
the Santa Lucia Mountains in the Coast Range of Central California. The Las Tablas Creek watershed is
approximately 12 miles from the Pacific Ocean near Cambria, California, and approximately 13.5 miles
from the Salinas River near Paso Robles.
Mineral extraction for mercury began at the Site in the late 1860s and continued until 1970. Mercury
production at the Site involved roasting cinnabar-containing ore to recover mercury. The ore was heated
in retorts or furnaces to vaporize the mercury from the ore. The vapor was then cooled and resulting
elemental liquid mercury was collected in iron flasks. Byproducts of mercury production include mine
tailings, low grade ore and waste rock. In addition, mercury production activities resulted in the release of
mercury to the air which was subsequently deposited on the ground surface in the vicinity of the
production areas. During mining operations, waste rock, tailings and mercury extraction wastes were
dumped in drainage channels situated downstream from the mines. Weathering from heavy rains caused
deep erosion channels to develop throughout the Site, thereby releasing additional sediment into the
North Fork of Las Tablas Creek and the Klau Branch of the South Fork of Las Tablas Creek. Las Tablas Creek
has carried sediment from the mining influenced areas to Las Tablas Creek Ranch Reservoir.
Las Tablas Creek Ranch Reservoir, a private reservoir, is located within the lower reaches of Las Tablas
Creek upstream of Lake Nacimiento (Figure 2). Las Tablas Creek Ranch Reservoir was formed by
construction of an earthen dam in 1958 and is the body of water being surveyed.
C.
The work to be performed under this section includes the furnishing of all labor, materials, equipment,
and other facilities and incidentals necessary to conduct a bathymetric survey at the Site. Generally, the
survey will include the following tasks:
Task 1: Mobilization/Demobilization – Mobilization includes the movement of all equipment, personnel,
and material to the Site for the completion of the survey. Demobilization includes the removal of all
equipment, personnel, and material from the Site at the completion of onsite activities.
Task 2: Bathymetric Survey – The Subcontractor will perform a single beam bathymetric survey of Las
Tablas Creek Ranch Reservoir. The survey area, shown on Figure 2, will include the area where Las Tablas
Creek flows into Las Tablas Creek Ranch Reservoir and the reservoir up to the earthen dam. A ground
SOW-1
control point was established by Sea Engineering Inc. during a bathymetric survey in summer 2014 and
marked with a PK nail. The purpose of the summer 2015 bathymetric survey is to evaluate changes to the
reservoir sediment bed geometry over the course of a year.
Task 3: Reporting – The Subcontractor will produce a report describing the results of the bathymetric
survey.
D. The summer 2014 control point was established using a static position dataset recorded for more than 8
hours, for comparison to the first static position dataset. The first static position dataset was collected
over approximately 30 minutes on the previous day. Both datasets were submitted to the Online
Positioning User’s System (OPUS) for rapid static processing, yielding the three‐dimensional coordinate
location of the temporary survey control point. Subsequently, six individual raw positioning files were
recorded and submitted to OPUS. Coordinate solutions of each differed by less than 0.2‐feet from the
average values of all the solutions. Representative coordinate solutions from each day are shown in Table
1. The GPS Base Station coordinates used for the project control point are shown highlighted in gray at
the bottom of the table.
Table 1 – OPUS Coordinate Solutions from Establishment of Temporary Survey Control
Date
5/11/2014
5/12/2014
GPS BASE Project
Coordinates
E.
Base Station Coordinate Solutions
Orthometric
Latitude (N)
Longitude (W)
Height (NAVD88)
35 41 4.86437
120 56 25.90013
839.45’
35 41 4.86438
120 56 25.89992
839.46’
35 41 4.86435
120 56 25.89999
839.45’
The survey shall be completed in May or June 2015.
SOW-2
3.2 Requirements
3.2.1 Mobilization/Demobilization
A. The Subcontractor’s mobilization/demobilization to the Site will include, but is not limited to,
transportation of the boat and associated equipment, equipment for conducting the bathymetric survey,
sub-meter global positioning satellite (GPS) system, water, crew, and per diem.
B.
The boat must be cleaned to prevent zebra mussels and other aquatic organisms from being
unintentionally introduced into the reservoir. Facilities for cleaning the boat are not present at the Site.
C.
Time for daily health and safety tailgate meetings.
D. Tying into the temporary ground control point established in summer 2014 (Figure 2).
E.
Site clean-up including removal of Subcontractor-generated debris and trash.
F.
The Subcontractor will be responsible for preserving, protecting, and preventing damage to all public and
private property. The Subcontractor shall minimize impacts to wetland areas.
G. Removal of Subcontractor equipment and other non-hazardous waste materials, including personal
protective equipment (PPE), various packaging materials, plastic sheeting, and general refuse which will
be disposed of at the Subcontractor’s off-site disposal containers.
H. All other costs not specifically included in other bid items.
Mobilization will also include all charges incidental to the Subcontractor's cost for safety training, PPE, life jackets
and working over the water.
The Subcontractor will be responsible for securing their equipment and all materials while at the Site. The
Contractor will not be responsible for any of the Subcontractor's material or equipment that may be vandalized,
stolen or otherwise rendered unsuitable for use on this project. A small storage container will be available for the
Subcontractor to store a few small items.
3.2.2 Bathymetric Surveys
A. The Subcontractor will perform a single beam bathymetric survey along the water body using an Odom
Echoscan shallow water acoustic bathymetric survey system or equivalent, a Trimble R8 RTK GPS or
equivalent, and a Trimble TSC2 data collector with Trimble survey controller or equivalent. Data will be
processed using Hypack Max software or equivalent
B.
The Subcontractor’s vessel shall be equipped with a differential global positioning system (DGPS) and shall
allow access to shallow water along the shore and in the upstream portion of the reservoir such that the
bathymetric survey area is maximized.
C.
The bathymetric survey will be performed in a manner consistent with the United States Army Corps of
Engineers (USACE) Class 1 survey methods and accuracies.
D. The maximum interval between survey lines shall be 25 feet and sounding precision will be six (6) inches
with sounding intervals every five to ten feet.
SOW-3
E.
Survey work conducted by the Subcontractor must be performed during weather and reservoir conditions
adequate for quality survey results. An approved daily log must be kept to record the personnel, craft,
conditions, activities, and equipment used during each day of work. A 10-hour work day is assumed for all
activities.
F.
Bathymetric survey vessels will conform to the U.S. Coast Guard requirements for passenger-carrying
vessels of its size. The vessel will have adequate seating space for each survey crewmember. An operator
possessing a valid U.S. Coast Guard license to pilot passenger-carrying vessels shall be present on the
vessel during all sounding operations.
G. Bathymetric survey procedures (positioning modes; GPS calibration, accuracy requirements; depth
measurements calibration; and data reduction, adjustment, processing, and plotting, etc.) shall conform
to industry standards similar to those in the Hydrographic Survey Manual, Corps of Engineers Manual (EM
1110-2-1003, 01 January 2002) and other recognized technical manuals.
H. Each sounding for depth will be accomplished by a fully integrated and automated hydrographic data
acquisition system utilizing a single-beam echo sounder that 1) is capable of speed of sound correction
adjustments and has a frequency operating capability of 200 kilohertz (kHz) +/-20 with a manufacturer’s
stated accuracy of 0.03 meters (0.1 foot) or less, and 2) has motion sensor capability with a
manufacturer’s stated compensation accuracy of +/-0.05 degrees or less for vessel pitch and roll and the
greater of 5 centimeters (cm) or 5 percent for heave.
I.
Bar checks and calibration will be performed at the intervals specified in EM 1110-2-1003 for Class 1
surveys. A velocity meter/sound profiler may be substituted for a bar and will be performed in
accordance with Manual specifications. Calibrations and checks will be taken at 3-meter intervals or less
to the maximum working depth at the Site and shown on the depth record (fathometer rolls and/or in
field notes).
J.
Navigation line spacing interval for data collected shall be determined onsite for optimum beam coverage
and overlap in order to meet the accuracy and resolution required to ensure that no gap in coverage
exists. Cross-line checks shall be run for all Class 1 surveys. Procedures and tolerances will conform to
criteria prescribed in EM 1110-2-1003.
K.
Survey files will be edited to eliminate extraneous data and display an accurate representation of the area
of interest. Data with a quality index of less than 3 and depths below or above known parameters will be
eliminated. The thinning interval will not exceed 10 feet.
3.3 Submittals and Deliverables for the Bathymetric Survey
A. The Subcontractor will provide coordinate data files, processed to a comma-delineated ASCII
format to the Contractor. Data sequence shall be Point ID, Northing, Easting, Elevation, and
Description of every sounding.
B. The Subcontractor shall prepare the drawings using AutoCAD® 2013 or compatible version of
AutoCAD® so that the Contractor can work with the files after the Subcontractor has prepared the
drawings. AutoCAD® drawings shall be prepared in accordance with the national computer aided
drafting (CAD) standards, which can be obtained at http://www.nibs.org.
C. The draft and final drawings shall be submitted on a labeled CD-ROM. At the discretion of the
Contractor, drawings may be zipped for convenience of delivery and the drawings sent via email.
Only the default text font shall be used.
D. Drawings shall include the following:
SOW-4
a.
b.
c.
d.
e.
f.
g.
h.
i.
Survey date;
Project name;
North arrow;
Bar scale;
Coordinate grid tics;
1-foot Contour lines;
Shorelines and structures;
Contract number; and
Survey firm.
3.4 Quality Assurance/Quality Control Requirements
A. The Subcontractor shall be licensed by the California Board of Professional Engineers, Land Surveyors, and
Geologist.
B.
The Subcontractor shall have all applicable certifications and shall employ only qualified personnel for the
execution of this work. All work shall be performed under the direct supervision of an experienced
analyst. The Contractor reserves the right to have the Subcontractor remove and replace Subcontractor
and/or lower-tier Subcontractor personnel deemed in view of the Contractor to be unqualified for this
particular project. Such removal and replacement of personnel will be totally at the Subcontractor's
expense.
C.
The Contractor may make any investigations deemed necessary to determine the ability of the
Subcontractor to perform the work; and the Subcontractor shall furnish to the Contractor any information
requested for this purpose.
D. The Subcontractor selected for performing this work shall have performed work similar to that described
in this Statement of Work/Specifications.
E.
The Subcontractor shall be available for a conference call with the Contractor’s Project Manager and
Technical Leader to:
1.
2.
3.
4.
5.
6.
7.
Confirm survey schedule.
Identify the Contractor and Subcontractor contacts for technical issues/surveying
issues/administrative issues etc.
Become knowledgeable of the Contractor’s expectations on invoices.
Confirm and clarify SOW requirements – turnaround times, deliverables, and reporting requirements
etc.
Review communication requirements – identify communication triggers (equipment breakdown,
quality Issues/ analytical problems, etc.).
Verify Contractor’s client requirements.
Review health and safety requirements for working at the Site. Coordinate Site access prior to
mobilization, including launching the boat in Las Tablas Creek Ranch Reservoir, a privately owned
reservoir.
F. The Subcontractor shall maintain documentation of all tasks required in this SOW.
G. The Subcontractor shall ensure internal QC over its activities and work products, as well as implement
corrective action if non-conformances occur.
H. The Subcontractor shall maintain equipment according to manufacturer specifications.
I. The Subcontractor shall provide calibration records for equipment, if applicable.
J. The Subcontractor shall agree to an onsite audit of field procedures by the Contractor if requested.
SOW-5
K. The Subcontractor shall perform an internal quality review of work products prior to submittal to the
Contractor.
L.
The Subcontractor shall notify the Contractor of quality problems and corrective action taken.
M. The Subcontractor shall review health and safety requirements with the Contractor’s Project Manager
prior to working at the Site.
N. The Subcontractor shall coordinate Site access with the Contractor’s Project Manager prior to
mobilization, including launching the boat in Las Tablas Creek Ranch Reservoir.
3.5 Health and Safety
The Subcontractor shall perform all work tasks in accordance with the Contractor’s Site health and safety plan
(SHASP). The SHASP is included in Section 4 for the Subcontractor to review. If the Subcontractor chooses to
follow their own SHASP, then they will submit a copy to the Contractor for review prior to working at the Site.
3.6 Notification
A. The Subcontractor shall commence activities within 10 calendar days of Notice to Proceed from the
Contractor. The fieldwork is anticipated to occur in May or June 2015.
B.
The Subcontractor shall notify the Contractor’s Contracting Officer and Project Manager in writing at least
24 hours in advance of any anticipated delays in the agreed upon schedule.
3.7 Reporting Requirements
A. The required deliverable format is a pdf and native files which will include Microsoft Word, Excel,
geographic information systems (GIS) and AutoCAD® 2013 or compatible file types.
B. Within 30 days of completion of the survey the report should be submitted via e-mail to the following:
1. Contractor Project Manager, To Be Provided Upon Award
2.
C.
Technical Lead, To Be Provided Upon Award
The report should be submitted to the Contractor’s project manager, via email.
3.8 Warranties and Representation
The Subcontractor shall be responsible for the professional quality of the work including:
1.
The work, accuracy, and completeness of the survey.
2.
The Subcontractor has in effect QA procedures that shall ensure the quality of services that are
performed.
3.
The Subcontractor possesses and shall maintain all licenses and certifications that are required for
the work. The Subcontractor shall present evidence thereof upon request by the Contractor or the
EPA and shall notify the Contractor immediately by telephone, and confirm in writing within 1
business day, after any decertification or revocation on any license, or notice thereof.
3.9 Measurement and Payment
SOW-6
Item 1 - Bathymetric Survey and Final Report. This item shall be paid on a lump sum/firm fixed price basis and shall
include all costs associated with performing the bathymetric survey services in accordance with the Statement of
Work.
3.10 Permits
The Subcontractor is responsible for obtaining any and all permits required to perform the work outlined in this
scope of work.
3.11 Schedule
The Contractor anticipates that the survey will be conducted in May or June 2015. The Contractor reserves the
right to revise the schedule at no additional Subcontractor cost. The Subcontractor will be promptly notified of
any changes to the schedule.
SOW-7
C:\KBV\Work Plan Figure 1_Location Map.mxd
9/27/2013 [10:42 AM]
Project Location
HORRIEAM, CDM Smith
Lake Nacimiento
OU3
OU2
OU1
O
Project Extent
4
Note: Background map courtesy of ESRI ®.
OU - Operable Unit
0
4
Miles
Technical Work Plan
Klau and Buena Vista Mines Superfund Site
San Luis Obispo County, California
FIGURE 1
Site Location Map
T:\100169-KBV\GIS\MXD\2014\BathymBaseMap_meanWindSpeed.mxd
10/13/2014 [10:23 AM]
HUSEKE, CDM Smith
y
X
- approximate location of summer 2014
temporary ground control point
100
0
100
200
Feet
Bathymetric Contours (1 ft interval)
792 ft
803 ft
O
Notes:
1. Bathymetric Contours: Sea Engineering, May 2014
2. Background Hillshade: Quantum Spatial
3. Background Aerial Source: Esri, DigitalGlobe, GeoEye, i-cubed, Earthstar
Geographics, CNES/Airbus DS, USDA, USGS, AEX, Getmapping, Aerogrid,
IGN, IGP, swisstopo, and the GIS User Community
Klau/Buena Vista Mines Superfund Site
San Luis Obispo County, California
2
FIGURE 1.3-1
2013-2014 Wet Season Mean Wind Speed
and Direction for Las Tablas, California
PART 4
HEALTH AND SAFETY OUTLINE
PART 4 - HEALTH AND SAFETY
HAZARDOUS WASTE SITES/OPERATIONS
4.1
INTRODUCTION
A.
The following material outlines, generally, the relationship that CDM Smith maintains with
Subcontractors in health and safety related matters. It attempts to define the responsibilities that
each has as they relate to work associated with hazardous waste sites.
4.2
RESERVED
4.2.1
RESERVED
4.2.2
RESERVED
4.2.3
WORK ON HAZARDOUS WASTE SITES OR HAZARDOUS WASTE OPERATIONS
A.
The following protocols are intended to address OSHA 29 CFR 1910.120 regulations.
B.
The work to be carried out under these protocols is on or adjacent to a hazardous waste site or
operation. Hazardous materials are or may be present in the air, on the surface or subsurface.
These materials may require the use of protective clothing and respiratory protective equipment
to minimize chemical exposure. The Subcontractor and his employees shall implement and
maintain all appropriate procedures as they apply to Subcontractor's work prior to, during and
after performance of the work. Subcontractor is responsible for ascertaining the level of
protection for each task and assuring that its employees and its subcontractor employees are
properly equipped.
Subcontractor personnel must have the training and medical approvals required by the 29 CFR
1910.120 regulation. The Subcontractor and his employees shall implement and maintain all
appropriate procedures at least as strict as these as they apply to Subcontractor's work prior to,
during and after performance of the work, unless exempted as in 4.2.4, below.
C.
Subcontractor personnel must have the medical and training approvals required by the OSHA
Hazardous Waste Operations standard and described in Sections 4.3 and 4.4 of this protocol.
Subcontractor must certify that the personnel meet these guidelines.
D.
All personnel either in or adjacent to the work zone shall wear the appropriate protective
equipment.
4.3
HEALTH AND SAFETY PLANS - WORK ON HAZARDOUS WASTE SITES OR
HAZARDOUS WASTE OPERATIONS
4.3.1
SUBCONTRACTOR HEALTH AND SAFETY PLANS
A.
The Subcontractor shall develop and implement their own Health and Safety Plan (HASP). If
CDM Smith is required to develop a site HASP, a copy will be supplied to the Subcontractor.
HSP-1
Part 4
Rev Sept 2009
This HASP may be used as a guide to outline the minimum requirements of the Subcontractor's
HASP, but CDM Smith does not represent or warrant that it's HASP is an adequate or complete
guide for the Subcontractor's work and the Subcontractor remains fully responsible for the
adequacy and completeness of its own HASP. If the Subcontractor's work is essentially the same
as that described in the HASP, the Subcontractor may elect, with the concurrence of the CDM
Smith Health and Safety Manager, to utilize the provisions of the CDM Smith HASP in its
entirety. When this is permitted, all Subcontractor employees involved with the work will be
required to read and understand the contents of the HASP and sign the signature form contained
in the HASP. Prior to work on hazardous sites, the Subcontractor shall provide CDM Smith with
a fully completed and executed signature form, which acknowledge that the worker has read and
understood the HASP. The Subcontractor is fully responsible for the implementation and
maintenance of the requirements of the HASP.
B.
Subcontractor's HASP shall be consistent with the following requirements:
1.
OSHA Safety and Health Standards 29 CFR 1910 (General Industry), U.S. Department
of Labor, Occupational Safety and Health Administration. Hereafter, referred as "29
CFR 1910"
2.
OSHA 29 CFR 1910.120 Hazardous Waste Operations and Emergency Response, U.S.
Department of Labor, Occupational Safety and Health Administration
3.
OSHA Safety and Health Standards 29 CFR 1926 (Construction Industry), U.S.
Department of Labor, Occupational Safety and Health Administration
4.
Standard Operating Safety Guidelines, EPA Office of Emergency and Remedial
Response Publication 9285.1-03. Hereafter referred to as "EPA Guidelines"
5.
Occupational Safety and Health Guidance Manual for Hazardous Waste Site Activities,
U.S. Department of Health and Human Services, Public Health Service, Centers for
Disease Control, National Institute for Occupational Safety and Health.
6.
Client Health and Safety Requirements.
4.3.2
ADOPTION OF HEALTH AND SAFETY PLAN
A.
If the Subcontractor adopts CDM Smith’s Plan, the Subcontractor shall acknowledge this with
the signature of a designated representative on a letter accepting the plan. The letter will be
provided prior to commencing work activities. (CDM Smith does not warrant that the CDM
Smith Plan will be sufficient for Subcontractor's work. Subcontractor must make an independent
determination of the applicability of the CDM Smith Plan to the Subcontractor's work and must
comply with all applicable statutes, regulations and codes.)
B.
If the Subcontractor adopts the CDM Smith Plan, this plan becomes the responsibility of the
Subcontractor to implement as it pertains to Subcontractor's work. The Subcontractor assumes all
liabilities from such adoption and implementation.
C.
If a Subcontractor develops a health and safety plan, Subcontractor shall provide it to CDM
HSP-2
Part 4
Rev Sept 2009
Smith for review within five (5) days after award of this Subcontract, or at least five (5) days
prior to commencement of operations at the job site, whichever occurs last. Subcontractor shall
certify in writing its intention to adopt the CDM Smith Plan prior to commencement of operating
at the job site.
D.
The Subcontractor assumes all liabilities associated with the implementation of the Plan.
4.3.3
CONTENTS OF SUBCONTRACTOR HASP
A.
The Subcontractor's HASP shall include, but not necessarily be limited to, the following
components, as appropriate:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Characterization and Analysis
Safe Work Practices
Engineering Safeguards
Medical Surveillance
Environmental and Personal Monitoring
Personal Protective Equipment
Training
Standard Operating Procedures
Control and Decontamination
Emergency and Contingency Planning
Logs and Reports
Hazard Communication Program
Material Handling
Sanitation
Excavation
4.3.4
MODIFICATIONS TO HEALTH AND SAFETY PLANS
A.
Should the Subcontractor seek relief from, or substitution for, any portion or provision of the
Subcontractor's HASP, such relief or substitution shall be requested of CDM Smith in writing.
The requested modification will not be implemented until authorized by CDM Smith unless
necessary to prevent imminent danger to life, property or the environment.
B.
Subcontractor shall quickly notify CDM Smith, both verbally and in writing, of any unforeseen
hazard, safety related factor, or condition they observe during the work at the site. In the interim,
Subcontractor shall take prompt action to establish and maintain safe working conditions and to
safeguard employees, the public, and the environment in accordance with the HASP.
Should CDM Smith modify any portion or provision of CDM Smith’s Plan, CDM Smith will
notify the Subcontractor in writing of such modifications.
C.
4.3.5
ENFORCEABILITY
A.
If the Subcontractor does not fulfill these requirements the Subcontract may be suspended and/or
terminated in accordance with the applicable default termination clause in the subcontract. In the
event of suspension and/or termination, the Subcontractor will not be deemed eligible for standby
time or other compensation for down time during such periods. Failure to comply with these
HSP-3
Part 4
Rev Sept 2009
requirements, when failure impacts the performance schedule of the prime contract, may subject
the Subcontractor to claims for incidental or consequential damages.
B.
Any disregard for the provisions of these Health and Safety requirements shall be deemed just
and sufficient cause for termination of this subcontract.
4.4
MEDICAL SURVEILLANCE
4.4.1
PHYSICIAN'S CERTIFICATION
A.
The Subcontractor shall utilize the services of a physician to provide medical surveillance as
required by OSHA regulations. The physician's certification of each Subcontractor staff member
involved in performance of work under this subcontract shall be on file in Subcontractor's office
and available upon request by CDM Smith prior to the Subcontractor commencing work. The
certificate must bear the name of the employee and the signature of the physician. The physician
must certify that each individual is medically qualified to use respiratory protective devices for
the assigned work and is fit to perform the assigned work.
4.4.2
MEDICAL SURVEILLANCE PROTOCOL
A.
Medical surveillance protocol for the Subcontractor's employees is the responsibility of the
Subcontractor's physician. However, certification shall be provided that such medical
surveillance meets the requirements of OSHA Standards 29 CFR 1910.120 for all personnel.
4.4.3
FREQUENCY OF EXAMINATION
A.
Medical examinations must be provided in the following conditions:
1.
2.
3.
4.
More than a year has passed since the employee's last examination.
The employee is returning to work from a lost time or other short term
disability/situation or has reason to suspect that an acute exposure to a toxic or hazardous
material has occurred.
The examining physician requests it.
The employee leaves the company or transfers to a position which would not require
potential exposure to hazardous waste.
4.5
TRAINING
4.5.1
BASIC HEALTH AND SAFETY TRAINING
A.
The Subcontractor shall submit a statement indicating that personnel to be within the work zone
understand they are working on a hazardous waste site/operation and are trained and qualified in
compliance with 29 CFR 1910.120. In addition, all subcontractor personnel will be adequately
trained for the work to which they are assigned.
B.
Subcontractor's personnel must have completed the training requirements specified in the OSHA
regulations.
HSP-4
Part 4
Rev Sept 2009
4.5.2
SITE SPECIFIC TRAINING
A.
A site-specific training session for Subcontractor personnel scheduled to work on site will be
conducted by the Subcontractor prior to any work on site.
4.6
EQUIPMENT
4.6.1
PROVISION OF SAFETY EQUIPMENT
A.
Subcontractor shall supply all protective clothing and equipment necessary for their personnel
and maintained in accordance with the manufacturer's specifications. All equipment shall be
Mine Safety and Health Administration (MSHA)/NIOSH approved, if applicable.
4.6.2
ONSITE EQUIPMENT USE
A.
Subcontractor's personnel shall not enter an area to perform a task for which a respirator might
be required unless they are in compliance with 29 CFR 1910.134, Respiratory Protection. All
onsite personnel shall wear a hard-hat where required by the client, OSHA, state or local
regulations.
B.
All prescription eyeglasses worn on site shall be safety glasses. Subcontractor shall provide
prescription lens inserts for employees who need to wear full face respirators. Contact lenses are
prohibited inside respirators.
C.
All personnel protective equipment worn on site will be decontaminated and/or properly
disposed of at the end of the work day.
D.
All safety clothing, including work clothing and safety boots, which have entered the work zone
shall be properly decontaminated and/or disposed of.
4.7
PERSONAL HYGIENE
A.
Subcontractor personnel shall observe the following contamination control rules while on site.
B.
Eating, drinking, smoking, chewing gum or tobacco, and other practices that increase the
probability of hand-to-mouth transfer and ingestion of material is prohibited in any area
designated as a contaminated area.
C.
Hands and face shall be thoroughly washed upon leaving the work area and before eating,
drinking, smoking, etc.
D.
Whenever decontamination procedures for protective clothing are in effect, the entire body shall
be thoroughly washed as soon as possible after the protective clothing is removed.
E.
No facial hair which interferes with a satisfactory fit of a respirator mask-to-face-seal is allowed
on personnel required to wear respiratory protective equipment.
F.
The use of prescription drugs is prohibited unless documentation from the prescribing physician
HSP-5
Part 4
Rev Sept 2009
stating that the drugs will not interfere with the employee's ability to work is provided.
G.
Alcoholic beverages are prohibited and employees appearing to be under the influence of alcohol
or illegal drugs will not be allowed site access, or will be removed from the site.
4.8
SITE HEALTH AND SAFETY CONTROL
4.8.1
SITE HEALTH AND SAFETY COORDINATOR (SHSC)
A.
CDM Smith’s Site Health and Safety Coordinator (SHSC) is responsible to ensure that the CDM
Smith HASP is implemented and followed by CDM Smith employees. The SHSC may also
provide periodic observation of the Subcontractor activities for compliance with the
Subcontractor's HASP. The periodic observation by SHSC shall not relieve the Subcontractor of
its sole responsibility to comply with all applicable statutes, regulations and codes and it is the
Subcontractor not the SHSC who is solely responsible for the compliance of its employees.
4.8.2
AIR MONITORING
A.
Air monitoring for pollutants of concern may be performed by CDM Smith or others, unless
specifically assigned to the Subcontractor. Photoionization detectors (PIDs), organic vapor
analyzers (OVAs), and additional appropriate equipment may be used to measure and assess
chemical exposure. Results will be provided to the Subcontractor.
4.8.3
ACCIDENT REPORTING
A.
The Subcontractor will inform the CDM Smith SHSC, CDM Smith Health and Safety Manager
or the CDM Smith Project Manager as soon as possible, of any accidents, injuries, illnesses, or
environmental releases associated with this Subcontract.
HSP-6
Part 4
Rev Sept 2009
Contract No.: GS‐10F‐0227‐J Order No.: EP‐G139‐00181 Health and Safety Plan
Sediment Erosion and Deposition
Assessment (SEDA) and Contaminant
Loading Evaluation, Klau and Buena
Vista Mines Superfund Site, San Luis
Obispo County, California
CDM Federal Programs Corporation
1218 Third Avenue, Suite 1100 Seattle, WA 98101 November 12, 2013 HEALTH AND SAFETY PLAN FORM
CDM Smith Health and Safety Program
This document is for the exclusive use
of CDM Smith and its subcontractors
PROJECT NAME
Klau Buena Vista Mine Superfund
PROJECT#
100169 REGION
SITE ADDRESS
780 Klau Mine Rd
CLIENT ORGANIZATION
Paso Robles, CA 93446
CLIENT CONTACT
San Luis Obispo County, CA
US EPA
Jim Sickles
415 / 972 - 3265
CLIENT CONTACT PHONE #
(No) AMENDMENT TO EXISTING APPROVED H&SP?
(
) H&SP AMENDMENT NUMBER?
( ) DATE OF PREVIOUS H&SP APPROVAL
OBJECTIVES OF FIELD WORK:
(e.g. collect surface soil samples):
SITE TYPE:
1. Mobilize to Site
2. Install sampling stations
3. Perform stream survey
4. Perform dry-weather sampling activities
5. Perform wet-weather sampling activites
6. Collect sediment samples in creek
7. Install and monitor sediment traps in reservoir
8. Perform LiDAR and bathometric survey in reservoir
9. SedFlume Erodability study
Check as many as applicable
Active
( )
Landfill
( )
Unknown
( )
Inactive
(X)
Uncontrolled
( )
Military
( )
Secure
(X)
Industrial
(X)
Other (specify)
Mine
Unsecure
(X)
Recovery
( )
Enclosed space
( )
Well Field
( )
All requirements described in the CDM Smith Health and Safety Manual are incorporated in this health and safety plan by
reference.
Company / Division Current Training
/ Office
& Medical?
PERSONNEL AND RESPONSIBILITIES
NAMES OF WORK CREW MEMBERS
Project or Site Responsibilities
Tasks
On Site?
Andrew Greazel
CDM Smith/CED/PDX
Yes
Work Assignment Manager
1-2-3-4-5-6-7-8-9
Ryan Wood
Craig Nochajski
CDM Smith/CED/WLC
Yes
Site Safety Officer (SSO) and alternate Field Team Leader (FTL)
CDM Smith/CED/LTC
Yes
2nd H&S Coordinator and FTL
1-2-3-4-5-6-7-8-9
1-2-4-5-6-7
Neal Batchelder
CDM Smith/CED/LTC
Yes
Field Staff
1-2-3-4-5-6-7-8-9
Eric Blischke
CDM Smith/CED/PDX
Yes
Technical Leader
1-2-3-4-5-6-7-8-9
NA
Yes
Subcontractor
Sea Engineering, LiDAR, and Bathymetric Subcontractors
BACKGROUND REVIEW:
Page-1
( ) Complete
8-9
( ) Incomplete
KBV Final HASP for SEDA.xlsx
11/6/2013
HEALTH AND SAFETY PLAN FORM
SITE MAP: Show Exclusion, Contamination Reduction, and Support Zones. Indicate Evacuation and Reassembly Points
Page-2
11/6/2013
HISTORY:
Summarize conditions that relate to hazard. Include citizen complaints, spills, previous investigations or agency actions, known injuries, etc.
From the EPA Superfund website: The Klau/Buena Vista Mine is located in San Luis Obispo County, approximately 12 miles west of Paso Robles, California. The Klau/Buena Vista Mine consists of two abandoned mercury mine sites (Klau and Buena Vista) that are located on adjacent properties on a northwest‐southeast ridge of the Santa Lucia Range in the California coastal mountains. Mercury mining and ore processing operations occurred at the Buena Vista Mine and adjacent Klau Mine between 1868 and 1970. In 1999, the California Central Coast Regional Water Quality Control Board (RWQCB) requested that the EPA Region 9 Emergency Response Office assist in preventing the continued release of mercury‐laden sediments and other contaminants from the site. Substantial site stabilization work was conducted. These actions have reduced the discharge of acid mine drainage (AMD) and discharge into Las Tablas Creek, but uncontained contamination remains on the site. The remedial investigation began in 2007. Phase I sampling for the remedial investigation was completed in November 2007. Soil, sediment, surface water and biota were sampled. Phase II sampling of surface water and biota was completed in April 2008. Concurrent with the remedial investigation activities, EPA Emergency Response staff returned to the site in Summer 2008 to address seepage of acid mine drainage from the Buena Vista Mine Tailings repository, fill in a new sinkhole at the Klau Mine portion of the site, and perform general site maintenance. A data summary of the Phase I and II sampling was released in October 2008 and work was begun on both the human health risk assessment and screening level ecological risk assessment. Additional sampling of a second stormwater event and the installation of groundwater monitoring wells was conducted in mid‐2009. The draft Remedial Investigation Report was submitted in August 2011. The site has been divided into operable units. OU 1 includes the mine site; OU 2 includes Las Tablas Creek between the Klau/Buena Vista Mine and Harcourt Reservoir; OU 3 includes Las Tablas Creek downstream from Harcourt Reservoir and Lake Nacimiento.
WASTE TYPES:
( X ) Liquid
WASTE CHARACTERISTICS:
( X ) Solid
( X ) Sludge
( ) Gas
( ) Unknown
Check as many as applicable.
( ) Corrosive
( ) Flammable
( ) Radioactive
( X ) Toxic
( ) Volatile
( ) Reactive
( ) Inert Gas
( ) Unknown
Monitoring stations will be installed directly below the Klau and Buena Vista adits
(OU1). The highest concentrations of metals is expected in these work zones. The
remaining work will be performed in OU2 which includes the Las Tablas Creek
Watershed and Las Tablas Creek Reservoir areas. Much lower concentrations (nonacute) of metals are expected in these work zones. Work will only be performed in OU1
and OU2. Formal work zones will not be established.
( ) Other:
HAZARDS OF CONCERN:
( ) Other, specify:
WORK ZONES:
Check as many as applicable.
FACILITY'S PAST AND PRESENT DISPOSAL METHODS
AND PRACTICES:
( X ) Heat Stress
CDMS Guideline ( X ) Noise
( X ) Cold Stress
CDMS Guideline ( X ) Inorganic Chemicals
( ) Explosive/Flammable
( ) Organic Chemicals
( ) Oxygen Deficient
( X ) Motorized Traffic
( ) Radiological
( ) Heavy Machinery
(X) Biological
( X ) Slips & Falls
( X ) Other:
Ticks, snakes, & wildlife
( X ) Other:
Drowning, Moving water in Creek
CDMS Guideline
CDMS Guideline
During active mining, waste rock, tailings and mercury extraction wastes
were dumped in drainage channels situated downstream from the mines.
This plan incorporates CDM Smith's procedure (in Appendix A) for:
Page-3
Traffic and Work Zone Safety
Tools and Power Equipment
Heat Stress
Decontamination at Hazardous Waste Sites
Cold Stress
Material Handling
Working Near or Over Water
Fall Protection
11/6/2013
DESCRIPTION AND FEATURES:
Include principal operations and unusual features (containers, buildings, dikes, power lines, hillslopes, rivers, etc.)
The site is located in the Coast Range of California, so the terrain is mountainous, with potentially unstable slopes. Operable Unit No. 1 consists of the two adjacent mine sites (making up 317 acres, including five miles of underground workings, a two acre mine pit, and slopes comprised of approximately 300,000 tons of mine tailings, overburden and waste rock). The area around the site is characterized by steep topography, with elevations ranging from 1,050 feet to more than 1,600 feet. During mining operations, mining waste, including waste rock, tailings and mercury extraction wastes were dumped in drainage channels situated downstream from the mines. Operable Unit No. 2 consists of Las Tables creek watershed, which recieves little to no rainfall from May to November, but can recieve 30‐40 inches of rain the rest of the year. Operable Unit No. 3 consists of Lake Nacimiento, which is located downstream of Las Tables creek. It was created by the construction of Nacimiento Dam in 1957. The lake’s irregular shoreline comprises about 165 miles. The reservoir’s maximumcapacity is 377,900 acre feet with a surface elevation of 800 feet.
SURROUNDING POPULATION:
( ) Residential
HAZARDOUS MATERIAL SUMMARY:
CHEMICALS:
SOLIDS:
Amount/Units: 2mL per
sample bottle
( ) Industrial ( ) Commercial ( ) Rural
( ) Urban
OTHER:
Highlight or bold waste types and estimate amounts by category.
SLUDGES:
SOLVENTS:
OILS:
OTHER:
Amount/Units: Dissolved in
surface water and comingled with
sediments
Amount/Units:
Amount/Units:
Amount/Units:
Amount/Units:
Acids
Flyash
Paints
Ketones
Oily Wastes
Laboratory
Pickling Liquors
Mill or Mine Tailings
Pigments
Aromatics
Gasoline
Pharmaceutical
Caustics
Asbestos
Metals Sludges
Hydrocarbons
Diesel Oil
Hospital
Pesticides
Ferrous Smelter
POTW Sludge
Alcohols
Lubricants
Radiological
Dyes or Inks
Non-Ferrous Smelter
Distillation Bottoms
Halogenated (chloro, bromo) Polynuclear Aromatics
Municipal
Cyanides
Metals
Aluminum
Esters
PCBs
Construction
Phenols
Dioxins
Ethers
Heating Oil
Munitions
Other - specify
Other - specify
Other - specify
Halogens
Other - specify
Page-4
Other - specify
Other - specify
11/6/2013
HIGHEST
PEL/TLV
IDLH
Warning
KNOWN
OBSERVED
ppm or mg/m3
ppm or mg/m3
Concentration
SYMPTOMS & EFFECTS
IONIZATION
CONTAMINANTS
CONCENTRATION
(specify)
(specify)
(in ppm)
OF ACUTE EXPOSURE
POTENTIAL
Slightly above
background
10 µg/m3
5 mg/m3
Dust
Nasal ulcers, fever, bronchitis,
melanosis, peripheral neuropathy
Dust
Liquid mercury in
OU1 soil
25 µg/m3
10 mg/m3
NA
Severe abdominal pain tremors,
weakness, GI irritation, fatigue
10.40
Arsenic, inorganic
Mercury and compounds
(skin)
NA = Not Available
S = Soil
A = Air
Page-5
NE = None Established
SW = Surface Water
GW = Ground Water
U = Unknown
T = Tailings
SL = Sludge
W = Waste
D = Drums
PHOTO
Verify your access to an MSDS for each chemical
you will use at the site.
TK = Tanks
L = Lagoons
SD = Sediment
OFF = Off-Site
11/6/2013
SPECIFIC TASK DESCRIPTIONS
1 Mobilize to Site
2 Install sampling stations
3
Perform stream survey of creek bed and creek
bank
4 Perform dry-weather sampling activities
5 Perform wet-weather sampling activities
Page-6&7
Disturbing the
TASK - SPECIFIC HAZARDS
Waste?
HAZARD &
SCHEDULE
Low Hazard
Non-intrusive
This task includes driving to and from the site. Driving
conditions will consist of 4 to 8 hours of driving on highways,
and 15 to 20 miles of driving on curvy, mountain roads that
are paved and unpaved in possibly wet, rainy conditions.
Non-intrusive
Installation of sampling stations will consist of carrying,
handling, and setting up equipment near the creek. This will
involve safely climbing up and down steep creek banks and
working in vegitative areas. Work will be performed during
the dry season, but flowing water may be present. Slips, trips,
and falls.
Non-intrusive
Stream survey of creek bed will involve taking distance and
elevation measurements within the creek and along the creek
bank. This will involve safely climbing up and down steep
creek banks. Work will be performed during the dry season,
wet season, and storm events. Slips, trips, and falls.
Medium Hazard
Non-intrusive
Use of sampling equipment after installation is complete. This
will involve safely climbing up and down steep creek banks.
Work will be performed during the dry season, but flowing
water will be present. Slips, trips, and falls. Lifting heavy
sample coolers.
Medium Hazard
Non-intrusive
Use of sampling equipment during high intensity rain events.
This will involve safely climbing up and down steep creek
banks. Fast moving water in creek presents a drowning
hazard and the possiblility of being hit by floating debris.
Saturated slopes along creek beds are subject to slope failure.
Working surfaces will be slippery. Slips, trips, and falls. Lifting
heavy sample coolers.
Moderate Hazard
Medium Hazard
11/6/2013
SPECIFIC TASK DESCRIPTIONS
6 Collect sediment samples in creek
7 Intall and monitor sediment traps in reservoir
8 Perform bathometric survey in reservoir
9 SedFlume Erodability study
SPECIALIZED TRAINING REQUIRED:
Disturbing the
TASK - SPECIFIC HAZARDS
Waste?
HAZARD &
SCHEDULE
Medium Hazard
Intrusive
Sediment will be collected within the creek. This will involve
safely climbing up and down steep creek banks. Work will be
performed during the dry season, but flowing water will be
present. Drowining; slips, trips, and falls. Lifting heavy sample
coolers.
Moderate Hazard
Intrusive
Installation of sediment traps in the reservoir will involve
being on a small boat in the reservoir. Working over water
and soft sediment present drowning hazards. Exposure to
reservoir water during cold conditions could pose a
hypothermia risk.
The bathometric survey of the reservoir will involve being on a
small boat equiped with sounding devices. Working over
water and soft sediment present drowning hazards.
Moderate Hazard
Non-intrusive
Intrusive
There will be five shallow sediment cores collected from the
Las Tablas Creek Reservoir. Lifting and handling sediment
cores onto the platform of the boat could lead to muscular
strain or the possiblilty of falling overboard. Working over
water and soft sediment present drowning hazards.
Moderate Hazard
SPECIAL MEDICAL SURVEILLANCE REQUIREMENTS:
Please reference the attached Material Safety Data Sheets (MSDS) in Appendix
B and Activity Hazards Analysis (AHA) worksheets in Appendix C prior to
None
performing any of the above tasks.
OVERALL HAZARD EVALUATION:
( ) High (X) Medium ( ) Low ( ) Unknown
(Where tasks have different hazards, evaluate each.)
Medium overall hazard rating due to drowning and slip,trip, fall potential. There is a requirement that workers will not enter the creek if
rapidly moving water higher than 18" or their knees is present. Poison oak is abundant at the Site and employees will alert each other
JUSTIFICATION:
when they see poison oak in the work area. The onsite health and safety officer along with the field team lead will assess the site conditions
thoroughly prior to any work performed.
FIRE/EXPLOSION POTENTIAL:
( ) High ( ) Medium ( X ) Low ( ) Unknown
Page-6&7
11/6/2013
TASKS: 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
LEVEL: A - B - C - D - Modified
( ) Primary
( ) Contingency
BLOCK C
Respiratory: ( X ) Not needed
( ) SCBA, Airline:
( ) APR:
( ) Cartridge:
( ) Escape Mask:
( ) Other:
Head and Eye: ( ) Not needed
( X ) Safety Glasses:
( ) Face Shield:
( ) Goggles:
( X ) Hard Hat:
( ) Other:
Prot. Clothing: ( ) Not needed
( ) Encapsulated Suit:
( ) Splash Suit
( ) Apron:
( ) Tyvek Coverall or
( ) Saranex Coverall
( ) Cloth Coverall:
(X) Other: Snake gaiters at all times
when walking site
Gloves: ( ) Not needed
( ) Undergloves:
( X ) Gloves: Nitrile
( ) Overgloves:
Boots: ( ) Not needed
( X ) Steel-Toe
( ) Steel Shank
( ) Rubber
( ) Leather
( X) Wading boots when in water
Other: specify below
( X ) Rain Jacket and Pants/waders
( X ) Flotation Device If Over Water
( X ) Tecnu Poison Oak Wash
( X ) Sun Screen
Respiratory: ( ) Not needed
( ) SCBA, Airline:
( ) APR:
( ) Cartridge:
( ) Escape Mask:
( ) Other:
( ) Splash Suit
( ) Apron:
( ) Tyvek Coverall
( ) Cloth Coverall:
( ) Other:
( ) Safety Glasses:
( ) Face Shield:
( ) Goggles:
( ) Hard Hat:
( ) Other:
( ) Steel-Toe
( ) Steel Shank
( ) Rubber
( ) Leather
( ) Overboots:
( ) Undergloves:
( ) Gloves:
( ) Overgloves:
( ) Tick Spray
( ) Flotation Device If Over Water
( ) Hearing Protection
( ) Sun Screen
BLOCK B
TASKS: 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
( ) Primary
( ) Contingency
TASKS: 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9
LEVEL: D - Modified
(X) Primary
( ) Contingency
BLOCK A
Specify by task. Indicate type and/or material, as necessary. Group tasks if possible. Use copies of this sheet if needed.
BLOCK D
TASKS: 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
( ) Primary
( ) Contingency
PROTECTIVE EQUIPMENT:
( ) SCBA, Airline:
( ) APR:
( ) Cartridge:
( ) Escape Mask:
( ) Other:
( ) Splash Suit
( ) Apron:
( ) Tyvek Coverall or
( ) Cloth Coverall:
( ) Safety Glasses:
( ) Face Shield:
( ) Goggles:
( ) Hard Hat:
( ) Other:
( ) Other:
( ) Undergloves:
( ) Gloves:
( ) Overgloves:
( ) Steel-Toe ( ) Steel Shank ( ) Tick Spray
( ) Rubber
( ) Leather
( ) Floatation Device
( ) Overboots: Latex
( ) Sun Screen
( ) SCBA, Airline:
( ) APR:
( ) Cartridge:
( ) Escape Mask:
( ) Other:
( ) Safety Glasses:
( ) Face Shield:
( ) Goggles:
( ) Hard Hat:
( ) Other:
( ) Splash Suit
( ) Apron:
( ) Tyvek Coverall
( ) Cloth Coverall:
( ) Other:
( ) Undergloves:
( ) Gloves:
( ) Overgloves:
( ) Steel-Toe ( ) Steel Shank ( ) Tick Spray
( ) Rubber
( ) Leather
( ) Floatation Device
( ) Overboots:
( ) Sun Screen
This health and safety plan form constitutes hazard analysis per 29 CFR 1910.132
Page-8
11/6/2013
MONITORING EQUIPMENT:
Specify by task. Indicate type as necessary. Attach additional sheets if needed.
INSTRUMENT
TASK
ACTION GUIDELINES
Combustible
Gas Indicator
0-10% LEL
No explosion hazard
1-2-3-4-5-6-7-8
10-25% LEL
Potential explosion hazard; notify SHSC
>25% LEL
Explosion hazard; interrupt task/evacuate
21.0% O2
Radiation
Survey Meter
1-2-3-4-5-6-7-8
Photoionization
Detector
Specify:
_____eV Lamp
Type ____
1-2-3-4-5-6-7-8
COMMENTS
( X ) Not Needed
Oxygen normal
<21.0% O2
Oxygen deficient; notify SHSC
<19.5% O2
Interrupt task/evacuate
3 x Background:
Notify HSM
>2mR/hr:
Establish REZ
( X ) Not Needed
( X ) Not Needed
Flame Ionization Specify:
Detector
1-2-3-4-5-6-7-8
( X ) Not Needed
Type____________
Single Gas
Specify:
Type____________
Type____________
1-2-3-4-5-6-7-8
Respirable
Dust Monitor
Specify:
Type____________
Type____________
1-2-3-4-5-6-7-8
Other
Specify:
Type____________
Type____________
1-2-3-4-5-6-7-8
Other
Specify:
Type____________
Type____________
1-2-3-4-5-6-7-8
Page-9
( X ) Not Needed
( X ) Not Needed
( ) Not Needed
( ) Not Needed
11/6/2013
DECONTAMINATION PROCEDURES
ATTACH SITE MAP INDICATING EXCLUSION, DECONTAMINATION, & SUPPORT ZONES AS PAGE TWO
Personnel Decontamination
Summarize below or attach diagram;
Sampling Equipment Decontamination
Team members will remove their protective
clothing in the following order:
*Equipment Drop
*Hard Hat Removal
*Glove Removal
*Hand and Face Wash
*Shower as soon as possible
Decontamination of sampling equipment will
include wash by Alconox, tap wash water wash, tap
water rinse, and deionized water rinse.
( ) Not Needed
NA
( ) Not Needed
Containment and Disposal Method
Wash water will not be contained.
Decontamination water will not be contained.
HAZARDOUS MATERIALS TO BE BROUGHT ONSITE
Preservatives
Decontamination
( X ) Alconox TM
( ) Hexane
(X) Hydrochloric Acid
( ) Zinc Acetate
TM
( ) Liquinox
(X) Nitric Acid
( ) Ascorbic Acid
( ) Isopropanol
( ) Sulfuric Acid
( ) Acetic Acid
( ) Acetone
( ) Nitric Acid
( ) Sodium Hydroxide
( ) Other:
( ) Methanol
( ) Other:
( ) Mineral Spirits
Page-10
Heavy Equipment Decontamination
( X ) Not Needed
NA
(
(
(
(
(
Calibration
) 100 ppm isobutylene ( ) Hydrogen Sulfide
) Methane
( ) Carbon Monoxide
) Pentane
( ) pH Standards
) Hyrogen
( ) Conductivity Std
) Propane
( ) Other:
11/6/2013
Page-11
MAP OF HOSPITAL ROUTE
MAP OF HOSPITAL ROUTE
Driving Directions to Twin Cities Community Hospital
Page-12
1. Drive east on Klau Mine Road for 2.1 miles
4. Turn left onto Winery Road and drive for 0.4 miles
2. Slight right onto Adelaida Road and drive for 1.3 miles
3. Turn right onto Vineyard Drive and drive for 9.6 miles
5. Turn right onto Las Tablas Road and drive for 1.8 miles
6. Destination will be on the left: Total Distance = 15.2 miles
11/6/2013
HEALTH AND SAFETY PLAN SIGNATURE FORM
All site personnel must sign this form indicating receipt of the H&SP. Keep this original on site. It becomes part of the
permanent project files. Send a copy to the Health and Safety Manager (HSM).
SITE NAME/NUMBER:
Klau Buena Vista Mine Superfund
CED
DIVISION/LOCATION:
CERTIFICATION:
I understand, and agree to comply with, the provisions of the above referenced H&SP for work activities on this project. I
agree to report any injuries, illnesses or exposure incidents to the site Health and Safety Coordinator (SHSC). I agree to
inform the SHSC about any drugs (legal and illegal) that I take within three days of site work.
PRINTED NAME
Page-13
SIGNATURE
DATE
11/6/2013
Appendix A Work Guidelines 01-03-12
Section 9
Personal Protective Equipment (PPE)
CDM Smith employees frequently perform tasks that require the use of protective
clothing and equipment to shield or isolate them from chemical and physical hazards.
The nature and extent of potential chemical and physical hazards are key factor in
choosing PPE. Before mobilization, CDM Smith performs a detailed review of the
project site. We review site history, types, and quantities of materials handled at the
site, operations performed at the project site, and activities we will perform during the
course of the project.
9.1 Use of Personal Protective Equipment
Employees must use PPE identified in H&S plans, as directed by site managers, where
recognizable hazards exist, to meet client requirements and in accordance with the
guidelines described in this section. Employees must also inspect PPE assigned to
them and have worn out or defective equipment replaced.
Personal protective equipment in use shall be inspected daily and maintained in
serviceable condition. Items of personal issue shall be cleaned and sanitized as
appropriate before any other employee uses them. Defective or damaged equipment
shall be taken out of service immediately.
9.1.1 “Baseline” Protection
CDM Smith employees are expected to wear the ensemble of personal protective
equipment listed below during all field tasks.
•
•
•
•
•
•
•
Full-length trousers (See Section 9.2.10)
Shirt with sleeves and a collar (See Section 9.2.10)
Safety glasses with side shields (See Section 9.2.1)
Hardhat (See Section 9.2.2)
Steel toe and shank footwear (See Section 9.2.3)
Protective gloves (if hands will contact rough or contaminated surfaces) (See
Section 9.2.4)
High-visibility vest (if vehicles or heavy equipment operate on site) (See
Section 9.2.5)
9.1.2 Rules and Standards for PPE
Use of personal protective equipment is required by OSHA standards contained in 29
CFR 1910 and 29 CFR 1926, and reinforced by EPA regulations in 40 CFR Part 300.
Types of protection required by OSHA and the relevant consensus standards are
listed in Table 9-2.
9-1
Section 9
01-03-12
9.2 Basic Personal Protective Equipment
9.2.1 Eye Protection
Employees should wear safety glasses during field activities unless it can be
demonstrated that there are no potential hazards to the eye. Such hazards include
active construction sites, hazardous waste sites and potential contact between
hazardous or foreign substances and the eye.
For most dusts and particulates, safety glasses with side shields meeting the
requirements of ANSI standard Z87.1-2003 - Occupational and Educational Eye and
Face Protective Devices are adequate. For potential splash hazards of liquids, a face
shield or splash hood should be used in conjunction with regular safety glasses. In
some exposures to mist or heavy dust, goggles may provide the best form of eye
protection. If lasers are used, specialized eye protection using specific lenses for the
wavelength and energy emitted by a specific laser may be required.
Contact Lenses – Based on current information related to the use of contact lenses in the
industrial work environment, contact lenses may be used in most situations. Eye
protection such as safety glasses, face shields, or goggles appropriate for the hazards
present should be used as well.
9.2.2 Hard Hats
Employees should wear hard hats meeting the requirements of ANSI Z89.1 (2009)
unless the safety manager grants a waiver per Section 9.1.1.[no need for link here] Hard
hats should be worn with the brim facing forwards unless there is a specific safety
related reason to turn the hat backwards. In such instances the webbing in the hat shall
be repositioned in the hat so that the back of the webbing is at the back of the head.
9.2.3 Foot Protection
Personnel should wear protective footwear when working on active construction sites,
field hazardous waste sites and while performing work activities where there is a
danger of foot injuries due to falling or rolling objects, objects piercing the sole, and
where employees' feet are exposed to electrical hazards. Safety footwear shall meet the
requirements of ASTM standards F2412-05 (Standard Test Methods for Foot Protection) and
F2413-05 (Standard Specification for Performance Requirements for Foot Protection) and cover
the ankle. Any footwear worn for fieldwork must have a good sturdy tread appropriate
for outdoor use and a defined heel.
9.2.4 Hand Protection
Various types of gloves are available for protection against cuts, scrapes, bruises, etc.
that may occur during the physical handling of material, equipment tools etc. Gloves
should have the qualities required for the work conditions as set by ANSI/ISEA 105
American National Standard for Hand Protection Selection Criteria. [would a link to a
glove selection table be appropriate here?]CDM Smith issues cotton, leather, nitrile,
neoprene, and Kevlar® gloves depending on the work activity and potential hazards. If
needed, leather or mesh work gloves can be worn over chemical protective gloves.
9-2
Section 9
01-03-12
9.2.5 High-Visibility Clothing
High-visibility vests or jackets are required whenever personnel work in or around
vehicular traffic. High-visibility clothing should meet the level of visibility required for
the work conditions in ANSI / ISEA 107 (2010). Employees should also wear highvisibility clothing on active construction or industrial sites where there is frequent
movement of trucks, excavation, or other heavy equipment. See Section 16.22 Traffic
and Work Zone Safety.
9.2.6 Protective Clothing
Personnel should wear protective clothing in circumstances where there is the potential
for hazardous dusts, toxic or contaminated material, mists, or liquids contact the
employee’s skin or personal clothing. Protective clothing may include disposable or
reusable coveralls, polymer coated coveralls, or splash suits. When there is a significant
potential for direct contact of liquids or mists, polymer-coated coveralls or splash suits
are indicated.
Selection consideration should be given to such factors as size, durability, chemical
compatibility, and heat stress potential. Project managers are particularly reminded to
consider the correct size of protective garment for very large and small workers. When
ANSI/ISEA standard 103, Classification and Performance Requirements for Chemical
Protective Clothing, is published, CDM Smith expects to implement its requirements.
Chemical Protective Footwear – Chemical protective footwear should be worn when
there is the potential for boots to come into direct contact or be splashed with
hazardous materials or waste. When direct contact hazards exist, chemical resistant
boots may be worn or boot covers may be worn.
Chemical Protective Gloves – For those activities where there is a potential for direct
contact with hazardous or toxic materials, or contaminated soil or groundwater,
employees should wear chemical protective gloves. The selection of glove should be
based on the activity and the material of potential contact. A wide variety of gloves are
available and consideration should be given to dexterity, durability, and material
compatibility. Gloves should have the qualities required for the work conditions as set
by ANSI/ISEA 105 American National Standard for Hand Protection Selection Criteria.
Flame and Arc – Flash Protective Clothing – Fire resistant clothing used where fires or
electrical arcs are a problem shall have a rating of at least HRC Level 2 as set by NFPA
Code 2112 Standard on Flame Resistant Garments for Protection of Industrial Personnel
against Flash Fire. NOTE: If an arc flash study described in Section 16-4 requires a
higher level of protection, wear that level.
9.2.7 Respirators
CDM Smith may issue a respirator to individuals who will frequently use respiratory
protection. Employees who are expected to work on projects where the use of
respiratory protection is anticipated or required must fulfill the training and medical
approval requirements for respirators as described in Section 11, Respiratory Protection
of this manual.
9-3
Section 9
01-03-12
9.2.8 Hearing Protection
Employees shall use hearing protection when noise levels exceed the allowable limit.
A Hearing Conservation Program (Section 14) shall be implemented if the allowable
limits are exceeded. Devices used for hearing protection shall be certified for the
purpose per USEPA regulation 40 CFR 211 subpart B Noise Labeling Standards for
Hearing Protection Devices.
9.2.9 Specialized Protective Equipment
Specialized protective equipment is available for a wide variety of activities and includes:
•
•
•
•
•
•
•
Fall protection harnesses and lanyards (See Safety Guideline 16.7)
Face shields
Chaps for work in rough brush
Spark resistant tools
Shin guards for chain saws
Cooling vests (See Safety Guideline 16.13)
Personal floatation devices
9.2.10 Personal Work Clothing
Employees are expected to supply personal clothing appropriate for their work
assignments including long pants, a shirt with sleeves (at least 4” long). NOTE: Some
CDM Smith clients insist that employees wear long-sleeve shirts.)
Employees are expected to provide basic outerwear appropriate for protection against
normal weather conditions in the geographical areas they are normally assigned. The
equipment centers do stock clothing for extreme cold or wet weather. (See Safety
Guideline 16.14.) These include rain suits, insulated coveralls, cold weather work
gloves, hardhat liners, etc. Employees may request this equipment directly from the
equipment centers.
9.3 Availability of PPE
CDM Smith field equipment centers maintain an inventory of basic PPE including hard
hats, safety glasses, hearing protection, harnesses, traffic vests, etc. The specific make
and model of equipment is reviewed periodically by the H&S managers to ensure
equipment issued to CDM Smith Inc. personnel is of adequate quality. Projects and
employees may obtain basic PPE by requesting equipment from the field equipment
centers by telephone or through the field equipment center website at
http://cdmweb/fieldequipment/ .
9.3.1 PPE Assigned to the Employee
CDM Smith typically assigns items such as hardhat, safety glasses, hi-visibility vests etc
to individual employees. The employee's Group Leader or Direct Manager, in
consultation with the H&S Manager assigned to support the employee's division, shall
decide what PPE employees need, based on their expected role, and help to arrange for
9-4
Section 9
01-03-12
it. Employees may, with the approval of their manager or group leader, submit a PPE
request.
PPE required for use on CDM Smith work activities is provided to CDM Smith
employees at no expense to the employee.
9.3.2 Project vs. Overhead Expense
PPE that is used to support activities for specific projects should be charged to those
projects. Typical project specific PPE would include consumables such as gloves,
disposable Tyvek® suits, respirator cartridges, etc. Non - disposable PPE, used on a
specific project can be obtained from the equipment centers for short or moderate
durations on a rental basis. In some cases it may be more cost effective for projects to
have the equipment centers purchase the equipment for the project. Non-disposable
PPE may include respirators, air-supplied respiratory protective systems, or specialized
chemical protective clothing. The specific PPE ensemble for a specific project will be
identified in the project specific H&S plan and approved by the service group H&S
manager responsible for that project.
Employees may request equipment using the Personal Protective Equipment Request
form in Appendix A of this section. Individual PPE that is assigned to a specific
employee for use on multiple projects should be charged to the employee's division
safety equipment overhead number, typically 0000 <DIV> ADMIN.SAFQP. The
employee's Group Leader or Direct Manager, with the advice of the relevant health and
safety manager, shall decide what PPE may be charged to an overhead account.
Reimbursement for Safety Footwear – CDM Smith will reimburse CDM Smith
employees for the cost of purchasing safety footwear up to a maximum amount of
$150.00.
Reimbursement for Prescription Safety Glasses – CDM Smith employees, who require
prescription glasses and are expected to work more than 30 days per year in the field or
on locations where safety glasses are required, will be reimbursed for the cost of
prescription safety glasses meeting the requirements of ANSI Z87.1 up to a maximum
of $175.00. Employees who wear prescription glasses and work less often on projects
that require the use of safety glasses should be provided eye protection that fits over
their glasses.
Employees may request reimbursement through the expense account system from their
resource manager or group leader. The resource manager or group leader shall make
the final determination as to whether or not safety glasses are a reimbursable item as
described above.
Employees are eligible for this allowance whenever their existing equipment becomes
unsafe to use. If, for example, pair of safety glasses breaks the day after CDM Smith
pays for them, the employee is eligible to use the allowance again. If the steel-toe shoes
are still fully functional 15 years after purchase, the employee is not.
9-5
Section 9
01-03-12
9.4 Levels of Protection
Each type of protective equipment has been designed specifically to protect against a
reasonably anticipated chemical and physical hazard. To standardize PPE ensembles,
“levels of protection” have been defined to address those chemical and physical
hazards that may be present at hazardous waste sites. The levels of protection are
defined accordingly:
Level A
This level is worn when the highest level of respiratory, skin,
and eye protection is anticipated as being required.
Level B
This level is worn when the highest level of respiratory
protection is anticipated as being required, with a lesser level of
skin protection being necessary.
Level C
This level is worn when criteria for air-purifying respirators are
determined to be necessary and a lesser level of skin protection
needed.
Level D, Modified
This level is worn when activities do not pose a problem from a
respiratory protection point of view but may present a skin
problem and where cross contamination via shoes needs to be
considered.
Level D
This level is worn when activities and areas do not present a
respiratory or skin hazard.
Detailed equipment, use, and limitations associated with each level of protection
appear in Table 9-1.
9-6
Table 9-1
Levels of Protection
Level
A
Equipment
Recommended:
Pressure-demand, full facepiece self-contained
breathing apparatus (SCBA) or pressuredemand supplied-air respirator with escape
SCBA
Full-encapsulating, chemical-resistant suit
Inner chemical-resistant gloves
Chemical-resistant safety boots/shoes
Two-way radio communications
Optional:
Cooling unit
Coveralls
Long cotton underwear
Hard hat
Disposable gloves and boot covers
Protection Provided
Should be Used When:
The highest available level
of respiratory, skin, and eye
protection
The chemical substance is
thought to require the
highest level of protection for
skin, eyes, and the
respiratory system based on
either:
- Measured (or potential for)
high concentration of
atmospheric vapors, gases,
or particulates
- Site operations and work
functions involving a high
potential for splash,
immersion, or exposure to
unexpected vapors, gases,
or particulates of materials
that are harmful to skin or
capable of being absorbed
through intact skin
Limiting Criteria
Fully encapsulating suit
material must be
impermeable to the
substances involved
The use of Level A protection
severely limits the practical
duration of work effort.
Substances with a high
degree of hazard to the skin
are known or suspected to be
present, and skin contact is
possible
Operations must be
conducted in poorly
ventilated areas until the
absence of conditions
requiring Level A protection
is determined
9-7
Section 9
01-03-12
Level
B
Equipment
Recommended:
Pressure-demand, full-facepiece SCBA or
pressure-demand supplied air respirator with
escape SCBA
Chemical-resistant clothing (overalls and longsleeved jacket; hooded, one-piece chemical
splash suit; disposable chemical resistant onepiece suit)
Inner and outer chemical-resistant gloves
Hard hat
Optional:
Coveralls
Disposable boot covers
Face shield
Table 9-1 (Continued)
Protection Provided
The same level of
respiratory protection but
less skin protection than
Level A
It is the minimum level
recommended for initial site
entries until the hazards
have been further identified
Limiting Criteria
The type and atmospheric
concentrations of substances
have been identified and
require a high level of
respiratory protection, but less
skin protection. This involves
atmospheres:
- With IDLH concentrations of
specific substances that do
not represent a severe skin
hazard
or
- That do not meet the
criteria for use of airpurifying respirators
Used only when the vapor of
gases present are not
suspected of containing high
concentrations of chemicals
that are harmful to skin or
through the intact skin
Use only when it is highly
unlikely that the work being
done will generate either high
concentrations of vapors,
gases, or particulates or
splashes of material that will
affect exposed skin
Atmosphere contains less
than 19.5 percent oxygen
Presence of incompletely
identified vapors or gases is
indicated by direct-reading
organic vapor detection
instrument, but vapors and
gases are not suspected of
containing high levels of
chemicals harmful to skin or
through the skin
9-8
Section 9
01-03-12
Level
C
Equipment
Recommended:
Full-facepiece, air-purifying, cartridge-equipped
respirator
Chemical-resistant clothing (overalls and longsleeved jacket; hooded, one-piece chemical
splash suit; disposable chemical-resistant onepiece suit
Inner and outer chemical-resistant gloves
Hard hat
Table 9-1 (Continued)
Protection Provided
The same level of skin
protection as Level B, but a
lower level of respiratory
protection
MODIFIE
D
Recommended:
Chemical-resistant outer gloves
Disposable shoe covers
Work clothes
Safety boots/shoes
Safety glasses or chemical splash goggles
Hard hat
The atmospheric
contaminants, liquid splashes,
or other direct contact will not
adversely affect any exposed
skin
The types of air contaminants
have been identified,
concentrations measured, and
a cartridge is available that
can remove the contaminant
All criteria for the use of airpurifying respirators are met
Optional:
Coveralls
Disposal boot covers
Face shield
Escape mask
D
No respiratory protection;
minimum skin protection
Limiting Criteria
Effective only against
conditions that are fairly
well understood.
Not effective for conditions
that involve:
• Unknown chemicals
that the filtering element
might not remove well
• Oxygen-deficient
atmospheres
• Unpredictable
concentrations that
might overwhelm the
filtering element
The atmosphere contains no
known hazard
Work functions may involve
skin contact with hazardous
chemicals
9-9
Table 9-2
OSHA & Consensus Standards for Personal Protective Equipment
Type of Protection
Regulation
Reference
General
29 CFR 1910.132
41 CFR Part 50-204.7 General
Requirements for Personal
Protective Equipment
Eye and Face
29 CFR 1910.133(a)
ANSI standard Z87.1-2003 Occupational and Educational Eye and
Face Protective Devices
Noise Exposure
29 CFR 1910.95
USEPA 40 CFR 211 subpart B
Respiratory
29 CFR 1910.134
ANSI-1 Z88.2 (1992) Standard
Practice for Respiratory Protection
Hand
29 CFR 1910.132
ANSI/ISEA 105 American
National Standard for Hand
Protection
Head
29 CFR 1910.135
ANSI Z89.1 (2009) Safety
Requirements for Industrial Head
Protection
Foot
29 CFR 1910.136
ASTM F2412-05and F2413-05
Electrical Protective Devices
29 CFR1910.335(a)(2)
NFPA 70E: Standard for Electrical
Safety in the Workplace
Flame – Resistant Garments
29 CFR1910.335(a)(2)
NFPA Code 2112 Standard on
Flame Resistant Garments
Chemical Protective Clothing
29 CFR 1910.132
ANSI/ISEA standard 103,
Chemical Protective Clothing
(Draft)
High-Visibility Safety
Apparel
29 CFR 1926.651(d)
ANSI / ISEA 107(2010) National
Standard for High-Visibility Safety
Apparel
1
American National Standards Institute (ANSI), http://www.ansi.org/
9-10
Appendix A
Personal Protective Equipment Request Form
Employee ________________________
Division
________
Active in CDM Smith Medical Surveillance Program?
Date of last CDM Smith medical exam?
Office________
Yes ___
No ___
______________________
Equipment Requested
Item
Requested
Issued
Hard Hat
______
______
Safety Glasses
______
______
Hi-Visibility Vest
______
______
Fall Protection Harness
______
______
Work Gloves (____ pairs)
______
______
Glove Liners (____ pairs)
______
______
Electrical Gloves (____ pairs)
______
______
Rain suit
______
______
Cloth Coveralls
______
______
Fire – Resistant Coveralls
______
______
Insulated Coveralls
______
______
Goggles
______
______
Ear Muffs (____ pairs)
______
______
Respirator
______
______
______
______
______________________________
______
______
______________________________
______
______
Make______________
Model_____________
Size_______________
Corrective Lens Inserts
You must take reasonable measures to safeguard the items issued to you. Should your employment with
CDM Smith terminate for any reason you must return equipment issued for your use. Any loss, theft, or
damage of the equipment should be reported promptly to the Equipment Center manager.
Approved by:
_____________________________________
________
____________________
Group Leader or Direct Manager/Date
Division
Charge Number
9-11
Section 16
Work Practices and Guidelines
01-03-12
16.3 Manual Material Handling
CDM Smith employees should follow the work practices outlined below when lifting
and carrying heavy objects.

Test any load they are required to lift and compare its weight, volume, and shape to
their lifting abilities. Employees shall not attempt to lift beyond their capacity.

Obtain assistance in lifting heavy objects. Back belts or back braces may be used if
desired; however, many ergonomists do not believe that these devices create a benefit or
provide protection.

When two or more persons are involved in a manual lift, one person should provide
direction of the lift.

When two or more persons are carrying an object, each employee, if possible, should
face the direction in which the object is being carried.

When two or more persons carry a heavy object that is to be lowered or dropped, there
shall be a prearranged signal for releasing the load.

The right way to lift is easiest and safest. Crouch or squat with the feet close to the object
to be lifted, secure good footing, take a firm grip, bend the knees, keep the back vertical,
and lift by bending at the knees and using the leg and thigh muscles. Exercise caution
when lifting or pulling in an awkward position.

Employees should avoid twisting or excessive bending when lifting or setting down loads.

When moving a load horizontally, employees should push the load rather than pull.

For tasks that require repetitive lifting, the load should be positioned to limit bending
and twisting. The use of lift tables, pallets, and mechanical devices should be considered.

When gripping, grasping, or lifting an object such as a pipe or board, the whole hand
and all the fingers should be used. Gripping, grasping, and lifting with just the thumb
and index finger should be avoided.
16.3-3
Section 16
01-03-12
16.7 Fall Protection
CDM Smith employees who visit active construction sites may be exposed to falls. A
fall exposure is considered to exist when an employee is within 6 lateral feet of a
change in elevation of 6 vertical feet or more. Typical exposures can include:

Excavations
Roofs
Leading edge of a surface (floor)
Floor openings
All employees should use fall protection 100 percent of the time when exposed to a
fall in excess of 6 feet or when required by rules such as those of a client or the owner
or operator of a facility. Fall protection may consist of any of the following:

Guardrails
Safety nets
Positioning systems
Warning systems
Personal fall arrest systems
Employees should not use fall arrest equipment until they have been properly trained.
Fall protection training can be arranged by contacting your division HSM. Project
managers and site managers shall ensure fall protection is available and used as
required for all employees for whom they are responsible and that employees receive
adequate training in the use of the equipment.
The following work practices and guidelines should be considered for protection
against falls:

Before working or walking on a surface, consider the strength and structural
integrity of the surface. Can it support employees and any needed equipment or
material safely? Employees shall work on those surfaces only when the surfaces
have the requisite strength and structural integrity.

When not protected by any other means of fall protection, such as safety nets or
scaffold with proper guardrails, employees shall use full body harnesses, lanyards
with double-locking snap hooks, and an adequate anchorage (fall arrest equipment).
To achieve 100 percent fall protection, employees may need to use a two-lanyard
system and/or vertical or horizontal lifelines, retractable lifelines, or other approved
positioning devices.

Employees shall rig fall arrest equipment so that it minimizes the potential for a fall
arrest event or any potential free-fall, lateral swing, or contact with any lower
object. Under no circumstances shall fall arrest equipment be rigged so that an
employee can free-fall more than 6 feet.
16.7-25
Section 16
01-03-12

Anchorage points for fall arrest equipment shall be capable of supporting 5,000
pounds per employee attached. Anchorage points for fall arrest equipment shall be
located above the employee’s body harness attachment point where practical.

When vertical lifelines are used, a separate lifeline shall protect each employee. The
lifeline shall be properly weighted at the bottom and terminated to preclude a
device such as a rope grab from falling off the line.

Horizontal lifelines should be limited to two persons at one time between supports
and maintain a safety factor (strength/requirement) of at least 2.

Before each use, employees shall visually inspect all fall arrest equipment for cuts,
cracks, tears or abrasions, undue stretching, overall deterioration, mildew,
operational defects, heat damage, or acid or other corrosion. Equipment showing
any defect shall be withdrawn from service. All fall arrest equipment subjected to
impacts caused by a free-fall or by testing shall be removed from service. CDM
Smith personnel shall use full body harnesses for personal fall protection. Fall
protection equipment is available from the field equipment centers.

Fall arrest equipment should be stored in a cool dry place not subjected to direct sunlight.

Fall arrest equipment shall not be used for any other purpose, such as towropes or hoist
lines.

Proper guardrails shall be installed on open sides of all walkways and runways
where the fall distance exceeds 4 feet. Proper guardrails shall be installed on open
sided floors where the fall distance exceeds 6 feet. All floor openings or floor holes
shall be protected by guardrails or hole covers. If hole covers are used, they shall be
strong enough to support the maximum intended load, secured against
displacement, and properly labeled.

When guardrails are used for fall protection, they shall consist of a top rail, intermediate
rail, and toeboard. The top rail shall have a vertical height of 42 inches, the midrail shall
be at 21 inches, and the toeboard 4 inches. When wood railings are used, the post shall
be of at least 2-inch by 4-inch stock spaced not to exceed 8 feet, the top rail shall be of at
least 2-inch by 4-inch stock, and the intermediate rail shall be of at least 1-inch by 6-inch
stock. If pipe is used, it shall be at least 1½-inch nominal diameter. If structural steel is
used, it shall be of 2-inch by 2-inch by 3/8-inch angles or equivalent. If wire rope is used
for railings, it shall have a diameter of at least 2 inches and shall be stretched taut to
allow no more than a 3-inch deflection.

When operating a scissor-lift work platform, the lift shall have guardrails on all
open sides, with the door access chains or rails in place.

Employees operating aerial lifts shall wear a body harness and lanyard attached to
the aerial lift. Employees shall not attach the lanyard to an independent structure.
16.7-26
Section 16
01-03-12

Employees riding in a crane-suspended work platform shall wear a body harness
and lanyard attached to the grab rail of the platform.

Employees working on or near wall forms or rebar shall wear a body harness
lanyard and/or positioning device when exposed to a fall in excess of 6 feet.

Positioning devices shall be rigged to prevent a free-fall greater than 24 inches.

Stairs, ladders, or ramps shall be provided for all access ways where there is a
change in elevation greater than 19 inches.

Manila or synthetic rope shall not be used as guardrails.

Employees shall not stand or sit on guardrails.

Personal fall arrest systems shall not be attached to guardrail systems.

If warning lines are used, they should consist of rope, wire, or chain and be flagged
at intervals of 6 feet or less with high-visibility material. The lowest point should be
no less and 34 inches from the surface, and the highest point should be no more
than 39 inches. The warning line should be placed at least 6 feet from the edge.

Safety net systems should be installed as close to the working surface as practical,
but in no case more than 25 feet below the working surface and should extend
outward at least 8 to 13 feet depending on the vertical fall distance. Safety nets
should be drop-tested after initial installation and at 6-month intervals. The
maximum size of net mesh should not exceed 36 square inches nor be longer than 6
inches on any side. Mesh opening should be secure to prevent enlargement.

Body belts should not be used for personal fall arrest. Full body harnesses are required.
16.7-27
Section 16
01-03-12
16.12 Tools and Power Equipment
16.12.1 Hand Tools
CDM Smith employees who have a need to use basic hand tools should use the
following work practices:

All tools used on CDM Smith projects, regardless of ownership, shall be of an
approved type and maintained in good condition. Tools are subject to inspection at
any time. The project manager has the authority and responsibility to condemn
unserviceable tools, regardless of ownership.

Tag defective tools to prevent their use or removal from the job site.

Use the proper tool for the job performed.

Do not use hammers with metal handles, screwdrivers, knives with metal continuing
through the handle, and metallic measuring tapes on or near energized electrical
circuits or equipment.

Do not throw tools from place to place or from person to person. Tools that must be
raised or lowered from one elevation to another shall be placed in tool buckets or
firmly attached to hand lines.

Do not place tools unsecured on elevated places.

Dress, repair, or replace all impact tools such as chisels, punches, drift pins, etc., that
become mushroomed or cracked before further use.

Use suitable holders or tongs, not the hands, to hold chisels, drills, punches, ground
rods, or pipes that are struck by another employee.

Do not use shims to make a wrench fit.

Do not use wrenches with sprung or damaged jaws.

Do not use pipe or other means to extend a wrench handle for added leverage unless
the wrench was designed for such use.

Use tools only for the purposes for which they have been designed.

Store and handle tools with sharp edges so that they will not cause injury or damage.
They shall not be carried in pockets.

Use eye protection when using or working around impact type tools (e.g., hammer,
chisel, ax, hatchet, etc.).

Replace wooden handles that are loose, cracked, or splintered. The handle shall not
be taped, glued, or lashed with wire.
16.12-40
Section 16
01-03-12

Keep all cutting tools such as saws, wood chisels, knives, or axes in suitable guards
or in special compartments.

When using such tools as screwdrivers and wrenches, avoid using your wrists in a
bent, flexed, extended, or twisted position for long periods of time. Employees
should maintain their wrists in a neutral or straight position.

Do not leave tools lying around where they may cause a person to trip or stumble.

When working on or above open grating, use a canvas or other suitable covering to
cover the grating to prevent tools or parts from dropping to a lower level where
others are present, or barricade or guard the danger area.

Do not depend on the insulation on hand tools to protect users from shock.
16.12.2 Electric Tools
CDM Smith employees who have a need to use electric power tools should use the
following work practices:

The non-current carrying metal parts of portable electric tools such as drills, saws,
and grinders shall be effectively grounded when connected to a power source unless
the tool is an approved double-insulated type or the tool is connected to the power
supply by means of an isolating transformer or other isolated power supply, such as
a 24-volt DC system.

All power tools shall be examined before use to ensure general serviceability and the
presence of all applicable safety devices. The electric cord and components shall be
given a thorough examination for cracks, exposed wires, or other defects.

Power tools shall be used only within their capability and shall be operated in
accordance with the manufacturers’ instructions.

The use of eye protection is required when using or working around power tools.

Operators should take care to use appropriate hand positions on cutting tools such
as saws, drills, or grinders to avoid hand injury.

All tools shall be kept in good repair and disconnected from the power source while
repairs are being made.

Electrical tools shall not be used where there is a hazard of flammable vapors, gases,
or dusts until that hazard is firmly under control.

GFCI should be used with all electric power tools.

All guards and safety interlocks with which the tools were purchased shall be in
place and in working order.
16.12-41
Section 16
01-03-12

Any tool that is identified as defective should be tagged “not for use,” and set aside
for repair and/or discarded.

Do not wear loose or frayed clothing while operating power tools and equipment.
Hair should not stick out from hard hats.

Do not use electrical cords to transport, suspend, hoist, or lower tools.

Do not allow power cords to lie in water.

Disconnect rotating tools from the power source before adjusting, servicing, or
cleaning them. Follow the lockout procedure described in Section 16.5.

Do not modify tools.
16.12.3 Pneumatic Tools
CDM Smith employees that use pneumatic power tools should use the following work
practices:

Compressed air and compressed air tools shall be used with caution.

Pneumatic tools shall never be pointed at another person.

Pneumatic hose connections should be secured by some positive means to prevent
them from becoming accidentally disconnected. Chicago fittings have wire holes to
allow such security.

Pneumatic power tools shall be secured to the hose by some positive means to
prevent the tool from becoming accidentally disconnected.

Safety clips or retainers shall be securely installed and maintained on pneumatic
impact tools to prevent attachments from being accidentally expelled.

Compressed air shall not be used for cleaning purposes except when reduced to less
than 30 psi and then only with effective chip guarding and PPE.

Compressed air shall not be used to blow dust or dirt from clothing (or skin).

The manufacturer’s safe operating pressure for hoses, pipes, valves, filters, and other
fittings shall not be exceeded.

The use of hoses for hoisting or lowering tools shall not be permitted.

All compressed air hoses exceeding 30 psi shall have a safety device at the source of
supply or branch line to reduce pressure in case of hose failure or disengagement of
a connection.
16.12-42
Section 16
01-03-12

Before making adjustments or changing air tools, the air shall be shut off at the air
supply valve ahead of the hose. The hose shall be bled at the tool before breaking the
connection. Disconnection at the quick-change connectors is one way to meet this goal.

Eye protection is required when using or working around pneumatic tools.

Use hearing protection if noise exposure is a concern (i.e., if it is too loud to conduct
a normal conversation).

Pneumatic tools shall be operated only by persons trained in their use.

A pneumatic tool used where it may contact exposed live electrical parts shall have a
nonconductive hose and an accumulator to collect moisture.

Employees shall not use any part of their bodies to locate or attempt to stop an air leak.

All guards and safety interlocks must be in place and functional.
16.12.4 Engine-Powered Tools
CDM Smith employees that use engine-powered tools should use the following work
practices:

Stop the engine and allow it to cool before refueling, servicing, or maintenance.

Use care in refueling. Clean up any small spills of fuel or oil immediately.

The use of eye protection is required when using or working around enginepowered tools.

Use hearing protection if noise exposure is a concern (i.e., if it is too loud to conduct
a normal conversation).

If possible, disconnect the spark plug before performing an adjustment, maintenance,
or service.

Use tools in well ventilated areas to eliminate any accumulation of fumes.

Do not use tools in a flammable or explosive atmosphere.

Equip engines with spark-arresting mufflers.

Avoid contact with hot engine components.

All guards and safety interlocks should be in place and functional.
16.12-43
Section 16
01-03-12
16.13 Heat Stress
CDM Smith employees may be exposed to hazards associated with hot work
environments. Factors that contribute to heat exposure include temperature, humidity,
PPE radiant heat, sunlight, access to drinking water, exposure duration, and work
activity. Individuals vary widely in their susceptibility to heat stress. Factors that may
influence individual susceptibility to heat stress include the following:

Lack of physical fitness
Lack of acclimatization
Age
Dehydration
Obesity

Alcohol and drug use
Infection
Sunburn
Diarrhea
Chronic disease
The following guidelines should be considered when CDM Smith employees or
subcontractors perform work:

In ambient air temperatures above 80°F
That involves heavy physical labor in temperatures above 70°F
In chemical-protective clothing above 70°F
16.13.1 Hazards Associated with Heat Stress
Heat Stroke – Heat stroke is a serious medical emergency and can lead to death if left
untreated. It is an acute and dangerous reaction caused by the failure of heat regulating
mechanisms of the body. Persons who are elderly, obese, chronically ill, alcoholic,
diabetic, or have circulatory system problems are at greater risk.

Symptoms include red, hot, dry skin; nausea; headache; weakness; dizziness; elevated
body temperature (BT); rapid respiration and pulse; coma; or loss of consciousness.

Treatment for heat stroke:
B Heat stroke is a serious medical emergency. Emergency medical services (911)
should be contacted if heat stroke is suspected.
B Move the victim to a cool place (shade, air conditioned building, vehicle).
B Remove heavy clothing.
B Cool the victim with ice packs, wet towels, or cloth.
B Keep head and shoulders elevated.
B Keep victim’s airway open, check breathing and pulse.
Heat Exhaustion – A state of exhaustion or weakness caused by loss of fluids through
perspiration and inadequate fluid replacement. Severe cases may result in loss of
consciousness (fainting). This condition can progress to heat stroke if left untreated.

Symptoms include:
o Pale, clammy, moist skin; heavy sweating; and extreme weakness.
o BT is normal, pulse is weak and rapid, breathing is shallow.
16.13-44
Section 16
01-03-12
o The person may have a headache, nausea, or feel dizzy.

Treatment for heat exhaustion:
o
o
o
o
o
o
Remove the victim to a cool location (shade, air conditioned building, or vehicle).
Allow the victim to lie down and prop their legs up.
Cool the victim with wet towels, cloth, or cold packs.
If the victim in not nauseous, they should drink water slowly.
If the victim loses consciousness, transport to local medical facility.
Continue treatment until symptoms are gone. Consult with CDM Smith medical
consultant before returning to work.
Heat Cramps – Heat cramps are a condition that can progress to heat exhaustion or
heat stroke. Symptoms include severe cramping of the arms, legs, and abdomen.
Treatment includes:

Removing the victim to a cool location; loosen clothing
Having the victim slowly drink cool water
Resting the cramping muscles
Heat Rash – Heat rash is a mild red skin rash in areas where the body is in contact with
clothing or protective gear. The area is likely to itch and can be a source of irritation.
Treatment includes decreasing the amount of time in protective gear and applying
talcum powder to absorb moisture. When possible, wear breathable clothing to prevent
a buildup of moisture within the clothing.
16.13.2 Heat Stress Monitoring
Since the susceptibility to heat stress hazards can vary greatly from one individual to
another, often the best way to monitor for heat stress is through observing employees
and individual physiological monitoring. When working in conditions that have the
potential to create heat stress, either heart rate (HR) or BT should be monitored in
accordance with the suggested frequency given in Table 16-1 below:
Table 16-1
Suggested Frequency of Physiological Monitoring for Fit
and Acclimatized Workersa
a
Adjusted Temperatureb
Normal Work Ensemblec
Impermeable Ensemble
90°F (32.2°C) or above
87.5° to 90°F (30.8° to 32.2°C)
82.5° to 87.5°F (28.1° to 30.8°C)
77.5° to 82.5°F (25.3° to 28.1°C)
72.5° to 77.5°F (22.5° to 25.3°C)
After each 45 minutes of work
For work levels of 250 kilocalories/hour.
Calculate the adjusted air temperature (Ta adj) by using this equation: Ta adj °F = Ta °F + (13 X % sunshine).
Measure air temperature (Ta) with a standard mercury-in-glass thermometer, with the bulb shielded from
radiant heat. Estimate percent sunshine by judging what percent time the sun is not covered by clouds that
are thick enough to produce a shadow (100 percent sunshine - no cloud cover and a sharp, distinct shadow; 0
percent sunshine - no shadows).
b
16.13-45
Section 16
01-03-12
c
A normal work ensemble consists of cotton coveralls or other cotton clothing with long sleeves and pants.

Heart Rate – HR should be measured by the radial pulse for 30 seconds as early as
possible in the initial rest period. On an individual basis, if the HR exceeds 110 beats per
minute (BPM), that individual should not return to work until their HR drops below
110 BPM and they are fully recovered. If more than one worker has an HR that exceeds
110 BPM, a work rest regimen or other control measures should be implemented to
maintain HRs below 110 BPM.

Body Temperature – The BT may be measured using a clinical oral thermometer or a
clinical ear thermometer. On an individual basis, if the BT exceeds 99.6°F, that individual
should not return to work until their BT drops below 99.6°F and they are fully recovered.
If more than one worker has a BT in excess of 99.6°F, a work rest regimen or other
control measures should be implemented to maintain BTs below 99.6°F.

Personnel should monitor themselves and each other for the development of symptoms
such as sudden fatigue, nausea, dizziness, irritability, malaise, flu-like symptoms, and
lightheadedness.
16.13.3 Heat Stress Controls and Prevention

Develop work/rest regimen to maintain physiological parameters within limits
described above and prevent development of initial symptoms of heat stress related
conditions. If the physiological limits are exceeded or symptoms develop, the work
period should be reduced and rest period increased. Rest areas should be cool (in areas
such as shade, air conditioned buildings, or vehicles) and away from heat exposure.

In extreme heat conditions, employees may wear heat-control clothing such as ice
vests or cool suits. Physiological monitoring should still be conducted and work/rest
regimens implemented to keep physiological parameters within recommended limits.

Mobile showers or hoses can be used to cool down workers in waterproof protective
clothing.

Shield sources of radiant heat.

Provide shaded work areas.

Conduct activities in early morning and late evening to avoid the hottest parts of the day.

Allow employees to become acclimatized to the heat by performing less strenuous
activities for the first few days. Schedule more physically demanding work later.

Provide adequate, cool drinking water for consumption during break periods.

Avoid consumption of beverages such as coffee, tea, or colas that act as diuretics and
dehydrate the body.
16.13-46
Section 16
01-03-12
16.14 Cold Stress
Persons working outdoors in low temperatures, especially below freezing, or in wet or
snowy weather are potentially subject to cold stress disorders. Factors that contribute to
cold stress exposure include temperature, humidity, wind, sunlight, rain, snow, fog,
exposure duration, clothing, and work activity. Individual susceptibility to cold stress
disorders can vary widely. Individual physical factors that can affect a person’s
response to cold work environments include a person’s general fitness and age.
The following guidelines should be considered when working in ambient air temperatures
below 40°F, especially when other contributing weather conditions such as snow, rain, or
wind are present.
16.14.1 Hazards Associated with Cold Stress
Hypothermia – Hypothermia results from a cooling of the body’s core temperature and
if left unattended can become a serious condition. Hypothermia can result in the loss of
physical skills and impair judgment thereby contributing to the potential for other
accidents. Severe hypothermia can result in death. Hypothermia can occur at
temperatures above freezing as well as below.

Symptoms include shivering, teeth chattering, fumbling hands, slurred speech, and
loss of coordination. Eventually, the pulse and respiratory rate may slow. The victim
may appear blue or lose color in the face.

Treatment for hypothermia is to catch symptoms early and move the individual to a
warm environment indoors or in a vehicle. If a warm location is not immediately
available, the victim should be sheltered from the wind and provided extra clothing
such as coats or blankets and observed to determine if their condition is improving.
If the victim continues to deteriorate and becomes colder, they should be transported
to a medical facility for assistance.
Frostbite – Frostbite is a condition in which the fluids around cells of body tissue
freeze. The condition can lead to body tissue damage. The most vulnerable parts of the
body are the nose, ears, cheeks, fingers, and toes.

Symptoms of frostbite include body parts becoming white, firm, cold to the touch,
and may feel waxy. The victim will not feel pain in the affected area.

Treatment of frostbite requires that the victim be brought to a warm environment and
the affected areas be allowed to thaw and warm. If frostbite has progressed beyond
small patches of skin and affects whole body parts such as a hand, foot, or ear, the
victim should be transported to a medical facility for treatment and observation.
16.14.2 Cold Stress Monitoring
Personnel should monitor themselves and each other for signs and symptoms of
frostbite and/or hypothermia. If symptoms are observed in an employee or
16.14-47
Section 16
01-03-12
subcontractor, steps should be taken to treat the symptoms by having the individual go
to a warm environment either in a nearby structure or vehicle.
16.14.3 Cold Stress Control and Prevention
Cold stress can easily be prevented with proper planning and prevention. Some basic
controls and preventative measures are listed below:

Forecasted conditions. Consider the effect of wind chill (Table 16-2 on next page).

Dress in layers and stay dry. Avoid cotton clothing such as socks or T-shirts. Bring
extra clothing.

Wear hardhat liners and gloves. Wear rain gear in rain and snow.

Curtail work if extreme weather conditions such as a blizzard, extreme wind chill
(e.g., less than 0°F), torrential cold rains, or wind is expected.

For long-term projects in cold environments, consider setting temporary structures
with portable heaters.

Take warming breaks as needed.

Avoid beverages with caffeine, alcohol, or medications that restrict blood flow.

Drink warm noncaffeine beverages such as hot chocolate or soups on breaks.
16.14-48
Section 16
01-03-12
Table 16-2
Windchill Index
WINDCHILL INDEX
Cooling Power of Wind on Exposed Flesh Expressed as an Equivalent Temperature (under calm conditions)
Estimated Wind Speed
(in mph)
Actual Temperature Reading (°F)
50
40
30
20
10
0
-10
-20
-30
-40
-50
-60
Equivalent Chill Temperature (°F)
Calm
50
40
30
20
10
0
-10
-20
-30
-40
-50
-60
5
48
37
27
16
6
-5
-15
-26
-36
-47
-57
-68
10
40
28
16
4
-9
-24
-33
-46
-58
-70
-83
-95
15
36
22
9
-5
-18
-32
-45
-58
-72
-85
-99
-112
20
32
18
4
-10
-25
-39
-53
-67
-82
-96
-110
-121
25
30
16
0
-15
-29
-44
-59
-74
-88
-104
-118
-133
30
28
13
-2
-18
-33
-48
-63
-79
-94
-109
-125
-140
35
27
11
-4
-20
-35
-51
-67
-82
-98
-113
-129
-145
40
26
10
-6
-21
-37
-53
-69
-85
-100
-116
-132
-148
Wind speeds greater
than 40 mph have little
additional effect
LITTLE DANGER
in < hour with dry skin. Maximum
danger of false sense of security.
INCREASING DANGER
Danger from freezing of exposed
flesh within 1 minute.
GREAT DANGER
Flesh may freeze within 30 seconds.
From Fundamentals of Industrial Hygiene, Third Edition. Plog, B.A., Benjamin, G. S., Kerwin, M.A., National Safety Council, 1988.
16.14-49
Section 16
01-03-12
16.16 Working Near or Over Water
When working on, over, or near water, basic water safety precautions must be taken.
Such areas include riverbanks, channels, dock areas, working from vessels of any kind,
aeration basins, or other areas where a danger of drowning may exist. Depending on
the circumstances, precautions needed may include any or all of the following:

Employees should wear Coast Guard-approved personal floatation devices (PFDs)
(either vests or jackets) where a potential danger of drowning exists. PFDs are
required when working from any type of boat or floating platform.

The PFDs should be inspected before and at the end of each use for wear, torn
stitching or straps, inoperable buckles, or other defects.

Ring buoys with at least 90 feet of line shall be provided and readily available for
emergency rescue operations. Distance between ring buoys shall not exceed 200 feet.

At least one lifesaving skiff shall be immediately available at locations where
employees are working over or adjacent to water, unless the width of the water
body is small enough to allow any potential rescue to occur from the bank (as
would be the case with most aeration basins).
In some circumstances, these precautions may also be required by OSHA regulations.
If you are planning to conduct work where water hazards may be present, be sure to
take all appropriate precautions. If you will work in this situation, you should review
the full text of the OSHA standard, OSHA Standard for Work Over or Near Water
and consult your division HSM or designated HSC.
16.16-51
Section 16
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16.21 Decontamination at Hazardous Waste Sites
Proper decontamination helps protect employees and prevents the contamination of
uncontaminated areas. Decontamination protects all site personnel by minimizing the
transfer of harmful materials into clean areas. It helps prevent mixing of incompatible
chemicals and protects the community by preventing uncontrolled transportation of
contaminants from the site.
16.21.1 Prevention of Contamination
To prevent contamination, crew members should:

Follow procedures for proper dressing before entry into the exclusion zone. Proper
dressing will minimize the potential for contaminants to bypass the PPE and escape
decontamination.

Protect monitoring and sampling instruments by bagging. Make openings in the bags
for sample ports and sensors that must contact site materials, or cover equipment and
tools with a strippable coating, which can be removed during decontamination.

Encase any source of contaminants on the site with barriers (e.g., plastic sheeting or
over packs).

Stress work practices that minimize contact with hazardous substances. Use remote
sampling, handling, and container-opening techniques.
16.21.2 Decontamination Equipment Selection
In selecting decontamination equipment, consider whether the equipment must be
decontaminated for reuse or can be easily disposed. Recommended equipment for
decontamination includes:

Storage tanks or appropriate treatment systems
Drains or pumps
Long-handled brushes
Wash solutions appropriate for the contaminants present
Rinse solutions appropriate for the contaminants present
Pressurized sprayers for washing and rinsing
Curtains, enclosures, or spray booths
Long-handled rods and shovels
Containers to hold contaminants and contaminated soils
Wash and rinse buckets
Brooms
Containers for the storage and disposal of contaminated material
16.21-64
Section 16
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16.21.3 Decontamination Design
Decontamination facilities should be located in the CRZ, i.e., the area between the
exclusion zone (the contaminated area) and the support zone (the clean area), and
described in the site HSP.

Site-specific factors that affect the decontamination facility design must be considered.
Typical factors include:
o
o
o
o
o
o
o
o
o
o

The chemical, physical, and toxicological properties of the wastes
The pathogenicity of infectious wastes
The amount, location, and containment of contaminants
The potential for and location of exposure based on assigned worker duties,
activities, and functions
The potential for wastes to permeate, degrade, or penetrate materials used for
personal protective clothing and equipment, vehicles, tools, buildings, and structures
The proximity of incompatible wastes
The movement of personnel and/or equipment among different zones
The emergencies that may arise
The methods available for protecting workers during decontamination
The impact of the decontamination process and compounds on worker H&S
Decontamination Line
o Decontamination should be an organized process by which levels of contamination
are reduced.
o The decontamination process consists of a series of steps performed in a specific
sequence. For example, outer, more heavily contaminated items are decontaminated
first, followed by the decontamination and removal of inner, less contaminated items.
o Each step should be performed at separate stations to prevent cross contamination.
o Decontamination stations should allow enough separation to prevent cross
contamination and should be arranged in order of decreasing contamination.
o Separate decontamination areas should be provided to isolate workers from different
contamination zones containing incompatible wastes or decontamination processes.
o Entry and exit points should be conspicuously marked. Preferably the entry to the
CRZ from the exclusion zone should be separate from the entry to the exclusion
zone from the CRZ.
o Dress-out stations for entry to the CRZ should be separate from redressing areas
for exit from the CRZ.
o Personnel who wish to enter clean areas of the decontamination facility, such as
locker rooms, must be appropriately decontaminated first.
o Examples of decontamination lines and procedures for personnel wearing various
levels of protection are provided in Exhibits 16A and B.
16.21-65
Section 16
01-03-12
16.21.4 PPE for Decontamination Workers
A rule of thumb is that decontamination workers wear a level of protection one level
below the level of protection worn in the exclusion zone. However, consideration should
be given to the following when determining the level of protection for a given project.

The nature of site contamination
Degree of contamination expected on workers leaving the exclusion zone
The results of wipe tests and onsite air monitoring
Some site-specific cases may require that decontamination personnel wear the same
level of PPE as workers in the exclusion zone. Cases include:

Workers using a steam jet may need a different type of respiratory protection than other
decontamination personnel because of the high moisture content of the steam jets.

Cleaning solutions used and wastes removed during decontamination may generate
harmful vapors, requiring a different type of respiratory or clothing protection.
16.21.5 Decontamination Methods
All personnel, clothing, equipment, and samples leaving the contaminated area of a site
should be decontaminated to remove any harmful chemicals, radioactive material, or
infectious organisms that may have adhered to them. The extent of decontamination
will vary depending on the nature of site activity, site contamination, and other factors.

Decontamination methods available include:
o Physical removal
o Chemical detoxification or disinfections/sterilization
o A combination of both physical and chemical methods

The selected decontamination method should be reviewed for any safety and health
hazards. If the selected method poses a direct health hazard, measures shall be taken
to protect both the decontamination personnel and the workers to be decontaminated.

Physical Removal
o Physical methods using high pressure and/or heat should be used with caution.
o Loose contaminants can be removed by using a soap and water rinse with a soft
bristle brush to remove dust and vapors that cling to equipment and workers, or
that are trapped in small openings, such as clothing or fabric weaving.

Adhering contaminants can be removed by:
o
o
o
o
o
Scraping, brushing, and wiping.
Solidifying.
Freezing (using dry ice or ice water).
Adsorption or absorption (e.g., kitty litter or powdered lime).
Melting.
16.21-66
Section 16
01-03-12
o Volatile liquid contaminants can be removed from PPE or equipment by evaporation
followed by a water rinse. Evaporation may be expedited by the use of steam jets.

Chemical Removal
o Decontamination using chemicals should only be done if recommended by an
industrial hygienist or other qualified professional.
o Any chemical used in the decontamination process must be chemically compatible
with the equipment or clothing being decontaminated.
o Halogenated solvents should only be used for decontamination in extreme cases
where other cleaning agents will not remove the contaminant.

Chemical removal types include the following:
o Surface contaminants can be dissolved in a solvent.
o Solidification of liquid or gel contaminants can enhance their physical removal.
Typical solidification processes are moisture removal using adsorbents such as
grounded clay or powdered lime; and chemical reactions using polymerization
chemicals and/or chemical reagents.
16.21.6 Personnel Decontamination
Different levels of personnel protection, as discussed in the PPE guidelines, may be
used at any given site. The following is a description of the decontamination process
for each level of protection.

Level D
o An area should be designated for the gross removal of dirt and mud from gloves and boot
covers. Paper towels and buckets of rinse water can be made available for this purpose.
o Typical decontamination steps for Level D operations are provided in Exhibit 16-B.
o Soap and water should be used to wash hands and face before leaving the site.
o Laundering of personal clothing should be completed as soon as possible once offsite.

Level C and B
o A decontamination line should be established.
o Site-specific procedures should be outlined in the site HSP. The recommended
procedure for this layout is listed in Exhibit 16-C.

Level A - It is not anticipated CDM Smith will directly participate in Level A operations. If
required, site-specific procedures will be developed in coordination with the division HSM.
16.21.7 Sampling and Monitoring Equipment Decontamination
Sampling equipment often becomes grossly contaminated. Often trowels or drum thieves
(coliwassas) are dedicated to a particular site. These should be left in the exclusion zone
and disposed of as contaminated waste at the end of site work. Sampling equipment such
as split spoons or other equipment that is used to collect several samples must be cleaned
and decontaminated between samples to prevent cross contamination. These items should
be cleaned and decontaminated in accordance with the project operations or sampling
16.21-67
Section 16
01-03-12
plan. Dirt and wash solutions from sampling equipment decontamination should be
collected and disposed of as investigation-derived waste.
Once grossly contaminated, testing and monitoring instrumentation can be difficult to
decontaminate without causing damage to the instrument. Care should be taken in the field
to prevent gross contamination of field instruments by avoiding direct contact between the
instrument and contaminated soils, water, or surfaces. In some cases it may be necessary to
place instruments in plastic bags, leaving small openings for sampling ports, detectors, and
exhaust ports. The plastic bags can then be removed as the instrument comes out of the
exclusion zone. The outside of instruments can be wiped down with paper towels or
brushed off with clean soft brushes.
16.21.8 Heavy Equipment Decontamination
Drill rigs, trucks, backhoes, and other heavy equipment can be difficult to decontaminate.
The method generally used is to wash them with water under pressure and scrub accessible
areas with soap and warm water. Hot water and steam systems can be effective but may
increase air concentrations of contaminants, exposing decontamination workers. Particular
care should be taken where equipment comes into direct contact with contaminated soils
such as tires, buckets, or treads. In severe cases, tires may need to be replaced or parts sand
blasted clean or disposed of. Equipment should be visually inspected to be sure it is free of
any visible signs of contamination. In some cases, wipe tests or other methods may be
needed to confirm equipment has been adequately decontaminated before leaving the site.
16.21.9 Decontamination Solutions, Disposable PPE, and Site Wastes
Potentially contaminated equipment, disposable PPE, respirator cartridges, disposable
sampling equipment, brushes, buckets, waste decontamination solutions, etc. should be
secured in drums and labeled. Disposal methods for these materials may depend on
client requirements and/or results of site investigation data. The confirmed presence of
hazardous materials on the site may require disposal of investigation-derived wastes as
hazardous wastes.
Care should be taken during work and decontamination activities to minimize waste
materials generated.
16.21-68
Section 16
01-03-12
Exhibit 16-B
Minimum Measures For Level D Decontamination
Station 1 - Equipment Drop
Deposit equipment used on plastic drop cloths.
Segregation at the drop reduces the probability of cross
contamination. During hot weather, a cool down station
may be set up in this area.
Station 2 - Outer Garment, Boots, and
Scrub outer boots, outer gloves, and suit with deconGloves Wash and Rinse
tamination solution or detergent/water. Rinse off using
copious amounts of water.
Station 3 - Hard Hat, Outer Boot, and Glove Removal Remove hard hat, outer boots, and gloves.
Station 4 - Boots, Gloves, and Outer Garment Removal Remove boots, suit, and inner gloves and deposit in
separate containers lined with plastic.
Station 5 - Field Wash
Wash hands and face.
Exhibit 16-C
Minimum Measures For Level B, And C Decontamination
Station 1 - Equipment Drop
Station 2 - Outer Garment, Hard Hat, Boots,
and Gloves Wash and Rinse
Station 3 - Tank/Air Canister Change
Station 4 - Outer Boots, and Glove Removal
Station 5 - SCBA/Respirator Removal
Station 6 - Inner Gloves and Outer Garment Removal
Station 7 - Field Wash
Deposit equipment used on plastic drop cloths.
Segregation at the drop reduces the probability of cross
contamination. During hot weather, a cool down station
may be set up in this area.
Scrub outer boots, hard hat, outer gloves, and suit with
decontamination solution or detergent/water. Rinse off
using copious amounts of water.
If a worker leaves the exclusion zone to change an air
tank, air canister, or mask, this is the last step in the
decontamination procedure. Worker’s air tank is
exchanged, new outer gloves and boots donned, and
joints tapped. Worker returns to duty.
Remove outer boots and gloves. Deposit in container
with plastic liner.
SCBA backpack and facepiece/respirator is removed
(avoid touching face with fingers). SCBA or respirator is
deposited on plastic sheets.
Remove suit and inner gloves and deposit in separate
containers lined with plastic.
Shower if highly toxic, skin-corrosive, or skin-absorbable
materials are known or suspected to be present. Wash
hands and face.
16.21-69
Section 16
01-03-12
16.22 Traffic and Work Zone Safety
These guidelines apply whenever CDM Smith employees or subcontractors work in
areas exposed to vehicular traffic on public streets or highways.

Where vehicular traffic hazards exist because of work at locations near public streets or
roads, a system of traffic and work zone controls should be developed to mitigate the
hazard. The system should meet the requirements of Part 6 of the Manual of Uniform
Traffic Control Devices (MUTCD) published by the Federal Highway Administration,
or the applicable state version of the MUTCD.

In general, when the MUTCD allows the use of traffic safety direction devices, such as cones,
CDM Smith will supplement those direction devices with a physical barrier, such as a truck.

All traffic control systems on public roads must be coordinated with local traffic
control officials as required by applicable law.

Periodically evaluate effectiveness of temporary traffic control setups by walking or
riding the job area looking for evidence of poor controls and near misses such as
swerving traffic, motorists braking quickly, skid marks, blind spots, etc.

Give motorists plenty of advanced warning of upcoming work zones.

All employees working within designated work zones or near vehicular traffic should
wear high-visibility clothing such as orange, yellow, or yellow-green shirts, jackets, or
vests. During wet or inclement weather, similarly colored rainwear should be worn.

During night work, between the hours of sunset and sunrise, high-visibility clothing
should incorporate reflective striping or fabric and be visible at a distance of 1,000 feet.
This clothing should meet ANSI standard #107 for High Visibility Safety Apparel.

All employees working near traffic and vehicles must maintain situational awareness at
all times. Stay mindful that warning signs and cones inform drivers to take action but
that some drivers may not pay attention, and vehicles may still enter the work zone.
16.22-70
Appendix B MSDS MATERIAL SAFETY DATA SHEET
ALCONOX®
Prepared to U.S. OSHA, CMA, ANSI, Canadian WHMIS, Australian WorkSafe, Japanese Industrial Standard JIS Z 7250:2000, and European Union REACH Regulations
SECTION 1 - PRODUCT AND COMPANY IDENTIFICATION
ALCONOX®
PRODUCT NAME:
CHEMICAL FAMILY NAME:
PRODUCT USE:
U.N. NUMBER:
U.N. DANGEROUS GOODS CLASS:
SUPPLIER/MANUFACTURER'S NAME:
ADDRESS:
EMERGENCY PHONE:
BUSINESS PHONE:
DATE OF PREPARATION:
DATE OF LAST REVISION:
Detergent.
Critical-cleaning detergent for laboratory, healthcare and industrial applications
Not Applicable
Non-Regulated Material
Alconox, Inc.
30 Glenn St., Suite 309, White Plains, NY 10603. USA
800-255-3924
TOLL-FREE in USA/Canada
813-248-0585
International calls
914-948-4040
May 2011
February 2008
SECTION 2 - HAZARDS IDENTIFICATION
EMERGENCY OVERVIEW: This product is a white granular powder with little or no odor. Exposure can be irritating to eyes,
respiratory system and skin. It is a non-flammable solid. The Environmental effects of this product have not been investigated.
US DOT SYMBOLS
CANADA (WHMIS) SYMBOLS
EUROPEAN and (GHS) Hazard Symbols
Non-Regulated
Signal Word: Warning!
EU LABELING AND CLASSIFICATION:
Classification of the substance or mixture according to Regulation (EC) No1272/2008 Annex 1
EC# 205-633-8 This substance is not classified in the Annex I of Directive 67/548/EEC
EC# 207-638-8 Index# 011-005-00-2
GHS Hazard Classification(s):
Eye Irritant Category 2A
Hazard Statement(s):
H319: Causes serious eye irritation
Precautionary Statement(s):
P260: Do not breath dust/fume/gas/mist/vapors/spray
P264: Wash hands thoroughly after handling
P271: Use only in well ventilated area.
P280: Wear protective gloves/protective clothing/eye
protection/face protection/
Hazard Symbol(s):
[Xi] Irritant
May 2011
Page 1 of 7
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MATERIAL SAFETY DATA SHEET
ALCONOX®
Risk Phrases:
R20: Harmful by inhalation
R36/37/38: Irritating to eyes, respiratory system and skin
Safety Phrases:
S8: Keep container dry
S22: Do not breath dust
S24/25: Avoid contact with skin and eyes
HEALTH HAZARDS OR RISKS FROM EXPOSURE:
ACUTE: Exposure to this product may cause irritation of the eyes, respiratory system and skin. Ingestion may cause gastrointestinal
irritation including pain, vomiting or diarrhea.
CHRONIC: This product contains an ingredient which may be corrosive.
TARGET ORGANS:
ACUTE:
Eye, respiratory System, Skin
CHRONIC:
None Known
SECTION 3 - COMPOSITION and INFORMATION ON INGREDIENTS
HAZARD CLASSIFICATION;
RISK PHRASES
HAZARDOUS INGREDIENTS:
CAS #
EINECS #
ICSC #
WT %
Sodium Bicarbonate
144-55-8
205-633-8
1044
33 - 43%
HAZARD CLASSIFICATION: None
RISK PHRASES: None
Sodium (C10 – C16)
Alkylbenzene Sulfonate
68081-81-2
268-356-1
Not Listed
10 – 20%
RISK PHRASES: None
Sodium Tripolyphosphate
7758-29-4
231-838-7
1469
5 - 15%
RISK PHRASES: None
Tetrasodium Pyrophosphate
7722-88-5
231-767-1
1140
5 - 15%
RISK PHRASES: None
Sodium Carbonate
497-19-8
207-638-8
1135
1 - 10%
HAZARD CLASSIFICATION: [Xi] Irritant
RISK PHRASES: R36
Sodium Alcohol Sulfate
151-21-3
205-788-1
0502
1 – 5%
RISK PHRASES: None
Balance of other ingredients are non-hazardous or less than 1% in concentration (or 0.1% for
carcinogens, reproductive toxins, or respiratory sensitizers).
NOTE:
ALL WHMIS required information is included in appropriate sections based on the ANSI Z400.1-2004 format. This product has been classified in
accordance with the hazard criteria of the CPR and the MSDS contains all the information required by the CPR, EU Directives and the
Japanese Industrial Standard JIS Z 7250: 2000.
SECTION 4 - FIRST-AID MEASURES
Contaminated individuals of chemical exposure must be taken for medical attention if any adverse effect occurs. Rescuers should be
taken for medical attention, if necessary. Take copy of label and MSDS to health professional with contaminated individual.
EYE CONTACT: If product enters the eyes, open eyes while under gentle running water for at least 15 minutes. Seek
medical attention if irritation persists.
SKIN CONTACT: Wash skin thoroughly after handling. Seek medical attention if irritation develops and persists. Remove
contaminated clothing. Launder before re-use.
INHALATION: If breathing becomes difficult, remove victim to fresh air. If necessary, use artificial respiration to support
vital functions. Seek medical attention if breathing dificulty continues.
INGESTION: If product is swallowed, call physician or poison control center for most current information. If professional
advice is not available, do not induce vomiting. Never induce vomiting or give diluents (milk or water) to someone who
is unconscious, having convulsions, or who cannot swallow. Seek medical advice. Take a copy of the label and/or
MSDS with the victim to the health professional.
MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: Pre-existing skin, or eye problems may be aggravated by
prolonged contact.
RECOMMENDATIONS TO PHYSICIANS: Treat symptoms and reduce over-exposure.
May 2011
Page 2 of 7
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ALCONOX®
SECTION 5 - FIRE-FIGHTING MEASURES
FLASH POINT:
AUTOIGNITION TEMPERATURE:
FLAMMABLE LIMITS (in air by volume, %):
FIRE EXTINGUISHING MATERIALS:
UNUSUAL FIRE AND EXPLOSION HAZARDS:
Explosion Sensitivity to Mechanical Impact:
Explosion Sensitivity to Static Discharge:
SPECIAL FIRE-FIGHTING PROCEDURES:
Not Flammable
Not Applicable
Lower (LEL):
NA
Upper (UEL):
NA
As appropriate for surrounding fire. Carbon dioxide, foam, dry
chemical, halon, or water spray.
This product is non-flammable and has no known explosion hazards.
Not Sensitive.
Not Sensitive
Incipient fire responders should wear eye protection. Structural
firefighters must wear Self-Contained Breathing Apparatus and full
protective equipment. Isolate materials not yet involved in the fire and
protect personnel. Move containers from fire area if this can be done
without risk; otherwise, cool with carefully applied water spray. If
possible, prevent runoff water from entering storm drains, bodies of
water, or other environmentally sensitive areas.
NFPA RATING SYSTEM
HMIS RATING SYSTEM
HAZARDOUS MATERIAL IDENTIFICATION SYSTEM
Flammability
0
Health
1
0
Reactivity
HEALTH HAZARD (BLUE)
1
FLAMMABILITY HAZARD (RED)
0
PHYSICAL HAZARD (YELLOW)
0
PROTECTIVE EQUIPMENT
EYES
RESPIRATORY
HANDS
Other
See Sect 8
BODY
See
Sect 8
For Routine Industrial Use and Handling Applications
Hazard Scale: 0 = Minimal 1 = Slight 2 = Moderate 3 = Serious 4 = Severe * = Chronic hazard
SECTION 6 - ACCIDENTAL RELEASE MEASURES
SPILL AND LEAK RESPONSE: Personnel should be trained for spill response operations.
SPILLS: Contain spill if safe to do so. Prevent entry into drains, sewers, and other waterways. Sweep, shovel or vacuum spilled material
and place in an appropriate container for re-use or disposal. Avoid dust generation if possible. Dispose of in accordance with applicable
Federal, State, and local procedures (see Section 13, Disposal Considerations).
SECTION 7 - HANDLING and STORAGE
WORK PRACTICES AND HYGIENE PRACTICES: As with all chemicals, avoid getting this product ON YOU or IN YOU. Wash
thoroughly after handling this product. Do not eat, drink, smoke, or apply cosmetics while handling this product. Avoid breathing dusts
generated by this product. Use in a well-ventilated location. Remove contaminated clothing immediately.
STORAGE AND HANDLING PRACTICES: Containers of this product must be properly labeled. Store containers in a cool, dry location.
Keep container tightly closed when not in use. Store away from strong acids or oxidizers.
May 2011
Page 3 of 7
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ALCONOX®
SECTION 8 - EXPOSURE CONTROLS - PERSONAL PROTECTION
EXPOSURE LIMITS/GUIDELINES:
Chemical Name
CAS#
ACGIH TWA
OSHA TWA
SWA
Sodium Bicarbonate
144-55-8
10 mg/m³ Total Dust
Sodium (C10 – C16)
Alkylbenzene Sulfonate
68081-81-2
Sodium Tripolyphosphate
7758-29-4
Tetrasodium
Pyrophosphate
7722-88-5
5 mg/m³
5 mg/m³
5 mg/m³
Sodium Carbonate
497-19-8
Sodium Alcohol Sulfate
151-21-3
Currently, International exposure limits are not established for the components of this product. Please check with competent authority
in each country for the most recent limits in place.
VENTILATION AND ENGINEERING CONTROLS: Use with adequate ventilation to ensure exposure levels are maintained below the
limits provided below. Use local exhaust ventilation to control airborne dust. Ensure eyewash/safety shower stations are available near
areas where this product is used.
The following information on appropriate Personal Protective Equipment is provided to assist employers in complying with OSHA
regulations found in 29 CFR Subpart I (beginning at 1910.132) or equivalent standard of Canada, or standards of EU member states
(including EN 149 for respiratory PPE, and EN 166 for face/eye protection), and those of Japan. Please reference applicable
regulations and standards for relevant details.
RESPIRATORY PROTECTION: Based on test data, exposure limits should not be exceeded under normal use conditions when using
Alconox Detergent. Maintain airborne contaminant concentrations below guidelines listed above, if applicable. If necessary, use only
respiratory protection authorized in the U.S. Federal OSHA Respiratory Protection Standard (29 CFR 1910.134), equivalent U.S. State
standards, Canadian CSA Standard Z94.4-93, the European Standard EN149, or EU member states.
EYE PROTECTION: Safety glasses. If necessary, refer to U.S. OSHA 29 CFR 1910.133 or appropriate Canadian Standards.
HAND PROTECTION: Use chemical resistant gloves to prevent skin contact.. If necessary, refer to U.S. OSHA 29 CFR 1910.138 or
appropriate Standards of Canada.
BODY PROTECTION: Use body protection appropriate to prevent contact (e.g. lab coat, overalls). If necessary, refer to appropriate
Standards of Canada, or appropriate Standards of the EU, Australian Standards, or relevant Japanese Standards.
SECTION 9 - PHYSICAL and CHEMICAL PROPERTIES
Solid
White granular powder with little or no odor.
Not Available
Not Applicable
Not Applicable.
Not Available
Not Applicable.
Not Applicable.
Not Applicable.
9.5 (1% aqueous solution)
0.85 – 1.1
>10% w/w
Not Available
None
Detergent
PHYSICAL STATE:
APPEARANCE & ODOR:
ODOR THRESHOLD (PPM):
VAPOR PRESSURE (mmHg):
VAPOR DENSITY (AIR=1):
BY WEIGHT:
EVAPORATION RATE (nBuAc = 1):
BOILING POINT (C°):
FREEZING POINT (C°):
pH:
SPECIFIC GRAVITY 20°C: (WATER =1)
SOLUBILITY IN WATER (%)
COEFFICIENT OF WATER/OIL DIST.:
VOC:
CHEMICAL FAMILY:
May 2011
Page 4 of 7
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ALCONOX®
SECTION 10 - STABILITY and REACTIVITY
STABILITY: Product is stable
DECOMPOSITION PRODUCTS: When heated to decomposition this product produces Oxides of carbon (COx)
MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Strong acids and strong oxidizing agents.
HAZARDOUS POLYMERIZATION: Will not occur.
CONDITIONS TO AVOID: Contact with incompatible materials and dust generation.
SECTION 11 - TOXICOLOGICAL INFORMATION
TOXICITY DATA: Toxicity data is available for mixture:
CAS# 497-19-8 LD50 Oral (Rat)
4090 mg/kg
CAS# 497-19-8 LD50 Oral (Mouse)
6600 mg/kg
CAS# 497-19-8 LC50 Inhalation
2300 mg/m³ 2H
(Rat)
CAS# 497-19-8 LC50 Inhalation
1200 mg/m³ 2H
(Mouse)
3120 mg/kg
CAS# 7758-29-4 LD50 Oral
3100 mg/kg
(Mouse)
4000 mg/kg
SUSPECTED CANCER AGENT: None of the ingredients are found on the following lists: FEDERAL OSHA Z LIST, NTP,
CAL/OSHA, IARC and therefore is not considered to be, nor suspected to be a cancer-causing agent by these agencies.
IRRITANCY OF PRODUCT: Contact with this product can be irritating to exposed skin, eyes and respiratory system.
SENSITIZATION OF PRODUCT: This product is not considered a sensitizer.
REPRODUCTIVE TOXICITY INFORMATION: No information concerning the effects of this product and its components on
the human reproductive system.
SECTION 12 - ECOLOGICAL INFORMATION
ALL WORK PRACTICES MUST BE AIMED AT ELIMINATING ENVIRONMENTAL CONTAMINATION.
ENVIRONMENTAL STABILITY: No Data available at this time.
EFFECT OF MATERIAL ON PLANTS or ANIMALS: No evidence is currently available on this product’s effects on plants or animals.
EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence is currently available on this product’s effects on aquatic life.
SECTION 13 - DISPOSAL CONSIDERATIONS
PREPARING WASTES FOR DISPOSAL: Waste disposal must be in accordance with appropriate Federal, State, and local
regulations, those of Canada, Australia, EU Member States and Japan.
SECTION 14 - TRANSPORTATION INFORMATION
US DOT; IATA; IMO; ADR:
THIS PRODUCT IS NOT HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF TRANSPORTATION.
PROPER SHIPPING NAME: Non-Regulated Material
HAZARD CLASS NUMBER and DESCRIPTION: Not Applicable
UN IDENTIFICATION NUMBER: Not Applicable
PACKING GROUP: Not Applicable.
DOT LABEL(S) REQUIRED: Not Applicable
NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER (2004): Not Applicable
MARINE POLLUTANT: None of the ingredients are classified by the DOT as a Marine Pollutant (as defined by 49 CFR
172.101, Appendix B)
U.S. DEPARTMENT OF TRANSPORTATION (DOT) SHIPPING REGULATIONS:
This product is not classified as dangerous goods, per U.S. DOT regulations, under 49 CFR 172.101.
TRANSPORT CANADA, TRANSPORTATION OF DANGEROUS GOODS REGULATIONS:
This product is not classified as Dangerous Goods, per regulations of Transport Canada.
INTERNATIONAL AIR TRANSPORT ASSOCIATION (IATA):
This product is not classified as Dangerous Goods, by rules of IATA:
INTERNATIONAL MARITIME ORGANIZATION (IMO) DESIGNATION:
This product is not classified as Dangerous Goods by the International Maritime Organization.
EUROPEAN AGREEMENT CONCERNING THE INTERNATIONAL CARRIAGE OF DANGEROUS GOODS BY ROAD (ADR):
May 2011
Page 5 of 7
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ALCONOX®
This product is not classified by the United Nations Economic Commission for Europe to be dangerous goods.
SECTION 15 - REGULATORY INFORMATION
UNITED STATES REGULATIONS
SARA REPORTING REQUIREMENTS: This product is not subject to the reporting requirements of Sections 302, 304 and 313 of
Title III of the Superfund Amendments and Reauthorization Act., as follows: None
TSCA: All components in this product are listed on the US Toxic Substances Control Act (TSCA) inventory of chemicals.
SARA 311/312:
Acute Health: Yes
Chronic Health: No
Fire: No
Reactivity: No
U.S. SARA THRESHOLD PLANNING QUANTITY: There are no specific Threshold Planning Quantities for this product. The
default Federal MSDS submission and inventory requirement filing threshold of 10,000 lb (4,540 kg) may apply, per 40 CFR
370.20.
U.S. CERCLA REPORTABLE QUANTITY (RQ): None
CALIFORNIA SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT (PROPOSITION 65): None of the ingredients are on
the California Proposition 65 lists.
CANADIAN REGULATIONS:
CANADIAN DSL/NDSL INVENTORY STATUS: All of the components of this product are on the DSL Inventory
CANADIAN ENVIRONMENTAL PROTECTION ACT (CEPA) PRIORITIES SUBSTANCES LISTS: No component of this product is
on the CEPA First Priorities Substance Lists.
CANADIAN WHMIS CLASSIFICATION and SYMBOLS: This product is categorized as a Controlled Product, Hazard Class D2B as
per the Controlled Product Regulations
EUROPEAN ECONOMIC COMMUNITY INFORMATION:
EU LABELING AND CLASSIFICATION:
Classification of the mixture according to Regulation (EC) No1272/2008. See section 2 for details.
AUSTRALIAN INFORMATION FOR PRODUCT:
AUSTRALIAN INVENTORY OF CHEMICAL SUBSTANCES (AICS) STATUS: All components of this product are listed on the AICS.
STANDARD FOR THE UNIFORM SCHEDULING OF DRUGS AND POISONS: Not applicable.
JAPANESE INFORMATION FOR PRODUCT:
JAPANESE MINISTER OF INTERNATIONAL TRADE AND INDUSTRY (MITI) STATUS: The components of this product are not
listed as Class I Specified Chemical Substances, Class II Specified Chemical Substances, or Designated Chemical Substances by
the Japanese MITI.
INTERNATIONAL CHEMICAL INVENTORIES:
Listing of the components on individual country Chemical Inventories is as follows:
Asia-Pac:
Australian Inventory of Chemical Substances (AICS):
Korean Existing Chemicals List (ECL):
Japanese Existing National Inventory of Chemical Substances (ENCS):
Philippines Inventory if Chemicals and Chemical Substances (PICCS):
Swiss Giftliste List of Toxic Substances:
U.S. TSCA:
Listed
Listed
Listed
Listed
Listed
Listed
Listed
SECTION 16 - OTHER INFORMATION
PREPARED BY: Paul Eigbrett
May 2011
Global Safety Management, 10006 Cross Creek Blvd. Suite 440, Tampa, FL 33647
Page 6 of 7
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ALCONOX®
Disclaimer: To the best of Alconox, Inc. knowledge, the information contained herein is reliable and accurate as of this date;
however, accuracy, suitability or completeness is not guaranteed and no warranties of any type either express or implied are
provided. The information contained herein relates only to this specific product.
ANNEX:
IDENTIFIED USES OF ALCONOX® AND DIRECTIONS FOR USE
Used to clean: Healthcare instruments, laboratory ware, vacuum equipment, tissue culture ware, personal protective
equipment, sampling apparatus, catheters, tubing, pipes, radioactive contaminated articles, optical parts, electronic
components, pharmaceutical apparatus, cosmetics manufacturing equipment, metal castings, forgings and stampings,
industrial parts, tanks and reactors. Authorized by USDA for use in federally inspected meat and poultry plants. Passes
inhibitory residue test for water analysis. FDA certified.
Used to remove: Soil, grit, grime, buffing compound, slime, grease, oils, blood, tissue, salts, deposits, particulates,
solvents, chemicals, radioisotopes, radioactive contaminations, silicon oils, mold release agents.
Surfaces cleaned: Corrosion inhibited formulation recommended for glass, metal, stainless steel, porcelain, ceramic,
plastic, rubber and fiberglass. Can be used on soft metals such as copper, aluminum, zinc and magnesium if rinsed
promptly. Corrosion testing may be advisable.
Cleaning method: Soak, brush, sponge, cloth, ultrasonic, flow through clean-inplace. Will foam—not for spray or
machine use.
Directions: Make a fresh 1% solution (2 1/2 Tbsp. per gal., 1 1/4 oz. per gal. or 10 grams per liter) in cold, warm, or
hot water. If available use warm water. Use cold water for blood stains. For difficult soils, raise water temperature and
use more detergent. Clean by soak, circulate, wipe, or ultrasonic method. Not for spray machines, will foam. For
nonabrasive scouring, make paste. Use 2% solution to soak frozen stopcocks. To remove silver tarnish, soak in 1%
solution in aluminum container. RINSE THOROUGHLY—preferably with running water. For critical cleaning, do final or
all rinsing in distilled, deionized, or purified water. For food contact surfaces, rinse with potable water. Used on a wide
range of glass, ceramic, plastic, and metal surfaces. Corrosion testing may be advisable.
May 2011
Page 7 of 7
Rev 1
CITGO No. 2 Diesel Fuel, Low
Sulfur, All Grades
Material Safety Data Sheet
CITGO Petroleum Corporation
P. O. Box 4689
Houston, TX 77210
MSDS No.
AG2DF
Revision Date
12/31/2007
IMPORTANT: This MSDS is prepared in accordance with 29 CFR 1910.1200. Read this
MSDS before transporting, handling, storing or disposing of this product and forward this
information to employees, customers and users of this product.
Emergency Overview
Physical State Liquid.
Transparent, clear to
Color
yellow or red.
Odor
Hazard Rankings
HMIS NFPA
2
0
Fire Hazard
2
2
Reactivity
0
0
Health Hazard
*
* = Chronic Health Hazard
Characteristic,
kerosene-like.
WARNING!
Combustible liquid; vapor may cause flash fire.
Harmful or fatal if swallowed - can enter lungs and cause
damage.
Can cause eye, skin or respiratory tract irritation.
May be harmful if inhaled or absorbed through the skin.
Overexposure can cause central nervous system (CNS)
depression and/or other target organ effects.
Possible Cancer Hazard (See Section 3)
Harmful to aquatic organisms.
Minimum Recommended
See Section 8 for Details
SECTION 1. PRODUCT IDENTIFICATION
Trade Name
CITGO No. 2 Diesel Fuel, Low Sulfur,
All Grades
Technical Contact
(832) 486-5940
Product Number
Various
Medical Emergency
(832) 486-4700
CAS Number
68476-34-6
CHEMTREC Emergency
(United States Only)
(800) 424-9300
Product Family
Motor fuels.
Synonyms
No. 2-D Grade Diesel Fuel Oil (defined by ASTM D-975); Treated or Refined Diesel Fuel No.
2; Diesel No. 2; Diesel Motor Fuel No. 2; Diesel Oil (Medium); Grade 2 Distillate Fuel;
Hydrodesulfurized (HDS) Light Catalytically Cracked Distillate; Middle Distillates (Petroleum);
HDS Diesel; Hydrodesulfurized Medium Distillate; HDS Middle Distillate; C9-C16 Petroleum
Hydrocarbons; Ultra Low Sulfur Diesel.
SECTION 2. COMPOSITION
This product may be composed, in whole or in part, of any of the following refinery streams:
Diesel Fuel No. 2 [CAS No.: 68476-34-6]
Hydrodesulfurized Middle Distillate (petroleum) [CAS No.: 64742-80-9]
Hydrodesulfurized Light Catalytic Cracked Distillate (Petroleum) [CAS No.: 68333-25-5]
Kerosene [CAS No.: 8008-20-6]
Hydrodesulfurized Kerosine (Petroleum) [CAS No.: 64742-81-0]
This product contains the following chemical components:
Component Name(s)
MSDS No.
AG2DF
Revision Date
12/31/2007
CAS Registry No.
Continued on Next Page
Concentration (%)
Page Number: 1
CITGO No. 2 Diesel Fuel, Low Sulfur, All Grades
Nonane, all isomers
Trimethylbenzenes, all isomers
Naphthalene
Cumene
Ethylbenzene
Mixture
25551-13-7
91-20-3
98-82-8
100-41-4
1 - 10
0-2
0-2
0-1
0-1
SECTION 3. HAZARDS IDENTIFICATION
Also see Emergency Overview and Hazard Ratings on the top of Page 1 of this MSDS.
Major Route(s) of Entry Skin contact. Inhalation.
Signs and Symptoms of Acute Exposure
Inhalation
Breathing high concentrations may be harmful. Mist or vapor can irritate the throat and lungs.
Breathing this material may cause central nervous system depression with symptoms
including nausea, headache, dizziness, fatigue, drowsiness, or unconsciousness.
Eye Contact
This material can cause eye irritation with tearing, redness, or a stinging or burning feeling.
Further, it can cause swelling of the eyes with blurred vision. Effects may become more
serious with repeated or prolonged contact.
Skin Contact
This material can cause skin irritation. Symptoms include redness, itching, and burning of
the skin. This material can be absorbed by the skin and produce central nervous system
depression (headache, nausea, fatigue and/or other symptoms including unconsciousness).
If the skin is damaged, absorption increases. Prolonged and/or repeated contact may cause
severe dermatitis and/or more serious skin disorders. Chronic symptoms may include
drying, swelling, scaling, blistering, cracking, and/or severe tissue damage.
Ingestion
If swallowed, this material may irritate the mouth, throat, and esophagus. It can be absorbed
into the blood stream through the stomach and intestinal tract. Symptoms may include a
burning sensation of the mouth and esophagus, nausea and vomiting. In addition, it can
cause central nervous system effects characterized by dizziness, staggering, drowsiness,
delirium and/or loss of consciousness.
Because of the low viscosity, this material can enter the lungs directly by aspiration during
swallowing or subsequent vomiting. Aspiration of a small amount of liquid can cause severe
lung damage and/or death.
Chronic Health Effects Secondary effects of ingestion and subsequent aspiration into the lungs may cause
pneumatocele (lung cavity) formation and chronic lung dysfunction.
Summary
This product contains petroleum middle distillates similar to those shown to produce skin
tumors on laboratory rodents following repeated application. All tumors appeared during the
latter portion of the typical 2-year lifespan of the animals. Certain studies have shown that
washing the exposed skin of the test animal with soap and water between treatments greatly
reduces the potential tumorigenic effects. These data suggest that good personal hygiene is
effective in reducing the risk of this potential adverse health effect.
This material and/or its components have been associated with developmental toxicity,
reproductive toxicity, genotoxicity, immunotoxicity, and/or carcinogenicity. Refer to Section
11 of this MSDS for additional health-related information.
Conditions Aggravated Disorders of the following organs or organ systems that may be aggravated by significant
exposure to this material or its components include: Skin, Respiratory System, Liver,
by Exposure
Kidneys, Central Nervous System (CNS)
Target Organs
May cause damage to the following organs: kidneys, lungs, liver, mucous membranes, upper
respiratory tract, skin, central nervous system (CNS), eye, lens or cornea
Carcinogenic Potential
MSDS No.
AG2DF
Revision Date
12/31/2007
Page Number: 2
This material may contain ethylbenzene and naphthalene at concentrations above 0.1%.
IARC has identified ethylbenzene and naphthalene as possibly carcinogenic to humans
(Group 2B) based on laboratory animal studies. The NTP has determined that naphthalene
is reasonably anticipated to be a human carcinogen based on sufficient evidence from
studies in experimental animals. NTP has determined that exposure to diesel exhaust
particulates, a complex mixture of combustion products of diesel fuel, is reasonably
anticipated to be a human carcinogen.
OSHA Hazard Classification is indicated by an "X" in the box adjacent to the hazard title. If no "X" is present,
the product does not exhibit the hazard as defined in the OSHA Hazard Communication Standard (29 CFR
1910.1200).
OSHA Physical Hazard Classification
OSHA Health Hazard Classification
Sensitizer
Combustible
Toxic
Highly Toxic
Corrosive
Carcinogenic
Irritant
X
Explosive
Pyrophoric
Flammable
Oxidizer
Water-reactive
Compressed Gas
Organic Peroxide
Unstable
X
SECTION 4. FIRST AID MEASURES
Take proper precautions to ensure your own health and safety before attempting rescue or providing first aid.
For more specific information, refer to Exposure Controls and Personal Protection in Section 8 of this MSDS.
Inhalation
Move victim to fresh air. If victim is not breathing, immediately begin rescue breathing. If
breathing is difficult, 100 percent humidified oxygen should be administered by a qualified
individual. Seek medical attention immediately. Keep the affected individual warm and at
rest.
Eye Contact
Check for and remove contact lenses. Flush eyes with cool, clean, low-pressure water for at
least 15 minutes while occasionally lifting and lowering eyelids. Do not use eye ointment
unless directed to by a physician. Seek medical attention if excessive tearing, irritation, or
pain persists.
Skin Contact
Remove contaminated shoes and clothing. Flush affected area with large amounts of water.
If skin surface is damaged, apply a clean dressing and seek medical attention. Do not use
ointments. If skin surface is not damaged, clean affected area thoroughly with mild soap and
water. Seek medical attention if tissue appears damaged or if pain or irritation persists.
Ingestion
Do not induce vomiting. If spontaneous vomiting is about to occur, place victim’s head below
knees. If victim is drowsy or unconscious, place on the left side with head down. Never give
anything by mouth to a person who is not fully conscious. Do not leave victim unattended.
Seek medical attention immediately.
Notes to Physician
INHALATION: Inhalation overexposure can produce toxic effects. Monitor for respiratory
distress. If cough or difficulty in breathing develops, evaluate for upper respiratory tract
inflammation, bronchitis, and pneumonitis. Administer supplemental oxygen with assisted
ventilation, as required.
INGESTION: If ingested, this material presents a significant aspiration and chemical
pneumonitis hazard. Induction of emesis is not recommended. Consider activated charcoal
and/or gastric lavage. If patient is obtunded, protect the airway by cuffed endotracheal
intubation or by placement of the body in a Trendelenburg and left lateral decubitus position.
MSDS No.
AG2DF
Revision Date
12/31/2007
Page Number: 3
SECTION 5. FIRE FIGHTING MEASURES
NFPA Flammability
Classification
NFPA Class-II combustible liquid.
Flash Point
Closed cup: AP 52°C (AP 125°F). (Pensky-Martens.)
Lower Flammable Limit AP 0.6 %
Autoignition
Temperature
Upper Flammable Limit AP 7.5 %
>254°C (>489°F)
Hazardous Combustion Carbon dioxide, carbon monoxide, smoke, fumes, unburned hydrocarbons and oxides of
Products
sulfur and nitrogen.
Special Properties
Combustible Liquid! This material releases vapors when heated above ambient
temperatures. Vapors can cause a flash fire. Vapors can travel to a source of ignition and
flashback. A vapor and air mixture can create an explosion hazard in confined spaces such
as sewers. Use only with adequate ventilation. If container is not properly cooled, it can
rupture in the heat of a fire.
Extinguishing Media
SMALL FIRE: Use dry chemicals, carbon dioxide, foam, or inert gas (nitrogen). Carbon
dioxide and inert gas can displace oxygen. Use caution when applying carbon dioxide or
inert gas in confined spaces.
LARGE FIRE: Use foam, water fog, or water spray. Water fog and spray are effective in
cooling containers and adjacent structures. However, water can cause frothing and/or may
not extinguish the fire. Water can be used to cool the external walls of vessels to prevent
excessive pressure, autoignition or explosion. DO NOT use a solid stream of water directly
on the fire as the water may spread the fire to a larger area.
Protection of Fire
Fighters
Firefighters must use full bunker gear including NIOSH-approved positive pressure
self-contained breathing apparatus to protect against potential hazardous combustion or
decomposition products and oxygen deficiencies. Evacuate area and fight the fire from a
maximum distance or use unmanned hose holders or monitor nozzles. Cover pooling liquid
with foam. Containers can build pressure if exposed to radiant heat; cool adjacent containers
with flooding quantities of water until well after the fire is out. Withdraw immediately from the
area if there is a rising sound from a venting safety device or discoloration of vessels, tanks,
or pipelines. Be aware that burning liquid will float on water. Notify appropriate authorities of
potential fire and explosion hazard if liquid enter sewers or waterways.
SECTION 6. ACCIDENTAL RELEASE MEASURES
Take proper precautions to ensure your own health and safety before attempting spill control or clean-up. For
more specific information, refer to the Emergency Overview on Page 1, Exposure Controls and Personal
Protection in Section 8 and Disposal Considerations in Section 13 of this MSDS.
Combustible Liquid! Release can result in a fire hazard. Evacuate all non-essential personnel
from release area. Establish a regulated zone with site control and security. Eliminate all
ignition sources. Stop the leak if it can done without risk. A vapor-suppressing foam may be
used to reduce vapors. Properly bond or ground all equipment used when handling this
material. Avoid skin contact. Do not walk through spilled material. Verify that responders are
properly trained and wearing appropriate personnel protective equipment. Dike far ahead of a
liquid spills. Do not allow released material to entry waterways, sewers, basements, or
confined areas. This material will float on water. Absorb or cover with dry earth, sand or other
non-combustible material. Use clean, non-sparking tools to collect absorbed material. Place
spent sorbent materials, free liquids and other clean-up debris into proper waste containers
for appropriate disposal. Certain releases must be reported to the National Response Center
(800/424-8802) and state or regulatory authorities. Comply with all laws and regulations.
MSDS No.
AG2DF
Revision Date
12/31/2007
Page Number: 4
SECTION 7. HANDLING AND STORAGE
Handling
Combustible Liquid!
A static electrical charge can accumulate when this material is flowing through pipes, nozzles
or filters and when it is agitated. A static spark discharge can ignite accumulated vapors
particularly during dry weather conditions. Always bond receiving containers to the fill pipe
before and during loading. Always keep nozzle in contact with the container throughout the
loading process. Do not fill any portable container in or on a vehicle. Special precautions,
such as reduced loading rates and increased monitoring, must be observed during "switch
loading" operations (i.e., loading this material in tanks or shipping compartments that
previously containing gasoline or similar low flash point products).
Fire hazard increases as product temperature approaches its flash point. Keep container
closed and drum bungs in place. Remove spillage immediately from walking areas. Do not
handle or store near heat, sparks or other potential ignition sources. Do not handle or store
with oxidizing agents. Avoid breathing mist or vapor. Never siphon by mouth. Do not taste or
swallow. Avoid contact with eyes, skin and clothing. Use gloves constructed of impervious
materials and protective clothing if direct contact is anticipated. Provide ventilation to
maintain exposure potential below applicable exposure levels. Avoid water contamination.
Wash thoroughly after handling. Prevent contact with food or tobacco products.
When performing repairs and maintenance on contaminated equipment, keep unnecessary
persons from hazard area. Eliminate heat, flame and other potential ignition sources. Drain
and purge equipment, as necessary, to remove material residues. Remove contaminated
clothing. Wash exposed skin thoroughly with soap and water after handling.
Do not use this material as fuel for equipment, such as portable heaters, in enclosed areas.
Hazardous combustion products can cause death.
Protect the environment from releases of this material. Prevent discharges to surface waters
and groundwater. Maintain handling, transfer and storage equipment in proper working order.
Misuse of empty containers can be dangerous. Empty containers may contain material
residues which can ignite with explosive force. Cutting or welding of empty containers
Do not pressurize or
can cause fire, explosion, or release of toxic fumes from residues.
expose empty containers to open flame, sparks, or heat. Keep container closed and drum
bungs in place. All label warnings and precautions must be observed. Return empty drums
to a qualified reconditioner. Consult appropriate federal, state and local authorities before
reusing, reconditioning, reclaiming, recycling, or disposing of empty containers and/or waste
residues of this material.
Store in a cool, dry, well-ventilated place. Keep containers tightly closed. Do not store this
product near heat, flame or other potential ignition sources. Do not store with oxidizers. Do
not store this product in unlabeled containers. Do not puncture or incinerate containers.
Ground all equipment containing this material. All electrical equipment in areas where this
material is stored or handled must meet all applicable requirements of the NFPA's National
Electrical Code (NEC). Store and transport in accordance with all applicable laws.
Storage
SECTION 8. EXPOSURE CONTROLS AND PERSONAL PROTECTION
Engineering Controls
Provide ventilation or other engineering controls to keep the airborne concentrations of
vapor or mists below the applicable workplace exposure limits indicated below. All electrical
equipment should comply with the National Electric Code. An emergency eye wash station
and safety shower should be located near the work-station.
Personal Protective
Equipment
Personal protective equipment should be selected based upon the conditions under which
this material is used. A hazard assessment of the work area for PPE requirements should
be conducted by a qualified professional pursuant to OSHA regulations. The following
pictograms represent the minimum requirements for personal protective equipment. For
certain operations, additional PPE may be required.
MSDS No.
AG2DF
Revision Date
12/31/2007
Page Number: 5
Eye Protection
Safety glasses equipped with side shields are recommended as minimum protection in
industrial settings. Chemical goggles should be worn during transfer operations or when
there is a likelihood of misting, splashing, or spraying of this material. A suitable emergency
eye wash water and safety shower should be located near the work station.
Hand Protection
Avoid skin contact. Use heavy duty gloves constructed of chemical resistant materials such
as Viton® or heavy nitrile rubber. Wash hands with plenty of mild soap and water before
eating, drinking, smoking, use of toilet facilities or leaving work. DO NOT use gasoline,
kerosene, solvents or harsh abrasives as skin cleaners.
Avoid skin contact. Wear long-sleeved fire-retardant garments (e.g., Nomex®) while
working with flammable and combustible liquids. Additional chemical-resistant protective
gear may be required if splashing or spraying conditions exist. This may include an apron,
boots and additional facial protection. If product comes in contact with clothing, immediately
remove soaked clothing and shower. Promptly remove and discard contaminated leather
goods.
Body Protection
Respiratory Protection Airborne concentration will determine the level of respiratiory protection required.
Respiratory protection is normally not required unless the product is heated or misted. For
known or anticipated vapor or mist concentrations above the occupational exposure
guidelines (see below), use a NIOSH-approved organic vapor respirator equipped with a
dust/mist prefilter if adequate protection is provided. Protection factors vary depending upon
the type of respirator used. Respirators should be used in accordance with OSHA
requirements (29 CFR 1910.134).
General Comments
Warning! Use of this material in spaces without adequate ventilation may result in
generation of hazardous levels of combustion products and/or inadequate oxygen levels for
breathing. Odor is an inadequate warning for hazardous conditions.
Occupational Exposure Guidelines
Substance
Nonane, all isomers
Ethylmethylbenzene, all isomers
Naphthalene
Cumene
n-Propylbenzene
1, 2, 4 Trimethylbenzene
Ethylbenzene
Xylene, all isomers
Diesel exhaust particulate
MSDS No.
AG2DF
Revision Date
Applicable Workplace Exposure Levels
ACGIH (United States).
TWA: 200 ppm 8 hour(s).
Not available.
ACGIH (United States). Skin
STEL: 15 ppm 15 minute(s).
OSHA (United States).
OSHA (United States). Skin
Not available.
Not available.
Not available.
12/31/2007
Page Number: 6
Benzene
Toluene
Middle distillates, petroleum
Straight-run middle distillate (petroleum)
Distillates, petroleum, light catalytic cracked
Kerosene
Hydrodesulfurized middle distillate (petroleum)
Hydrodesulfurized Kerosine (Petroleum)
Distillates, petroleum, hydrodesulfurized light
catalytic cracked
Diesel Fuel No. 2
TWA: 0.5 ppm 8 hour(s).
STEL: 2.5 ppm 15 minute(s).
OSHA (United States). Skin Notes: See Table Z-2 for exclusions
in 20 CFR 1910.1028 to the PEL.
TWA: 20ppm 8 hour(s).
CEIL: 300 ppm
PEAK: 500 ppm
Not available.
ACGIH (United States, 1998). Skin
TWA: 100 mg/m 3
Not available.
NIOSH REL (United States).
TWA: 100 mg/m 3 8 hour(s).
Not available.
Not available.
Not available.
ACGIH TLV (United States). Skin
TWA: 100 mg/m 3 8 hour(s).
SECTION 9. PHYSICAL AND CHEMICAL PROPERTIES (TYPICAL)
Physical State
Liquid.
Color
Transparent, clear
to yellow or red.
Odor
Characteristic, kerosene-like.
Specific Gravity
AP 0.84 (Water =
1)
pH
Not Applicable.
Vapor
Density
AP 5 (Air = 1)
Boiling Range
154º C (309º F) to 371º C (700º F)
Melting/Freezing
Point
Not available.
Vapor Pressure
<0.3 kPa (<2 mm Hg) (at 20°C)
Volatility
840 g/l VOC (w/v)
Solubility in
Water
Very slightly soluble in cold water. (<0.1 %
w/w)
Viscosity
(cSt @ 40°C)
AP 3
Flash Point
Closed cup: AP 52°C (AP 125°F). (Pensky-Martens.)
Additional
Properties
Density = AP 7.0 lbs/gal.
Viscosity (ASTM D2161) = 30 - 40 SUS @ 100º F
SECTION 10. STABILITY AND REACTIVITY
Hazardous Polymerization Not expected to occur.
Chemical Stability
Stable.
Conditions to Avoid
Keep away from all ignition sources and strong oxidizing conditions.
Materials
Incompatibility
Strong acids, alkalies, and oxidizers such as liquid chlorine, other halogens, hydrogen
peroxide and oxygen.
Hazardous
Decomposition
Products
No additional hazardous decomposition products were identified other than the combustion
products identified in Section 5 of this MSDS.
MSDS No.
AG2DF
Revision Date
12/31/2007
Page Number: 7
SECTION 11. TOXICOLOGICAL INFORMATION
For other health-related information, refer to the Emergency Overview on Page 1 and the Hazards Identification
in Section 3 of this MSDS.
Toxicity Data
Diesel Fuel, No. 2
ORAL LD50, Acute: 12,000 to 17,500 mg/kg or 9.0 ml/kg [Rat]
DERMAL LD50, Acute: >5.0 ml/kg [Rabbit screen level].
DRAIZE EYE, Acute: Mild irritant [Rabbit]
DRAIZE DERMAL, Acute: Severe skin irritant [Rabbit].
BUEHLER DERMAL, Acute: Non-sensitizing [Guinea Pig]
14-Day DERMAL, Sub-chronic: 0% and 67% mortality at 4.0 and 8.0 ml/kg [Rabbit]
62-Week DERMAL, Chronic: 0.05 ml/kg 3x/week [Mouse] - Extreme skin irritation.
97-Week DERMAL, Chronic: 243 g/kg applied 3x/week [Mouse] - Extreme skin irritation.
Moderate increase in contact-point skin tumors.
MUTAGENICITY:
Modified Ames Assay: Negative. [Salmonella typhimurium]
In-vitro SCE Ovary Assay: Negative. [Chinese Hamster]
In-vitro Lymphoma Assay: Negative. [Mouse]
In-vivo Dominant Lethal Assay: Negative. [Mouse]
In-vivo Bone Marrow Assay: Clastogenic at 2.0 ml/kg and 6.0 ml/kg [Rat]
Diesel exhaust particulate:
Lung tumor and lymphomas were identified in rats and mice exposed to unflitered diesel fuel
exhaust in chronic inhalation studies. Further, epidemiological studies have identified
increase incidences of lung cancer in US railroad workers and bladder cancer in bus and
truck drivers possibly associated with exposure to diesel engine exhaust. NTP has
determined that exposure to diesel exhaust particulates, a complex mixture of combustion
products of diesel fuel, is reasonably anticipated to be a human carcinogen. In addition,
NIOSH has identified complete diesel exhaust as a potential carcinogen.
:
Studies of Workers:
Levels of total hydrocarbon vapors present in the breathing atmosphere of these workers
ranged from 10 to 60 ppm. The TCLo for humans is 10 ppm, with somnolence and
respiratory tract irritation noted.
Studies in Laboratory Animals:
In inhalation studies with rats, four of ten animals died after exposures of 2400 ppm for 24
hours. An oral dose of 5 mL/kg resulted in death in one of ten rats. Minimum lethal
intraperitoneal doses were 1.5 to 2.0 mL/kg in rats and 1.13 to 12 mL/kg in guinea pigs.
Mesitylene (1, 3, 5 Trimethylbenzene) inhalation at concentrations of 1.5, 3.0, and 6.0 mg/L
for six hours was associated with dose-related changes in white blood cell counts in rats. No
significant effects on the complete blood count were noted with six hours per day exposure
for five weeks, but elevations of alkaline phosphatase and SGOT were observed. Central
nervous system depression and ataxia were noted in rats exposed to 5,100 to 9,180 ppm for
two hours.
Naphthalene:
Studies in Humans Overexposed to Naphthalene:
Severe jaundice, neurotoxicity (kernicterus) and fatalities have been reported in young
children and infants as a result of hemolytic anemia from over-exposure to naphthalene.
Persons with Glucose 6-phosphate dehydrogenase (G6PD) deficiency are more prone to the
hemolytic effects of naphthalene. Adverse effects on the kidney have also been reported
from over-exposure to naphthalene but these effects are believed to be a consequence of
hemolytic anemia, and not a direct effect.
Hemolytic anemia has been observed in laboratory animals exposed to naphthalene.
Laboratory rodents exposed to naphthalene vapor for 2 years (lifetime studies) developed
non-neoplastic and neoplastic tumors and inflammatory lesions of the nasal and respiratory
MSDS No.
AG2DF
Revision Date
12/31/2007
Page Number: 8
tract. Cataracts and other adverse effects on the eye have been observed in laboratory
animals exposed to high levels of naphthalene. Findings from a large number of bacterial
and mammalian cell mutation assays have been negative. A few studies have shown
chromosomal effects (elevated levels of Sister Chromatid Exchange or chromosomal
aberrations) in vitro.
Ethylbenzene:
Effects from Acute Exposure:
ORAL (LD50), Acute: 3,500 mg/kg [Rat].
DERMAL (LD50), Acute: 17,800 uL/kg [Rabbit].
INTRAPERITONEAL (LD50), Acute: 2,624 mg/kg [Rat].
Effects from Prolonged or Repeated Exposure:
Findings from a 2-year inhalation study in rodents conducted by NTP were as follows: Effects
were observed only at the highest exposure level (750 ppm). At this level the incidence of
renal tumors was elevated in male rats (tubular carcinomas) and female rats (tubular
adenomas). Also, the incidence of tumors was elevated in male mice (alveolar and
bronchiolar carcinomas) and female mice (hepatocellular carcinomas). IARC has classified
ethyl benzene as “possibly carcinogenic to humans” (Group 2B). Studies in laboratory
animals indicate some evidence of post-implantation deaths following high levels of maternal
exposure. The relevance of these findings to humans is not clear at this time. Studies in
laboratory animals indicate limited evidence of renal malformations, resorptions, and
developmental delays following high levels of maternal exposure. The relevance of these
findings to humans is not clear at this time. Studies in laboratory animals indicate some
evidence of adverse effects on the liver, kidney, thyroid, and pituitary gland.
Middle distillates, petroleum:
Long-term repeated (lifetime) skin exposure to similar materials has been reported to result in
an increase in skin tumors in laboratory rodents. The relevance of these findings to humans
is not clear at this time.
SECTION 12. ECOLOGICAL INFORMATION
Ecotoxicity
Freshwater Toxicity:
Concentration: 2400 ppm
cephalus) Assay: TLM
Concentration: >127 ppm
Assay: LC50
Exposure: 48 hrs.
Species: Juven. Am. Shad ( Squalius
Exposure: 96 hrs.
Species: Bluegill ( Lepomis macrochirus)
Saltwater Toxicity
Concentration: 10 ppm Exposure: 96 hrs. Species: Menhaden ( Brevoortia patronus)
Assay: LC50
Concentration: 10 ppm Exposure: 96 hrs. Species: Grass Shrimp Assay: LC50
Environmental Fate
If spilled, this material will normally evaporate. Hydrocarbon components may contribute to
atmospheric smog. If released to the subsoils, petroleum middle distillate fuels will strongly
adsorb to soils. Groundwater should be considered as an exposure pathway. Liquid and
vapor can migrate through the subsurface and preferential pathways (such as utility line
backfill) to downgradient receptors.
Middle distillates are potentially toxic to freshwater and saltwater ecosystems. Distillate fuels
will normally float on water. In stagnant or slow-flowing waterways, a hydrocarbon layer can
cover a large surface area. As a result, this oil layer can limit or eliminate natural atmospheric
oxygen transport into the water. With time, if not removed, oxygen depletion in the waterway
can cause a fish kill or create an anaerobic environment. Also, this coating action can also kill
plankton, algae, and water birds.
MSDS No.
AG2DF
Revision Date
12/31/2007
Page Number: 9
SECTION 13. DISPOSAL CONSIDERATIONS
Hazard characteristic and regulatory waste stream classification can change with product use. Accordingly, it is
the responsibility of the user to determine the proper storage, transportation, treatment and/or disposal
methodologies for spent materials and residues at the time of disposition.
Maximize material recovery for reuse or recycling. Recovered non-usable material may be
regulated by US EPA as a hazardous waste due to its ignitibility (D001) and/or its toxic
(D018) characteristics. In addition, conditions of use may cause this material to become a
hazardous waste, as defined by Federal or State regulations. It is the responsibility of the
user to determine if the material is a hazardous waste at the time of disposal. Transportation,
treatment, storage, and disposal of waste material must be conducted in accordance with
RCRA regulations (see 40 CFR Parts 260 through 271). Contact your regional US EPA
office for guidance concerning case specific disposal issues. State and/or local regulations
might be even more restrictive.
SECTION 14. TRANSPORT INFORMATION
The shipping description below may not represent requirements for all modes of transportation, shipping
methods or locations outside of the United States.
A U.S. Department of Transportation (DOT) regulated material. The following U. S. DOT
US DOT Status
hazardous materials shipping description applies to bulk packaged material that is transported
by highway or rail. Alternate shipping descriptions may be required for product transported by
marine vessel, air or other method and for non-bulk packaged material.
Proper Shipping Name Diesel Fuel, Combustible liquid, NA1993, PG III
Hazard Class
Reportable Quantity
DOT Class: Combustible liquid with a flash Packing Group
point greater than 37.8°C (100°F).
UN/NA Number
III
NA 1993
A Reportable Quantity (RQ) has not been established for this material.
Placard(s)
Emergency Response
Guide No.
128
MARPOL III Status
Not a DOT "Marine
Pollutant" per 49 CFR
171.8.
SECTION 15. REGULATORY INFORMATION
TSCA Inventory
This product and/or its components are listed on the Toxic Substances Control Act (TSCA)
inventory.
SARA 302/304
Emergency Planning
and Notification
The Superfund Amendments and Reauthorization Act of 1986 (SARA) Title III requires
facilities subject to Subparts 302 and 304 to submit emergency planning and notification
information based on Threshold Planning Quantities (TPQs) and Reportable Quantities
(RQs) for "Extremely Hazardous Substances" listed in 40 CFR 302.4 and 40 CFR 355. No
components were identified.
SARA 311/312 Hazard
Identification
facilities subject to this subpart to submit aggregate information on chemicals by "Hazard
Category" as defined in 40 CFR 370.2. This material would be classified under the following
hazard categories:
fire, Acute (Immediate) Health Hazard, Chronic (Delayed) Health Hazard
MSDS No.
AG2DF
Revision Date
12/31/2007
Page Number: 10
This product contains the following components in concentrations above de minimis levels
SARA 313 Toxic
that
are listed as toxic chemicals in 40 CFR Part 372 pursuant to the requirements of Section
Chemical Notification
and Release Reporting 313 of SARA:
Naphthalene [CAS No.: 91-20-3] Concentration: 2%
Ethylbenzene [CAS No.: 100-41-4] Concentration: 0.9%
CERCLA
The Comprehensive Environmental Response, Compensation, and Liability Act of 1980
(CERCLA) requires notification of the National Response Center concerning release of
quantities of "hazardous substances" equal to or greater than the reportable quantities (RQ's)
listed in 40 CFR 302.4. As defined by CERCLA, the term "hazardous substance" does not
include petroleum, including crude oil or any fraction thereof which is not otherwise
specifically designated in 40 CFR 302.4. Chemical substances present in this product or
refinery stream that may be subject to this statute are:
Naphthalene [CAS No.: 91-20-3] RQ = 100 lbs. (45.36 kg) Concentration: 2%
Cumene [CAS No.: 98-82-8] RQ = 5000 lbs. (2268 kg) Concentration: 0.9%
Ethylbenzene [CAS No.: 100-41-4] RQ = 1000 lbs. (453.6 kg) Concentration: 0.9%
Xylene, all isomers [CAS No.: 1330-20-7] RQ = 100 lbs. (45.36 kg) Concentration: 0.9%
Benzene [CAS No.: 71-43-2] RQ = 10 lbs. (4.536 kg) Concentration: 0.045%
Clean Water Act
(CWA)
This material is classified as an oil under Section 311 of the Clean Water Act (CWA) and the
Oil Pollution Act of 1990 (OPA). Discharges or spills which produce a visible sheen on waters
of the United States, their adjoining shorelines, or into conduits leading to surface waters must
be reported to the EPA's National Response Center at (800) 424-8802.
California
Proposition 65
This material may contain the following components which are known to the State of California
to cause cancer, birth defects or other reproductive harm, and may be subject to the
requirements of California Proposition 65 (CA Health & Safety Code Section 25249.5):
Diesel exhaust particulate
Naphthalene: <2%
Ethylbenzene: <1%
Toluene: <0.1%
Benzene: <0.1%
New Jersey
Right-to-Know Label
Diesel Fuel
Additional Remarks
As minimum requirements, CITGO recommends that the following advisory information be
displayed on equipment used to dispense diesel fuel. Additional warnings specified by various
regulatory authorities may be required: " Diesel Fuel DANGER: Combustible Liquid. Use
as a Motor Fuel Only. DO NOT FILL CONTAINERS THAT HAVE PREVIOUSLY
CONTAINED GASOLINE OR OTHER FLAMMABLE LIQUIDS. Sparks From static electricity
can ignite flammable vapor residues. PLACE CONTAINER ON GROUND. DO NOT FILL
ANY PORTABLE CONTAINER IN OR ON A VEHICLE. Containers must be metal or other
material approved for storing diesel fuel. Keep nozzle spout in contact with the container
during the entire filling operation. NO SMOKING! Do not leave nozzle unattended during
filling. HARMFUL OR FATAL IF SWALLOWED.If swallowed, do not induce vomiting. Call
Physician Immediately. Keep Out of Reach of Children. Avoid prolonged breathing of vapors.
Never siphon by mouth. Do not store in vehicle or living space. Store and use in a well
ventilated area. Do not use near heat, spark or flame. Keep container closed."
SECTION 16. OTHER INFORMATION
Refer to the top of Page 1 for the HMIS and NFPA Hazard Ratings for this product.
REVISION INFORMATION
5.1
12/31/2007
Version Number
Revision Date
ABBREVIATIONS
AP: Approximately
MSDS No.
AG2DF
EQ: Equal
>: Greater Than
Revision Date
<: Less Than
12/31/2007
NA: Not Applicable
ND: No Data
NE: Not Establishe
Page Number: 11
ACGIH: American Conference of Governmental Industrial Hygienists
AIHA: American Industrial Hygiene Association
IARC: International Agency for Research on Cancer
NTP: National Toxicology Program
NIOSH: National Institute of Occupational Safety and Health
OSHA: Occupational Safety and Health Administration
NPCA: National Paint and Coating Manufacturers Association
HMIS: Hazardous Materials Information System
NFPA: National Fire Protection Association
EPA: US Environmental Protection Agency
DISCLAIMER OF LIABILITY
THE INFORMATION IN THIS MSDS WAS OBTAINED FROM SOURCES WHICH WE BELIEVE ARE RELIABLE.
HOWEVER, THE INFORMATION IS PROVIDED WITHOUT ANY WARRANTY, EXPRESSED OR IMPLIED
REGARDING ITS CORRECTNESS. SOME INFORMATION PRESENTED AND CONCLUSIONS DRAWN HEREIN ARE
FROM SOURCES OTHER THAN DIRECT TEST DATA ON THE SUBSTANCE ITSELF. THIS MSDS WAS PREPARED
AND IS TO BE USED ONLY FOR THIS PRODUCT. IF THE PRODUCT IS USED AS A COMPONENT IN ANOTHER
PRODUCT, THIS MSDS INFORMATION MAY NOT BE APPLICABLE. USERS SHOULD MAKE THEIR OWN
INVESTIGATIONS TO DETERMINE THE SUITABILITY OF THE INFORMATION OR PRODUCTS FOR THEIR
PARTICULAR PURPOSE.
THE CONDITIONS OR METHODS OF HANDLING, STORAGE, USE, AND DISPOSAL OF THE PRODUCT ARE
BEYOND OUR CONTROL AND MAY BE BEYOND OUR KNOWLEDGE. FOR THIS AND OTHER REASONS, WE DO
NOT ASSUME RESPONSIBILITY AND EXPRESSLY DISCLAIM LIABILITY FOR LOSS, DAMAGE OR EXPENSE
ARISING OUT OF OR IN ANY WAY CONNECTED WITH HANDLING, STORAGE, USE OR DISPOSAL OF THE
PRODUCT.
*****
END OF MSDS
*****
CITGO Gasolines, All Grades
Unleaded
CITGO Petroleum Corporation
P.O. Box 4689
Houston, TX 77210
MSDS No.
UNLEAD
Revision Date
10/14/2008
IMPORTANT: This MSDS is prepared in accordance with 29 CFR 1910.1200. Read this
MSDS before transporting, handling, storing or disposing of this product and forward this
information to employees, customers and users of this product.
Emergency Overview
Physical State Liquid.
Transparent, clear to
Color
amber or red.
Odor
Pungent, characteristic
gasoline.
Hazard Rankings
HMIS NFPA
2
1
Fire Hazard
3
3
Reactivity
0
0
Health Hazard
*
* = Chronic Health Hazard
DANGER:
Extremely flammable liquid; vapor may cause flash fire or
explosion.
Vapor may travel considerable distance to source of ignition
and flash back.
Use Only as a Motor Fuel. Do Not Siphon by Mouth.
Harmful or fatal if swallowed - Can enter lungs and cause
damage.
High concentrations of vapor reduce oxygen available for
breathing and may cause suffocation.
May be harmful if inhaled or absorbed through the skin.
Mist or vapor may irritate the eyes, mucous membranes, and
respiratory tract.
Liquid contact may cause eye and skin irritation.
Overexposures may cause central nervous system (CNS)
depression and target organ effects (See Section 3).
Harmful or fatal if swallowed - Can enter lung and cause
damage.
Inhalation overexposure can increase the heart’s susceptibility
to arrhythmias (irregular beats).
Contains Benzene - Cancer Hazard.
Long term exposure to gasoline vapor has caused cancer in
laboratory animals.
Avoid Spills. Spills may present both a physical and an
environmental hazard.
Minimum Recommended
See Section 8 for Details
SECTION 1. PRODUCT IDENTIFICATION
Trade Name
CITGO Gasolines, All Grades
Unleaded
Technical Contact
(832) 486-5940
Product Number
Various
Medical Emergency
(832) 486-4700
CAS Number
Mixture.
CHEMTREC Emergency
(United States Only)
(800) 424-9300
Product Family
Motor fuels.
MSDS No.
UNLEAD
Revision Date
10/14/2008
Page Number: 1
CITGO Gasolines, All Grades Unleaded
Synonyms
Unleaded Gasolines; Conventional Unleaded Gasoline with Ethanol; Unleaded Gasoline with
Ethanol; Reformulated Unleaded Gasoline with Ethanol; Motor Gasolines; Petrol; Automobile
Motor Fuels; Finished Gasolines; Gasoline, Regular Unleaded; Gasoline, Mid-grade
Unleaded; Gasoline, Premium Unleaded; Reformulated Gasolines (RFG); Reformulated Motor
Fuels; Oxygenated Motor Spirits; Gasoline, Regular Reformulated; Gasoline, Mid-grade
Reformulated; Gasoline, Premium Reformulated; CBOB; RBOB; GTAB; Clean Burning
Gasoline (CBG); CARB Gasoline with Ethanol.
SECTION 2. COMPOSITION
Gasoline is a complex and variable mixture that originates from finished refinery streams. These streams can contain
the components listed below that are regulated or are associated with certain potential health effects. The typical
concentration of ethanol in gasoline does not exceed 10% (v/v).
Concentration (%)
Component Name(s)
CAS Registry No.
Toluene
108-88-3
<25
Pentanes, all isomers
Mixture
<20
Octanes, all isomers
Mixture
<20
Xylene, all isomers
1330-20-7
<18
Hexane, other isomers
Mixture
<15
Heptane, all isomers
142-82-5
<15
Ethanol
64-17-5
<10
n-Hexane
110-54-3
<8
Benzene
71-43-2
<5
25551-13-7
<5
2,2,4-Trimethylpentane
540-84-1
<5
Cumene
98-82-8
<4
Ethylbenzene
100-41-4
<4
1, 2, 4 Trimethylbenzene
95-63-6
<3
Cyclohexane
110-82-7
<3
Cyclopentane
287-92-3
<2
Naphthalene
91-20-3
<2
Styrene
100-42-5
<1
SECTION 3. HAZARDS IDENTIFICATION
Also see Emergency Overview and Hazard Ratings on the top of Page 1 of this MSDS.
Major Route(s) of Entry Skin contact. Eye contact. Inhalation. Ingestion.
Signs and Symptoms of Acute Exposure
Inhalation
Breathing high concentrations may be harmful. Mist or vapor can irritate the throat and lungs.
Breathing this material may cause central nervous system depression with symptoms
including nausea, headache, dizziness, fatigue, drowsiness, or unconsciousness. Breathing
high concentrations of this material, for example, in an enclosed space or by intentional
abuse, can cause irregular heartbeats which can cause death.
Eye Contact
This product can cause eye irritation with short-term contact with liquid, mists or vapor.
Symptoms include stinging, watering, redness, and swelling. In severe cases, permanent
eye damage can result.
Skin Contact
This material can cause skin irritation. The severity of irritation will depend on the amount of
material that is applied to the skin and the speed and thoroughness that it is removed. It is
likely that some components of this material are able to pass into the body through the skin
and may cause similar effects as from breathing or swallowing it. If the skin is damaged or
abraded, absorption increases.
Ingestion
MSDS No.
UNLEAD
Revision Date
10/14/2008
Page Number: 2
If swallowed, this material may irritate the mucous membranes of the mouth, throat, and
esophagus. It can be readily absorbed by the stomach and intestinal tract. Symptoms
include a burning sensation of the mouth and esophagus, nausea, vomiting, dizziness,
staggered gait, drowsiness, loss of consciousness and delirium, as well as additional central
nervous system (CNS) effects.
Due to its light viscosity, there is a danger of aspiration into the lungs during swallowing and
subsequent vomiting. Aspiration can result in severe lung damage or death. Cardiovascular
effects include shallow rapid pulse with pallor (loss of color in the face) followed by flushing
(redness of the face). Also, progressive CNS depression, respiratory insufficiency and
ventricular fibrillation leads to death.
Chronic Health Effects Intentional misuse by deliberately concentrating and inhaling gasoline can be harmful or fatal.
Altered mental state, drowsiness, peripheral motor neuropathy, irreversible brain damage
Summary
("Petrol Sniffers Encephalopathy"), delirium, seizures and sudden death are associated with
repeated abuse of gasoline or naphtha.
Chronic effects of ingestion and subsequent aspiration into the lungs may include
pneumatocele (lung cavity) formation and chronic lung dysfunction.
Benzene, a component of this product, is associated with blood disorders and may damage
bone marrow, causing certain types of anemia. The International Agency for Research on
Cancer (IARC) (1987, 2004, 2007) and the U.S. EPA (IRIS 2007) have determined that
benzene is a human carcinogen. It is also capable of causing changes in living cells' genetic
material (chromosomes) and is considered to be a mutagen.
Repeated and prolonged overexposure to n-hexane has been associated with peripheral
nerve tissue damage. Adverse effects include numbness, tingling, pain, and loss of muscle
control in the extremities, disorientation, impaired vision and reflexes, decline in motor
function and paralysis.
Prolonged or repeated overexposure to toluene, a component of this product, has been
associated with reproductive effects in experimental animals and in long-term chemical
abuse situations. Long-term overexposure to toluene has been associated with impaired
color vision. Also, long-term overexposure to toluene in occupational environments have
been associated with hearing damage.
Prolonged or repeated overexposure to xylene, a component of this product, has been
associated with hearing damage in laboratory animals. Repeated overexposure may cause
injury to bone marrow, blood cells, kidney, and liver.
Refer to Section 11 of this MSDS for additional health-related information.
Conditions Aggravated Disorders of the following organs or organ systems that may be aggravated by significant
exposure to this material or its components include: Skin, Respiratory System, Liver,
by Exposure
Kidneys, Central Nervous System (CNS), Cardiovascular System, Blood-forming system.
Target Organs
May cause damage to the following organs: blood, kidneys, lungs, the reproductive system,
liver, mucous membranes, heart, peripheral nervous system, cardiovascular system, upper
respiratory tract, skin, auditory system, bone marrow, central nervous system (CNS), eye,
lens or cornea
Carcinogenic Potential This material may contain benzene, ethylbenzene, naphthalene or styrene at concentrations
above 0.1%. Benzene is considered to be a known human carcinogen by OSHA, IARC and
NTP. IARC has identified ethylbenzene, styrene, naphthalene, gasoline and gasoline engine
exhaust as possibly carcinogenic to humans (Group 2B) based on laboratory animal studies.
MSDS No.
UNLEAD
Revision Date
10/14/2008
Page Number: 3
OSHA Hazard Classification is indicated by an "X" in the box adjacent to the hazard title. If no "X" is present,
the product does not exhibit the hazard as defined in the OSHA Hazard Communication Standard (29 CFR
1910.1200).
OSHA Physical Hazard Classification
OSHA Health Hazard Classification
Sensitizer
Combustible
Toxic
Highly Toxic
Flammable
Corrosive
Carcinogenic
Irritant
X
X
X
Compressed Gas
Explosive
Pyrophoric
Oxidizer
Water-reactive
Organic Peroxide
Unstable
SECTION 4. FIRST AID MEASURES
Take proper precautions to ensure your own health and safety before attempting rescue or providing first aid.
For more specific information, refer to Exposure Controls and Personal Protection in Section 8 of this MSDS.
Inhalation
Immediately move victim to fresh air. If victim is not breathing, immediately begin rescue
breathing. If heart has stopped, immediately begin cardiopulmonary resuscitation (CPR). If
breathing is difficult, 100 percent humidified oxygen should be administered by a qualified
individual. Seek medical attention immediately. If exposed to benzene in an emergency
situation, a medical evaluation should be completed at the end of the work-shift in accordance
with OSHA requirements.
Eye Contact
Flush eyes with cool, clean, low-pressure water for at least 15 minutes. Hold eyelids apart to
ensure complete irrigation of the eye and eyelid tissue. If easily accomplished, check for and
remove contact lenses. If contact lenses cannot be removed, seek immediate medical
attention. Do not use eye ointment. Seek medical attention.
Skin Contact
Remove contaminated shoes and clothing. Flush affected area with large amounts of water.
If skin surface is damaged, apply a clean dressing and seek medical attention. Do not use
ointments. If skin surface is not damaged, clean affected area thoroughly with mild soap and
water. Seek medical attention if tissue appears damaged or if pain or irritation persists.
Ingestion
Do not induce vomiting. If spontaneous vomiting is about to occur, place victim’s head below
knees. If victim is drowsy or unconscious, place on the left side with head down. Never give
anything by mouth to a person who is not fully conscious. Do not leave victim unattended.
Seek medical attention immediately.
Notes to Physician
INHALATION: Inhalation overexposure can produce toxic effects. Monitor for respiratory
distress. If cough or difficulty in breathing develops, evaluate for upper respiratory tract
inflammation, bronchitis, and pneumonitis. Administer supplemental oxygen with assisted
ventilation, as required.
This material (or a component) sensitizes the heart to the effects of sympathomimetic amines.
Epinephrine and other sympathomimetic drugs may initiate cardiac arrhythmias in individuals
exposed to this material. Administration of sympathomimetic drugs should be avoided.
INGESTION: If ingested, this material presents a significant aspiration and chemical
pneumonitis hazard. Induction of emesis is not recommended. Consider activated charcoal
and/or gastric lavage. If patient is obtunded, protect the airway by cuffed endotracheal
intubation or by placement of the body in a Trendelenburg and left lateral decubitus position.
SECTION 5. FIRE FIGHTING MEASURES
NFPA Flammability
Classification
NFPA Class-IB flammable liquid.
Flash Point
Closed cup: -43°C (-45°F). (Tagliabue [ASTM D-56])
Lower Flammable Limit AP 1.4 %
MSDS No.
UNLEAD
Revision Date
Upper Flammable Limit AP 7.6 %
10/14/2008
Page Number: 4
Autoignition
Temperature
AP 280°C (536°F)
Hazardous Combustion Carbon dioxide, carbon monoxide, smoke, fumes, unburned hydrocarbons, aldehydes and
Products
other products of incomplete combustion.
Special Properties
Flammable Liquid! This material releases vapors at or below ambient temperatures. When
mixed with air in certain proportions and exposed to an ignition source, its vapor can cause a
flash fire. Use only with adequate ventilation. Vapors are heavier than air and may travel
long distances along the ground to an ignition source and flash back. A vapor and air
mixture can create an explosion hazard in confined spaces such as sewers. If container is
not properly cooled, it can rupture in the heat of a fire.
Extinguishing Media
SMALL FIRE: Use dry chemicals, carbon dioxide, foam, or inert gas (nitrogen). Carbon
dioxide and inert gas can displace oxygen. Use caution when applying carbon dioxide or
inert gas in confined spaces.
LARGE FIRE: Use foam, water fog, or water spray. Water may be ineffective. Water may
not extinguish the fire. Water fog and spray are effective in cooling containers and adjacent
structures. However, water can be used to cool the external walls of vessels to prevent
excessive pressure, autoignition or explosion. DO NOT use a solid stream of water directly
on the fire as the water may spread the fire to a larger area.
Protection of Fire
Fighters
Firefighters must use full bunker gear including NIOSH-approved positive pressure
self-contained breathing apparatus to protect against potential hazardous combustion or
decomposition products and oxygen deficiencies. Evacuate area and fight the fire from a
maximum distance or use unmanned hose holders or monitor nozzles. Cover pooling liquid
with foam. Containers can build pressure if exposed to radiant heat; cool adjacent containers
with flooding quantities of water until well after the fire is out. Withdraw immediately from the
area if there is a rising sound from a venting safety device or discoloration of vessels, tanks,
or pipelines. Be aware that burning liquid will float on water. Notify appropriate authorities of
potential fire and explosion hazard if liquid enter sewers or waterways.
SECTION 6. ACCIDENTAL RELEASE MEASURES
Take proper precautions to ensure your own health and safety before attempting spill control or clean-up. For
more specific information, refer to the Emergency Overview on Page 1, Exposure Controls and Personal
Protection in Section 8 and Disposal Considerations in Section 13 of this MSDS.
Flammable Liquid! Release causes an immediate fire or explosion hazard. Evacuate all
non-essential personnel from immediate area and establish a "regulated zone" with site
control and security. A vapor-suppressing foam may be used to reduce vapors. Eliminate all
ignition sources. All equipment used when handling this material must be grounded. Stop the
leak if it can done without risk. Do not touch or walk through spilled material. Remove
spillage immediately from hard, smooth walking areas. Prevent spilled material from entering
waterways, sewers, basements, or confined areas. Absorb or cover with dry earth, sand, or
other non-combustible material and transfer to appropriate waste containers. Use clean,
non-sparking tools to collect absorbed material.
For large spills, secure the area and control access. Prevent spilled material from entering
sewers, storm drains, other drainage systems, and natural waterways. Dike far ahead of a
liquid spill to ensure complete collection. Water mist or spray may be used to reduce or
disperse vapors; but, it may not prevent ignition in closed spaces. This material will float on
water and its run-off may create an explosion or fire hazard. Verify that responders are
properly HAZWOPER-trained and wearing appropriate respiratory equipment and
fire-resistant protective clothing during cleanup operations. In an urban area, cleanup spill as
soon as possible; in natural environments, cleanup on advice from specialists. Pick up free
liquid for recycle and/or disposal if it can be accomplished safely with explosion-proof
equipment. Collect any excess material with absorbant pads, sand, or other inert
non-combustible absorbent materials. Place into appropriate waste containers for later
disposal. Comply with all applicable local, state and federal laws and regulations.
MSDS No.
UNLEAD
Revision Date
10/14/2008
Page Number: 5
SECTION 7. HANDLING AND STORAGE
FLAMMABLE LIQUID AND VAPOR. USE ONLY as a motor fuel. DO NOT siphon by
mouth. DO NOT use as a lighter fluid, solvent or cleaning fluid. Prior to handling or refueling,
stop all engines and auxillary equipment. Turn off all electronic equipment including cellular
telephones. DO NOT leave nozzle unattended during filling or refueling a vehicle. DO NOT
re-enter vehicle while refueling. Keep nozzle spout in contact with the container during the
entire filling operations.
Handling
A static electrical charge can accumulate when this material is flowing through pipes, nozzles
or filters and when it is agitated. A static spark discharge can ignite accumulated vapors
before and during loading, following NFPA-704 and /or API RP 2003 requirements. Always
keep nozzle in contact with the container throughout the loading process. Do not fill any
portable container in or on a vehicle. Special precautions, such as reduced loading rates and
increased monitoring, must be observed during "switch loading" operations (i.e., loading this
material in tanks or shipping compartments that previously contained middle distillates or
similar products).
A spill or leak can cause an immediate fire or explosion hazard. Keep containers closed and
do not handle or store near heat, sparks, or any other potential ignition sources. Avoid
contact with oxidizing agents. Do NOT breathe vapor. Use only with adequate ventilation and
personal protection. Never siphon by mouth. Avoid contact with eyes, skin, and clothing.
Prevent contact with food and tobacco products. Do NOT take internally.
When performing repairs and maintenance on contaminated equipment, keep unnecessary
persons away from the area. Eliminate all potential ignition sources. Drain and purge
equipment, as necessary, to remove material residues. Follow proper entry procedures,
including compliance with 29 CFR 1910.146 prior to entering confined spaces such as tanks
or pits. Use gloves constructed of impervious materials and protective clothing if direct
contact is anticipated. Use appropriate respiratory protection when concentrations exceed
any established occupational exposure level (See Section 8) Promptly remove contaminated
clothing. Wash exposed skin thoroughly with soap and water after handling.
Non-equilibrium conditions may increase the fire hazard associated with this product. A
static electrical charge can accumulate when this material is flowing through pipes, nozzles or
filters and when it is agitated. A static spark discharge can ignite accumulated vapors
before and during loading. Always confirm that receiving container is properly grounded.
Bonding and grounding alone may be inadequate to eliminate fire and explosion hazards
associated with electrostatic charges. Carefully review operations that may increase the risks
associated with static electricity such as tank and container filling, tank cleaning, sampling,
gauging, loading, filtering, mixing, agitation, etc. In addition to bonding and grounding, efforts
to mitigate the hazards of an electrostatic discharge may include, but are not limited to,
ventilation, inerting and/or reduction of transfer velocities. Dissipation of electrostatic charges
may be improved with the use of conductivity additives when used with other mitigation
efforts, including bonding and grounding. Always keep nozzle in contact with the container
throughout the loading process.
Do NOT fill any portable container in or on a vehicle. Do NOT use compressed air for filling,
discharging or other handling operations. Product container is NOT designed for elevated
pressure. Do NOT pressurize, cut, weld, braze solder, drill, or grind on containers. Do NOT
expose product containers to flames, sparks, heat or other potential ignition sources. Empty
containers may contain material residues which can ignite with explosive force. Observe label
precautions.
Protect the environment from releases of this material. Prevent discharges to surface waters
and groundwater. Maintain handling, transfer and storage equipment in proper working order.
Misuse of empty containers can be dangerous. Empty containers may contain material
residues which can ignite with explosive force. Cutting or welding of empty containers
MSDS No.
UNLEAD
Revision Date
10/14/2008
Page Number: 6
can cause fire, explosion, or release of toxic fumes from residues. Do not pressurize
or expose empty containers to open flame, sparks, or heat. Keep container closed and drum
bungs in place. All label warnings and precautions must be observed. Return empty drums
to a qualified reconditioner. Consult appropriate federal, state and local authorities before
reusing, reconditioning, reclaiming, recycling, or disposing of empty containers and/or waste
residues of this material.
Keep container tightly closed. Store in a cool, dry, well-ventilated area. Store only in
approved containers. Do not store with oxidizing agents. Do not store at elevated
temperatures or in direct sunlight. Protect containers against physical damage. Head spaces
in tanks and other containers may contain a mixture of air and vapor in the flammable range.
Vapor may be ignited by static discharge. Storage area must meet OSHA requirements and
applicable fire codes. Additional information regarding the design and control of hazards
associated with the handling and storage of flammable and combustible liquids may be found
in professional and industrial documents including, but not limited to, the National Fire
Protection Association (NFPA) publications NFPA 30 ("Flammable and Combustible Liquid
Code"), NFPA 77 ("Recommended Practice on Static Electricity") and the American
Petroleum Institute (API) Recommended Practice 2003, (“Protection Against Ignitions Arising
Out of Static, Lightning, and Stray Currents").
Storage
Consult appropriate federal, state and local authorities before reusing, reconditioning,
reclaiming, recycling or disposing of empty containers or waste residues of this product.
SECTION 8. EXPOSURE CONTROLS AND PERSONAL PROTECTION
Engineering Controls
Provide ventilation or other engineering controls to keep the airborne concentrations of
vapor or mists below the applicable workplace exposure limits indicated below. All electrical
equipment should comply with the National Electrical Code. An emergency eye wash station
and safety shower should be located near the work-station.
Personal Protective
Equipment
Personal protective equipment should be selected based upon the conditions under which
this material is used. A hazard assessment of the work area for PPE requirements should
be conducted by a qualified professional pursuant to OSHA regulations. The following
pictograms represent the minimum requirements for personal protective equipment. For
certain operations, additional PPE may be required.
Eye Protection
Safety glasses equipped with side shields are recommended as minimum protection in
industrial settings. Chemical goggles should be worn during transfer operations or when
there is a likelihood of misting, splashing, or spraying of this material. A suitable emergency
eye wash water and safety shower should be located near the work station.
Hand Protection
Avoid skin contact. Use gloves (e.g., disposable PVC, neoprene, nitrile, vinyl, or PVC/NBR).
Wash hands with plenty of mild soap and water before eating, drinking, smoking, use of toilet
facilities or leaving work. DO NOT use this material as a skin cleaner.
Avoid skin contact. Wear long-sleeved fire-retardant garments (e.g., Nomex®) while
working with flammable and combustible liquids. Additional chemical-resistant protective
gear may be required if splashing or spraying conditions exist. This may include an apron,
boots and additional facial protection. If product comes in contact with clothing, immediately
remove soaked clothing and shower. Promptly remove and discard contaminated leather
goods.
Body Protection
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Respiratory Protection For known vapor concentrations above the occupational exposure guidelines (see below),
use a NIOSH-approved organic vapor respirator if adequate protection is provided.
Protection factors vary depending upon the type of respirator used. Respirators should be
used in accordance with OSHA requirements (29 CFR 1910.134). For airborne vapor
concentrations that exceed the recommended protection factors for organic vapor
respirators, use a full-face, positive-pressure, supplied air respirator. Due to fire and
explosion hazards, do not enter atmospheres containing concentrations greater than 10% of
the lower flammable limit of this product.
General Comments
Warning! Use of this material in spaces without adequate ventilation may result in
generation of hazardous levels of combustion products and/or inadequate oxygen levels for
breathing. Odor is an inadequate warning for hazardous conditions.
Occupational Exposure Guidelines
Substance
Gasoline
Applicable Workplace Exposure Levels
CEIL: 300 ppm
PEAK: 500 ppm 1 times per shift, 10 minute(s).
TWA: 0.5 ppm 8 hour(s).
STEL: 2.5 ppm 15 minute(s).
OSHA (United States). Skin Notes: See Table Z-2 for exclusions
in 20 CFR 1910.1028 to the PEL.
OSHA (United States). Skin
Pentanes, all isomers
Octanes, all isomers
Toluene
Hexane, other isomers
Heptane, all isomers
Xylene, all isomers
Ethanol
Benzene
n-Hexane
Cumene
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PEAK: 600 ppm
Ethylbenzene
Cyclohexane
Cyclopentane
Naphthalene
Styrene
SECTION 9. PHYSICAL AND CHEMICAL PROPERTIES (TYPICAL)
Pungent, characteristic
gasoline.
3 to 4
(Air = 1)
Physical State
Liquid.
Color
Transparent, clear
to amber or red.
Odor
Specific Gravity
0.72 - 0.77
(Water = 1)
pH
Not applicable
Vapor
Density
Boiling Range
38 to 204°C (100 to 400°F)
Melting/Freezing
Point
Not available.
Vapor Pressure
220 to 450 mm Hg at 20°C (68°F ) or
6 to 15 Reid-psia at 37.8°C (100°F).
Volatility
720 to 770 g/l VOC (w/v)
Solubility in
Water
Very slightly soluble in cold water. (<0.1 %
w/w)
Viscosity
(cSt @ 40°C)
<1
Flash Point
Closed cup: -43°C (-45°F). (Tagliabue [ASTM D-56])
Additional
Properties
Average Density at 60°F = 6.0 to 6.4 lbs./gal. (ASTM D-2161)
SECTION 10. STABILITY AND REACTIVITY
Hazardous Polymerization Not expected to occur.
Chemical Stability
Stable.
Conditions to Avoid
Keep away from heat, flame and other potential ignition sources. Keep away from strong
oxidizing conditions and agents.
Materials
Incompatibility
Strong acids, alkalies and oxidizers such as liquid chlorine, other halogens, hydrogen peroxide
and oxygen.
Hazardous
Decomposition
Products
No additional hazardous decomposition products were identified other than the combustion
products identified in Section 5 of this MSDS.
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SECTION 11. TOXICOLOGICAL INFORMATION
For other health-related information, refer to the Emergency Overview on Page 1 and the Hazards Identification
in Section 3 of this MSDS.
Toxicity Data
Gasoline:
VAPOR (TELo) Acute: 140 ppm (Human) (8 hours) - Mild eye irritant.
VAPOR (TELo) Acute: 500 ppm (Human) (1 hour) - Moderate eye irritant.
INHALATION (TCLo) Acute: 900 ppm (Human) (1 hour) - CNS and pulmonary effects.
DERMAL (TDLo) Acute: 53 mg/kg (Human) - Skin allergy effects.
INHALATION (LC50) Acute: 101,200 ppm (Rat, Mouse, & Guinea Pig) (5 minutes).
A major epidemiological study concluded that there was no increased risk of kidney cancer
associated with gasoline exposures for petroleum refinery employees or neighboring
residents. Another study identified a slight trend in kidney cancers among service station
employees following a 30-year latency period. Two-year inhalation toxicity studies with fully
vaporized unleaded gasoline (at concentrations of 67, 292 and 2,056 ppm in air) produced
kidney damage and kidney tumors in male rats, but not in female rats or mice of either sex.
Results from subsequent scientific studies suggest that the kidney damage, and probably the
kidney tumor response, is limited to the male rat. The kidney tumors apparently were the
result of the formation of alpha-2u-globulin, a protein unique to male rats. This finding is not
considered relevant to human exposure. Under conditions of the study, there was no
evidence that exposure to unleaded gasoline vapor is associated with developmental toxicity.
Experimental studies with laboratory animals did suggest that overexposure to gasoline may
adversely effect male reproductive performance. Also, in laboratory studies with rats, the
maternal and developmental "no observable adverse effect level" (NOAEL) was determined
to be 9,000 ppm (75% of the LEL value). Female mice developed a slightly higher incidence
of liver tumors compared to controls at the highest concentration. In a four week inhalation
study of Sprague Dawley® rats, gasoline vapor condensate was determined to induce sister
chromatid exchanges in peripheral lymphocytes. IARC has listed gasoline as possibly
carcinogenic to humans (Group 2B).
Pentanes, all isomers:
Studies of pentane isomers in laboratory animals indicate exposure to extremely high levels
(roughly 10 vol.%) may induce cardiac arrhythmias (irregular heartbeats) which may be
serious or fatal.
Toluene:
Deliberate inhalation of toluene at high concentrations (e.g., glue sniffing and solvent abuse)
has been associated with adverse effects on the liver, kidney and nervous system and can
cause CNS depression, cardiac arrhythmias and death. Case studies of persons abusing
toluene suggest isolated incidences of adverse effects on the fetus including birth defects.
Effects from Repeated or Prolonged Exposure:
Studies of workers indicate long-term exposure may be related to impaired color vision and
hearing. Some studies of workers suggest long-term exposure may be related to
neurobehavioral and cognitive changes. Some of these effects have been observed in
laboratory animals following repeated exposure to high levels of toluene. Several studies of
workers suggest long-term exposure may be related to small increases in spontaneous
abortions and changes in some gonadotropic hormones. However, the weight of evidence
does not indicate toluene is a reproductive hazard to humans. Studies in laboratory animals
indicate some changes in reproductive organs following high levels of exposure, but no
significant effects on mating performance or reproduction were observed. Case studies of
persons abusing toluene suggest isolated incidences of adverse effects on the fetus including
birth defects. Findings in laboratory animals were largely negative. Positive findings include
small increases in minor skeletal and visceral malformations and developmental delays
following very high levels of maternal exposure. Studies of workers indicate long-term
exposure may be related to effects on the liver, kidney and blood, but these appear to be
limited to changes in serum enzymes and decreased leukocyte counts. Studies in laboratory
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animals indicate some evidence of adverse effects on the liver, kidney, thyroid, and pituitary
gland following very high levels of exposure. The relevance of these findings to humans is
not clear at this time.
Heptane, all isomers:
n-Heptane was not mutagenic in the Salmonella/microsome (Ames) assay and is not
considered to be carcinogenic.
Xylene, all isomers:
ORAL (LD 50), Acute: 4,300 mg/kg [Rat].
INHALATION (LC 50), Acute: 4,550 ppm for four hours [Rat].
DERMAL (LD 50), Acute: 14,100 uL/kg [Rabbit].
Overexposure to xylene may cause upper respiratory tract irritation, headache, cyanosis,
blood serum changes, CNS damage and narcosis. Effects may be increased by the use of
alcoholic beverages. Evidence of liver and kidney impairment were reported in workers
recovering from a gross over-exposure.
Impaired neurological function was reported in workers exposed to solvents including xylene.
Studies in laboratory animals have shown evidence of impaired hearing following high levels
of exposure. Studies in laboratory animals suggest some changes in reproductive organs
following high levels of exposure but no significant effects on reproduction were observed.
Studies in laboratory animals indicate skeletal and visceral malformations, developmental
delays, and increased fetal resorptions following extremely high levels of maternal exposure.
Adverse effects on the liver, kidney, bone marrow (changes in blood cell parameters) were
observed in laboratory animals following high levels of exposure. The relevance of these
observations to humans is not clear at this time.
Ethanol:
Inhalation exposure to ethanol vapor at concentrations above applicable workplace exposure
levels is expected to produce eye and mucus membrane irritation. Human exposure at
concentrations from 1000 to 5000 ppm produced symptoms of narcosis, stupor and
unconsciousness. Subjects exposed to ethanol vapor in concentrations between 500 and
10,000 ppm experienced coughing and smarting of the eyes and nose. At 15,000 ppm there
was continuous lacrimation and coughing. While extensive acute and chronic effects can be
expected with ethanol consumption, ingestion is not expected to be a significant route of
exposure to this product.
Benzene:
ORAL (LD50):
INHALATION (LC50):
(VAPOR):
Acute: 930 mg/kg [Rat]. 4700 mg/kg [Mouse].
Acute: 10000 ppm 7 hour(s) [Rat]. 9980 ppm 8 hour(s) [Mouse].
Studies of Workers Over-Exposed to Benzene:
Studies of workers exposed to benzene show clear evidence that over-exposure can cause
cancer of the blood forming organs (acute myelogenous leukemia) and aplastic anemia, an
often fatal disease. Studies also suggest over-exposure to benzene may be associated with
other types of leukemia and other blood disorders. Some studies of workers exposed to
benzene have shown an association with increased rates of chromosome aberrations in
circulating lymphocytes. One study of women workers exposed to benzene suggested a
weak association with irregular menstruation. However, other studies of workers exposed to
benzene have not demonstrated clear evidence of an effect on fertility or reproductive
outcome in humans. Benzene can cross the placenta and affect the developing fetus. Cases
of aplastic anemia have been reported in the offspring of persons severely over-exposed to
benzene.
Studies in laboratory animals indicate that prolonged, repeated exposure to high levels of
benzene vapor can cause bone marrow suppression and cancer in multiple organ systems.
Studies in laboratory animals show evidence of adverse effects on male reproductive organs
following high levels of exposure but no significant effects on reproduction have been
observed. Embryotoxicity has been reported in studies of laboratory animals but effects were
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limited to reduced fetal weight and skeletal variations.
n-Hexane:
This material contains n-hexane. Long-term or repeated exposure to n-hexane can cause
permanent peripheral nerve damage. Initial symptoms are numbness of the fingers and toes.
Also, motor weakness can occur in the digits, but may also involve muscles of the arms,
thighs and forearms. The onset of these symptoms may be delayed for several months to a
year after the beginning of exposure. Co-exposure to methylethyl ketone or methyl isobutyl
ketone increases the neurotoxic properties of n-hexane. In laboratory studies, prolonged
exposure to elevated concentrations of n-hexane was associated with decreased sperm
count and degenerative changes in the testicles of rats.
Cumene:
Overexposure to cumene may cause upper respiratory tract irritation and severe CNS
depression.
Studies in laboratory animals indicate evidence of adverse effects on the kidney and adrenal
glands following high level exposure. The relevance of these findings to humans is not clear
at this time.
:
Studies of Workers:
Levels of total hydrocarbon vapors present in the breathing atmosphere of these workers
ranged from 10 to 60 ppm. The TCLo for humans is 10 ppm, with somnolence and
respiratory tract irritation noted.
In inhalation studies with rats, four of ten animals died after exposures of 2400 ppm for 24
hours. An oral dose of 5 mL/kg resulted in death in one of ten rats. Minimum lethal
intraperitoneal doses were 1.5 to 2.0 mL/kg in rats and 1.13 to 12 mL/kg in guinea pigs.
Mesitylene (1, 3, 5 Trimethylbenzene) inhalation at concentrations of 1.5, 3.0, and 6.0 mg/L
for six hours was associated with dose-related changes in white blood cell counts in rats. No
significant effects on the complete blood count were noted with six hours per day exposure
for five weeks, but elevations of alkaline phosphatase and SGOT were observed. Central
nervous system depression and ataxia were noted in rats exposed to 5,100 to 9,180 ppm for
two hours.
Ethylbenzene:
ORAL (LD50), Acute: 3,500 mg/kg [Rat].
DERMAL (LD50), Acute: 17,800 uL/kg [Rabbit].
INTRAPERITONEAL (LD50), Acute: 2,624 mg/kg [Rat].
Findings from a 2-year inhalation study in rodents conducted by NTP were as follows: Effects
were observed only at the highest exposure level (750 ppm). At this level the incidence of
renal tumors was elevated in male rats (tubular carcinomas) and female rats (tubular
adenomas). Also, the incidence of tumors was elevated in male mice (alveolar and
bronchiolar carcinomas) and female mice (hepatocellular carcinomas). IARC has classified
ethyl benzene as “possibly carcinogenic to humans” (Group 2B). Studies in laboratory
animals indicate some evidence of post-implantation deaths following high levels of maternal
exposure. The relevance of these findings to humans is not clear at this time. Studies in
laboratory animals indicate limited evidence of renal malformations, resorptions, and
developmental delays following high levels of maternal exposure. The relevance of these
findings to humans is not clear at this time. Studies in laboratory animals indicate some
evidence of adverse effects on the liver, kidney, thyroid, and pituitary gland.
Cyclohexane:
ORAL (LD50):
Acute: 12705 mg/kg [Rat]. 813 mg/kg [Mouse].
Cyclohexane can cause eye, skin and mucous membrane irritation, CNS depressant and
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narcosis at elevated concentrations. In experimental animals exposed to lethal
concentrations by inhalation or oral route, generalized vascular damage and degenerative
changes in the heart, lungs, liver, kidneys and brain were identified.
Cyclohexane has been the focus of substantial testing in laboratory animals. Cyclohexane
was not found to be genotoxic in several tests including unscheduled DNA synthesis,
bacterial and mammalian cell mutation assays, and in vivo chromosomal aberration. An
increase in chromosomal aberrations in bone marrow cells of rats exposed to cyclohexane
was reported in the 1980’s. However, a careful re-evaluation of slides from this study by the
laboratory which conducted the study indicates these findings were in error, and that no
significant chromosomal effects were observed in animals exposed to cyclohexane. Findings
indicate long-term exposure to cyclohexane does not promote dermal tumorigenesis.
Naphthalene:
Studies in Humans Overexposed to Naphthalene:
Severe jaundice, neurotoxicity (kernicterus) and fatalities have been reported in young
children and infants as a result of hemolytic anemia from over-exposure to naphthalene.
Persons with Glucose 6-phosphate dehydrogenase (G6PD) deficiency are more prone to the
hemolytic effects of naphthalene. Adverse effects on the kidney have also been reported
from over-exposure to naphthalene but these effects are believed to be a consequence of
hemolytic anemia, and not a direct effect.
Hemolytic anemia has been observed in laboratory animals exposed to naphthalene.
Laboratory rodents exposed to naphthalene vapor for 2 years (lifetime studies) developed
non-neoplastic and neoplastic tumors and inflammatory lesions of the nasal and respiratory
tract. Cataracts and other adverse effects on the eye have been observed in laboratory
animals exposed to high levels of naphthalene. Findings from a large number of bacterial
and mammalian cell mutation assays have been negative. A few studies have shown
chromosomal effects (elevated levels of Sister Chromatid Exchange or chromosomal
aberrations) in vitro.
Styrene:
Neurological injury associated with chronic styrene exposure include distal hypesthesia,
decreased nerve conduction velocity, and altered psychomotor performance. These effects
did not occur with exposures to airborne concentrations that were less than 100 ppm.
Increased deaths from degenerative neurological disorders were found in a comprehensive
epidemiological study of Danish reinforced plastics workers. These workers were reported to
have a 2.5-fold increased risk for myeloid leukemia with clonal chromosome aberrations.
Also, there are several studies that suggest potential reproductive effects in humans and
experimental animals from overexposure to styrene. Styrene was not mutagenic in the
standard (liquid phase) Ames Salmonella/microsome assay, but was weakly positive when
tested in the vapor phase. IARC has listed styrene as possibly carcinogenic to humans
(Group 2B).
SECTION 12. ECOLOGICAL INFORMATION
Ecotoxicity
Unleaded gasoline is potentially toxic to freshwater and saltwater ecosystems. Various
grades of gasoline exhibited range of lethal toxicity (LC 100) from 40 PPM to 100 PPM in
ambient stream water with Rainbow Trout ( Salmo irideus). A 24-hour TLm (Median Toxic
Limit) was calculated to be 90 PPM with juvenile American Shad ( Squalius cephalus). In
Bluegill Sunfish ( Lepomis macrochirus), Grey Mullet (Chelon labrosus) and Gulf Menhaden (
Brevoortia patronus), gasoline exhibited a 96-hour LC 50 of 8 PPM, 2 PPM, and 2 PPM,
respectively.
Environmental Fate
Biodegradability: Readily biodegradable in aerobic conditions. Residual components most
recalcitrant to biodegration are branched alkanes.
Partition Coefficient (log Kow): 2.13 to 4.85.
Photodegration: Gasoline will partition to air, with the atmospheric half-life for constituents
ranging from 0.8 days to 16 days.
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Stability in water: Gasoline is not readily susceptible to hydrolysis under aquatic conditions,
and the constituents readily partition to air.
SECTION 13. DISPOSAL CONSIDERATIONS
Hazard characteristic and regulatory waste stream classification can change with product use. Accordingly, it is
the responsibility of the user to determine the proper storage, transportation, treatment and/or disposal
methodologies for spent materials and residues at the time of disposition.
Maximize material recovery for reuse or recycling. Recovered non-usable material may be
regulated by US EPA as a hazardous waste due to its ignitibility (D001) and/or its toxic
(D018) characteristics. Conditions of use may cause this material to become a "hazardous
waste", as defined by federal or state regulations. It is the responsibility of the user to
determine if the material is a RCRA "hazardous waste" at the time of disposal.
Transportation, treatment, storage and disposal of waste material must be conducted in
accordance with RCRA regulations (see 40 CFR 260 through 40 CFR 271). State and/or
local regulations may be more restrictive. Contact your regional US EPA office for guidance
concerning case specfic disposal issues.
SECTION 14. TRANSPORT INFORMATION
The shipping description below may not represent requirements for all modes of transportation, shipping
methods or locations outside of the United States.
A U.S. Department of Transportation regulated material.
US DOT Status
Proper Shipping Name Gasoline, 3, UN 1203, PG II
Gasohol, 3, NA 1203, PGII (Use only for gasoline blended with less than 20% ethanol)
3 DOT Class: Flammable liquid.
II
Hazard Class
Packing Group
UN/NA Number
Reportable Quantity
UN1203 or NA1203
A Reportable Quantity (RQ) has not been established for this material.
Placard(s)
Emergency Response
Guide No.
128
MARPOL III Status
Not a DOT "Marine
Pollutant" per 49 CFR
171.8.
FLAMMABLE LIQUID
3
SECTION 15. REGULATORY INFORMATION
TSCA Inventory
This product and/or its components are listed on the Toxic Substances Control Act (TSCA)
inventory.
SARA 302/304
Emergency Planning
and Notification
facilities subject to Subparts 302 and 304 to submit emergency planning and notification
information based on Threshold Planning Quantities (TPQs) and Reportable Quantities
(RQs) for "Extremely Hazardous Substances" listed in 40 CFR 302.4 and 40 CFR 355. No
components were identified.
SARA 311/312 Hazard
Identification
facilities subject to this subpart to submit aggregate information on chemicals by "Hazard
Category" as defined in 40 CFR 370.2. This material would be classified under the following
hazard categories:
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Fire, Acute (Immediate) Health Hazard, Chronic (Delayed) Health Hazard
This product contains the following components in concentrations above de minimis levels
SARA 313 Toxic
Chemical Notification that are listed as toxic chemicals in 40 CFR Part 372 pursuant to the requirements of Section
and Release Reporting 313 of SARA:
Toluene [CAS No.: 108-88-3] Concentration: <25%
Xylene, all isomers [CAS No.: 1330-20-7] Concentration: <18%
n-Hexane [CAS No.: 110-54-3] Concentration: <8%
Benzene [CAS No.: 71-43-2] Concentration: <5%
Cumene [CAS No.: 98-82-8] Concentration: <4%
Ethylbenzene [CAS No.: 100-41-4] Concentration: <4%
1,2,4--Trimethylbenzene [CAS No.: 95-63-6] Concentration: <3%
Cyclohexane [CAS No.: 110-82-7] Concentration: <3%
Naphthalene [CAS No.: 91-20-3] Concentration: <2%
Styrene [CAS No.: 100-42-5] Concentration: <1%
CERCLA
The Comprehensive Environmental Response, Compensation, and Liability Act of 1980
(CERCLA) requires notification of the National Response Center concerning release of
quantities of "hazardous substances" equal to or greater than the reportable quantities (RQ's)
listed in 40 CFR 302.4. As defined by CERCLA, the term "hazardous substance" does not
include petroleum, including crude oil or any fraction thereof which is not otherwise
specifically designated in 40 CFR 302.4. Chemical substances present in this product or
refinery stream that may be subject to this statute are:
Toluene [CAS No.: 108-88-3] RQ = 1000 lbs. (453.6 kg) Concentration: <25%
Xylene, all isomers [CAS No.: 1330-20-7] RQ = 100 lbs. (45.36 kg) Concentration: <18%
n-Hexane [CAS No.: 110-54-3] RQ = 5000 lbs. (2268 kg) Concentration: <8%
Benzene [CAS No.: 71-43-2] RQ = 10 lbs. (4.536 kg) Concentration: <5%
2,2,4-Trimethylpentane [CAS No.: 540-84-1] RQ = 1000 lbs. (453.6 kg) Concentration: <5%
Cumene [CAS No.: 98-82-8] RQ = 5000 lbs. (2268 kg) Concentration: <4%
Ethylbenzene [CAS No.: 100-41-4] RQ = 1000 lbs. (453.6 kg) Concentration: <4%
Cyclohexane [CAS No.: 110-82-7] RQ = 1000 lbs. (453.6 kg) Concentration: <3%
Naphthalene [CAS No.: 91-20-3] RQ = 100 lbs. (45.36 kg) Concentration: <2%
Styrene [CAS No.: 100-42-5] RQ = 1000 lbs. (453.6 kg) Concentration: <1%
Clean Water Act
(CWA)
This material is classified as an oil under Section 311 of the Clean Water Act (CWA) and the
Oil Pollution Act of 1990 (OPA). Discharges or spills which produce a visible sheen on waters
of the United States, their adjoining shorelines, or into conduits leading to surface waters must
be reported to the EPA's National Response Center at (800) 424-8802.
California
Proposition 65
This material may contain the following components which are known to the State of California
to cause cancer, birth defects or other reproductive harm, and may be subject to the
requirements of California Proposition 65 (CA Health & Safety Code Section 25249.5):
Gasoline (Wholly Vaporized and Engine Exhaust), Benzene [CAS No. 71-43-3], Toluene [CAS
No. 108-88-3], Ethylbenzene [CAS No.100-41-4] and Naphthalene [CAS No.91-20-3]
New Jersey
Right-to-Know Label
Gasoline [NJDEP CAS No. 8006-61-9]
Additional Remarks
As minimum requirements, CITGO recommends that the following advisory information be
displayed on equipment used to dispense gasoline in motor vehicles. Additional warnings
specified by various regulatory authorities may be required: "DANGER: Extremely
Flammable. Use as a Motor Fuel Only. No Smoking. Stop Engine. Turn Off All Electronic
Equipment including Cellular Telephones. Do Not Overfill Tank. Keep Away from Heat and
Flames. Do Not leave nozzle unattended during refueling. Static Sparks Can Cause a Fire,
especially when filling portable containers. Containers must be metal or other material
approved for storing gasoline. PLACE CONTAINER ON GROUND. DO NOT FILL ANY
PORTABLE CONTAINER IN OR ON A VEHICLE. Keep nozzle spout in contact with the
container during the entire filling operation. Harmful or Fatal if Swallowed. Long
Term-Exposure Has Caused Cancer in Laboratory Animals. Avoid prolonged breathing
of vapors. Keep face away from nozzle and gas tank. Never siphon by mouth."
WHMIS Class B-2: Flammable liquid with a flash point lower than 37.8°C (100°F).
WHMIS Class D-2B: Material causing other toxic effects (TOXIC).
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SECTION 16. OTHER INFORMATION
Refer to the top of Page 1 for the HMIS and NFPA Hazard Ratings for this product.
REVISION INFORMATION
9.1
10/14/2008
ABBREVIATIONS
Version Number
Revision Date
AP: Approximately
EQ: Equal
>: Greater Than
NA: Not Applicable
ND: No Data
NE: Not Established
<: Less Than
ACGIH: American Conference of Governmental Industrial Hygienists
AIHA: American Industrial Hygiene Association
IARC: International Agency for Research on Cancer
NIOSH: National Institute of Occupational Safety and Health
NPCA: National Paint and Coating Manufacturers Association
EPA: US Environmental Protection Agency
HMIS: Hazardous Materials Information System
OSHA: Occupational Safety and Health Administration
NTP: National Toxicology Program
NFPA: National Fire Protection Association
DISCLAIMER OF LIABILITY
THE INFORMATION IN THIS MSDS WAS OBTAINED FROM SOURCES WHICH WE BELIEVE ARE RELIABLE.
HOWEVER, THE INFORMATION IS PROVIDED WITHOUT ANY WARRANTY, EXPRESSED OR IMPLIED
REGARDING ITS CORRECTNESS. SOME INFORMATION PRESENTED AND CONCLUSIONS DRAWN HEREIN ARE
FROM SOURCES OTHER THAN DIRECT TEST DATA ON THE SUBSTANCE ITSELF. THIS MSDS WAS PREPARED
AND IS TO BE USED ONLY FOR THIS PRODUCT. IF THE PRODUCT IS USED AS A COMPONENT IN ANOTHER
PRODUCT, THIS MSDS INFORMATION MAY NOT BE APPLICABLE. USERS SHOULD MAKE THEIR OWN
INVESTIGATIONS TO DETERMINE THE SUITABILITY OF THE INFORMATION OR PRODUCTS FOR THEIR
PARTICULAR PURPOSE.
THE CONDITIONS OR METHODS OF HANDLING, STORAGE, USE, AND DISPOSAL OF THE PRODUCT ARE
BEYOND OUR CONTROL AND MAY BE BEYOND OUR KNOWLEDGE. FOR THIS AND OTHER REASONS, WE DO
NOT ASSUME RESPONSIBILITY AND EXPRESSLY DISCLAIM LIABILITY FOR LOSS, DAMAGE OR EXPENSE
ARISING OUT OF OR IN ANY WAY CONNECTED WITH HANDLING, STORAGE, USE OR DISPOSAL OF THE
PRODUCT.
*****
END OF MSDS
*****
Hydrochloric acid MSDS
Section 1: Chemical Product and Company Identification
Product Name: Hydrochloric acid
Contact Information:
Sciencelab.com, Inc.
14025 Smith Rd.
Houston, Texas 77396
Catalog Codes: SLH1462, SLH3154
CAS#: Mixture.
RTECS: MW4025000
US Sales: 1-800-901-7247
International Sales: 1-281-441-4400
TSCA: TSCA 8(b) inventory: Hydrochloric acid
Order Online: ScienceLab.com
CI#: Not applicable.
CHEMTREC (24HR Emergency Telephone), call:
1-800-424-9300
Synonym: Hydrochloric Acid; Muriatic Acid
International CHEMTREC, call: 1-703-527-3887
Chemical Name: Not applicable.
For non-emergency assistance, call: 1-281-441-4400
Chemical Formula: Not applicable.
Section 2: Composition and Information on Ingredients
Composition:
Name
CAS #
% by Weight
Hydrogen chloride
7647-01-0
20-38
Water
7732-18-5
62-80
Toxicological Data on Ingredients: Hydrogen chloride: GAS (LC50): Acute: 4701 ppm 0.5 hours [Rat].
Section 3: Hazards Identification
Potential Acute Health Effects:
Very hazardous in case of skin contact (corrosive, irritant, permeator), of eye contact (irritant, corrosive), of
ingestion, . Slightly hazardous in case of inhalation (lung sensitizer). Non-corrosive for lungs. Liquid or spray
mist may produce tissue damage particularly on mucous membranes of eyes, mouth and respiratory tract. Skin
contact may produce burns. Inhalation of the spray mist may produce severe irritation of respiratory tract,
characterized by coughing, choking, or shortness of breath. Severe over-exposure can result in death.
Inflammation of the eye is characterized by redness, watering, and itching. Skin inflammation is characterized by
itching, scaling, reddening, or, occasionally, blistering.
Potential Chronic Health Effects:
Slightly hazardous in case of skin contact (sensitizer).
CARCINOGENIC EFFECTS: Classified 3 (Not classifiable for human.) by IARC [Hydrochloric acid].
MUTAGENIC EFFECTS: Not available.
p. 1
TERATOGENIC EFFECTS: Not available.
DEVELOPMENTAL TOXICITY: Not available.
The substance may be toxic to kidneys, liver, mucous membranes, upper respiratory tract, skin, eyes, Circulatory
System, teeth.
Repeated or prolonged exposure to the substance can produce target organs damage. Repeated or prolonged
contact with spray mist may produce chronic eye irritation and severe skin irritation. Repeated or prolonged
exposure to spray mist may produce respiratory tract irritation leading to frequent attacks of bronchial infection.
Repeated exposure to a highly toxic material may produce general deterioration of health by an accumulation in
one or many human organs.
Section 4: First Aid Measures
Eye Contact:
Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at
least 15 minutes. Cold water may be used. Get medical attention immediately.
Skin Contact:
In case of contact, immediately flush skin with plenty of water for at least 15 minutes while removing contaminated
clothing and shoes. Cover the irritated skin with an emollient. Cold water may be used.Wash clothing before
reuse. Thoroughly clean shoes before reuse. Get medical attention immediately.
Serious Skin Contact:
Wash with a disinfectant soap and cover the contaminated skin with an anti-bacterial cream. Seek immediate
medical attention.
Inhalation:
If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get
medical attention immediately.
Serious Inhalation:
Evacuate the victim to a safe area as soon as possible. Loosen tight clothing such as a collar, tie, belt or
waistband. If breathing is difficult, administer oxygen. If the victim is not breathing, perform mouth-to-mouth
resuscitation. WARNING: It may be hazardous to the person providing aid to give mouth-to-mouth resuscitation
when the inhaled material is toxic, infectious or corrosive. Seek immediate medical attention.
Ingestion:
If swallowed, do not induce vomiting unless directed to do so by medical personnel. Never give anything by
mouth to an unconscious person. Loosen tight clothing such as a collar, tie, belt or waistband. Get medical
attention immediately.
Serious Ingestion: Not available.
Section 5: Fire and Explosion Data
Flammability of the Product: Non-flammable.
Auto-Ignition Temperature: Not applicable.
Flash Points: Not applicable.
Flammable Limits: Not applicable.
Products of Combustion: Not available.
Fire Hazards in Presence of Various Substances: of metals
Explosion Hazards in Presence of Various Substances: Non-explosive in presence of open flames and sparks, of shocks.
Fire Fighting Media and Instructions: Not applicable.
p. 2
Special Remarks on Fire Hazards:
Non combustible.
Calcium carbide reacts with hydrogen chloride gas with incandescence.
Uranium phosphide reacts with hydrochloric acid to release spontaneously flammable phosphine.
Rubidium acetylene carbides burns with slightly warm hydrochloric acid.
Lithium silicide in contact with hydrogen chloride becomes incandescent. When dilute hydrochloric acid is used,
gas spontaneously flammable in air is evolved.
Magnesium boride treated with concentrated hydrochloric acid produces spontaneously flammble gas.
Cesium acetylene carbide burns hydrogen chloride gas.
Cesium carbide ignites in contact with hydrochloric acid unless acid is dilute.
Reacts with most metals to produce flammable Hydrodgen gas.
Special Remarks on Explosion Hazards:
Hydrogen chloride in contact with the following can cause an explosion, ignition on contact, or other
violent/vigorous reaction: Acetic anhydride AgClO + CCl4 Alcohols + hydrogen cyanide, Aluminum
Aluminum-titanium alloys (with HCl vapor), 2-Amino ethanol, Ammonium hydroxide, Calcium carbide Ca3P2
Chlorine + dinitroanilines (evolves gas), Chlorosulfonic acid Cesium carbide Cesium acetylene carbide,
1,1-Difluoroethylene Ethylene diamine Ethylene imine, Fluorine, HClO4 Hexalithium disilicide H2SO4 Metal
acetylides or carbides, Magnesium boride, Mercuric sulfate, Oleum, Potassium permanganate,
beta-Propiolactone Propylene oxide Rubidium carbide, Rubidium, acetylene carbide Sodium (with aqueous HCl),
Sodium hydroxide Sodium tetraselenium, Sulfonic acid, Tetraselenium tetranitride, U3P4 , Vinyl acetate.
Silver perchlorate with carbon tetrachloride in the presence of hydrochloric acid produces trichloromethyl
perchlorate which detonates at 40 deg. C.
Section 6: Accidental Release Measures
Small Spill:
Dilute with water and mop up, or absorb with an inert dry material and place in an appropriate waste disposal
container. If necessary: Neutralize the residue with a dilute solution of sodium carbonate.
Large Spill:
Corrosive liquid. Poisonous liquid.
Stop leak if without risk. Absorb with DRY earth, sand or other non-combustible material. Do not get water inside
container. Do not touch spilled material. Use water spray curtain to divert vapor drift. Use water spray to reduce
vapors. Prevent entry into sewers, basements or confined areas; dike if needed. Call for assistance on disposal.
Neutralize the residue with a dilute solution of sodium carbonate. Be careful that the product is not present at
a concentration level above TLV. Check TLV on the MSDS and with local authorities.
Section 7: Handling and Storage
Precautions:
Keep locked up.. Keep container dry. Do not ingest. Do not breathe gas/fumes/ vapor/spray. Never add water
to this product. In case of insufficient ventilation, wear suitable respiratory equipment. If ingested, seek medical
advice immediately and show the container or the label. Avoid contact with skin and eyes. Keep away from
incompatibles such as oxidizing agents, organic materials, metals, alkalis, moisture.
May corrode metallic surfaces. Store in a metallic or coated fiberboard drum using a strong polyethylene inner
package.
Storage: Keep container tightly closed. Keep container in a cool, well-ventilated area.
Section 8: Exposure Controls/Personal Protection
Engineering Controls:
Provide exhaust ventilation or other engineering controls to keep the airborne concentrations of vapors below their
respective threshold limit value. Ensure that eyewash stations and safety showers are proximal to the
work-station location.
Personal Protection:
p. 3
Face shield. Full suit. Vapor respirator. Be sure to use an approved/certified respirator or equivalent. Gloves.
Boots.
Personal Protection in Case of a Large Spill:
Splash goggles. Full suit. Vapor respirator. Boots. Gloves. A self contained breathing apparatus should be
used to avoid inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist
BEFORE handling this product.
Exposure Limits:
CEIL: 5 (ppm) from OSHA (PEL) [United States]
CEIL: 7 (mg/m3) from OSHA (PEL) [United States]
CEIL: 5 from NIOSH
CEIL: 7 (mg/m3) from NIOSH
TWA: 1 STEL: 5 (ppm) [United Kingdom (UK)]
TWA: 2 STEL: 8 (mg/m3) [United Kingdom (UK)]Consult local authorities for acceptable exposure limits.
Section 9: Physical and Chemical Properties
Physical state and appearance: Liquid.
Odor: Pungent. Irritating (Strong.)
Taste: Not available.
Molecular Weight: Not applicable.
Color: Colorless to light yellow.
pH (1% soln/water): Acidic.
Boiling Point:
108.58 C @ 760 mm Hg (for 20.22% HCl in water)
83 C @ 760 mm Hg (for 31% HCl in water)
50.5 C (for 37% HCl in water)
Melting Point:
-62.25°C (-80°F) (20.69% HCl in water)
-46.2 C (31.24% HCl in water)
-25.4 C (39.17% HCl in water)
Critical Temperature: Not available.
Specific Gravity:
1.1- 1.19 (Water = 1)
1.10 (20%and 22% HCl solutions)
1.12 (24% HCl solution)
1.15 (29.57% HCl solution)
1.16 (32% HCl solution)
1.19 (37% and 38%HCl solutions)
Vapor Pressure: 16 kPa (@ 20°C) average
Vapor Density: 1.267 (Air = 1)
Volatility: Not available.
Odor Threshold: 0.25 to 10 ppm
Water/Oil Dist. Coeff.: Not available.
Ionicity (in Water): Not available.
p. 4
Dispersion Properties: See solubility in water, diethyl ether.
Solubility: Soluble in cold water, hot water, diethyl ether.
Section 10: Stability and Reactivity Data
Stability: The product is stable.
Instability Temperature: Not available.
Conditions of Instability: Incompatible materials, water
Incompatibility with various substances:
Highly reactive with metals.
Reactive with oxidizing agents, organic materials, alkalis, water.
Corrosivity:
Extremely corrosive in presence of aluminum, of copper, of stainless steel(304), of stainless steel(316).
Non-corrosive in presence of glass.
Special Remarks on Reactivity:
Reacts with water especially when water is added to the product.
Absorption of gaseous hydrogen chloride on mercuric sulfate becomes violent @ 125 deg. C.
Sodium reacts very violently with gaseous hydrogen chloride.
Calcium phosphide and hydrochloric acid undergo very energetic reaction.
It reacts with oxidizers releasing chlorine gas.
Incompatible with, alkali metals, carbides, borides, metal oxides, vinyl acetate, acetylides, sulphides, phosphides,
cyanides, carbonates.
Reacts with most metals to produce flammable Hydrogen gas.
Reacts violently (moderate reaction with heat of evolution) with water especially when water is added to the
product. Isolate hydrogen chloride from heat, direct sunlight, alkalies (reacts vigorously), organic materials, and
oxidizers (especially nitric acid and chlorates), amines, metals, copper and alloys (e.g. brass), hydroxides, zinc
(galvanized materials), lithium silicide (incandescence), sulfuric acid(increase in temperature and pressure)
Hydrogen chloride gas is emitted when this product is in contact with sulfuric acid.
Adsorption of Hydrochloric Acid onto silicon dioxide results in exothmeric reaction.
Hydrogen chloride causes aldehydes and epoxides to violently polymerize.
Hydrogen chloride or Hydrochloric Acid in contact with the folloiwng can cause explosion or ignition on contact or
Special Remarks on Corrosivity:
Highly corrosive. Incompatible with copper and copper alloys. It attacks nearly all metals (mercury, gold,
platinium, tantalum, silver, and certain alloys are exceptions).
It is one of the most corrosive of the nonoxidizing acids in contact with copper alloys.
No corrosivity data on zinc, steel.
Severe Corrosive effect on brass and bronze
Polymerization: Will not occur.
Section 11: Toxicological Information
Routes of Entry: Absorbed through skin. Dermal contact. Eye contact. Inhalation.
Toxicity to Animals:
Acute oral toxicity (LD50): 900 mg/kg [Rabbit].
Acute toxicity of the vapor (LC50): 1108 ppm, 1 hours [Mouse].
Acute toxicity of the vapor (LC50): 3124 ppm, 1 hours [Rat].
Chronic Effects on Humans:
CARCINOGENIC EFFECTS: Classified 3 (Not classifiable for human.) by IARC [Hydrochloric acid].
May cause damage to the following organs: kidneys, liver, mucous membranes, upper respiratory tract, skin,
p. 5
eyes, Circulatory System, teeth.
Other Toxic Effects on Humans:
Very hazardous in case of skin contact (corrosive, irritant, permeator), of ingestion, .
Hazardous in case of eye contact (corrosive), of inhalation (lung corrosive).
Special Remarks on Toxicity to Animals:
Lowest Published Lethal Doses (LDL/LCL)
LDL [Man] -Route: Oral; 2857 ug/kg
LCL [Human] - Route: Inhalation; Dose: 1300 ppm/30M
LCL [Rabbit] - Route: Inhalation; Dose: 4413 ppm/30M
Special Remarks on Chronic Effects on Humans:
May cause adverse reproductive effects (fetoxicity).
May affect genetic material.
Special Remarks on other Toxic Effects on Humans:
Acute Potential Health Effects:
Skin: Corrosive. Causes severe skin irritation and burns.
Eyes: Corrosive. Causes severe eye irritation/conjuntivitis, burns, corneal necrosis.
Inhalation: May be fatal if inhaled. Material is extremely destructive to tissue of the mucous membranes and
upper respiratory tract. Inhalation of hydrochloric acid fumes produces nose, throat, and larryngeal burning, and
irritation, pain and inflammation, coughing, sneezing, choking sensation, hoarseness, laryngeal spasms, upper
respiratory tract edema, chest pains, as well has headache, and palpitations. Inhalation of high concentrations
can result in corrosive burns, necrosis of bronchial epithelium, constriction of the larynx and bronchi, nasospetal
perforation, glottal closure,
occur, particularly if exposure is prolonged. May affect the liver.
Ingestion: May be fatal if swallowed. Causes irritation and burning, ulceration, or perforation of the
gastrointestinal tract and resultant peritonitis, gastric hemorrhage and infection. Can also cause nausea, vomitting
(with "coffee ground" emesis), diarrhea, thirst, difficulty swallowing, salivation, chills, fever, uneasiness, shock,
strictures and stenosis (esophogeal, gastric, pyloric). May affect behavior (excitement), the cardiovascular
system (weak rapid pulse, tachycardia), respiration (shallow respiration), and urinary system (kidneys- renal
failure, nephritis).
Acute exposure via inhalation or ingestion can also cause erosion of tooth enamel.
Chronic Potential Health Effects:
dyspnea, bronchitis. Chemical pneumonitis and pulmonary edema can also
Section 12: Ecological Information
Ecotoxicity: Not available.
BOD5 and COD: Not available.
Products of Biodegradation:
Possibly hazardous short term degradation products are not likely. However, long term degradation products may
arise.
Toxicity of the Products of Biodegradation: The products of degradation are less toxic than the product itself.
Special Remarks on the Products of Biodegradation: Not available.
Section 13: Disposal Considerations
Waste Disposal:
Waste must be disposed of in accordance with federal, state and local environmental
control regulations.
Section 14: Transport Information
p. 6
DOT Classification: Class 8: Corrosive material
Identification: : Hydrochloric acid, solution UNNA: 1789 PG: II
Special Provisions for Transport: Not available.
Section 15: Other Regulatory Information
Federal and State Regulations:
Connecticut hazardous material survey.: Hydrochloric acid
Illinois toxic substances disclosure to employee act: Hydrochloric acid
Illinois chemical safety act: Hydrochloric acid
New York release reporting list: Hydrochloric acid
Rhode Island RTK hazardous substances: Hydrochloric acid
Pennsylvania RTK: Hydrochloric acid
Minnesota: Hydrochloric acid
Massachusetts RTK: Hydrochloric acid
Massachusetts spill list: Hydrochloric acid
New Jersey: Hydrochloric acid
New Jersey spill list: Hydrochloric acid
Louisiana RTK reporting list: Hydrochloric acid
Louisiana spill reporting: Hydrochloric acid
California Director's List of Hazardous Substances: Hydrochloric acid
TSCA 8(b) inventory: Hydrochloric acid
TSCA 4(a) proposed test rules: Hydrochloric acid
SARA 302/304/311/312 extremely hazardous substances: Hydrochloric acid
SARA 313 toxic chemical notification and release reporting: Hydrochloric acid
CERCLA: Hazardous substances.: Hydrochloric acid: 5000 lbs. (2268 kg)
Other Regulations:
OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200).
EINECS: This product is on the European Inventory of Existing Commercial Chemical Substances.
Other Classifications:
WHMIS (Canada):
CLASS D-2A: Material causing other toxic effects (VERY TOXIC).
CLASS E: Corrosive liquid.
DSCL (EEC):
R34- Causes burns.
R37- Irritating to respiratory system.
S26- In case of contact with eyes, rinse
immediately with plenty of water and seek
medical advice.
S45- In case of accident or if you feel unwell,
seek medical advice immediately (show the
label where possible).
HMIS (U.S.A.):
Health Hazard: 3
Fire Hazard: 0
Reactivity: 1
National Fire Protection Association (U.S.A.):
p. 7
Health: 3
Flammability: 0
Reactivity: 1
Specific hazard:
Protective Equipment:
Gloves.
Full suit.
Vapor respirator. Be sure to use an
approved/certified respirator or
equivalent. Wear appropriate respirator
when ventilation is inadequate.
Face shield.
Section 16: Other Information
References:
-Hawley, G.G.. The Condensed Chemical Dictionary, 11e ed., New York N.Y., Van Nostrand Reinold, 1987.
-SAX, N.I. Dangerous Properties of Indutrial Materials. Toronto, Van Nostrand Reinold, 6e ed. 1984.
-The Sigma-Aldrich Library of Chemical Safety Data, Edition II.
-Guide de la loi et du règlement sur le transport des marchandises dangeureuses au canada. Centre de conformité
internatinal Ltée. 1986.
Other Special Considerations: Not available.
Created: 10/09/2005 05:45 PM
Last Updated: 09/14/2009 10:34 AM
The information above is believed to be accurate and represents the best information currently available to us. However, we
make no warranty of merchantability or any other warranty, express or implied, with respect to such information, and we
assume no liability resulting from its use. Users should make their own investigations to determine the suitability of the
information for their particular purposes. In no event shall ScienceLab.com be liable for any claims, losses, or damages of any
third party or for lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even
if ScienceLab.com has been advised of the possibility of such damages.
p. 8
Isobutylene
Section 1. Chemical product and company identification
Product name
Supplier
: Isobutylene
: AIRGAS INC., on behalf of its subsidiaries
259 North Radnor-Chester Road
Suite 100
Radnor, PA 19087-5283
1-610-687-5253
Product use
Synonym
: Synthetic/Analytical chemistry.
: Propene, 2-methyl-; γ-Butylene; Isobutene; Isobutylene; Isopropylidenemethylene; 1,1Dimethylethylene; 2-Methyl-1-propene; 2-Methylpropene; iso-C4H8; Methylpropene; 2Methylpropene-isobutylene; UN 1055; UN 1075
: 001031
: 11/10/2010.
MSDS #
Date of
Preparation/Revision
In case of emergency
: 1-866-734-3438
Section 2. Hazards identification
Physical state
Emergency overview
: Gas. [COLORLESS LIQUEFIED COMPRESSED GAS WITH A SWEET
GASOLINELIKE
ODOR]
: WARNING!
FLAMMABLE GAS.
MAY CAUSE FLASH FIRE.
CONTENTS UNDER PRESSURE.
Keep away from heat, sparks and flame. Do not puncture or incinerate container. Use
only with adequate ventilation. Keep container closed.
Contact with rapidly expanding gases can cause frostbite.
: Inhalation
Routes of entry
Potential acute health effects
Eyes
: Contact with rapidly expanding gas may cause burns or frostbite.
Skin
: Contact with rapidly expanding gas may cause burns or frostbite.
Inhalation
: Acts as a simple asphyxiant.
Ingestion
Potential chronic health
effects
: Ingestion is not a normal route of exposure for gases
Medical conditions
aggravated by overexposure
: Acute or chronic respiratory conditions may be aggravated by overexposure to this gas.
: CARCINOGENIC EFFECTS: A4 (Not classifiable for humans or animals.) by ACGIH.
See toxicological information (section 11)
Section 3. Composition, Information on Ingredients
Name
Isobutylene
Build 1.1
CAS number
115-11-7
% Volume
100
Exposure limits
ACGIH TLV (United States, 2/2010).
Page: 1/6
Isobutylene
Section 4. First aid measures
No action shall be taken involving any personal risk or without suitable training.If it is suspected that fumes are still present,
the rescuer should wear an appropriate mask or self-contained breathing apparatus.It may be dangerous to the person
providing aid to give mouth-to-mouth resuscitation.
Eye contact
: Check for and remove any contact lenses. Immediately flush eyes with plenty of water
for at least 15 minutes, occasionally lifting the upper and lower eyelids. Get medical
Skin contact
: In case of contact, immediately flush skin with plenty of water for at least 15 minutes
while removing contaminated clothing and shoes. To avoid the risk of static discharges
and gas ignition, soak contaminated clothing thoroughly with water before removing it.
Wash clothing before reuse. Clean shoes thoroughly before reuse. Get medical
Frostbite
Inhalation
: Try to warm up the frozen tissues and seek medical attention.
: Move exposed person to fresh air. If not breathing, if breathing is irregular or if
respiratory arrest occurs, provide artificial respiration or oxygen by trained personnel.
Loosen tight clothing such as a collar, tie, belt or waistband. Get medical attention
immediately.
Ingestion
: As this product is a gas, refer to the inhalation section.
Section 5. Fire-fighting measures
Flammability of the product
Auto-ignition temperature
Flammable limits
Products of combustion
:
:
:
:
Flammable.
465°C (869°F)
Lower: 1.8% Upper: 9.6%
Decomposition products may include the following materials:
carbon dioxide
carbon monoxide
Fire hazards in the presence : Extremely flammable in the presence of the following materials or conditions: open
flames, sparks and static discharge and oxidizing materials.
of various substances
Fire-fighting media and
: In case of fire, use water spray (fog), foam or dry chemical.
instructions
In case of fire, allow gas to burn if flow cannot be shut off immediately. Apply water from
a safe distance to cool container and protect surrounding area. If involved in fire, shut
off flow immediately if it can be done without risk.
Contains gas under pressure. Flammable gas. In a fire or if heated, a pressure
increase will occur and the container may burst, with the risk of a subsequent explosion.
Special protective
: Fire-fighters should wear appropriate protective equipment and self-contained breathing
apparatus (SCBA) with a full face-piece operated in positive pressure mode.
equipment for fire-fighters
Section 6. Accidental release measures
Personal precautions
Environmental precautions
Methods for cleaning up
Build 1.1
: Immediately contact emergency personnel. Keep unnecessary personnel away. Use
suitable protective equipment (section 8). Shut off gas supply if this can be done safely.
Isolate area until gas has dispersed.
: Avoid dispersal of spilled material and runoff and contact with soil, waterways, drains
and sewers.
: Immediately contact emergency personnel. Stop leak if without risk. Use spark-proof
tools and explosion-proof equipment. Note: see section 1 for emergency contact
information and section 13 for waste disposal.
Page: 2/6
Isobutylene
Section 7. Handling and storage
Handling
: Use only with adequate ventilation. Use explosion-proof electrical (ventilating, lighting
and material handling) equipment. High pressure gas. Do not puncture or incinerate
container. Use equipment rated for cylinder pressure. Close valve after each use and
when empty. Keep container closed. Keep away from heat, sparks and flame. To avoid
fire, eliminate ignition sources. Protect cylinders from physical damage; do not drag, roll,
slide, or drop. Use a suitable hand truck for cylinder movement.
Storage
: Keep container in a cool, well-ventilated area. Keep container tightly closed and sealed
until ready for use. Avoid all possible sources of ignition (spark or flame). Segregate
from oxidizing materials. Cylinders should be stored upright, with valve protection cap in
place, and firmly secured to prevent falling or being knocked over. Cylinder temperatures
should not exceed 52 °C (125 °F).
Section 8. Exposure controls/personal protection
Engineering controls
Personal protection
Eyes
Skin
Respiratory
Hands
Personal protection in case
of a large spill
: Use only with adequate ventilation. Use process enclosures, local exhaust ventilation or
other engineering controls to keep worker exposure to airborne contaminants below any
recommended or statutory limits. The engineering controls also need to keep gas, vapor
or dust concentrations below any lower explosive limits. Use explosion-proof ventilation
equipment.
: Safety eyewear complying with an approved standard should be used when a risk
assessment indicates this is necessary to avoid exposure to liquid splashes, mists or
dusts.
: Personal protective equipment for the body should be selected based on the task being
performed and the risks involved and should be approved by a specialist before handling
this product.
: Use a properly fitted, air-purifying or air-fed respirator complying with an approved
standard if a risk assessment indicates this is necessary. Respirator selection must be
based on known or anticipated exposure levels, the hazards of the product and the safe
working limits of the selected respirator.
The applicable standards are (US) 29 CFR 1910.134 and (Canada) Z94.4-93
: Chemical-resistant, impervious gloves complying with an approved standard should be
worn at all times when handling chemical products if a risk assessment indicates this is
necessary.
: Self-contained breathing apparatus (SCBA) should be used to avoid inhalation of the
product.
Product name
2-methylpropene
ACGIH TLV (United States, 2/2010).
Consult local authorities for acceptable exposure limits.
Section 9. Physical and chemical properties
Molecular weight
Molecular formula
Boiling/condensation point
Melting/freezing point
Critical temperature
Vapor pressure
Vapor density
Specific Volume (ft 3/lb)
Gas Density (lb/ft 3)
Build 1.1
:
:
:
:
:
:
:
:
:
56.12 g/mole
C4-H8
-6.9°C (19.6°F)
-140°C (-220°F)
144.8°C (292.6°F)
24.3 (psig)
1.9 (Air = 1)
6.6845
0.1496
Page: 3/6
Isobutylene
Section 10. Stability and reactivity
Stability and reactivity
Incompatibility with various
substances
Hazardous decomposition
products
Hazardous polymerization
: The product is stable.
: Extremely reactive or incompatible with the following materials: oxidizing materials.
: Under normal conditions of storage and use, hazardous decomposition products should
not be produced.
: Under normal conditions of storage and use, hazardous polymerization will not occur.
Section 11. Toxicological information
Toxicity data
Product/ingredient name
2-methylpropene
Chronic effects on humans
Other toxic effects on
humans
Specific effects
Carcinogenic effects
Mutagenic effects
Reproduction toxicity
Result
Species
Dose
Exposure
LC50 Inhalation
Rat
550000 mg/m3
4 hours
Vapor
: CARCINOGENIC EFFECTS: A4 (Not classifiable for humans or animals.) by ACGIH.
: No specific information is available in our database regarding the other toxic effects of
this material to humans.
: No known significant effects or critical hazards.
Section 12. Ecological information
Aquatic ecotoxicity
Not available.
Products of degradation
Environmental fate
Environmental hazards
Toxicity to the environment
:
:
:
:
Products of degradation: carbon oxides (CO, CO2) and water.
Not available.
No known significant effects or critical hazards.
Not available.
Section 13. Disposal considerations
Product removed from the cylinder must be disposed of in accordance with appropriate Federal, State, local
regulation.Return cylinders with residual product to Airgas, Inc.Do not dispose of locally.
Section 14. Transport information
Regulatory
information
UN number
Proper shipping
name
Class
Packing group
DOT Classification
UN1055
ISOBUTYLENE
2.1
Not applicable (gas).
Label
Additional
information
Limited
quantity
Yes.
Packaging
instruction
Passenger
aircraft
Quantity
limitation:
Forbidden.
Cargo aircraft
Quantity
limitation:
150 kg
Special
Build 1.1
Page: 4/6
Isobutylene
provisions
19, T50
TDG Classification
UN1055
ISOBUTYLENE
2.1
Explosive
Limit and
Limited
Quantity
Index
0.125
ERAP Index
3000
Passenger
Carrying Ship
Index
Forbidden
Passenger
Carrying
Road or Rail
Index
Forbidden
Special
provisions
29
Mexico
Classification
UN1055
ISOBUTYLENE
2.1
-
“Refer to CFR 49 (or authority having jurisdiction) to determine the information required for shipment of the
product.”
Section 15. Regulatory information
United States
U.S. Federal regulations
State regulations
Build 1.1
: United States inventory (TSCA 8b): This material is listed or exempted.
SARA 302/304/311/312 extremely hazardous substances: No products were found.
SARA 302/304 emergency planning and notification: No products were found.
SARA 302/304/311/312 hazardous chemicals: 2-methylpropene
SARA 311/312 MSDS distribution - chemical inventory - hazard identification: 2methylpropene: Fire hazard, Sudden release of pressure
Clean Water Act (CWA) 307: No products were found.
Clean Water Act (CWA) 311: No products were found.
Clean Air Act (CAA) 112 accidental release prevention: 2-methylpropene
Clean Air Act (CAA) 112 regulated flammable substances: 2-methylpropene
Clean Air Act (CAA) 112 regulated toxic substances: No products were found.
: Connecticut Carcinogen Reporting: This material is not listed.
Connecticut Hazardous Material Survey: This material is not listed.
Florida substances: This material is not listed.
Illinois Chemical Safety Act: This material is not listed.
Illinois Toxic Substances Disclosure to Employee Act: This material is not listed.
Louisiana Reporting: This material is not listed.
Louisiana Spill: This material is not listed.
Massachusetts Spill: This material is not listed.
Massachusetts Substances: This material is listed.
Michigan Critical Material: This material is not listed.
Page: 5/6
Isobutylene
Minnesota Hazardous Substances: This material is not listed.
New Jersey Hazardous Substances: This material is listed.
New Jersey Spill: This material is not listed.
New Jersey Toxic Catastrophe Prevention Act: This material is not listed.
New York Acutely Hazardous Substances: This material is not listed.
New York Toxic Chemical Release Reporting: This material is not listed.
Pennsylvania RTK Hazardous Substances: This material is listed.
Rhode Island Hazardous Substances: This material is not listed.
Canada
WHMIS (Canada)
: Class A: Compressed gas.
Class B-1: Flammable gas.
CEPA Toxic substances: This material is not listed.
Canadian ARET: This material is not listed.
Canadian NPRI: This material is not listed.
Alberta Designated Substances: This material is not listed.
Ontario Designated Substances: This material is not listed.
Quebec Designated Substances: This material is not listed.
Section 16. Other information
United States
Label requirements
Canada
Label requirements
Hazardous Material
Information System (U.S.A.)
National Fire Protection
Association (U.S.A.)
: FLAMMABLE GAS.
MAY CAUSE FLASH FIRE.
CONTENTS UNDER PRESSURE.
: Class A: Compressed gas.
Class B-1: Flammable gas.
: Health
1
Flammability
4
Physical hazards
0
:
Flammability
4
Health
1
0
Instability
Special
Notice to reader
To the best of our knowledge, the information contained herein is accurate. However, neither the above-named
supplier, nor any of its subsidiaries, assumes any liability whatsoever for the accuracy or completeness of the
information contained herein.
Final determination of suitability of any material is the sole responsibility of the user. All materials may present
unknown hazards and should be used with caution. Although certain hazards are described herein, we cannot
guarantee that these are the only hazards that exist.
Build 1.1
Page: 6/6
msds_liquinox_english_osha
LIQUINOX MSDS
Section 1 : MANUFACTURER INFORMATION
Supplier: Same as manufacturer.
Manufacturer: Alconox, Inc.
30 Glenn St.
Suite 309
White Plains, NY 10603.
Manufacturer emergency 800-255-3924.
phone number: 813-248-0585 (outside of the United States).
Manufacturer: Alconox, Inc.
30 Glenn St.
Suite 309
White Plains, NY 10603.
Supplier MSDS date: 2005/02/24
D.O.T. Classification: Not regulated.
Section 2 : HAZARDOUS INGREDIENTS
C.A.S.
2515530-0
CONCENTRATION
%
10-30
Ingredient Name
T.L.V.
LD/50
LC/50
SODIUM
DODECYLBENZENESULFONATE
NOT
AVAILABLE
438
MG/KG
RAT
ORAL
NOT
AVAILABLE
1330
MG/KG
MOUSE
ORAL
Section 3 : PHYSICAL / CHEMICAL CHARACTERISTICS
Physical state: Liquid.
Appearance & odor: Odourless.
Pale yellow.
Odor threshold (ppm): Not available.
Vapour pressure @ 20°C (68°F).
(mmHg): 17
Vapour density (air=1): >1
Volatiles (%)
By volume: Not available.
Evaporation rate
< 1.
(butyl acetate = 1):
MS 01.40.01.03.04.0
Page 1 of 4
Boiling point (°C): 100 (212F)
Freezing point (°C): Not available.
pH: 8.5
Specific gravity @ 20 °C: (water = 1).
1.083
Solubility in water (%): Complete.
Coefficient of water\oil
Not available.
dist.:
VOC: None
Section 4 : FIRE AND EXPLOSION HAZARD DATA
Flammability: Not flammable.
Conditions of
Surrounding fire.
flammability:
Extinguishing media: Carbon dioxide, dry chemical, foam.
Water
Water fog.
Special procedures: Self-contained breathing apparatus required.
Firefighters should wear the usual protective gear.
Use water spray to cool fire exposed containers.
Auto-ignition
Not available.
temperature:
Flash point (°C),
None
method:
Lower flammability
Not applicable.
limit (% vol):
Upper flammability
Not applicable.
limit (% vol):
Not available.
Sensitivity to mechanical
Not available.
impact:
Hazardous combustion Oxides of carbon (COx).
products: Hydrocarbons.
Rate of burning: Not available.
Explosive power: Containers may rupture if exposed to heat or fire.
Section 5 : REACTIVITY DATA
Chemical stability: Product is stable under normal handling and storage conditions.
Conditions of instability: Extreme temperatures.
Hazardous
Will not occur.
polymerization:
Incompatible Strong acids.
substances: Strong oxidizing agents.
Hazardous
See hazardous combustion products.
decomposition products:
Section 6 : HEALTH HAZARD DATA
MS 01.40.01.03.04.0
Page 2 of 4
Route of entry: Skin contact, eye contact, inhalation and ingestion.
Effects of Acute
Exposure
Eye contact: May cause irritation.
Skin contact: Prolonged and repeated contact may cause irritation.
Inhalation: May cause headache and nausea.
Ingestion: May cause vomiting and diarrhea.
May cause gastric distress.
Effects of chronic
See effects of acute exposure.
exposure:
LD50 of product, species
> 5000 mg/kg rat oral.
& route:
LC50 of product, species
Not available.
& route:
Exposure limit of
Not available.
material:
Sensitization to product: Not available.
Carcinogenic effects: Not listed as a carcinogen.
Reproductive effects: Not available.
Teratogenicity: Not available.
Mutagenicity: Not available.
Synergistic materials: Not available.
Medical conditions
Not available.
aggravated by exposure:
First Aid
Skin contact: Remove contaminated clothing.
Wash thoroughly with soap and water.
Seek medical attention if irritation persists.
Eye contact: Check for and remove contact lenses.
Flush eyes with clear, running water for 15 minutes while holding
eyelids open: if irritation persists, consult a physician.
Inhalation: Remove victim to fresh air.
If irritation persists, seek medical attention.
Ingestion: Do not induce vomiting, seek medical attention.
Dilute with two glasses of water.
Never give anything by mouth to an unconscious person.
Section 7 : PRECAUTIONS FOR SAFE HANDLING AND USE
Leak/Spill: Contain the spill.
Prevent entry into drains, sewers, and other waterways.
Wear appropriate protective equipment.
Small amounts may be flushed to sewer with water.
Soak up with an absorbent material.
Place in appropriate container for disposal.
Notify the appropriate authorities as required.
Waste disposal: In accordance with local and federal regulations.
Handling procedures and Protect against physical damage.
equipment: Avoid breathing vapors/mists.
Wear personal protective equipment appropriate to task.
MS 01.40.01.03.04.0
Page 3 of 4
Wash thoroughly after handling.
Keep out of reach of children.
Avoid contact with skin, eyes and clothing.
Avoid extreme temperatures.
Launder contaminated clothing prior to reuse.
Storage requirements: Store away from incompatible materials.
Keep containers closed when not in use.
Section 8 : CONTROL MEASURES
Precautionary Measures
Gloves/Type:
Wear appropriate gloves.
Respiratory/Type: None required under normal use.
Eye/Type:
Safety glasses recommended.
Footwear/Type: Safety shoes per local regulations.
Clothing/Type: As required to prevent skin contact.
Other/Type: Eye wash facility should be in close proximity.
Emergency shower should be in close proximity.
Ventilation
Local exhaust at points of emission.
requirements:
MS 01.40.01.03.04.0
Page 4 of 4
Nitric acid, 65% MSDS
Section 1: Chemical Product and Company Identification
Product Name: Nitric acid, 65%
Contact Information:
Sciencelab.com, Inc.
14025 Smith Rd.
Houston, Texas 77396
Catalog Codes: SLN2161
CAS#: Mixture.
RTECS: Not applicable.
US Sales: 1-800-901-7247
International Sales: 1-281-441-4400
TSCA: TSCA 8(b) inventory: Water; Nitric acid, fuming
Order Online: ScienceLab.com
CI#: Not applicable.
CHEMTREC (24HR Emergency Telephone), call:
1-800-424-9300
Synonym: Nitric Acid, 65%
International CHEMTREC, call: 1-703-527-3887
Chemical Name: Not applicable.
For non-emergency assistance, call: 1-281-441-4400
Chemical Formula: Not applicable.
Section 2: Composition and Information on Ingredients
Composition:
Name
CAS #
% by Weight
Water
7732-18-5
35
Nitric acid, fuming
7697-37-2
65
Toxicological Data on Ingredients: Nitric acid, fuming: VAPOR (LC50): Acute: 244 ppm 0.5 hours [Rat]. 344 ppm 0.5 hours
[Rat].
Section 3: Hazards Identification
Potential Acute Health Effects:
Very hazardous in case of skin contact (corrosive, irritant, permeator), of eye contact (irritant, corrosive), of
ingestion, . Slightly hazardous in case of inhalation (lung sensitizer). Liquid or spray mist may produce tissue
damage particularly on mucous membranes of eyes, mouth and respiratory tract. Skin contact may produce
burns. Inhalation of the spray mist may produce severe irritation of respiratory tract, characterized by coughing,
choking, or shortness of breath. Prolonged exposure may result in skin burns and ulcerations. Over-exposure by
inhalation may cause respiratory irritation. Severe over-exposure can result in death. Inflammation of the eye is
characterized by redness, watering, and itching. Skin inflammation is characterized by itching, scaling, reddening,
or, occasionally, blistering.
Potential Chronic Health Effects:
CARCINOGENIC EFFECTS: Not available.
p. 1
DEVELOPMENTAL TOXICITY: Not available.
The substance may be toxic to lungs, mucous membranes, upper respiratory tract, skin, eyes, teeth.
Repeated or prolonged exposure to the substance can produce target organs damage. Repeated or prolonged
contact with spray mist may produce chronic eye irritation and severe skin irritation. Repeated or prolonged
exposure to spray mist may produce respiratory tract irritation leading to frequent attacks of bronchial infection.
Section 4: First Aid Measures
Eye Contact:
Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at
least 15 minutes. Cold water may be used. Get medical attention immediately.
Skin Contact:
In case of contact, immediately flush skin with plenty of water for at least 15 minutes while removing contaminated
clothing and shoes. Cover the irritated skin with an emollient. Cold water may be used.Wash clothing before
reuse. Thoroughly clean shoes before reuse. Get medical attention immediately.
Serious Skin Contact:
Wash with a disinfectant soap and cover the contaminated skin with an anti-bacterial cream. Seek immediate
medical attention.
Inhalation:
If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get
medical attention immediately.
Serious Inhalation:
Evacuate the victim to a safe area as soon as possible. Loosen tight clothing such as a collar, tie, belt or
waistband. If breathing is difficult, administer oxygen. If the victim is not breathing, perform mouth-to-mouth
resuscitation. WARNING: It may be hazardous to the person providing aid to give mouth-to-mouth resuscitation
when the inhaled material is toxic, infectious or corrosive. Seek immediate medical attention.
Ingestion:
If swallowed, do not induce vomiting unless directed to do so by medical personnel. Never give anything by
mouth to an unconscious person. Loosen tight clothing such as a collar, tie, belt or waistband. Get medical
Serious Ingestion: Not available.
Section 5: Fire and Explosion Data
Flammability of the Product: Non-flammable.
Auto-Ignition Temperature: Not applicable.
Flash Points: Not applicable.
Flammable Limits: Not applicable.
Products of Combustion: Not available.
Fire Hazards in Presence of Various Substances: of combustible materials
Explosion Hazards in Presence of Various Substances:
Explosive in presence of reducing materials, of organic materials, of metals, of alkalis.
Non-explosive in presence of open flames and sparks, of shocks.
Fire Fighting Media and Instructions: Not applicable.
p. 2
Special Remarks on Fire Hazards:
Flammable in presence of cellulose or other combustible materials.
Phosphine, hydrogen sulfide, selenide all ignite when fuming nitric acid is dripped into gas.
(Nitric Acid, fuming)
Special Remarks on Explosion Hazards:
Reacts exlposively with metallic powders, carbides, cyanides, sulfides, alkalies and turpentine.
Can react explosively with many reducing agents.
Arsine, phosphine, tetraborane all oxidized explosively in presence of nitric acid.
Cesium and rubidium acetylides explode in contact with nitric acid.
Explosive reaction with Nitric Acid + Nitrobenzene + water.
Detonation with Nitric Acid + 4-Methylcyclohexane.
(Nitric acid, fuming)
Section 6: Accidental Release Measures
Small Spill:
Dilute with water and mop up, or absorb with an inert dry material and place in an appropriate waste disposal
container. If necessary: Neutralize the residue with a dilute solution of sodium carbonate.
Large Spill:
Corrosive liquid. Oxidizing material. Poisonous liquid.
Stop leak if without risk. Absorb with DRY earth, sand or other non-combustible material. Do not get water inside
container. Avoid contact with a combustible material (wood, paper, oil, clothing...). Keep substance damp using
water spray. Do not touch spilled material. Use water spray curtain to divert vapor drift. Use water spray to
reduce vapors. Prevent entry into sewers, basements or confined areas; dike if needed. Call for assistance on
disposal. Neutralize the residue with a dilute solution of sodium carbonate. Be careful that the product is not
present at a concentration level above TLV. Check TLV on the MSDS and with local authorities.
Section 7: Handling and Storage
Precautions:
Keep locked up.. Keep container dry. Keep away from heat. Keep away from sources of ignition. Keep away
from combustible material.. Do not ingest. Do not breathe gas/fumes/ vapor/spray. Never add water to this
product. In case of insufficient ventilation, wear suitable respiratory equipment. If ingested, seek medical advice
immediately and show the container or the label. Avoid contact with skin and eyes. Keep away from
incompatibles such as reducing agents, combustible materials, organic materials, metals, acids, alkalis, moisture.
May corrode metallic surfaces. Store in a metallic or coated fiberboard drum using a strong polyethylene inner
package.
Storage:
Keep container tightly closed. Keep container in a cool, well-ventilated area. Separate from acids, alkalies,
reducing agents and combustibles. See NFPA 43A, Code for the Storage of Liquid and Solid Oxidizers. Do not
store above 23°C (73.4°F).
Section 8: Exposure Controls/Personal Protection
Engineering Controls:
Provide exhaust ventilation or other engineering controls to keep the airborne concentrations of vapors below their
respective threshold limit value. Ensure that eyewash stations and safety showers are proximal to the
work-station location.
Face shield. Full suit. Vapor respirator. Be sure to use an approved/certified respirator or equivalent. Gloves.
Boots.
Personal Protection in Case of a Large Spill:
Splash goggles. Full suit. Vapor respirator. Boots. Gloves. A self contained breathing apparatus should be
p. 3
used to avoid inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist
BEFORE handling this product.
Exposure Limits:
TWA: 2 STEL: 4 (ppm) from ACGIH (TLV) [United States]
TWA: 2 STEL: 4 from OSHA (PEL) [United States]
Consult local authorities for acceptable exposure limits.
Section 9: Physical and Chemical Properties
Physical state and appearance: Liquid.
Odor: Acrid. Disagreeable and choking. (Strong.)
Taste: Not available.
Molecular Weight: Not applicable.
Color: Colorless to light yellow.
pH (1% soln/water): Acidic.
Boiling Point: 121°C (249.8°F)
Melting Point: -41.6°C (-42.9°F)
Critical Temperature: Not available.
Specific Gravity: 1.408 (Water = 1)
Vapor Pressure: 6 kPa (@ 20°C)
Vapor Density: 2.5 (Air = 1)
Volatility: Not available.
Odor Threshold: 0.29 ppm
Water/Oil Dist. Coeff.: Not available.
Ionicity (in Water): Not available.
Dispersion Properties: See solubility in water, diethyl ether.
Solubility:
Easily soluble in cold water, hot water.
Soluble in diethyl ether.
Section 10: Stability and Reactivity Data
Stability: The product is stable.
Instability Temperature: Not available.
Conditions of Instability: Incompatible materials
Incompatibility with various substances:
Highly reactive with alkalis.
Reactive with reducing agents, combustible materials, organic materials, metals, acids.
p. 4
Corrosivity:
Extremely corrosive in presence of aluminum, of copper.
Non-corrosive in presence of glass, of stainless steel(304), of stainless steel(316), of brass.
Special Remarks on Reactivity:
A strong oxidizer.
Reacts violently with alcohol, organic material, turpene, charcoal.
Violent reaction with Nitric acid + Acetone and Sulfuric acid.
Nitric Acid will react with water or steam to produce heat and toxic, corrosive and flammable vapors.
Special Remarks on Corrosivity:
In presence of traces of oxides, it attacks all base metals except aluminum and special chromium steels.
It will attack some forms of plastics, rubber, and coatings.
No corrosive effect on bronze.
No corrosivity data for zinc, and steel
Polymerization: Will not occur.
Section 11: Toxicological Information
Routes of Entry: Absorbed through skin. Dermal contact. Eye contact. Inhalation. Ingestion.
Toxicity to Animals:
LD50: Not available.
LC50: Not available.
Chronic Effects on Humans:
Contains material which may cause damage to the following organs: lungs, mucous membranes, upper
respiratory tract, skin, eyes, teeth.
Other Toxic Effects on Humans:
Extremely hazardous in case of inhalation (lung corrosive).
Very hazardous in case of skin contact (corrosive, irritant, permeator), of eye contact (corrosive), of ingestion, .
Special Remarks on Toxicity to Animals: LDL - Lowest Published Lethal Dose [Human] - Route: Oral; Dose: 430 mg/kg
Special Remarks on Chronic Effects on Humans:
May cause adverse reproductive effects (effects on newborn and fetotoxicity) based on animal data. (Nitric acid,
fuming)
Special Remarks on other Toxic Effects on Humans:
Acute Potential Health Effects:
Skin: Severely irritates skin. Causes skin burns and may cause deep and penetrating ulcers of the skin with a
characteristic yellow to brownish discoloration. May be fatal if absorbed through skin.
Eyes: Severely irritates eyes. Causes eye burns. May cause irreversible eye injury.
Ingestion: May be fatal if swallowed. Causes serious gastrointestinal tract irritation or burns with nausea,
vomiting, severe abdominal pain, and possible "coffee grounds" appearance of the vomitus . May cause
perforation of the digestive tract.
Inhalation: May be fatal if inhaled. Vapor is extremely hazardous. Vapor may cause nitrous gas poisoning.
Effects may be delayed. May cause irritation of the mucous membranes and respiratory tract with burning pain in
the nose and throat, coughing, sneezing, wheezing, shortness of breath and pulmonary edema. Other symptoms
may include nausea, and vomiting.
Chronic Potential Health Effects:
Repeated inhalation may produce changes in pulmonary function and/or chronic bronchitis. It may also affect
behavior (headache, dizziness, drowsiness, muscle contaction or spasticity, weakness, loss of coordinaton,
mental confusion), and urinary system (kidney faillure, decreased urinary output after several hours of
p. 5
Section 12: Ecological Information
Ecotoxicity: Not available.
BOD5 and COD: Not available.
Products of Biodegradation:
Possibly hazardous short term degradation products are not likely. However, long term degradation products may
arise.
Toxicity of the Products of Biodegradation: The products of degradation are less toxic than the product itself.
Special Remarks on the Products of Biodegradation: Not available.
Section 13: Disposal Considerations
Waste Disposal:
Waste must be disposed of in accordance with federal, state and local environmental
control regulations.
Section 14: Transport Information
DOT Classification: Class 8: Corrosive material
Identification: : Nitric acid UNNA: 2031 PG: II
Special Provisions for Transport: Marine Pollutant
Section 15: Other Regulatory Information
Federal and State Regulations:
New York release reporting list: Nitric acid, fuming
Rhode Island RTK hazardous substances: Nitric acid, fuming
Pennsylvania RTK: Nitric acid, fuming
Florida: Nitric acid, fuming
Minnesota: Nitric acid, fuming
Massachusetts RTK: Nitric acid, fuming
New Jersey: Nitric acid, fuming
TSCA 8(b) inventory: Water; Nitric acid, fuming
SARA 302/304/311/312 extremely hazardous substances: Nitric acid, fuming
SARA 313 toxic chemical notification and release reporting: Nitric acid, fuming 65%
CERCLA: Hazardous substances.: Nitric acid, fuming: 1000 lbs. (453.6 kg);
Other Regulations: OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200).
Other Classifications:
WHMIS (Canada):
CLASS D-1A: Material causing immediate and serious toxic effects (VERY TOXIC).
CLASS D-2A: Material causing other toxic effects (VERY TOXIC).
CLASS E: Corrosive liquid.
DSCL (EEC):
R8- Contact with combustible material
may cause fire.
R35- Causes severe burns.
S23- Do not breathe gas/fumes/vapour/spray
[***]
p. 6
S26- In case of contact with eyes, rinse
immediately with plenty of water and seek
medical advice.
S36- Wear suitable protective clothing.
S45- In case of accident or if you feel unwell,
seek medical advice immediately (show the
label where possible).
HMIS (U.S.A.):
Health Hazard: 3
Fire Hazard: 0
Reactivity: 0
National Fire Protection Association (U.S.A.):
Health: 4
Flammability: 0
Reactivity: 0
Specific hazard:
Protective Equipment:
Gloves.
Full suit.
Vapor respirator. Be sure to use an
approved/certified respirator or
equivalent. Wear appropriate respirator
when ventilation is inadequate.
Face shield.
Section 16: Other Information
References: Not available.
Other Special Considerations: Not available.
Created: 10/10/2005 10:59 AM
Last Updated: 11/06/2008 12:00 PM
The information above is believed to be accurate and represents the best information currently available to us. However, we
make no warranty of merchantability or any other warranty, express or implied, with respect to such information, and we
assume no liability resulting from its use. Users should make their own investigations to determine the suitability of the
information for their particular purposes. In no event shall ScienceLab.com be liable for any claims, losses, or damages of any
third party or for lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even
if ScienceLab.com has been advised of the possibility of such damages.
p. 7
Appendix C AHA’s ACTIVITY HAZARDS ANALYSIS
Overall Risk Assessment Code (RAC)
(Use highest code)
L
Project: Klau Buena Vista Mine Superfund
Date: 16 September 2013
Risk Assessment Code Matrix
E = Extremely High Risk
H = High Risk
M = Moderate Risk
Frequent
L = Low Risk
Activity: Equipment Decontamination
Activity Location: Las Tablas Creek Watershed, Paso Robles, CA
S
e
v
e
r
i
t
y
Prepared By: Ryan Wood
Probability
Likely
Occasional
Seldom
Unlikely
Catastrophic
E
E
H
H
M
Critical
E
H
H
M
L
Marginal
H
M
M
L
L
Negligible
M
L
L
L
L
Add Identified Hazards
JOB STEPS
HAZARDS
X
Depth Indicator Decon
Eye and Skin Contact with
Cleaning Solution
X
Sample Board Decon
Cleaning Solution
X
Sediment Equipment Decon
Cleaning Solution
X
Back Strain or Sprain Due to
Improper Lifting or Twisting
X
Foot Injury Due to Dropped
Equipment
ACTIONS TO ELIMINATE OR MINIMIZE HAZARDS
Safety glasses in accordance with ANSI Z87.1 and nitrile gloves shall be
worn while performing decon tasks. Gloves will be evaluated for their
applicability with the expected temperatures and chemicals.
Safety Goggles shall be worn if splash hazards are likely.
Avoid bending at the waist. Use proper lifting techniques (lift
with the legs, not with the back), size up the load, use
teamwork, never twist or turn when lifting.
Steel-toed shoes shall be worn while performing tasks
specified in this AHA.
RAC
L
L
L
L
L
Add Items
EQUIPMENT
X
Water Level Meter
NWW Form 385-1 (Revised) April 2008
TRAINING
Equipment manual, one-on-one instruction from
experienced CDM Smith personnel, CDM Smith SOP
4-5 for sampling equipment decontamination.
INSPECTION
Ensure that contaminants and cleaners are removed following decon process.
Inspect gloves and other PPE to verify adequate protection to skin and eyes
during decon.
ACTIVITY HAZARDS ANALYSIS
EQUIPMENT
X
Sampling trowel, hand auger, drive sampler
TRAINING
experienced CDM Smith personnel, review safe lifting
techniques for heavier sampling equipment, CDM
Smith SOP 4-5 for sampling equipment
decontamination.
INSPECTION
Ensure that contaminants and cleansers are removed following decon process.
Inspect gloves and other PPE to verify adequate protection to skin and eyes
during decon.
Involved Personnel:
The “Designated Competent Person” from CDM Smith for field implementation will be any of the following: Ryan Wood, Andrew Greaze, Craig Nochajski, and Ryan Hardenburger.
The Health and Safety Officer (SHSO) will be Ryan Wood and Alternate SHSO's may be any of the listed CDM "Designated Competent Persons" for when Ryan Wood is not present at
the site. The "Designated Competent Person" from the subcontractor/s will be determined prior to the field work.
This AHA was reviewed and approved by Shawn Oliveira, CIH, CSP Director of H&S for CDM Federal Programs Corporation.
Acceptance Authority (digital signature):
(Use highest code)
L
H = High Risk
M = Moderate Risk
Frequent
L = Low Risk
Activity: Hand and/or power tools usage
S
e
v
e
r
i
t
y
Probability
Likely
Occasional
Seldom
Unlikely
Catastrophic
E
E
H
H
M
Critical
E
H
H
M
L
Marginal
H
M
M
L
L
Negligible
M
L
L
L
L
JOB STEPS
X
Use of hand and/or power tools
HAZARDS
Contusions, abrasions, cuts, and
amputations
• Tools shall be inspected prior to use.
• Power tools that are equipped with a safety guard
will be used with the guard in place.
• Defective tools shall be tagged and removed from
service.
• Electric tools shall be unplugged when changing
the attachments or performing maintenance.
• Pneumatic tools shall be disconnected and air
pressure released before repair or adjustments
are made.
• Sections of air hoses, which are not equipped with
quick release fittings, shall be secured together
with a safety chain or tie.
RAC
L
JOB STEPS
HAZARDS
X
Use of Hand and/or
Power Tools
(continued)
Electric shock
X
Use of Hand and/or
Power Tools
(continued)
Burns
X
Use of Hand and/or
Power Tools
(continued)
Puncture wounds
X
Use of Hand and/or
Power Tools
(continued)
Flying debris/chips
• Electric tools with missing ground prongs, or cut
or frayed cords shall be removed from service.
• Electric tools used in highly conductive locations,
such as where the employee may contact water,
shall be approved for use in those locations.
• Power for portable electric tools shall be supplied
from a Ground-Fault Circuit Interrupter (GFCI)
receptacle, or an extension cord attached to a
GFCI.
• Electric tools shall not be used in hazardous
locations, such as, flammable or explosive
atmospheres, unless they are approved for such
locations.
• Electrically powered tools will either be double
insulated or properly grounded.
• Fuel powered tools (generators, pumps, steam
cleaners, etc.) shall be turned off during refueling.
• Smoking is prohibited around fuel containers, fuel
storage areas, and while refueling.
• Equipment will be allowed to cool prior to refueling
• Caution shall be used while working around
lumber with exposed nails. To the extent practical,
nails are to be removed or hammered over to
minimize punctures.
• Caution shall be used while working around jackhammers, concrete
saw or equivalent tools that may generate flying debris.
• Eye protection emphasized, all other Level D PPE required.
RAC
L
L
L
L
Add Items
EQUIPMENT
X
Hand or powered auger
X
Drills, hand saws and power saws
TRAINING
experienced CDM personnel, experienced
subcontractors, applicable specific safety training.
experienced CDM personnel, experienced
subcontractors, applicable specific safety training.
INSPECTION
Before each use
Before each use
Involved Personnel:
The “Designated Competent Person” from CDM Smith for field implementation will be any of the following: Ryan Wood, Andrew Greazel, Craig Nochajski, and Ryan Hardenburger.
(Use highest code)
L
H = High Risk
M = Moderate Risk
Frequent
L = Low Risk
Activity: Mobilization to Site
S
e
v
e
r
i
t
y
Probability
Likely
Occasional
Seldom
Unlikely
Catastrophic
E
E
H
H
M
Critical
E
H
H
M
L
Marginal
H
M
M
L
L
Negligible
M
L
L
L
L
JOB STEPS
X
Highway driving for greater than 200 miles
X
Driving on curvy, mountain roads for 15 to 20 miles
X
HAZARDS
Driving to Site with limited notice.
Driving in possibly rainy conditions
Driving during the night
Blind curves
Slick roads
Wildlife crossing
Backing up
Operating a full-size truck possible towing a cargo trailer
Large blind spots
or small boat trailer
Jack-kinifing
Be well rested
Check road conditions prior to driving
Use defensive driving techniques
Use prescription eye ware if necessary
Use defensive driving techniques
Slow down before entering curves
Be aware of the dark or forested areas on the road shoulder
Check blind spots of vehicle
Ensure brake lights and blinker signals are in working order
Use spotter for backing up or driving around tight corners
RAC
L
L
L
Add Items
EQUIPMENT
X
Full-size truck rental with filled with work equipment
X
Cargo or boat trailer
TRAINING
Driver's license appropriate for rental truck
Review manufacturer manual and consult with rental
facility
INSPECTION
Check all components of the vehicle prior to driving away from rental facility
Check brake lights, blinker signal, and locking gates on trailer
Involved Personnel:
The “Designated Competent Person” from CDM Smith for field implementation will be any of the following: Ryan Wood, Andrew Greazel, Craig Nochajski, Ryan Hardenburger. The
Health and Safety Officer (SHSO) will be Ryan Wood and Alternate SHSO's may be any of the listed CDM "Designated Competent Persons" for when Ryan Wood is not present at the
site. The "Designated Competent Person" from the subcontractor/s will be determined prior to the field work.
(Use highest code)
L
H = High Risk
M = Moderate Risk
Frequent
L = Low Risk
Activity: Sample Bottle Preparation and Preservation
S
e
v
e
r
i
t
y
Probability
Likely
Occasional
Seldom
Unlikely
Catastrophic
E
E
H
H
M
Critical
E
H
H
M
L
Marginal
H
M
M
L
L
Negligible
M
L
L
L
L
JOB STEPS
X
Bottle Preparation
HAZARDS
Back Injury Due to Improper
Lifting Practices
X
Employee Vision Impaired Due
to Carrying Excessive Load
X
Cuts to the Hand From Box
Cutter, Knife or Paper Cut
While Opening Sample Bottle
Boxes
X
Employee Cut by Broken
Bottle
X
Sample Preservation Solution
Splashed Into Eye
• Avoid bending at the waist. Use proper lifting techniques (lift
with the legs, not with the back), size up the load, use
teamwork, never twist or turn when lifting.
• Avoid lifting more than two sampling bottle boxes at one
time.
• Use dolly to move boxes if necessary to avoid back strain
• Avoid carrying more than two sampling bottle boxes at one
time.
• Use dolly to move boxes if necessary to avoid tripping or
falling due to impaired line of sight.
• Employee shall remain alert while cutting boxes open with
box cutter or knife.
• Cuts shall be made away from the body.
• Leather palm gloves shall be worn if there is a likelihood of
cuts from paper or box cutter/knife used to open bottle
boxes.
• Avoid contact with broken bottles. Use dust pan and broom
to clean up broken glass.
• Use leather palm or other cut resistant gloves if necessary
to physically handle broken glass.
• Use plastic sampling bottles if appropriate.
•Safety glasses that meet the ANSI-Z-87.1 standard will be worn by all
personnel.
• Maintain the portable emergency eyewash station in the
event that employees eyes come into contact with sample
preservation solution.
RAC
L
L
L
L
L
JOB STEPS
HAZARDS
Sample Solution Contacts
Employees Skin
X
Inhalation of Fumes From
Preservation Solution
Head injury
X
X
X
Foot Injury
X
Eye Injury
• If preservation solution is splashed onto employee skin,
immediately flush the area with water and consult MSDS
for additional measures.
• Chemical-resistant apron and nitrile gloves shall be worn
during preservation activities.
• Protective sleeves or gauntlet gloves shall be worn if there
is a likelihood of chemical splash to the arms.
• Bottles shall be filled at the acid fume exhaust hood to
prevent inhalation.
• Hard hats will be required for all work.
• Steel-toed safety shoes will be worn by all personnel entering the
work site.
• Safety glasses that meet the ANSI-Z-87.1 standard will be worn.
RAC
L
L
L
L
L
Add Items
EQUIPMENT
X
Sample preservatives
X
Sample containers
TRAINING
Review MSDS and safe handling procedures for
preservatives, one-on-one instruction from
experienced CDM Smith personnel, review safe lifting
techniques for heavier sampling equipment, CDM
Smith SOP 2-1 for Sample Packaging and Shipping.
Safe handling techniques for glass containers
INSPECTION
Before beginning field work
Before beginning field work
Involved Personnel:
(Use highest code)
M
H = High Risk
M = Moderate Risk
Frequent
L = Low Risk
Activity: Installation of Sampling Equipment
S
e
v
e
r
i
t
y
Probability
Likely
Occasional
Seldom
Unlikely
Catastrophic
E
E
H
H
M
Critical
E
H
H
M
L
Marginal
H
M
M
L
L
Negligible
M
L
L
L
L
JOB STEPS
HAZARDS
X
Accessing Las Tablas Creek
Slippery Creek Bank - slips/trips/falls
X
Installing sampling equipment
Slippery Work Surface - slips/trips/falls
X
Working In Running Water
X
Back Injury
• Remove vegetation that may restrict access to the creek.
• Inspect weed whacker prior to use; don additional PPE when using the
weed whacker. Additional PPE should include face shield, ear plugs,
and leather gloves.
• Don leather gloves when using garden shears.
• Inspect access route for hand holds; if hand holds are not present,
then install a rope along access path for a hand hold or keep three
points of contact when entering and exiting the creek.
•Only access the creek when a co-worker is present and ready to help.
• Ensure that you have good footing before accessing the sampling
device
• Use caution when working in the stream and avoid walking on mossy
rocks.
• Inspect stream conditions prior to entering the stream; if the stream
stage is to high or the flow looks to turbulent, do not enter. Use stream
staff gauge to help assess stream conditions.
• Use safety belt with waders to minimize the amount of water which
could enter the waders if you fell.
• Always wear a personal flotation device before entering the vicinity of
the creek.
• Lift with your knees.
• Get help retrieving the hand augur if it becomes stuck.
• Get a buddy to help move equipment and samples to and from the
creek.
RAC
M
M
M
L
JOB STEPS
HAZARDS
X
Severe Weather
X
Eye Injury
X
Foot Injury
X
Hearing Loss
• Stop collecting samples if severe weather makes sample collection
hazards.
• Sampling activities stop if there is lightning
• Take shelter during severe weather.
• Safety glasses in accordance with ANSI Z87.1 will be required during
sampling.
• Leather steel-toes boots will be required unless the sampler is in the
creek and wearing waders.
• Hearing protection will be required during slide hammering.
X
Hand Injury
• Gloves will be worn during sampling activities
X
Decontamination
Eye injury
•Safety glasses and/or splash shield will be worn.
X
Working Outdoors
Biological
• Don snake gaters before leaving paved surfaces
• Inspect work areas for poison oak and ivy; if present, alert co-workers.
• Be cognizant of wildlife such as turkeys, mountain lions, and bears.
RAC
L
L
L
L
L
L
L
Add Items
EQUIPMENT
X
Automatic Sampler
X
Weed Whacker
X
Garden Shears
TRAINING
experienced sampler.
Equipment manual, one-on-one instruction from field
team leader.
team leader.
INSPECTION
Look for cracks, damaged equipment, wear and tear. Make sure the equipment
is the right size for the planned samples.
Inspect pull cord, inspect 'whacker' cord, inspect gas tank for leaks or spills,
inspect cord guards.
Look for rust spots, broken blade, broken handle.
Involved Personnel:
The “Designated Competent Person” from CDM Smith for field implementation will be any of the following: Ryan Wood, Andrew Greazel, Craig Nochajski, and Ryan Hardenburger.
(Use highest code)
M
H = High Risk
M = Moderate Risk
Frequent
L = Low Risk
Activity: Stream and Sediment Sampling
S
e
v
e
r
i
t
y
Probability
Likely
Occasional
Seldom
Unlikely
Catastrophic
E
E
H
H
M
Critical
E
H
H
M
L
Marginal
H
M
M
L
L
Negligible
M
L
L
L
L
JOB STEPS
HAZARDS
X
X
Collecting Samples
X
X
Back Injury
X
Severe Weather
• Only access the creek when a co-worker is present and ready to help.
• Don snake gaters before leaving paved areas.
device
rocks.
stage is to high or the flow looks to turbulent, do not enter. Use staff
gauge to evaluate stream flow.
the creek.
• Get a buddy to help move equipment and samples to and from the
creek.
• Stop collecting samples if severe weather makes sample collection
hazards.
• Sampling activities stop if there is lightning
RAC
M
M
M
L
L
JOB STEPS
X
Eye Injury
X
Foot Injury
X
Hearing Loss
sampling.
• Leather steel-toes boots will be required unless the sampler is in the
• Hearing protection will be required during slide hammering.
Hand Injury
• Gloves will be worn during sampling activities
Eye injury
•Safety glasses and/or splash shield will be worn.
X
X
X
Decontamination
Accessing Las Tablas Creek Ranch Reservoir
X
X
HAZARDS
Launching/Loading Boat
Deployment/Retrival of Sediment Traps
X
Deployment/Retrival of Sediment Traps
Back injury
• Only access the creek when a co-worker is present and ready to help.
• Don snake gaters before leaving paved areas.
• Inspect boat ramp, before launching boat, to look for hazards and to
ensure the trailer/truck won't become stuck.
• Use a spotter when backing up boat.
• Use hand signals, radios, or a spotter to communicate between the
boat operator and the person operating the truck.
• Refuel outboard motor before launching boat.
• Test outboard motor before launching boat.
• Inflate back up raft, which will be used incase someone falls out of the
boat, prior to launching boat.
• Communicate with field partner before leaning over the edge of the
boat.
• Wear leather gloves when pounding sediment trap into reservoir
sediment.
• Wear all PPE necessary for accessing Las Tablas Creek Ranch Reservoir.
RAC
L
L
L
L
L
L
L
• Use the buddy system when retrieving sediment traps and measuring
sediment within the trap.
Add Items
EQUIPMENT
X
Automatic Sampler
X
Weed Whacker
X
Garden Shears
X
Boat
TRAINING
experienced sampler.
team leader.
team leader.
One-on-one instruction from experienced boat
operator
INSPECTION
Look for cracks, damaged equipment, wear and tear. Make sure the equipment
is the right size for the planned samples.
Inspect pull cord, inspect 'whacker' cord, inspect gas tank for leaks or spills,
inspect cord guards.
Look for rust spots, broken blade, broken handle.
Ensure drain plug is in boat, inspect boat for damage, cracks, or missing parts
Involved Personnel:
(Use highest code)
M
H = High Risk
M = Moderate Risk
Frequent
L = Low Risk
Activity: Surveying Activities at Las Tablas Creek Water Shed
S
e
v
e
r
i
t
y
Probability
Likely
Occasional
Seldom
Unlikely
Catastrophic
E
E
H
H
M
Critical
E
H
H
M
L
Marginal
H
M
M
L
L
Negligible
M
L
L
L
L
JOB STEPS
HAZARDS
X
X
Using survey stake
X
X
Back Injury
X
Severe Weather
• Inspect weed whacker prior to use; don additional PPE when using the
weed whacker. Additional PPE should include face shield, ear plugs,
and leather gloves.
• Use a ladder at locations where the creek bank is steep.
•Only access the creek when a co-worker is present and ready to help.
device
rocks.
stage is to high or the flow looks to turbulent, do not enter.
the creek or reservoir.
• Get help retrieving the hand augur if it becomes stuck.
• Get a buddy to help move equipment to and from the creek.
• Stop survey if there is severe weather
• Survey activities stop if there is lightning
RAC
M
M
M
L
L
JOB STEPS
X
Eye Injury
X
Foot Injury
X
Hand Injury
suvey.
• Leather steel-toes boots will be required unless the surveyor is in the
• Gloves will be worn during survey activities
Eye injury
• Safety glasses and/or splash shield will be worn.
X
Decontamination
HAZARDS
RAC
L
L
L
L
Add Items
EQUIPMENT
X
Survey Stake
X
Tape measure
X
Eye level
X
Sediment Core Sampler
TRAINING
experienced surveyor.
team leader.
team leader.
experienced operator
INSPECTION
Ensure proper measurement markings and sufficient height for eye level
Ensure proper measurement markings and sufficient height for eye level
Ensure eye level has level and accurate eyesight
Inspect sediment core sampler for wear, missing parts, and broken parts.
Involved Personnel:
Company Name
Date
PART 5 - PRICE SHEET
RFP-1801-049-005-GS
KLAU/BUENA VISTA MINES SUPERFUND SITE
The undersigned declares that the only persons or parties interested in this Request for Proposal
(RFP) as principals are as stated; that the Submittal is made without any collusion with other
persons, firms, or corporations; that this (RFP) has been carefully examined; that the Offeror is
informed fully in regard to all conditions pertaining to the work and the place where it is to be
done, and from them, the undersigned makes this bid. The prices bid shall cover all expenses
incurred in performing the work required under the Subcontract Documents of which this Price
Sheet is a part, including, but not limited to, costs of the following:
∙
Compliance with all health and safety requirements, other Federal, State and local
requirements as well as all regulations and requirements of the owners of the
surrounding public and/or private properties.
∙
All labor, (including overtime) equipment, materials, supplies, taxes, licensing
and permit fees, overhead, and profit
All responses shall be valid for 120 days, after the actual date the responses are due. If a Notice
of Award, accompanied by at least three undersigned copies of the Subcontract and all other
applicable Subcontract Documents, is delivered to the undersigned within 120 days after the
actual date the proposals are opened, the undersigned will, within five working days after the
date of receipt of such notification, execute and return all copies of the Subcontract and all other
applicable Subcontract Documents. This shall include proof of insurance and proof of bonding,
if applicable.
The undersigned acknowledges receipt of the following amendments:
______________________________________________________________________________
_____________________________________________________________________________
In accordance with the above understanding, the subcontractor proposes to furnish all materials,
and perform and complete the Work in its entirety in the manner and under the conditions
required, at the prices listed on the following pages of this Price Sheet.
All extensions of the unit price shown will be subject to verification by CDM Federal Programs
Corporation. In case of variation between the unit price and the extension, the unit price will be
considered to be the proposal.
RFP-1
Company Name
Date
RFP-1801-049-005-GS
Line
Item
1
Description
Bathymetric Survey – shall include all
costs associated with performing the
Statement of Work, including (but not
limited to) mobilization/demobilization,
bathymetric survey services and
reporting costs
Unit
Est Qty
Lump Sum
1
Total
$
Total Price $
Include pricing detail (position, rate, hours, materials, etc.) for the item above:
RFP-2
Company Name
Date
RFP-1801-049-005-GS
The Total Amount of Proposal is defined as the sum of the Total Price Proposed for each item.
The Contractor reserves the right to omit in its entirety any one or more items of this Subcontract
without forfeiture of Subcontractor or claims for loss of anticipated profits or any other claims by the
Subcontractor on account of such omissions.
The names and business addresses of all person and parties interested in the foregoing Proposal as
principals are as follows: (Give first and last names in full).
Notice of acceptance should be mailed, telegraphed or delivered to the undersigned Offeror at the
following address:
(Business Address)
(City, State and Zip Code)
(Name of Offeror)
(Email of Offeror)
By:
(Signature)
(Title)
I , ______________________ certify that there are no personal or organizational conflicts of interest
or perceived conflicts of interest in the performance of this work.
Date:
(Signature)
(Title)
Note: If the Offeror is a corporation, indicate State of incorporation under signature, and affix
corporate seal; if a partnership, give full names and residential addresses of partners, if different from
business address.
RFP-3
PART 6
Confidential Business Information
Various Federal statutes and regulations require certain representations, certifications, and other
statements from bidders/offerors in connection with the award of subcontracts.
•
•
•
All bidders/offerors shall complete Items 1 through 8 and Item 13.
Bidders shall complete Items 9 and 10 if the solicitation is an Invitation for Bid (IFB).
Bidders/offerors shall complete Items 11 and 12 if required, as indicated by an "X".
The Following Representations Are Required for All Procurements
1.
2.
3.
4.
5.
6.
Taxpayer Identification (FAR 52.204-3)
Prohibition on Contracting with Inverted Domestic Corporations – Representation (FAR 52.209-2)
Small Business Program Representations (FAR 52.219-1)
Previous Contracts and Compliance Reports (FAR 52.222-22)
Affirmative Action Compliance (FAR 52.222-25)
Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to
Iran—Representation and Certifications (FAR 52.225-25)
7. Historically Black College or University and Minority Institution Representation (FAR 52.226-2)
8. Representation of Limited Rights Data and Restricted Computer Software (FAR 52.227-15)
The Following Representations Are Required for All Sealed Bidding Procurements
9. Minimum Bid Acceptance Period (FAR 52.214-16)
10. Equal Low Bids (FAR 52.219-2)
The Following Representations Are Required Only If Indicated
11. ___ Recovered Material Certification (FAR 52.223-4) – Applies to procurements that specify the
use of EPA-designated products containing recovered materials. Does not apply to A&E services.
12. ___ Preparation of Proposals - Construction (FAR 52.236-28) – Applies to construction
procurements when subcontracting by negotiation.
Required for All Procurements
13. Certification and Agreement
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1801.049.005.Part6.docx
(Rev Aug 2013)
Definitions.
• The terms "offeror" or “bidder” as used herein include the Subcontractor.
• The term "Government” includes CDM Federal Programs Corporation (CDM Smith).
• The term "offer" includes bid.
• The term “contract” includes subcontract.
The Following Representations Are Required for All Procurements
1. TAXPAYER IDENTIFICATION (FAR 52.204-3) (OCT 1998) (Modified)
(a) Definitions.
"Common parent", as used in this provision, means that corporate entity that owns or controls
an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and
of which the offeror is a member.
"Taxpayer Identification Number (TIN)", as used in this provision, means the number required
by the Internal Revenue Service (IRS) to be used by the offeror in reporting income tax and other
returns. The TIN may be either a Social Security Number or an Employer Identification Number.
(b) All offerors must submit the information required in paragraphs (d) through (f) of this provision
in order to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting
requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the IRS.
If the resulting subcontract is subject to the payment reporting requirements described in Federal
acquisition regulation (FAR) 4.904, the failure or refusal by the offeror to furnish the information may
result in a 31 percent reduction of payments otherwise due under the subcontract.
(c) The TIN may be used by the Government to collect and report on any delinquent amounts
arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting
requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records
to verify the accuracy of the offeror's TIN.
(d) Taxpayer Identification Number (TIN).
[
[
[
[
]
]
]
]
TIN:
.
TIN has been applied for.
TIN is not required because:
Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have
income effectively connected with the conduct of a trade or business in the U.S. and does
not have an office or place of business or a fiscal paying agent in the U.S.
[ ] Offeror is an agency or instrumentality of a foreign government.
[ ] Offeror is an agency or instrumentality of the Federal government.
[ ] Other. State basis ______________________________________.
(e) Type of Organization.
[
[
[
[
[
[
[
[
]
]
]
]
]
]
]
]
Sole proprietorship.
Partnership.
Corporate entity (not tax-exempt)
Corporate entity (tax exempt)
Government entity (Federal, State, or local)
Foreign government
International organization per 25 CFR 1.6049-4
Other __________________________________
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1801.049.005.Part6.docx
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(f) Common Parent.
[ ] Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this
provision.
[ ] Name and TIN of common parent:
Name ________________________________________________________
TIN ________________________________________________________
(g) The offeror should supply the Data Universal Numbering System (DUNS) Number applicable
to its name and address. If the offeror does not have a DUNS Number, it may obtain one from any Dun
and Bradstreet Branch Office.
DUNS NO.: _________________________
(End of Provision)
2. PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS –
REPRESENTATION (FAR 52.209-2) (MAY 2011)
(a) Definitions. Inverted domestic corporation and subsidiary have the meaning given in the clause
of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52.209-10).
(b) Relation to Internal Revenue Code. An inverted domestic corporation as herein defined does
not meet the definition of an inverted domestic corporation as defined by the Internal Revenue Code at
26 U.S.C. 7874.
(c) Representation. By submission of its offer, the offeror represents that—
(1) It is not an inverted domestic corporation; and
(2) It is not a subsidiary of an inverted domestic corporation.
(End of Provision)
3. SMALL BUSINESS PROGRAM REPRESENTATIONS (FAR 52.219-1) (APR 2012)
(a) (1) The North American Industry Classification System (NAICS) code for this acquisition is
541370.
(2) The small business size standard is $15M.
(3) The small business size standard for a concern which submits an offer in its own name,
other than on a construction or service contract, but which proposes to furnish a product which it did
not itself manufacture, is 500 employees.
(b) Representations. (Indicate business size based on the date your Price Proposal was submitted
to CDM Smith or the date CDM Smith notified you the rates proposed were accepted by CDM Smith,
whichever date is later)
(1) The offeror represents as part of its offer that it
[ ] is a small business concern.
[ ] is not a small business concern.
(2) [Complete only if offeror represented itself as a small business concern in paragraph (b)(1)
of this provision.] The offeror represents, for general statistical purposes, that it
[ ] is a small disadvantaged business concern as defined in 13 CFR 124.1002.
[ ] is not a small disadvantaged business concern as defined in 13 CFR 124.1002.
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1801.049.005.Part6.docx
(Rev Aug 2013)
(3) [Complete only if the offeror represented itself as a small business concern in paragraph
(b)(1) of this provision.] The offeror represents as part of its offer that it
[ ] is a women-owned small business concern.
[ ] is not a women-owned small business concern.
(4) Women-owned small business (WOSB) concern eligible under the WOSB Program.
[Complete only if the offeror represented itself as a women-owned small business concern in paragraph
(i) [ ] is a WOSB concern eligible under the WOSB Program, has provided all the
required documents to the WOSB Repository, and no change in circumstances or adverse decisions
have been issued that affects its eligibility.
[ ] is not a WOSB concern eligible under the WOSB Program.
(ii) [ ] is a joint venture that complies with the requirements of 13 CFR part 127, and the
representation in paragraph (b)(4)(i) of this provision is accurate for each WOSB concern eligible under
the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the
WOSB concern eligible under the WOSB Program and other small businesses that are participating in
the joint venture: ___________________________________________________.] Each WOSB
concern eligible under the WOSB Program participating in the joint venture shall submit a separate
signed copy of the WOSB representation.
[ ] is not a joint venture.
(5) Economically disadvantaged women-owned small business (EDWOSB) concern.
[Complete only if the offeror represented itself as a women-owned small business concern eligible
under the WOSB Program in (b)(4) of this provision.] The offeror represents as part of its offer that it
(i) [ ] is an EDWOSB concern eligible under the WOSB Program, has provided all the
required documents to the WOSB Repository, and no change in circumstances or adverse decisions
have been issued that affects its eligibility.
[ ] is not an EDWOSB concern eligible under the WOSB Program.
(ii) [ ] is a joint venture that complies with the requirements of 13 CFR part 127, and the
representation in paragraph (b)(5)(i) of this provision is accurate for each EDWOSB concern
participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern
and other small businesses that are participating in the joint venture: ______________________.] Each
EDWOSB concern participating in the joint venture shall submit a separate signed copy of the
EDWOSB representation.
[ ] is a veteran-owned small business concern.
[ ] is not a veteran-owned small business concern.
(7) [Complete only if the offeror represented itself as a veteran-owned small business concern
in paragraph (b)(4) of this provision.] The offeror represents as part of its offer that it
[ ] is a service-disabled veteran-owned small business concern.
[ ] is not a service-disabled veteran-owned small business concern.
(b)(1) of this provision]. The offeror represents, as part of its offer, that it
3
1801.049.005.Part6.docx
(Rev Aug 2013)
(i) [ ] is a HUBZone small business concern listed, on the date of this representation, on
the List of Qualified HUBZone Small Business Concerns maintained by the Small Business
Administration, and no material change in ownership and control, principal office, or HUBZone
employee percentage has occurred since it was certified by the Small Business Administration in
accordance with 13 CFR part 126; and
[ ] is not a HUBZone small business concern.
(ii) [ ] is a HUBZone joint venture that complies with the requirements of 13 CFR part
126, and the representation in paragraph (b)(8)(i) of this provision is accurate for each HUBZone small
business concern participating in the HUBZone joint venture. [The offeror shall enter the names of the
HUBZone small business concerns participating in the HUBZone joint venture:
__________________________________________].
Each HUBZone small business concern
participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone
representation.
(c) Definitions. As used in this provision “Economically disadvantaged women-owned small business (EDWOSB) concern” means a small
business concern that is at least 51 percent directly and unconditionally owned by, and the
management and daily business operations of which are controlled by, one or more women who are
citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part
127. It automatically qualifies as a women-owned small business concern eligible under the WOSB
Program.
"Service-disabled veteran-owned small business concern"
(1) Means a small business concern:
(i) Not less than 51 percent of which is owned by one or more service-disabled veterans
or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned
by one or more service-disabled veterans, and
(ii) The management and daily business operations of which are controlled by one or more
service-disabled veterans, or in the case of a service-disabled veteran with permanent and severe
disability, the spouse or permanent caregiver of such veteran.
(2) Services-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a
disability that is service-connected, as defined in 38 U.S.C. 101(16).
"Small business concern" means a concern, including its affiliates, that is independently owned
and operated, not dominant in the field of operation in which it is bidding on government contracts, and
qualified as a small business under the criteria in 13 CFR Part 121 and the size standard in paragraph
(a) of this provision.
"Veteran-owned small business concern" means a small business concern:
(1) Not less than 51 percent of which is owned by one or more veterans (as defined in 38
U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of
which is owned by one or more veterans, and
(2) The management and daily business operations of which are controlled by one or more
veterans.
"Women-owned small business concern" means a small business concern:
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(Rev Aug 2013)
(1) That is at least 51 percent owned by one or more women or, in the case of any publicly
owned business, at least 51 percent of the stock of which is owned by one or more women, and
(2) Whose management and daily business operations are controlled by one or more women.
“Women-owned small business (WOSB) concern eligible under the WOSB Program” (in accordance
with 13 CFR part 127), means a small business concern that is at least 51 percent directly and
unconditionally owned by, and the management and daily business operations of which are controlled
by, one or more women who are citizens of the United States.
(d) Notice. (1) If this solicitation is for supplies and has been set aside, in whole or in part, for small
business concerns, then the clause in the solicitation providing notice of the set-aside contains
restrictions on the source of the end items to be furnished.
(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a small,
HUBZone small, small disadvantaged, service-disabled veteran-owned small, economically
disadvantaged women-owned small, or women-owned small eligible under the WOSB Program
business in order to obtain a contract to be awarded under the preference programs established
pursuant to section 8, 9, 15, 31, and 36 of the Small Business Act or any other provision of Federal law
that specifically references section 8(d) for a definition of program eligibility, shall:
(i) be punished by imposition of a fine, imprisonment, or both;
(ii) be subject to administrative remedies, including suspension and debarment; and
(iii) be ineligible for participation in programs conducted under the authority of the Act.
(End of Provision)
Alternate I (Apr 2011). As prescribed in 19.309(a)92), add the following (b)(9) to the basic provision:
(9) [Complete if offeror represented itself as disadvantaged in paragraph (b)(2) of this
provision]. The offeror shall check the category in which its ownership falls:
_____ Black American
_____ Hispanic American
_____ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).
_____ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia,
Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The
Philippines, U.S. Trust Territory of the Pacific Islands (Republic of Palau), Republic of the Marshall
Islands, Federated States of Micronesia, The Commonwealth of the Northern Mariana Islands, Guam,
Samoa, Macao, Hon Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).
_____ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan,
Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).
_____ Individual/concern, other than one of the preceding.
(End of Provision)
4. PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FAR 52.222-22) (FEB 1999)
The offeror represents that it has:
(a) [ ] participated
[ ] not participated
in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation;
(b) [ ] filed
[ ] not filed
all required compliance reports; and
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(c) representations indicating submission of required compliance reports, signed by proposed
subcontractors, will be obtained before subcontract awards.
(End of Provision)
5. AFFIRMATIVE ACTION COMPLIANCE (FAR 52.222-25) (APR 1984)
(Does not apply to awards for construction)
The offeror represents that it:
(a) [ ] has developed and has on file,
[ ] has not developed and does not have on file,
at each establishment, affirmative action programs required by the rules and regulations of the
Secretary of Labor (41 CFR 60-1 and 60-2), or
(b) [ ] has not previously had contracts subject to the written affirmative action programs
requirements of the rules and regulations of the Secretary of Labor.
(End of Provision)
6. PROHIBITION ON CONTRACTING WITH ENTITIES ENGAGING IN CERTAIN ACTIVITIES OR
TRANSACTIONS RELATING TO IRAN – REPRESENTATION AND CERTIFICATIONS (52.225-25)
(DEC 2012)
(a) Definitions. As used in this provision—
“Person”—
(1) Means—
(i) A natural person;
(ii) A corporation, business association, partnership, society, trust, financial institution,
insurer, underwriter, guarantor, and any other business organization, any other nongovernmental entity,
organization, or group, and any governmental entity operating as a business enterprise; and
(iii) Any successor to any entity described in paragraph (1)(ii) of this definition; and
(2) Does not include a government or governmental entity that is not operating as a business
enterprise.
“Sensitive technology”—
(1) Means hardware, software, telecommunications equipment, or any other technology that is
to be used specifically—
(i) To restrict the free flow of unbiased information in Iran; or
(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and
(2) Does not include information or informational materials the export of which the President
does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International
Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).
(b) The offeror shall e-mail questions concerning sensitive technology to the Department of State
at CISADA106@state.gov.
(c) Except as provided in paragraph (d) of this provision or if a waiver has been granted in
accordance with 25.703-4, by submission of its offer, the offeror—
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(Rev Aug 2013)
(1) Represents, to the best of its knowledge and belief, that the offeror does not export any
sensitive technology to the government of Iran or any entities or individuals owned or controlled by, or
acting on behalf or at the direction of, the government of Iran;
(2) Certifies that the offeror, or any person owned or controlled by the offeror, does not engage
in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act. These
sanctioned activities are in the areas of development of the petroleum resources of Iran, production of
refined petroleum products in Iran, sale and provision of refined petroleum products to Iran, and
contributing to Iran's ability to acquire or develop certain weapons or technologies; and
(3) Certifies that the offeror, and any person owned or controlled by the offeror, does not
knowingly engage in any transaction that exceeds $3,000 with Iran's Revolutionary Guard Corps or any
of its officials, agents, or affiliates, the property and interests in property of which are blocked pursuant
to the International Emergency Economic Powers Act (50 U.S.C. 1701 et seq.) (see OFAC's Specially
http://www.treasury.gov/
Designated
Nationals
and
Blocked
Persons
List
at
ofac/downloads/t11sdn.pdf).
(d) Exception for trade agreements. The representation requirement of paragraph (c)(1) and the
certification requirements of paragraphs (c)(2) and (c)(3) of this provision do not apply if—
(1) This solicitation includes a trade agreements notice or certification (e.g., 52.225-4, 52.2256, 52.225-12, 52.225-24, or comparable agency provision); and
(2) The offeror has certified that all the offered products to be supplied are designated country
end products or designated country construction material.
(End of Provision)
7. HISTORICALLY BLACK COLLEGE OR UNIVERSITY AND MINORITY INSTITUTION
REPRESENTATION (FAR 52.226-2) (OCT 2008)
(a) Definitions. As used in this provision:
"Historically black college or university" means an institution determined by the Secretary of
Education to meet the requirements of 34 CFR 608.2. For the Department of Defense, the National
Aeronautics and Space Administration, and the Coast Guard, the term also includes any nonprofit
research institution that was an integral part of such a college/university before November 14, 1986.
"Minority institution" means an institution of higher education meeting the requirements of
Section 365(3) of the Higher Education Act of 1965 (20 U.S.C. 1067k), including a Hispanic-serving
institution of higher education, as defined in Section 502(a) of the Act (20 U.S.C. 1101a).
(b) Representation. The offeror represents that it:
[
[
[
[
] is a Historically Black College or University,
] is not a Historically Black College or University;
] is a Minority Institution,
] is not a Minority Institution.
(End of Provision)
8. REPRESENTATION OF LIMITED RIGHTS DATA AND RESTRICTED COMPUTER SOFTWARE
(FAR 52.227-15) (DEC 2007)
(a) This solicitation sets forth the Government’s known delivery requirements for data (as defined
in the clause at 52.227-14, Rights in Data—General). Any resulting contract may also provide the
Government the option to order additional data under the Additional Data Requirements clause at
52.227-16, if included in the contract. Any data delivered under the resulting contract will be subject to
7
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(Rev Aug 2013)
the Rights in Data—General clause at 52.227-14 included in this contract. Under the latter clause, a
Contractor may withhold from delivery data that qualify as limited rights data or restricted computer
software, and deliver form, fit, and function data instead. The latter clause also may be used with its
Alternates II and/or III to obtain delivery of limited rights data or restricted computer software, marked
with limited rights or restricted rights notices, as appropriate. In addition, use of Alternate V with this
latter clause provides the Government the right to inspect such data at the Contractor’s facility.
(b) By completing the remainder of this paragraph, the offeror represents that it has reviewed the
requirements for the delivery of technical data or computer software and states [offeror check
appropriate block]
[ ] (1) None of the data proposed for fulfilling the data delivery requirements qualifies as limited
rights data or restricted computer software; or
[ ] (2) Data proposed for fulfilling the data delivery requirements qualify as limited rights data or
restricted computer software and are identified as follows.
________________________________________________________________________________
________________________________________________________________________________
(c) Any identification of limited rights data or restricted computer software in the offeror’s response
is not determinative of the status of the data should a contract be awarded to the offeror.
(End of Provision)
The Following Representations Are Required for All Sealed Bidding Procurements
9. MINIMUM BID ACCEPTANCE PERIOD (FAR 52.214-16) (APR 1984)
(a) "Acceptance period," as used in this provision, means the number of calendar days available
to the Government for awarding a contract from the date specified in this solicitation for receipt of bids.
(b) This provision supersedes any language pertaining to the acceptance period that may appear
elsewhere in this solicitation.
(c) The Government requires a minimum acceptance period of 120 calendar days [the Contract
Officer shall insert the number of days].
(d) In the space provided immediately below, bidders may specify a longer acceptance period than
the Government's minimum requirement.
The bidder allows the following acceptance period: _____ calendar days.
(e) A bid allowing less than the Government's minimum acceptance period will be rejected.
(f) The bidder agrees to execute all that it has undertaken to do, in compliance with its bid, if that
bid is accepted in writing within (1) the acceptance period stated in paragraph (c) above or (2) any
longer acceptance period stated in paragraph (d) above.
(End of Provision)
10. EQUAL LOW BIDS (FAR 52.219-2) (OCT 1995)
(a) This provision applies to small business concerns only.
(b) The bidder’s status as a labor surplus area (LSA) concern may affect entitlement to award in
case of tie bids. If the bidder wishes to be considered for this priority, the bidder must identify, in the
following space, the LSA in which the costs to be incurred on account of manufacturing or production
(by the bidder or the first-tier subcontractors) amount to more than 50 percent of the subcontract price.
8
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(Rev Aug 2013)
________________________________________________________________________________
________________________________________________________________________________
(c) Failure to identify the LSAs as specified in paragraph (b) of this provision will preclude the
bidder from receiving priority consideration. If the bidder is awarded a subcontract as a result of
receiving priority consideration under this provision and would not have otherwise received award, the
bidder shall perform the subcontract or cause the subcontract to be performed in accordance with the
obligations of an LSA concern.
(End of Provision)
The Following Representations Are Required Only If Indicated On The Cover Page
11. RECOVERED MATERIAL CERTIFICATION (FAR 52.223-4) (MAY 2008)
As required by the Resource Conservation and Recovery Act of 1976 (42 U.S.C. 6962(c)(3)(A)(i)), the
offeror certifies, by signing this offer, that the percentage of recovered materials content for EPAdesignated items to be delivered or used in the performance of the subcontract will be at least the
amount required by the applicable subcontract specifications or other contractual requirements.
(End of Provision)
12. PREPARATION OF PROPOSALS - CONSTRUCTION (52.236-28) (OCT 1997)
(a) Proposals must be (1) submitted on the forms furnished by the Government or on copies of
those forms; and (2) manually signed. The person signing the proposal must initial each erasure or
change appearing on any proposal form.
(b) The proposal form may require offerors to submit proposed prices for one or more items on
various bases, including:
(1)
(2)
(3)
(4)
Lump sum price,
Alternate prices,
Units of construction, or
Any combination or paragraphs (b)(1) through (b)(3) of this provision.
(c) If the solicitation requires submission of a proposal on all items, failure to do so may result in
the proposal being rejected without further consideration. If a proposal on all items is not required,
offerors should insert the words “no proposal” in the space provided for any item on which no proposal
is submitted.
(d) Alternate proposals will not be considered unless this solicitation authorizes their submission.
(End of Provision)
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(Rev Aug 2013)
Required for All Procurements
13. CERTIFICATION AND AGREEMENT
By signing below the offeror certifies that all the above representations and certifications are accurate,
current and complete.
FIRM: __________________________________________________________________________
ADDRESS: _______________________________________________________________________
SIGNATURE: _____________________________________________________________________
DATE: __________________________________________________________________________
NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.
10
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PART 7
SAMPLE SERVICE ORDER AND TERMS AND CONDITIONS
and
SUPPLEMENTAL CONDITIONS
3201 Jermantown Road Suite 400
Fairfax, Virginia 22030
(703) 691-6500 / Fax (703) 267-6083
SERVICE ORDER NO. :
TRACKING NO.:
Page 1 of 1
Government Client:
U.S. Environmental Protection Agency
Prime Contract No./WA/DO/TO No.:
GS-10F-0227J
Prime Contractor:
Note: All contact with client MUST
be through CDM Federal Programs
Corporation unless initiated by client.
Service Provider’s Name & Address:
[X ]
[X ]
[X ]
[ ]
Architect-Engineer Contract
Service Contract Act is applicable
Wage determination is applicable
Waiver of Professional E&O insurance:
[ ] Firm Fixed Price (lump sum)
[X ] Fixed Unit Price (ID/IQ)
[ ]Time & Materials (Not to Exceed $__________
Business Size:_______
*S.O. DATE
SUBCONTRACT ADMINISTRATOR
PERIOD OF PERFORMANCE
PAYMENT TERMS
K. Merold
ITEM NO.
N42
DESCRIPTION OF SERVICES
QTY.
UNIT
UNIT PRICE
EXT. PRICE
CDM Federal Programs Corporation Service Order Terms
and Conditions, Supplemental Conditions, Health and
Safety Plan and Service Contract Act Wage Rates are
attached and made a part of this Agreement.
NOTES: *Order must be signed and returned within 10 days of Service Order date.
Accepted by:
Service Provider Signature
Date
CDM Federal Programs Corporation Signature
Subject to the Service Order Standard Terms and Conditions dated August 2012 Rev. 2
Rev. 1-8/07
TOTAL:
ORIGINAL
Date
Page 1
SERVICE ORDER FOR PROFESSIONAL SERVICES (UNDER $150,000)
STANDARD TERMS AND CONDITIONS
ARTICLE 1. DEFINITIONS
A. Prime Contract. The agreement, referenced on the first page of this
Service Order, between an Agency of the United States Government and
its Prime Contractor
B. CDM SMITH. CDM Federal Programs Corporation, the Prime
Contractor.
C. SERVICE PROVIDER. The entity referenced on the first page of
this Service Order.
D. Lower Tier Subcontract. Agreements at any level below this Service
Order to provide some portion of the services specified herein in privity
with the SERVICE PROVIDER.
E. Professional Services. Services include, but are not limited to,
analytical laboratory, ground and aerial surveying, environmental
engineering, and consulting.
F. Scope of Services. A description of the work to be performed or the
services to be provided.
ARTICLE 2. SCOPE OF SERVICES
A. SERVICE PROVIDER shall perform the services as described on
the signature page of this Service Order or in Exhibit A, "Scope of
Services", in accordance with the terms and conditions of this Service
Order.
ARTICLE 3. TERMS OF PAYMENT
A. Invoicing. (1) An invoice is a written request for payment for services
rendered. In order to be deemed proper, all invoices shall indicate an
invoice date, name of the provider, Service Order number, tracking
number, number of hours worked if applicable, dates of performance and
unit rates specified herein. Copies of delivery tickets, time sheets, or
other items as may be reasonably required by CDM SMITH to support
quantities delivered or performed shall be submitted with each
invoice. Invoices shall be emailed to
CDMFED-Invoicing@cdmsmith.com with the Subject line typed exactly
as follows – Subcontractor shall insert invoice number in the blank to
complete the subject line (invoices with an improper subject line may be
returned
for
correction):
Subject: _____/______________/_____/_________/Invoice#____
(2) SERVICE PROVIDER may submit invoices to CDM SMITH for
progress payments not more than once each month (small business firms
may submit twice each month). Such invoices shall represent the value of
the completed Scope of Services, less 10% retainage (if applicable), and
will be prepared in a format and supported by documentation as CDM
SMITH may reasonably require. Invoices will be reviewed and accepted
by CDM SMITH before payment will be processed.
(3) SERVICE PROVIDER shall maintain records, including
supporting documentation, as is necessary to demonstrate that all costs
claimed have been incurred, are allocable to this Service Order, and
comply with applicable cost principles in FAR Part 31. Travel costs, if
authorized by CDM SMITH, shall be considered reasonable and
allowable to the extent that they comply with government per diem rates
in effect at the time of travel as prescribed in the Federal Travel
Regulations or Joint Travel Regulations as applicable.
B. Payment. Payments will be made in accordance with the applicable
payment clause incorporated into this Service Order within forty-two (42)
calendar days at the unit prices specified herein, for work which is
completed and accepted in accordance with the applicable “Inspection”
clause.
C. Final Payment. Final payment of any balance will be made upon
completion of the Scope of Services and receipt and acceptance of all
deliverables, documents and data that are required to be furnished under
this Service Order. SERVICE PROVIDER shall also complete and
submit the Closeout Release located on the last page hereunder.
Payment may be withheld, in whole or in part, pending resolution of any
disputed claims.
ARTICLE 4. OBLIGATION OF SERVICE PROVIDER
A. Independent Contractor. SERVICE PROVIDER is an independent
contractor and will maintain complete control of and responsibility for its
employees, agents, lower tier subcontractors, methods and operations.
Nothing contained in this Service Order will create any contractual
relationship between the Government and SERVICE PROVIDER.
B. Lower Tier Subcontracts. (1) SERVICE PROVIDER must obtain
CDM SMITH’s advance written consent for the use of any lower tier
subcontractors.
SERVICE PROVIDER shall bind all lower tier
subcontractors to the applicable provisions of this Service Order.
(2) Neither this Service Order nor any lower tier subcontract will
create any contractual relationship between any lower tier
subcontractor and CDM SMITH; nor does this Service Order create
any contractual relationship between SERVICE PROVIDER and any
upper tier contractor, including the Government.
C. Performance. The standard of care applicable to SERVICE
PROVIDER’s services will be the degree of skill and diligence
normally employed by providers performing the same or similar
services. The SERVICE PROVIDER will reperform any services not
meeting this standard without additional compensation. If such
deficiencies are not corrected in a timely manner, CDM SMITH may
cause the same to be corrected or reperformed and deduct costs,
including any costs of reprocurement incurred, from SERVICE
PROVIDER’s compensation.
D. Insurance. The SERVICE PROVIDER shall maintain throughout
the period of performance of this Service Order the insurance
coverages as required in Attachment E and will submit certificates
certifying such to CDM SMITH prior to commencing work.
E. Indemnification. (1) To the fullest extent permitted by law, the
SERVICE PROVIDER shall indemnify, hold harmless and defend
CDM SMITH and the Government and their consultants, officers,
directors and employees from and against any and all claims,
damages, demands, suits, actions, judgments, liabilities or costs or
expenses of any nature including reasonable attorney’s fees, to the
extent caused by or occasioned by any negligent act, error or
omission of Subcontractor, its lower tier subcontractors or anyone for
whose actions Subcontractor is legally responsible in the performance
of services under this Subcontract or arising from SERVICE
PROVIDER’s breach of this Subcontract.
(2) The SERVICE PROVIDER also agrees to indemnify, hold
harmless and defend CDM SMITH from any and all liability, claims,
suits, demands, actions, judgments, liabilities or costs or expenses
including reasonable attorney’s fees, to the extent arising from:
(a) Claims brought by the employees of the SERVICE
PROVIDER or SERVICE PROVIDER lower tier subcontractor
employees.
(b) Any cost or pricing data furnished or required to be
furnished by the SERVICE PROVIDER or its lower tier subcontractors
which was not complete, accurate or current.
(c) A violation by the SERVICE PROVIDER of any
applicable law, rule, or regulation.
(d) Any penalty or fine incurred by or assessed against CDM
SMITH to the extent attributable to the actions of the SERVICE
PROVIDER, its employees, agents, suppliers, or lower tier
subcontractors.
(e) Any failure on the part of SERVICE PROVIDER to follow
health or safety procedures applicable to the site and specified by
either CDM SMITH or any other entity authorized to specify such
procedures or any failure to follow recognized industry standards.
(f) Any finding involving SERVICE PROVIDER’s area of
responsibility pursuant to the clause relating to price reduction for
defective cost or pricing data.
(g) Any finding that SERVICE PROVIDER had violated the
clause requiring price or fee adjustment for illegal or improper activity
(FAR 52.203-10).
(h) Any failure on the part of the Subcontractor to comply
with the provisions of FAR 52.230-2 Cost Accounting Standards, or
FAR 52.230-6 Administration of Cost Accounting Standards, if
applicable to this Subcontract.
(3) The indemnification stated in Clauses (1) and (2) above shall
not be limited in any way by any limitation on the amount or type of
damages, compensation or benefits payable by or for, the
Subcontractor or any lower tier subcontractor under worker's
compensation statutes. The parties waive the protection of applicable
worker's compensation acts, to the extent permitted or required by
applicable law.
PROFSOTC August 2012 Rev.2
Service Order STANDARD TERMS AND CONDITIONS (continued)
(4) Except for SERVICE PROVIDER’s indemnity obligations as
stated above, in no event shall either party be responsible or liable for
indirect, special, punitive, incidental or consequential damages, or lost
profits or revenues, even if the other party has been advised of the
possibility of such damages.
(5) In the event that it is necessary to enforce the indemnity
obligation herein, the losing party in any such enforcement action shall
pay the prevailing party's court costs and reasonable attorney's fees.
(6) SERVICE PROVIDER acknowledges specific payment of one
hundred dollars ($100) incorporated into the Payment made under this
Agreement and other valuable consideration the receipt and adequacy
which is also acknowledged as legal consideration for SERVICE
PROVIDER’s indemnity obligations as may be provided in this
Agreement.
F. Liens. SERVICE PROVIDER shall promptly pay for all services,
labor, material and equipment used or employed in delivering the Scope
of Services and shall maintain the materials, equipment, structures,
buildings, premises and other subject matter hereof free and clear of
mechanics’ or other liens. SERVICE PROVIDER shall provide executed
releases of liens from all lower tier subcontractors or material suppliers
with each invoice.
G. Codes, Laws and Regulations. SERVICE PROVIDER shall comply
with all applicable local, state and federal codes, laws, regulations,
standards, ordinances and regulations in force during the term of this
Service Order. Failure to comply with any applicable code, law,
regulation, standard or ordinance shall be cause for immediate default
termination of this Service Order. SERVICE PROVIDER is responsible
for understanding and assuring compliance, by its employees and lower
tier subcontractors, of all codes, laws, regulations, standards or
ordinances applicable to the Scope of Services to be performed under
the terms of this Service Order.
H. Permits, Licenses and Fees. SERVICE PROVIDER shall obtain and
pay for all permits and licenses required by law that are associated with
SERVICE PROVIDER’s performance of the Scope of Services and will
give all necessary notices.
I.
Publicity. SERVICE PROVIDER shall not disclose the nature of its
Scope of Services or engage in any public media disclosure with respect
to this Service Order without the prior written consent of CDM SMITH.
J. Key Personnel. (1) SERVICE PROVIDER shall provide qualified
personnel to perform its Scope of Services. Within five (5) days of
execution of this Service Order or receipt of a written authorization to
proceed, the SERVICE PROVIDER shall submit a list of key personnel
for its work, including a designated Scope of Services manager, and
resumes therefore, if requested by CDM SMITH. SERVICE PROVIDER
shall not change or reassign any of the designated key personnel without
the written approval of CDM SMITH.
(2) If, at any time, CDM SMITH finds any SERVICE PROVIDER
employee, agent, consultant or representative to be unacceptable, for
whatever reason, CDM SMITH may request the SERVICE PROVIDER to
replace at no additional cost that employee, agent, consultant or
representative with another person who has at least the equivalent level
of qualifications.
K. Copies of Data. One legible copy each, unless additional copies are
requested, of all notes, field notes, drawings, prints and plans prepared
under the terms of this Service Order shall be delivered by SERVICE
PROVIDER to CDM SMITH upon completion of the Scope of Services.
L. Additional Information. SERVICE PROVIDER shall not separately
solicit or accept from the Government any assignments, directly or
indirectly related to the Scope of Services, during the life of the Service
Order without obtaining CDM SMITH’s written approval. However, this
paragraph in no way restricts SERVICE PROVIDER’s right to respond to
specific requests from the Government.
M. Errors and Omissions: Quality Control. SERVICE PROVIDER is
solely responsible for the quality of its work or services and agrees to
conduct quality control measures and techniques suitable and
appropriate for the scope and characteristics of the Scope of Services
and disciplines involved in delivery of the Scope of Services. CDM
SMITH and others will rely on the quality and accuracy of the work
produced and services performed by SERVICE PROVIDER and will not
necessarily verify the accuracy or quality of SERVICE PROVIDER’s work
produced and services delivered. However, CDM SMITH reserves the
right to conduct an inspection of the technical work or take whatever
other steps it feels may be necessary or useful to maintain the quality of
SERVICE PROVIDER’s performance. In the event that either party
should discover errors or omissions in the work or services of the other
party, the discovering party shall report to the other party such errors or
omissions, actual or suspected, in order that the party providing such
Page 2
work or services may take measures which will minimize the
consequences of such errors or omissions.
N. Suspension of Work. SERVICE PROVIDER shall, upon written
notice from CDM SMITH, suspend, delay or interrupt, in whole or in
part, delivery of the Scope of Services. In such event, SERVICE
PROVIDER shall resume the Scope of Services upon written notice
from CDM SMITH and an appropriate extension of time will be
mutually agreed upon and added to the Service Order period of
performance.
O. Hazardous or Toxic Substances. If this Service Order involves
hazardous or toxic substances, the following shall apply:
(1) SERVICE PROVIDER shall strictly comply with all health,
safety and training requirements that are appended to this Service
Order, but CDM SMITH is not responsible for SERVICE PROVIDER’s
methods or means of carrying out the work or for the health and safety
of SERVICE PROVIDER’s employees.
(2) If this Service Order shall require any employee of SERVICE
PROVIDER or any of its lower tier subcontractors to go onto or
immediately adjacent to a hazardous waste site, the appropriate
provisions of the CDM SMITH Corporate Health and Safety Manual
and all applicable Site Health and Safety Plans are incorporated
herein and made a part hereof. Violation of any provisions of these
documents shall be cause for immediate default termination of this
Service Order. Copies of these documents will be provided upon
request. SERVICE PROVIDER is responsible for obtaining copies
and assuring compliance by its employees and lower tier
subcontractors.
P. Completion and Acceptance. After submittal of the final work
product, as specified in Articles 3.B. “Payment” and 4.K. “Copies of
Data” of this Service Order, and when SERVICE PROVIDER deems
the Scope of Services completed, SERVICE PROVIDER shall give
CDM SMITH written notice thereof; for example, by submitting a Final
Invoice. Within thirty (30) days after receipt of such notice, CDM
SMITH will determine if the Scope of Services has been completed to
its satisfaction and, if so, will advise SERVICE PROVIDER of its final
acceptance thereof.
If not, CDM SMITH will notify SERVICE
PROVIDER of its lack of completion or failure to perform and
SERVICE PROVIDER shall take remedial action as described in
Article 4.C. "Performance” of this Service Order and shall repeat the
procedure stated herein until the Scope of Services has been
satisfactorily completed and accepted by CDM SMITH.
Q. Change in Ownership or Financial Condition. (1) If the SERVICE
PROVIDER experiences a material change in its ownership or
financial condition at any time after the effective date of this Service
Order, the SERVICE PROVIDER shall notify CDM SMITH in writing
within 30 days after the change occurs or is identified.
(2) The SERVICE PROVIDER shall disclose in writing all
pertinent management and financial information necessary for CDM
SMITH to make a responsible SERVICE PROVIDER determination in
accordance with FAR Subpart 9.104-4. The disclosure shall include
results from new conflict of interest screens in accordance with the
organizational conflict of interest requirements of the Service Order,
cost impact statements for current projects, and a request for a
novation or successor-in-interest agreement in accordance with FAR
Subpart 42.12, if appropriate.
(3) Failure to notify CDM SMITH of a material change in
ownership or financial condition will be deemed a breach of this
Service Order.
R. Bankruptcy. In the event the SERVICE PROVIDER enters into
proceedings relating to bankruptcy, whether voluntary or involuntary,
the SERVICE PROVIDER agrees to furnish, by certified mail or
electronic commerce method authorized by the Service Order, written
notification of the bankruptcy to the CDM SMITH Contract Officer
responsible for administering the Service Order. This notification shall
be furnished within five (5) days of the initiation of the proceedings
relating to bankruptcy filing. This notification shall include the date on
which the bankruptcy petition was filed, the identity of the court in
which the bankruptcy petition was filed, and a listing of CDM SMITH
Service Order numbers against which final payment has not been
made. This obligation remains in effect until final payment under this
Service Order.
ARTICLE 5. GENERAL LEGAL PROVISIONS
A. Proprietary Information. (1) All drawings, specifications, technical
data and other information furnished to SERVICE PROVIDER by CDM
SMITH or the Government or developed by SERVICE PROVIDER or
others in connection with the Scope of Services are, and shall remain,
the property of CDM SMITH or the Government, and shall not be copied
or otherwise reproduced or used in any way except in connection with the
Scope of Services, or disclosed to third parties or used in any manner
detrimental to the interests of CDM SMITH or the Government.
(2) The following information will not be subject to the confidentiality
requirements of the above:
(a) Information in the public domain through no action of
SERVICE PROVIDER in breach of this Service Order;
(b)
Information independently developed by SERVICE
PROVIDER; or
(c) Information acquired by SERVICE PROVIDER from a third
party and not delivered to SERVICE PROVIDER in breach of any
confidentiality agreements.
B. Assignments.
This Service Order and the rights and duties
hereunder shall not be assigned, subcontracted or transferred by
SERVICE PROVIDER, in whole or in part, without CDM SMITH’s prior
written consent.
C. Waivers. No waiver by either party of any default by the other party
in the performance of any provision of this Service Order shall operate
as, or be construed as, a waiver of any future default, whether like or
different in character.
D. Force Majeure. Neither party to this Service Order shall be liable to
the other party for delays in performing the Scope of Services, or for the
direct or indirect costs resulting from such delays, that may result from
labor strikes, riots, war, acts of governmental authorities, extraordinary
weather conditions or other natural catastrophes or any other cause
beyond the reasonable control or contemplation of either party. Relief for
any such conditions shall be limited in the same manner and to the same
extent as set forth in the Prime Contract. SERVICE PROVIDER shall
give prompt notice of such an event as soon as it becomes aware of a
potential for delay or added cost due to such an event.
E. Authorization to Proceed. Execution of this Service Order by CDM
SMITH shall constitute the authorization for SERVICE PROVIDER to
proceed with the Scope of Services, unless otherwise provided for in this
Service Order.
F. No Third Party Beneficiaries. This Service Order gives no rights or
benefits to anyone other than SERVICE PROVIDER and CDM SMITH
and has no third party beneficiaries.
G. Jurisdiction. The laws of the Commonwealth of Massachusetts shall
govern the validity of this Service Order, its interpretation and
performance, and any claims related to it unless the Prime Contract
states another Jurisdiction in which case the laws of the Jurisdiction that
govern the prime contract shall govern.
H. Solicitation of Employees. It is hereby mutually agreed that neither
party hereto will knowingly solicit the employment of the other party’s
employees during the term of this Service Order and for six (6) months
thereafter. This clause shall not prevent the hiring of any employee who
independently seeks employment with the other party.
I.
Severability and Survival. If any of the provisions contained in this
Service Order are held for any reason to be invalid, illegal or
unenforceable in any respect, such invalidity, illegality or unenforceability
shall not affect any other provision and this Service Order shall be
construed as if such invalid, illegal or unenforceable provision had never
been contained herein. The provisions of Articles 4.E. “Indemnification”,
4.P. “Completion and Acceptance” and 6.A. “Federal Acquisition
Regulation” shall survive termination of the Service Order.
J.
Failure to Deliver. If the SERVICE PROVIDER fails to provide any
single deliverable, CDM SMITH shall be reimbursed for any costs
determined by the CDM SMITH Subcontracts Manager as equitable in
accordance with the applicable FAR clause in Article 6.E. In addition to
that amount, it will include any other costs incurred by CDM SMITH as a
result of the SERVICE PROVIDER’s failure to deliver.
K. Scope of Services. CDM SMITH may adjust the Scope of Services
by either adding or deleting services to be performed by issuance of a
Change Order to the Service Order. If such adjustment increases or
decreases the cost or time required for performance of the Scope of
Services, corresponding adjustments to the compensation schedule
and/or period of performance of the Service Order will be mutually agreed
upon in writing. Additional services provided by SERVICE PROVIDER will
be entitled to additional compensation or extension to the period of
performance only as authorized in writing by CDM SMITH. If an adjusted
figure cannot be agreed upon, SERVICE PROVIDER shall proceed with
the Scope of Services and any disagreement concerning compensation
shall be treated as a dispute.
L. Schedules. Both parties hereto agree and stipulate that, with regard
to performance of the Scope of Services by the SERVICE PROVIDER,
time is of the essence. SERVICE PROVIDER shall be responsible for all
Page 3
direct costs and damages which may arise from its failure to complete
the services in accordance with the terms of the Service Order or
scheduled milestones, completion or delivery dates established by the
Government or CDM SMITH and communicated to the SERVICE
PROVIDER.
M. Disputes and Claims. (1) In case of any disputes between the
SERVICE PROVIDER and CDM SMITH that involve the United
States Government, SERVICE PROVIDER agrees to be bound to
CDM SMITH to the same extent that CDM SMITH is bound to United
States Government both by the terms of the Prime Contract and by
any and all decisions or determinations made thereunder by the party
or board as authorized in the Prime Contract. It is agreed that in the
event the Prime Contract contains a provision, hereinafter called
"Disputes" clause, whereby claims may be resolved under an
administrative procedure or by arbitration, then as to any claims of
SERVICE PROVIDER for or on account of acts or omissions of the
United States Government or United States Government's
Representative which are not disposed of by agreement, CDM SMITH
agrees to present to the United States Government, in CDM SMITH's
name, all of SERVICE PROVIDER's claims for additional monetary
compensation or time extension which have been properly made to
CDM SMITH; and to further invoke, on behalf of the SERVICE
PROVIDER, those provisions in the Prime Contract for determining
disputes. CDM SMITH shall have the option to present such claims on
SERVICE PROVIDER's behalf, in advance of and even without
SERVICE PROVIDER's written request. SERVICE PROVIDER shall
have full responsibility for preparation and presentation of such claims
and shall bear all expenses thereof, including attorneys' fees.
SERVICE PROVIDER agrees to be bound by the procedure and final
determinations as specified in any such Disputes clause, and agrees
that it will not take, or will suspend, any other action or actions with
respect to any such claims and will pursue no independent litigation
with respect thereto, pending final determination under such Disputes
clause. SERVICE PROVIDER shall not be entitled to receive any
greater amount from CDM SMITH than CDM SMITH is entitled to and
actually does receive from the United States Government on account
of SERVICE PROVIDER's Work, less any markups or costs incurred
by the CDM SMITH and to which CDM SMITH is otherwise entitled,
and SERVICE PROVIDER agrees that it will accept such amount, if
any, received by CDM SMITH from United States Government as full
satisfaction and discharge of all claims for or on account of acts or
omissions of the United States Government or United States
Government's Representative.
(2) SERVICE PROVIDER shall be bound by CDM SMITH's
determination, made in good faith, as to apportionment of any
amounts received from United States Government for claimants
including CDM SMITH and other subcontractors, whose work is
affected by any act or omission of the United States Government or
United States Government's Representative.
(3) In the event of any dispute between the parties arising out of
or in connection with the contract or the services or work contemplated
herein and not involving the United States Government or the United
States Government’s representative, the parties agree to first make a
good faith effort to resolve the dispute informally. Negotiations shall
take place between the designated principals of each party. If the
parties are unable to resolve the dispute through negotiation within 45
days, then either party may give written notice within 10 days
thereafter that it elects to proceed with non-binding mediation pursuant
to the commercial mediation rules of the American Arbitration
Association. In the event that mediation is not invoked by the parties
or that the mediation is unsuccessful in resolving the dispute, then
either party may submit the controversy to a court of competent
jurisdiction located in the Commonwealth of Massachusetts. The
foregoing is a condition precedent to the filing of any action other than
an action for injunctive relief or if a Statute of Limitations may expire.
Each party shall be responsible for its own costs and expenses
including attorneys' fees and court costs incurred in the course of such
dispute, mediation, or legal proceeding. The fees of the mediator and
any filing fees shall be shared equally by the parties.
(4) Pending resolution of any such dispute or claim, by
settlement or final judgment, the SERVICE PROVIDER’s performance
shall continue in accordance with CDM SMITH’s written instructions.
N Audit and Retention of Records. (1) SERVICE PROVIDER shall
maintain such books, records, documents and other evidence and
shall use such accounting procedures and practices as are necessary
to reflect properly all costs claimed to have been incurred or
anticipated to be incurred in performing this Service Order. An
independent Certified Public Accountant (CPA), as designated by CDM
SMITH, shall have the right to examine and audit all of the above in the
SERVICE PROVIDER’s offices, during normal business hours, upon
reasonable notice to the SERVICE PROVIDER.
(2) The independent CPA shall also have the right to examine and
audit all books, records, documents and other data of SERVICE
PROVIDER related to negotiation, pricing or performance of the Service
Order in order to evaluate the accuracy, completeness and currency of
the cost or pricing data. This right of examination and audit shall extend
to all documents necessary to permit adequate evaluation of the cost or
pricing data submitted, along with the computations and projections used.
(3) If SERVICE PROVIDER produces any cost, funding or
performance reports, the independent CPA shall also have the right to
examine and audit books, records and other documents and supporting
materials for the purpose of evaluating: (a) the effectiveness of SERVICE
PROVIDER’s policies and procedures to produce data compatible with
the objectives of these reports; and (b) the data reported.
(4) SERVICE PROVIDER shall make available at its office, during
normal business hours, upon reasonable notice the materials described
in the paragraphs above, for examination, audit or reproduction until the
expiration of three (3) years from the date of final payment or, in the
event of full or partial termination of this Service Order, from the date of
final settlement. Records relating to appeals under Article 5.N. “Disputes
and Claims” or to litigation or the settlement of claims arising under, or
relating to, this Service Order shall be made available until such appeals,
litigation or claims are disposed of.
(5) It is agreed that the independent CPA conducting such audits will
be required to maintain confidentiality of all rate information, including
specific labor rates, salaries and indirect rates, as well as accounting
systems, financial structure and pricing methodology information which
SERVICE PROVIDER claims as confidential business information.
(6) The right to audit or inspect indirect costs comprising SERVICE
PROVIDER’s overhead, G&A and other indirect rates shall reside only
with the Government or the independent CPA, as designated by CDM
SMITH.
O. Privity of Contract. (1) The contractual relationship for this Service
Order is between CDM SMITH and SERVICE PROVIDER. There is no
privity of contract between SERVICE PROVIDER and the Government.
(2) All communications between SERVICE PROVIDER and
Government must be approved in advance by CDM SMITH’s Contract
Officer. In no event shall SERVICE PROVIDER provide cost estimates or
work products directly to the Government or any other third party.
(3) Under no circumstances shall SERVICE PROVIDER act upon
directions given by a representative of the Government without the
specific written confirmation by the CDM SMITH Contract Officer. All such
direction and technical liaison shall take place through CDM SMITH.
CDM SMITH will not be liable for costs of work performed by SERVICE
PROVIDER outside of these terms. If SERVICE PROVIDER receives
such direction from any representative of the Government, SERVICE
PROVIDER shall notify the CDM SMITH Contract Officer as soon as
possible before taking any action based upon such direction.
P. Entire Agreement. This Service Order, including all attachments,
represents the entire agreement between the parties and supersedes all
prior agreements and understandings. Changes to this Service Order
may be effected only by written modification to the Service Order.
Q. Liquidated Damages. (Applicable only if box is checked)
(1) Unusable or Missing Sample Data Packages. CDM SMITH shall
not be obligated to pay for any Sample Data Package that is either lost or
missing or not usable because SERVICE PROVIDER has failed to meet
one or more requirements of this Service Order. The data may be
unusable because, for example, the sample has been lost or broken after
delivery to SERVICE PROVIDER, critical analysis information is missing
and additional sampling is required, mandated holding times have been
missed, critical tests have not been performed, quality control checks
show that the specified requirements have not been met, or for any other
reason arising from SERVICE PROVIDER's failure to meet the
requirements of this Service Order. Samples shall assume to have been
lost if the Sample Data Packages have not been received by the
appropriate party within fifteen (15) days of the due date set forth herein.
SERVICE PROVIDER assumes the risk of loss for all samples
immediately after their delivery to SERVICE PROVIDER or its agent.
(2) Sample Data Packages Usable for Alternative Purposes or
Accepted for Use in a Non-compliant State. SERVICE PROVIDER may
receive a partial payment, based upon an equitable adjustment, for its
services in producing Sample Data Packages which the CDM SMITH
Contract Officer determines have some value to CDM SMITH's client,
although not useful for the original purpose of the Service Order. The
Page 4
CDM SMITH Contract Officer shall determine such alternative value
and notify the SERVICE PROVIDER.
SERVICE PROVIDER's
acceptance of such alternative payment shall constitute a waiver of
any claim for additional payment.
(3) Late Delivery. (a) If SERVICE PROVIDER fails to deliver any
Sample Data Package within the time specified herein, or any
authorized extension thereof, each party recognizes that CDM SMITH
will suffer damage to its reputation and relations with its client(s).
Each party also recognizes that such damages are difficult to prove in
any legal proceeding. Therefore, in lieu of damages for such injury to
reputation due to failure to deliver the Sample Data Packages within
the contractually specified time, and not as a penalty, and in
recognition of the damage to client relations and CDM SMITH's
reputation only, the parties agree that, if so designated on the face of
this Service Order, fixed and liquidated damages will apply for each
calendar day of delay, up to 15 days, in accordance with the schedule
outlined thereon. However, in the absence of a daily schedule, after
15 days the sample shall be considered lost or missing and CDM
SMITH shall not be obligated to pay for the Sample Data Package.
(b) Sample Data Packages received more than 15 days after
they are due may, at the sole discretion of the CDM SMITH Contract
Officer, be treated as in paragraph (2) above and subject to an
equitable payment not to exceed 25% of the sample unit price.
(4) Data which was delivered on time, but determined to be
defective for any reason and, where it is determined that the defect
can be corrected, will be subject only to a one-time 10% liquidated
damages assessment if the corrected data is returned during the
agreed upon correction period. Such data as is not corrected during
the correction period, but still used in its non-compliant form, will be
treated as set forth in paragraph (2) above.
(5) CDM SMITH retains the right to terminate this Service Order
for any noncompliance in accordance with the terms thereof, including
any of the noncompliance matters set forth above, in accordance with
the applicable clause under Article 6.E. In the event that CDM SMITH
elects to terminate the Service Order, the SERVICE PROVIDER shall
be liable for the fixed, agreed and liquidated damages in paragraph
(3), accruing until all outstanding Sample Data Packages are
delivered. Liquidated damages shall be in addition to excess
reprocurement costs eligible for reimbursement under the above noted
clause in Article 5.K.
(6) The SERVICE PROVIDER shall not be charged with any
damages (liquidated or otherwise) nor subject to default termination
when the delay in delivery or performance arises out of causes
beyond the control, or without the fault or negligence of SERVICE
PROVIDER as defined in the above noted clause under Article 6.E.(6).
(7) In addition to the above provisions, SERVICE PROVIDER
remains liable for failure to deliver any single deliverable in
accordance with the applicable Inspection clause in Article 6.E. The
equitable adjustment made by CDM SMITH will include as a minimum
any liquidated damages adjustments assessed in accordance with
Paragraphs (1)-(5) of this Article. In addition, it will include any other
costs incurred by the CDM SMITH as a consequence of SERVICE
PROVIDER's failure to meet the requirements of this Service Order
including the costs of any resampling that are required and any other
costs associated with the replacement of lost, damaged or destroyed
samples.
ARTICLE 6. SERVICE ORDER CLAUSES.
A. Federal Acquisition Regulation (FAR). This Service Order
incorporates herein by reference the most recently dated FAR clauses
listed in Paragraph E., below and elsewhere. The text of each clause
shall be deemed to be modified with respect to the identification of
parties as provided in Paragraphs B. and C., below. These clauses
have the same force and effect as if they were stated in full text.
Copies of the FAR clauses can be obtained from the Internet site at
http://www.acquisition.gov.
B. Rules of Construction. Unless one of the exceptions provided in
Paragraph C., below, applies, the term “Contract” shall mean “Service
Order”; the term “Contractor” shall mean “SERVICE PROVIDER”; the
term “Government” shall mean “CDM SMITH”; and the term
“Contracting Officer” shall mean “CDM SMITH’s Contract Officer”.
C. Exceptions. The following instances are exceptions to the
general rules of construction as provided in Paragraph B., above:
(1) where it is clear by the context of the provision itself, or the
conditions under which it is being applied, that the reference is
intended to refer to the Government, its officers, agents or any upper
tier contractor specifically;
(2) where an explicit provision of this Service Order states a
contrary intent;
(3) where access to proprietary financial information or other
proprietary data is required; or
(4) where interpretation, in accordance with the rules stated above,
would place SERVICE PROVIDER in a position of violating the
equivalent or related provision of the Prime Contract, whereas
construction of the terms without modification would not.
D. Disputes Clause. Reference in any provision incorporated by
reference herein to the “Disputes” clause shall be construed as reference
to Article 5.M. "Disputes and Claims” provision contained in this Service
Order. No provision herein shall be taken to imply direct access on the
part of the SERVICE PROVIDER to the disputes process as defined in
the terms of the Prime Contract.
E.
Page 5
(5) If the Service Order exceeds $25,000 or is expected to
exceed $25,000, the following Articles are hereby incorporated by
reference:
Article
Title of Clause
FAR Ref.
Article 6.25 Reporting Executive Compensation
and First-Tier Subcontract Awards
reference:
Article 6.26 Protecting the Government’s Interest when
Subcontracting with Contractors Debarred,
Suspended, or Proposed for Debarment
FAR Clauses Incorporated by Reference.
(1) The following Articles are hereby incorporated by reference
into all Service Orders:
52.204-10
52.209-6
Article
Title of Clause
FAR Ref.
exceed $100,000, the following Articles are hereby incorporated
by reference:
Article 6.1
Article 6.2
Article 6.3
Security Requirements
System for Award Management
Personal Identity Verification of Contractor
Personnel
Prohibition of Segregated Facilities
Equal Opportunity (Paragraph (c)
does not apply)
Combating Trafficking in Persons
Drug-free Workplace (Only applies
if award is to an individual.)
Notice of Radioactive Materials
Energy Efficiency in Energy-Consuming
Products (does not apply to A&E services)
Privacy Act Notification
Privacy Act
Restrictions on Certain Foreign
Purchases
Rights in Data -- General
Unenforceability of Unauthorized
Obligations
Providing Accelerated Payments to Small
Business Subcontractors
Subcontracts for Commercial Items
Government Property
Use and Charges
52.204-2
52.204-7
Article 6.27 Equal Opportunity for Veterans
Article 6.28 Employment Report for Veterans
52.204-9
52.222-21
52.222-26
(8) If the “Architect-Engineer” (A-E) block on the face of the
Service Order is checked, the following Articles are hereby
incorporated by reference:
52.222-50
Article
52.223-6
52.223-7
Article 6.29 Payments under Fixed-Price A-E
Contracts
Article 6.30 Responsibility of A-E Contractor
Article 6.31 Requirements for Registration of
Designers
Article 6.32 Suspension of Work
Article 6.33 Changes - Fixed Price, Alternate III
Article 6.34 Subcontracts and Outside Associates and
Consultants
Article 6.35 Termination (Fixed-Price A-E)
Article 6.4
Article 6.5
Article 6.6
Article 6.7
Article 6.8
Article 6.9
Article 6.10
Article 6.11
Article 6.12
Article 6.13
Article 6.14
Article 6.15
Article 6.16
Article 6.17
Article 6.18
52.223-15
52.224-1
52.224-2
52.225-13
52.227-14
Title of Clause
52.232-40
52.244-6
52.245-1
52.245-9
FAR Ref.
Article 6.19 Post-award Small Business Program
Rerepresentation
52.219-28
Article 6.20 Convict Labor
52.222-3
Article 6.21 Employment Eligibility Verification
52.222-54
Article 6.22 Encouraging Contractor Policies to Ban Text Messaging
While Driving
52.223-18
reference:
Article 6.23 Notification of Employee Rights under the
National Labor Relations Act
52.222-40
reference:
Article
Title of Clause
Article 6.24 Equal Opportunity for Workers with
Disabilities
FAR Ref.
52.232-10
52.236-23
52.236-25
52.242-14
52.243-1
52.244-4
52.249-7
52.232-39
(2) If the Service Order exceeds $3,000 or is expected to exceed
$3,000, the following Articles are hereby incorporated by reference:
Article
Title of Clause
52.222-35
52.222-37
FAR Ref.
(9) If the “Firm Fixed Price” or “Fixed Unit Price” block on
the face of this Service Order is checked, the following Articles
are hereby incorporated by reference:
Article
Title of Clause
FAR Ref.
Article 6.36
Article 6.37
Article 6.38
Article 6.39
Article 6.40
Payments
Stop-Work Order
Changes -- Fixed-Price, Alternates I
Inspection of Services -- Fixed-Price
Termination for Convenience of the
(Government Services) (Short Form)
Article 6.41 Default (Fixed-Price Supply & Service)
52.232-1
52.242-15
52.243-1
52.246-4
52.249-1
52.249-8
(10) If the “Time & Materials” (T&M) block on the face of this
Service Order is checked, the following Articles are hereby
incorporated by reference:
Article
Title of Clause
FAR Ref.
Article 6.42 Allowable Cost and Payment
Article 6.43 Payments under T&M and Labor-Hour
Contracts
Article 6.44 Changes -- T&M or Labor Hours
(Modify Paragraph (c) from 30 to
20 days)
Article 6.45 Inspection -- T&M and Labor-Hour
Article 6.46 Termination (Cost Reimbursement)
Alternate IV
Article 6.47 Excusable Delays
52.216-7
52.232-7
52.243-3
52.246-6
52.249-6
52.249-14
52.222-36
F.
6
List Of Documents, Exhibits And Other Attachments
Supplemental Terms and Conditions
Service Contract Act - Wage Determinations
Attachment A - Statement of Work
Attachment B - Payment Schedule/Price Sheet
Attachment C - Reports of Work and Deliverables
Attachment D - Health and Safety
Attachment E - Insurance Requirements
Attachment F - Quality Assurance Plan (if applicable)
G.
Representations and Certifications dated ____________ (Incorporated By Reference)
52.204-19 Incorporation by Reference of Representations and Certifications
The SERVICE PROVIDER’S representations and certifications, including those completed electronically via the System for Award Management
(SAM), are incorporated by reference into the Service Order.
(End of clause)
SERVICE ORDER CLOSEOUT RELEASE
The undersigned hereby certifies that the work covered by this Service Order has been completed in accordance with the terms of the Service Order and
agrees that upon receipt by the undersigned of a check from CDM SMITH in the amount of $_______________ payable to
____________________(SERVICE PROVIDER), and when the check has been properly endorsed and paid by the bank upon which it is drawn, this
document shall become effective to release any lien, stop notice, bond right, or other claim the undersigned has on the project at the site identified in the
Scope of Services and CDM SMITH to the following extent. This release covers the final payment for all labor, services, equipment or material furnished
under the Scope of Services.
SERVICE PROVIDER NAME _________________________________________________________________________________________________
SIGNATURE _______________________________________________________________________________________________________________
DATE ____________________________________________________________________________________________________________________
SUPPLEMENTAL TERMS AND CONDITIONS
1801-1807
GSA PRIME CONTRACT NO. GS-10F-0227J
GENERAL RULES OF CONSTRUCTION
(a)
This Subcontract incorporates the Federal Acquisition Regulation (FAR) and General
Services Administration Acquisition Manual (GSAM) clauses listed in the following article
and elsewhere herein by reference. The text of each clause shall be deemed to be
modified with respect to the identification of parties as provided in paragraphs (b) and (c)
below. The most recently dated clauses are incorporated by reference with the
same force and effect as if they were given in full text.
(b)
Unless one of the exceptions provided in paragraph (c) below shall apply, the term
"Contract" shall mean "Subcontract"; the term "Contractor" shall mean "Subcontractor";
the term "Government" shall mean "CDM Federal"; and the term "Contracting Officer"
shall mean the "CDM Federal Contract Officer".
(c)
The following instances are exceptions to the general rules of construction as provided in
paragraph (b):
(d)
(i)
Where it is clear, by the context of the provision itself or the conditions under which
it is being applied, that the reference is intended to refer to the Government, its
officers or agents, or the prime contractor specifically;
(ii)
Where an explicit provision of this Subcontract states a contrary intent;
(iii)
Where access to proprietary financial information or other proprietary data is
required; or
(iv)
Where interpretation in accordance with the rules stated above would place the
prime contractor in a position of violating the equivalent or related provisions of the
prime contract whereas construction of the terms without modification would not.
References in any provision incorporated by reference herein to the "Disputes" clause
shall be construed as references to the “Disputes” clause contained in Section G of this
Subcontract. No provision herein shall be taken to imply any direct access on the part of
the Subcontractor to the disputes process as defined in the terms of the prime contract.
1801.049.005Part7a.doc
1
SECTION A – CLAUSES INCORPORATED BY REFERENCE
A.1
FAR CLAUSES
NUMBER
52.204-2
52.208-9
52.222-41
52.229-1
A.2
TITLE
Security Requirements
Contractor Use of Mandatory Sources of Supply or Services
Service Contract Act of 1965, as Amended
State and Local Taxes
GSA CLAUSES
NUMBER
552.211-15
552.229-72
552.238-75
552.238-77
TITLE
Defense Priorities and Allocations Systems Requirements
Federal Excise Tax – DC Government
Identification of Energy Efficient Office Equipment and Supplies containing
Recovered Materials or other Environmental Attributes
Industrial Funding Fee
1801.049.005Part7a.doc
2
7
ATTACHMENT A
STATEMENT OF WORK
8
ATTACHMENT B
PAYMENT SCHEDULE/PRICE SHEET
9
ATTACHMENT C
REPORTS OF WORK AND DELIVERABLES
10
ATTACHMENT D
HEALTH AND SAFETY
11
ATTACHMENT E
MINIMUM INSURANCE REQUIRED
The Subcontractor shall procure and thereafter maintain during the entire period of performance of this Subcontract and to
the extent possible, for at least three (3) years thereafter, the following insurance (indicated by X) with a Best rated
company or approved substitute.
Required
Type of Insurance
Limits
[X]
Commercial (General Liability)
- $1,000,000 per occurrence
- $1,000,000 in the aggregate
- Includes Contractual Liability for bodily injury, death or loss or damage to
property to third persons, independent contractor, products,
completed operations, and personal injury
- Includes XCU (explosion, collapse, and underground) hazard coverage
and premises operations when site visitation is required
- Limits may be less if supplemented by $1,000,000 per occurrence and
$1,000,000 per aggregate of Excess Umbrella Insurance
- Additional Insured: Required to name CDM Federal Programs Corporation
and the U.S. Government as additional Insured
[X]
Worker's Compensation
- Statutory
[X]
Employer's Liability
- $500,000 per occurrence
- Limit may be less if supplemented by $1,000,000 per occurrence and
[X]
Professional Liability
- $1,000,000 per claim
- $1,000,000 per aggregate
- Covers any claims arising out of negligent acts, errors, or omissions of
Subcontractor when performing professional services
- If work is expected to exceed $1,000,000 in any given year of the
Subcontract, the minimum coverage shall be $3,000,000 per claim
and $3,000,000 per aggregate
Pollution Liability Insurance
- Covers claims based on sudden and accidental discharges of hazardous
materials
Automobile Liability
- $1,000,000 combined single limit
- Includes Comprehensive, Bodily Injury and Property Damage coverage
- Limit may be less if supplemented by $1,000,000 per occurrence and
[
]
[X]
[
]
Automobile Liability with
MCS-90 Endorsement
- $5,000,000 combined single limit for hazardous transport
- $750,000 combined single limit for non hazardous transport
- Subcontractor or lower tier Transporter shall have all insurance as
required by the Department of Transportation
[
]
Excess/Umbrella Liability
- May supplement Commercial (General) Liability, Automobile Liability, and
Employers Liability
12
- If subcontract value will exceed $1,000,000, then $2,000,000 per
occurrence and $2,000,000 per aggregate is required
- If services include transportation of hazardous materials, $5,000,000 per
occurrence and $5,000,000 per aggregate is required
Additional Insured: Required to name CDM Federal Programs
Corporation and the U.S. Government as additional Insured
[
]
Aircraft Public and Passenger
Liability
[X]
Vessel Liability
- If aircraft are used in the performance of this Subcontract, then insurance
in such amounts as CDM Federal Programs Corporation may require
or approve
- If vessels are used in the performance of this Subcontract, vessel collision
liability and protection and indemnity liability insurance in such
amounts as CDM Federal Programs Corporation may require or
approve.
1. All policies of insurance shall be endorsed so that Subcontractor’s insurance shall be primary and no contribution shall
be required by CDM Federal Programs Corporation. For all policies, the Subcontractor and its insurers shall
waive their rights of subrogation against CDM Federal Programs Corporation.
2. Should any of the policies be cancelled before the expiration thereof, notice will be delivered in accordance with the
policy provisions. Subcontractor shall provide notice to CDM Federal Programs Corporation at any time Subcontractor
becomes aware of any cancellation or material change in the above insurance policies.
3. Subcontractor shall provide copies of its insurance certificates prior to execution of this Subcontract and upon renewal
of each policy noted above. The insurance certificate(s) shall include a copy of an endorsement agreeing to
provide CDM Federal with a notice of a change in limits or scope of any coverage. If Subcontractor fails to make
insurance premium payments or cancels its insurance, CDM Federal Programs Corporation must be notified and all
work under the Subcontract will be terminated.
The Certificate Holder box on the insurance certificate should include the following name and address as checked.
[X]
[
Fairfax, VA 22030
]
555 17th Street, Suite 1100
Denver, CO 80202
4. Subcontractor shall insert the substance of this attachment in any lower tier subcontracts and consulting agreements
under this Subcontract, including this paragraph 4.
13
ATTACHMENT F
QUALITY ASSURANCE PLAN
PART 8
SERVICE CONTRACT ACT WAGE RATES
WD 05-2063 (Rev.-15) was first posted on www.wdol.gov on 12/30/2014
************************************************************************************
REGISTER OF WAGE DETERMINATIONS UNDER |
U.S. DEPARTMENT OF LABOR
THE SERVICE CONTRACT ACT
| EMPLOYMENT STANDARDS ADMINISTRATION
By direction of the Secretary of Labor |
WAGE AND HOUR DIVISION
|
WASHINGTON D.C. 20210
|
|
|
| Wage Determination No.: 2005-2063
Diane C. Koplewski
Division of
|
Revision No.: 15
Director
Wage Determinations|
Date Of Revision: 12/22/2014
_______________________________________|____________________________________________
Note: Executive Order (EO) 13658 establishes an hourly minimum wage of $10.10
for 2015 that applies to all contracts subject to the Service Contract Act for
which the solicitation is issued on or after January 1, 2015. If this contract
is covered by the EO, the contractor must pay all workers in any
classification listed on this wage determination at least $10.10 (or the
applicable wage rate listed on this wage determination, if it is higher) for
all hours spent performing on the contract. The EO minimum wage rate will be
adjusted annually. Additional information on contractor requirements and
worker protections under the EO is available at www.dol.gov/whd/govcontracts.
____________________________________________________________________________________
State: California
Area: California Counties of San Luis Obispo, Santa Barbara
____________________________________________________________________________________
**Fringe Benefits Required Follow the Occupational Listing**
OCCUPATION CODE - TITLE
FOOTNOTE
RATE
01000 - Administrative Support And Clerical Occupations
01011 - Accounting Clerk I
15.00
01012 - Accounting Clerk II
16.84
01013 - Accounting Clerk III
18.83
01020 - Administrative Assistant
22.82
01040 - Court Reporter
25.67
01051 - Data Entry Operator I
13.11
01052 - Data Entry Operator II
14.34
01060 - Dispatcher, Motor Vehicle
17.32
01070 - Document Preparation Clerk
14.12
01090 - Duplicating Machine Operator
14.12
01111 - General Clerk I
13.48
01112 - General Clerk II
14.97
01113 - General Clerk III
17.05
01120 - Housing Referral Assistant
21.86
01141 - Messenger Courier
11.96
01191 - Order Clerk I
13.24
01192 - Order Clerk II
14.59
01261 - Personnel Assistant (Employment) I
17.00
01262 - Personnel Assistant (Employment) II
19.01
01263 - Personnel Assistant (Employment) III
21.09
01270 - Production Control Clerk
20.40
01280 - Receptionist
13.14
01290 - Rental Clerk
12.32
01300 - Scheduler, Maintenance
16.47
01311 - Secretary I
16.47
01312 - Secretary II
18.42
01313 - Secretary III
21.86
01320 - Service Order Dispatcher
16.55
01410 - Supply Technician
22.82
01420 - Survey Worker
18.03
01531 - Travel Clerk I
13.04
01532 - Travel Clerk II
13.73
01533 - Travel Clerk III
14.57
01611 - Word Processor I
14.75
01612 - Word Processor II
16.56
01613 - Word Processor III
18.52
05000 - Automotive Service Occupations
05005 - Automobile Body Repairer, Fiberglass
23.91
05010 - Automotive Electrician
18.81
05040 - Automotive Glass Installer
18.02
05070 - Automotive Worker
18.02
05110 - Mobile Equipment Servicer
16.41
05130 - Motor Equipment Metal Mechanic
19.58
05160 - Motor Equipment Metal Worker
18.02
05190 - Motor Vehicle Mechanic
18.68
05220 - Motor Vehicle Mechanic Helper
14.21
05250 - Motor Vehicle Upholstery Worker
17.13
05280 - Motor Vehicle Wrecker
18.02
05310 - Painter, Automotive
18.81
05340 - Radiator Repair Specialist
18.02
http://www.wdol.gov/wdol/scafiles/std/05-2063.txt?v=15[4/30/2015 11:15:32 AM]
05370 - Tire Repairer
05400 - Transmission Repair Specialist
07000 - Food Preparation And Service Occupations
07010 - Baker
07041 - Cook I
07042 - Cook II
07070 - Dishwasher
07130 - Food Service Worker
07210 - Meat Cutter
07260 - Waiter/Waitress
09000 - Furniture Maintenance And Repair Occupations
09010 - Electrostatic Spray Painter
09040 - Furniture Handler
09080 - Furniture Refinisher
09090 - Furniture Refinisher Helper
09110 - Furniture Repairer, Minor
09130 - Upholsterer
11000 - General Services And Support Occupations
11030 - Cleaner, Vehicles
11060 - Elevator Operator
11090 - Gardener
11122 - Housekeeping Aide
11150 - Janitor
11210 - Laborer, Grounds Maintenance
11240 - Maid or Houseman
11260 - Pruner
11270 - Tractor Operator
11330 - Trail Maintenance Worker
11360 - Window Cleaner
12000 - Health Occupations
12010 - Ambulance Driver
12011 - Breath Alcohol Technician
12012 - Certified Occupational Therapist Assistant
12015 - Certified Physical Therapist Assistant
12020 - Dental Assistant
12025 - Dental Hygienist
12030 - EKG Technician
12035 - Electroneurodiagnostic Technologist
12040 - Emergency Medical Technician
12071 - Licensed Practical Nurse I
12072 - Licensed Practical Nurse II
12073 - Licensed Practical Nurse III
12100 - Medical Assistant
12130 - Medical Laboratory Technician
12160 - Medical Record Clerk
12190 - Medical Record Technician
12195 - Medical Transcriptionist
12210 - Nuclear Medicine Technologist
12221 - Nursing Assistant I
12222 - Nursing Assistant II
12223 - Nursing Assistant III
12224 - Nursing Assistant IV
12235 - Optical Dispenser
12236 - Optical Technician
12250 - Pharmacy Technician
12280 - Phlebotomist
12305 - Radiologic Technologist
12311 - Registered Nurse I
12312 - Registered Nurse II
12313 - Registered Nurse II, Specialist
12314 - Registered Nurse III
12315 - Registered Nurse III, Anesthetist
12316 - Registered Nurse IV
12317 - Scheduler (Drug and Alcohol Testing)
13000 - Information And Arts Occupations
13011 - Exhibits Specialist I
13012 - Exhibits Specialist II
13013 - Exhibits Specialist III
13041 - Illustrator I
13042 - Illustrator II
13043 - Illustrator III
13047 - Librarian
13050 - Library Aide/Clerk
13054 - Library Information Technology Systems
Administrator
13058 - Library Technician
13061 - Media Specialist I
13062 - Media Specialist II
13063 - Media Specialist III
13071 - Photographer I
13072 - Photographer II
14.15
17.79
13.29
12.50
13.74
9.90
10.06
16.94
10.95
20.21
13.38
20.21
16.32
18.48
20.21
10.47
12.10
14.19
12.10
12.10
11.76
9.57
10.44
13.51
11.76
13.38
17.06
20.27
26.06
26.06
19.46
38.53
24.78
24.78
17.06
19.17
21.45
23.91
14.88
18.24
15.63
17.48
17.34
47.13
11.18
12.57
13.71
15.39
20.26
19.17
18.55
15.39
29.58
26.61
32.54
32.54
39.34
39.34
47.16
24.52
23.35
28.92
35.39
23.35
28.92
35.39
32.03
15.08
28.92
18.79
20.87
23.35
26.03
19.97
22.32
13073
13074
13075
13110
14000 14041
14042
14043
14044
14045
14071
14072
14073
14074
14101
14102
14103
14150
14160
15000 15010
15020
15030
15050
15060
15070
15080
15090
15095
15110
15120
16000 16010
16030
16040
16070
16090
16110
16130
16160
16190
16220
16250
19000 19010
19040
21000 21020
21030
21040
21050
21071
21080
21110
21130
21140
21150
21210
21410
23000 23010
23021
23022
23023
23040
23050
23060
23080
23110
23120
23125
23130
23140
23160
23181
23182
23183
23260
23290
23310
23311
- Photographer III
- Photographer IV
- Photographer V
- Video Teleconference Technician
Information Technology Occupations
- Computer Operator I
- Computer Operator II
- Computer Operator III
- Computer Operator IV
- Computer Operator V
- Computer Programmer I
(see 1)
- Computer Programmer II
(see 1)
- Computer Programmer III
(see 1)
- Computer Programmer IV
(see 1)
- Computer Systems Analyst I
(see 1)
- Computer Systems Analyst II
(see 1)
- Computer Systems Analyst III
(see 1)
- Peripheral Equipment Operator
- Personal Computer Support Technician
(see 2)
Instructional Occupations
- Aircrew Training Devices Instructor (Non-Rated)
- Aircrew Training Devices Instructor (Rated)
- Air Crew Training Devices Instructor (Pilot)
- Computer Based Training Specialist / Instructor
- Educational Technologist
- Flight Instructor (Pilot)
- Graphic Artist
- Technical Instructor
- Technical Instructor/Course Developer
- Test Proctor
- Tutor
Laundry, Dry-Cleaning, Pressing And Related Occupations
- Assembler
- Counter Attendant
- Dry Cleaner
- Finisher, Flatwork, Machine
- Presser, Hand
- Presser, Machine, Drycleaning
- Presser, Machine, Shirts
- Presser, Machine, Wearing Apparel, Laundry
- Sewing Machine Operator
- Tailor
- Washer, Machine
Machine Tool Operation And Repair Occupations
- Machine-Tool Operator (Tool Room)
- Tool And Die Maker
Materials Handling And Packing Occupations
- Forklift Operator
- Material Coordinator
- Material Expediter
- Material Handling Laborer
- Order Filler
- Production Line Worker (Food Processing)
- Shipping Packer
- Shipping/Receiving Clerk
- Store Worker I
- Stock Clerk
- Tools And Parts Attendant
- Warehouse Specialist
Mechanics And Maintenance And Repair Occupations
- Aerospace Structural Welder
- Aircraft Mechanic I
- Aircraft Mechanic II
- Aircraft Mechanic III
- Aircraft Mechanic Helper
- Aircraft, Painter
- Aircraft Servicer
- Aircraft Worker
- Appliance Mechanic
- Bicycle Repairer
- Cable Splicer
- Carpenter, Maintenance
- Carpet Layer
- Electrician, Maintenance
- Electronics Technician Maintenance I
- Electronics Technician Maintenance II
- Electronics Technician Maintenance III
- Fabric Worker
- Fire Alarm System Mechanic
- Fire Extinguisher Repairer
- Fuel Distribution System Mechanic
28.46
32.11
34.60
21.49
17.11
19.98
22.28
24.75
27.42
23.62
17.11
24.75
29.02
35.11
42.09
32.85
27.13
42.09
23.48
22.99
28.12
18.56
18.56
9.77
9.77
11.84
9.77
9.77
9.77
9.77
9.77
12.52
13.17
10.37
23.57
27.45
15.97
20.40
20.40
12.25
15.11
15.97
14.99
14.99
11.44
16.26
15.97
15.97
28.20
27.07
28.20
29.22
20.61
26.03
23.80
24.90
20.33
14.15
27.83
27.59
21.88
29.38
22.54
23.57
25.80
21.37
24.48
19.87
29.80
23312 - Fuel Distribution System Operator
23370 - General Maintenance Worker
23380 - Ground Support Equipment Mechanic
23381 - Ground Support Equipment Servicer
23382 - Ground Support Equipment Worker
23391 - Gunsmith I
23392 - Gunsmith II
23393 - Gunsmith III
23410 - Heating, Ventilation And Air-Conditioning
Mechanic
23411 - Heating, Ventilation And Air Contditioning
Mechanic (Research Facility)
23430 - Heavy Equipment Mechanic
23440 - Heavy Equipment Operator
23460 - Instrument Mechanic
23465 - Laboratory/Shelter Mechanic
23470 - Laborer
23510 - Locksmith
23530 - Machinery Maintenance Mechanic
23550 - Machinist, Maintenance
23580 - Maintenance Trades Helper
23591 - Metrology Technician I
23592 - Metrology Technician II
23593 - Metrology Technician III
23640 - Millwright
23710 - Office Appliance Repairer
23760 - Painter, Maintenance
23790 - Pipefitter, Maintenance
23810 - Plumber, Maintenance
23820 - Pneudraulic Systems Mechanic
23850 - Rigger
23870 - Scale Mechanic
23890 - Sheet-Metal Worker, Maintenance
23910 - Small Engine Mechanic
23931 - Telecommunications Mechanic I
23932 - Telecommunications Mechanic II
23950 - Telephone Lineman
23960 - Welder, Combination, Maintenance
23965 - Well Driller
23970 - Woodcraft Worker
23980 - Woodworker
24000 - Personal Needs Occupations
24570 - Child Care Attendant
24580 - Child Care Center Clerk
24610 - Chore Aide
24620 - Family Readiness And Support Services
Coordinator
24630 - Homemaker
25000 - Plant And System Operations Occupations
25010 - Boiler Tender
25040 - Sewage Plant Operator
25070 - Stationary Engineer
25190 - Ventilation Equipment Tender
25210 - Water Treatment Plant Operator
27000 - Protective Service Occupations
27004 - Alarm Monitor
27007 - Baggage Inspector
27008 - Corrections Officer
27010 - Court Security Officer
27030 - Detection Dog Handler
27040 - Detention Officer
27070 - Firefighter
27101 - Guard I
27102 - Guard II
27131 - Police Officer I
27132 - Police Officer II
28000 - Recreation Occupations
28041 - Carnival Equipment Operator
28042 - Carnival Equipment Repairer
28043 - Carnival Equpment Worker
28210 - Gate Attendant/Gate Tender
28310 - Lifeguard
28350 - Park Attendant (Aide)
28510 - Recreation Aide/Health Facility Attendant
28515 - Recreation Specialist
28630 - Sports Official
28690 - Swimming Pool Operator
29000 - Stevedoring/Longshoremen Occupational Services
29010 - Blocker And Bracer
29020 - Hatch Tender
29030 - Line Handler
22.74
19.47
27.07
23.80
24.90
19.87
22.54
24.53
24.51
25.53
22.86
31.14
24.53
23.57
12.25
23.52
25.37
22.87
15.36
24.53
25.55
27.56
24.53
23.39
18.38
24.97
23.98
24.53
24.53
22.54
24.66
21.58
24.14
24.84
27.24
21.15
24.53
24.53
19.77
12.73
16.73
12.02
16.99
18.59
26.75
24.04
26.75
20.37
24.04
15.94
12.48
28.63
28.63
13.96
28.63
23.21
12.48
13.96
32.52
36.13
15.15
15.89
10.35
15.28
12.12
17.09
12.48
19.32
13.62
20.66
22.54
22.54
22.54
29041 - Stevedore I
29042 - Stevedore II
30000 - Technical Occupations
30010 - Air Traffic Control Specialist, Center (HFO)
(see
30011 - Air Traffic Control Specialist, Station (HFO) (see
30012 - Air Traffic Control Specialist, Terminal (HFO) (see
30021 - Archeological Technician I
30022 - Archeological Technician II
30023 - Archeological Technician III
30030 - Cartographic Technician
30040 - Civil Engineering Technician
30061 - Drafter/CAD Operator I
30062 - Drafter/CAD Operator II
30063 - Drafter/CAD Operator III
30064 - Drafter/CAD Operator IV
30081 - Engineering Technician I
30082 - Engineering Technician II
30083 - Engineering Technician III
30084 - Engineering Technician IV
30085 - Engineering Technician V
30086 - Engineering Technician VI
30090 - Environmental Technician
30210 - Laboratory Technician
30240 - Mathematical Technician
30361 - Paralegal/Legal Assistant I
30362 - Paralegal/Legal Assistant II
30363 - Paralegal/Legal Assistant III
30364 - Paralegal/Legal Assistant IV
30390 - Photo-Optics Technician
30461 - Technical Writer I
30462 - Technical Writer II
30463 - Technical Writer III
30491 - Unexploded Ordnance (UXO) Technician I
30492 - Unexploded Ordnance (UXO) Technician II
30493 - Unexploded Ordnance (UXO) Technician III
30494 - Unexploded (UXO) Safety Escort
30495 - Unexploded (UXO) Sweep Personnel
30620 - Weather Observer, Combined Upper Air Or
(see
Surface Programs
30621 - Weather Observer, Senior
(see
31000 - Transportation/Mobile Equipment Operation Occupations
31020 - Bus Aide
31030 - Bus Driver
31043 - Driver Courier
31260 - Parking and Lot Attendant
31290 - Shuttle Bus Driver
31310 - Taxi Driver
31361 - Truckdriver, Light
31362 - Truckdriver, Medium
31363 - Truckdriver, Heavy
31364 - Truckdriver, Tractor-Trailer
99000 - Miscellaneous Occupations
99030 - Cashier
99050 - Desk Clerk
99095 - Embalmer
99251 - Laboratory Animal Caretaker I
99252 - Laboratory Animal Caretaker II
99310 - Mortician
99410 - Pest Controller
99510 - Photofinishing Worker
99710 - Recycling Laborer
99711 - Recycling Specialist
99730 - Refuse Collector
99810 - Sales Clerk
99820 - School Crossing Guard
99830 - Survey Party Chief
99831 - Surveying Aide
99832 - Surveying Technician
99840 - Vending Machine Attendant
99841 - Vending Machine Repairer
99842 - Vending Machine Repairer Helper
21.37
23.57
3)
3)
3)
3)
39.85
27.48
30.26
18.29
20.46
25.35
25.86
27.81
18.29
20.46
23.27
28.07
16.50
19.21
21.06
29.71
33.15
40.11
26.67
20.45
25.86
19.60
25.03
30.59
36.99
25.86
24.02
29.38
35.55
25.32
30.64
36.72
25.32
25.32
23.27
3)
25.35
13.62
20.94
13.63
9.61
14.80
12.48
14.80
17.73
17.89
17.89
11.10
11.32
25.32
12.33
13.23
25.32
18.38
14.83
21.38
23.67
19.26
12.55
13.08
28.30
18.63
25.56
18.63
21.51
18.63
____________________________________________________________________________________
ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:
HEALTH & WELFARE: $4.02 per hour or $160.80 per week or $696.79 per month
VACATION: 2 weeks paid vacation after 1 year of service with a contractor or
successor; 3 weeks after 5 years, and 4 weeks after 15 years. Length of service
includes the whole span of continuous service with the present contractor or
successor, wherever employed, and with the predecessor contractors in the
performance of similar work at the same Federal facility. (Reg. 29 CFR 4.173)
HOLIDAYS: A minimum of eleven paid holidays per year: New Year's Day, Martin
Luther King Jr's Birthday, Washington's Birthday, Good Friday, Memorial Day,
Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, and
Christmas Day. A contractor may substitute for any of the named holidays another
day off with pay in accordance with a plan communicated to the employees involved.)
(See 29 CFR 4.174)
THE OCCUPATIONS WHICH HAVE NUMBERED FOOTNOTES IN PARENTHESES RECEIVE THE FOLLOWING:
1) COMPUTER EMPLOYEES: Under the SCA at section 8(b), this wage determination does
not apply to any employee who individually qualifies as a bona fide executive,
administrative, or professional employee as defined in 29 C.F.R. Part 541. Because
most Computer System Analysts and Computer Programmers who are compensated at a rate
not less than $27.63 (or on a salary or fee basis at a rate not less than $455 per
week) an hour would likely qualify as exempt computer professionals, (29 C.F.R. 541.
400) wage rates may not be listed on this wage determination for all occupations
within those job families. In addition, because this wage determination may not
list a wage rate for some or all occupations within those job families if the survey
data indicates that the prevailing wage rate for the occupation equals or exceeds
$27.63 per hour conformances may be necessary for certain nonexempt employees. For
example, if an individual employee is nonexempt but nevertheless performs duties
within the scope of one of the Computer Systems Analyst or Computer Programmer
occupations for which this wage determination does not specify an SCA wage rate,
then the wage rate for that employee must be conformed in accordance with the
conformance procedures described in the conformance note included on this wage
determination.
Additionally, because job titles vary widely and change quickly in the computer
industry, job titles are not determinative of the application of the computer
professional exemption. Therefore, the exemption applies only to computer employees
who satisfy the compensation requirements and whose primary duty consists of:
(1) The application of systems analysis techniques and procedures, including
consulting with users, to determine hardware, software or system functional
specifications;
(2) The design, development, documentation, analysis, creation, testing or
modification of computer systems or programs, including prototypes, based on and
related to user or system design specifications;
(3) The design, documentation, testing, creation or modification of computer
programs related to machine operating systems; or
(4) A combination of the aforementioned duties, the performance of which
requires the same level of skills. (29 C.F.R. 541.400).
2) Does not apply to employees employed in a bona fide executive, administrative,
or professional capacity as defined and delineated in 29 CFR 541. (See CFR 4.156)
3) AIR TRAFFIC CONTROLLERS AND WEATHER OBSERVERS - NIGHT PAY & SUNDAY PAY: If you
work at night as part of a regular tour of duty, you will earn a night differential
and receive an additional 10% of basic pay for any hours worked between 6pm and 6am.
If you are a full-time employed (40 hours a week) and Sunday is part of your
regularly scheduled workweek, you are paid at your rate of basic pay plus a Sunday
premium of 25% of your basic rate for each hour of Sunday work which is not overtime
(i.e. occasional work on Sunday outside the normal tour of duty is considered
overtime work).
HAZARDOUS PAY DIFFERENTIAL: An 8 percent differential is applicable to employees
employed in a position that represents a high degree of hazard when working with or
in close proximity to ordinance, explosives, and incendiary materials. This
includes work such as screening, blending, dying, mixing, and pressing of sensitive
ordance, explosives, and pyrotechnic compositions such as lead azide, black powder
and photoflash powder. All dry-house activities involving propellants or explosives.
Demilitarization, modification, renovation, demolition, and maintenance operations
on sensitive ordnance, explosives and incendiary materials. All operations
involving regrading and cleaning of artillery ranges.
A 4 percent differential is applicable to employees employed in a position that
represents a low degree of hazard when working with, or in close proximity to
ordance, (or employees possibly adjacent to) explosives and incendiary materials
which involves potential injury such as laceration of hands, face, or arms of the
employee engaged in the operation, irritation of the skin, minor burns and the
like; minimal damage to immediate or adjacent work area or equipment being used.
All operations involving, unloading, storage, and hauling of ordance, explosive, and
incendiary ordnance material other than small arms ammunition. These differentials
are only applicable to work that has been specifically designated by the agency for
ordance, explosives, and incendiary material differential pay.
** UNIFORM ALLOWANCE **
If employees are required to wear uniforms in the performance of this contract
(either by the terms of the Government contract, by the employer, by the state or
local law, etc.), the cost of furnishing such uniforms and maintaining (by
laundering or dry cleaning) such uniforms is an expense that may not be borne by an
employee where such cost reduces the hourly rate below that required by the wage
determination. The Department of Labor will accept payment in accordance with the
following standards as compliance:
The contractor or subcontractor is required to furnish all employees with an
adequate number of uniforms without cost or to reimburse employees for the actual
cost of the uniforms. In addition, where uniform cleaning and maintenance is made
the responsibility of the employee, all contractors and subcontractors subject to
this wage determination shall (in the absence of a bona fide collective bargaining
agreement providing for a different amount, or the furnishing of contrary
affirmative proof as to the actual cost), reimburse all employees for such cleaning
and maintenance at a rate of $3.35 per week (or $.67 cents per day). However, in
those instances where the uniforms furnished are made of "wash and wear"
materials, may be routinely washed and dried with other personal garments, and do
not require any special treatment such as dry cleaning, daily washing, or commercial
laundering in order to meet the cleanliness or appearance standards set by the terms
of the Government contract, by the contractor, by law, or by the nature of the work,
there is no requirement that employees be reimbursed for uniform maintenance costs.
The duties of employees under job titles listed are those described in the
"Service Contract Act Directory of Occupations", Fifth Edition, April 2006,
unless otherwise indicated. Copies of the Directory are available on the Internet. A
links to the Directory may be found on the WHD home page at http://www.dol.
gov/esa/whd/ or through the Wage Determinations On-Line (WDOL) Web site at
http://wdol.gov/.
REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE {Standard Form
1444 (SF 1444)}
Conformance Process:
The contracting officer shall require that any class of service employee which is
not listed herein and which is to be employed under the contract (i.e., the work to
be performed is not performed by any classification listed in the wage
determination), be classified by the contractor so as to provide a reasonable
relationship (i.e., appropriate level of skill comparison) between such unlisted
classifications and the classifications listed in the wage determination. Such
conformed classes of employees shall be paid the monetary wages and furnished the
fringe benefits as are determined. Such conforming process shall be initiated by
the contractor prior to the performance of contract work by such unlisted class(es)
of employees. The conformed classification, wage rate, and/or fringe benefits shall
be retroactive to the commencement date of the contract. {See Section 4.6 (C)(vi)}
When multiple wage determinations are included in a contract, a separate SF 1444
should be prepared for each wage determination to which a class(es) is to be
conformed.
The process for preparing a conformance request is as follows:
1) When preparing the bid, the contractor identifies the need for a conformed
occupation(s) and computes a proposed rate(s).
2) After contract award, the contractor prepares a written report listing in order
proposed classification title(s), a Federal grade equivalency (FGE) for each
proposed classification(s), job description(s), and rationale for proposed wage
rate(s), including information regarding the agreement or disagreement of the
authorized representative of the employees involved, or where there is no authorized
representative, the employees themselves. This report should be submitted to the
contracting officer no later than 30 days after such unlisted class(es) of employees
performs any contract work.
3) The contracting officer reviews the proposed action and promptly submits a report
of the action, together with the agency's recommendations and pertinent
information including the position of the contractor and the employees, to the Wage
and Hour Division, Employment Standards Administration, U.S. Department of Labor,
for review. (See section 4.6(b)(2) of Regulations 29 CFR Part 4).
4) Within 30 days of receipt, the Wage and Hour Division approves, modifies, or
disapproves the action via transmittal to the agency contracting officer, or
notifies the contracting officer that additional time will be required to process
the request.
5) The contracting officer transmits the Wage and Hour decision to the contractor.
6) The contractor informs the affected employees.
Information required by the Regulations must be submitted on SF 1444 or bond paper.
When preparing a conformance request, the "Service Contract Act Directory of
Occupations" (the Directory) should be used to compare job definitions to insure
that duties requested are not performed by a classification already listed in the
wage determination. Remember, it is not the job title, but the required tasks that
determine whether a class is included in an established wage determination.
Conformances may not be used to artificially split, combine, or subdivide
classifications listed in the wage determination.