HomeMy WebLinkAboutSAP for Phase II ESA_Former K-Mart_South Bend rev
Prepared for:
City of South Bend Brownfields Coalition
227 West Jefferson Boulevard, 13th Floor
South Bend, Indiana 46601
Sampling and Analysis Plan
for Phase II Environmental Site
Assessment
Former K-Mart Shopping Center
4850 West Western Avenue
South Bend, Indiana 46619
Symbiont Project No. W150460
HEA Project No. 5200-16-08
May 6, 2016
Prepared for:
City of South Bend Brownfields Coalition
227 West Jefferson Boulevard, 13th Floor
South Bend, Indiana 46601
Sampling and Analysis Plan for Phase II
Environmental Site Assessment
Former K-Mart Shopping Center
4850 West Western Avenue
South Bend, Indiana 46619
Symbiont Project No. W150460
HEA Project No. 5200-16-08
March 23, 2016
Ryan Eckdale-Dudley, GISP
Project Manager
Symbiont
Nivas R. Vijay, CHMM
Project Manager
Heartland Environmental Associates, Inc.
P:\Former K-Mart II ESA SAP i
TABLE OF CONTENTS
Section Page
LIST OF ACRONYMS AND ABBREVIATIONS ............................................................. iii
1.0 INTRODUCTION ................................................................................................ 1
1.1 General ................................................................................................... 1
1.2 Site Description/Background ................................................................... 1
1.3 Recognized Environmental Conditions ................................................... 1
2.0 PROBLEM STATEMENT AND SCOPE OF WORK ............................................ 3
2.1 Problem Statement ................................................................................. 3
2.2 Scope of Work ........................................................................................ 3
3.0 GEOPHYSICAL SURVEY
3.1 General ................................................................................................... 4
3.2 Objectives ............................................................................................... 4
3.3 Geophysical Survey Methods.................................................................. 4
4.0 SOIL ASSESSMENT .......................................................................................... 5
4.1 General ................................................................................................... 5
4.2 Objectives ............................................................................................... 5
4.3 Soil Boring and Subsurface Investigation ................................................ 5
4.3.1 Special Handling Considerations ................................................. 6
4.3.2 Chain-of-Custody ........................................................................ 7
4.3.3 Field Log Book ............................................................................ 7
4.3.4 Management of Investigative Waste ............................................ 7
4.3.5 Horizontal and Vertical Survey of Boring Locations ..................... 7
5.0 GROUNDWATER ASSESSMENT ..................................................................... 8
5.1 General ................................................................................................... 8
5.2 Objectives ............................................................................................... 8
5.3 Temporary Monitoring Well Installation and Sampling ............................. 8
5.3.1 Special Handling Considerations ................................................. 9
5.3.2 Chain-of-Custody ........................................................................ 9
5.3.3 Field Log Book .......................................................................... 10
5.3.4 Management of Investigative Waste .......................................... 10
5.3.5 Horizontal and Vertical Survey of Well Locations ...................... 10
6.0 REPORT, SCHEDULE, AND ESTIMATED COST ............................................ 11
6.1 Report ................................................................................................... 11
6.2 Schedule ............................................................................................... 11
6.3 Estimated Cost ..................................................................................... 11
7.0 REFERENCES ................................................................................................. 12
P:\Former K-Mart II ESA SAP ii
TABLES
1 Phase II Environmental Site Assessment, Sampling Volume and Laboratory
Analysis Schedule, Former K-Mart Shopping Center, South Bend, Indiana
2 Phase II Environmental Site Assessment, Estimated Costs, Former K-Mart
Shopping Center, South Bend, Indiana
FIGURES
1 Site Location Map
2 Site Location Map (Aerial)
3 Proposed Soil Boring Location Map
APPENDICES
A Health and Safety Plan
P:\Former K-Mart II ESA SAP iii
LIST OF ACRONYMS AND ABBREVIATIONS
bgs Below ground surface
DOT Department of Transportation
ESA Environmental Site Assessment
FD Field Duplicate
GPR Ground Penetrating Radar
GPS Geographic Positioning System
HASP Health and Safety Plan
IDEM Indiana Department of Environmental Management
MS/MSD Matrix Spike / Matrix Spike Duplicate
PAH Polycyclic Aromatic Hydrocarbon
PVC Polyvinyl Chloride
QAPP Quality Assurance Project Plan
QA/QC Quality Assurance/Quality Control
REC Recognized Environmental Condition
SAP Sampling and Analysis Plan
SIN Sample Identification Number
TW Temporary Well
USEPA
UST
United States Environmental Protection Agency
Underground Storage Tank
VOC Volatile Organic Compound
P:\Former K-Mart II ESA SAP 1
Section 1.0
INTRODUCTION
1.1 GENERAL
This Sampling and Analysis Plan (SAP) has been prepared on behalf of the City of South Bend
Brownfields Coalition (Coalition) by Symbiont, Science, Engineering and Construction, Inc.
(Symbiont) and Heartland Environmental Associates, Inc. (Heartland) for a Phase II
Environmental Site Assessment (ESA) to be performed at a Former K-Mart Shopping Center,
located at 4850 West Western Avenue, South Bend, Indiana (referred to as the “Site” or the
“property”) (Figure 1). The Coalitions United States Environmental Protection Agency (EPA)
Community-Wide Brownfield Assessment Grant funds will be used to conduct assessment
activities at the Site.
The purpose of this SAP is to document and report proposed sampling activities and rationale,
outline data quality objectives, data generation methodologies and quality assurance measures
associated with this Phase II ESA. All sampling procedures and analytical methods will be
conducted in accordance with the grant-wide Quality Assurance Project Plan (QAPP)
(Heartland 2015).
1.2 SITE DESCRIPTION/BACKGROUND
The site is located on approximately 9.75-acres situated on one parcel (Parcel # 018-4129-
50324). The site was developed in 1976 as a K-Mart Shopping Center. The site operated as a
K-Mart retail store from 1976 through 2005, when the site was vacated. The eastern portion of
the site was subsequently segmented and began operation as a Family Dollar retail store in 2007.
Three additional retail vendors have also operated in the eastern portion of the site since 2007,
with the vendors including a restaurant, an insurance sales office and a cellular phone retailer.
Prior to development as K-Mart the site was undeveloped.
The remainder of the Site currently consists of a partially vacant commercial shopping center
plaza with associated parking lot and landscaped areas. The site is currently owned by 4850
Western, LLC. A site location map is provided as Figure 1. A site location map depicting parcel
boundaries is provided as Figure 2.
1.3 RECOGNIZED ENVIRONMENTAL CONDITIONS
A Phase I ESA conducted in April 2016 (Heartland, 2016), identified the following Recognized
Environmental Conditions (REC) and potential environmental concerns at the Site.
Historical Presence of an Underground Storage Tank
As part of operations as K-Mart, the site historically operated an automobile repair center, located
in the westernmost portion of the site building. The site operated at least one underground storage
tank (UST) containing waste oil. This UST was removed in October 1993.
Based on the results of soil confirmation sampling conducted during the course of UST removal,
impacts of total petroleum hydrocarbons (TPH) were encountered in soils exceeding Indiana
P:\Former K-Mart II ESA SAP 2
Department of Environmental Management (IDEM) cleanup objectives in 1993. The site was
issued a low priority leaking underground storage tank (LUST) incident number (LUST Incident
#199301523) in 1994 for this release.
After further review from IDEM, this LUST incident was issued a No Further Action (NFA) status
in December 1999 based on the low levels of TPH encountered during the UST removal.
Groundwater samples were not collected as part of the UST closure confirmation sampling.
Potential Existing Underground Storage Tank
During the site reconnaissance, evidence of an additional UST, in the form of a vent pipe and
access panel, was observed directly west of the site building, near the location of the removed
UST. The potential exists that a replacement waste oil UST was installed after closure of the
waste oil UST. No documentation pertaining to the installation or registration of a new UST was
uncovered during the site research.
Historical Property Use as an Automobile Service Garage
As stated above, the site operated as an automobile service garage from at least 1976 through
2005. The site operated at least four hydraulic lifts as part of operations as a service garage.
These hydraulics lifts appeared to still be present during the time of the site reconnaissance.
It has been determined that a Phase II ESA should be conducted to evaluate for the presence of
petroleum impacts to soil and/or groundwater based on historic usage of the site. This SAP has
been prepared to outline the scope of work for the recommended Phase II ESA.
P:\Former K-Mart II ESA SAP 3
Section 2.0
PROBLEM STATEMENT AND SCOPE OF WORK
2.1 PROBLEM STATEMENT
The objective of this Phase II ESA is to evaluate RECs identified in the Phase I ESA
(Heartland, 2016). Specifically, the purpose of the assessment is to determine if there were
petroleum product releases associated with historic usage of the Site.
2.2 SCOPE OF WORK
A geophysical survey utilizing ground penetrating radar (GPR) will be performed as part of Phase
II ESA activities in order to locate suspected USTs or former UST excavation pits.
Up to 7 soil borings will be installed in the vicinity of the former USTs (Figure 3). Soil borings will
be installed using direct push drilling techniques. Soil samples for laboratory analysis will be
collected from each of the soil borings. The 7 soil borings will be completed as 1-inch diameter
polyvinyl chloride (PVC) temporary groundwater monitoring wells. Groundwater samples for
laboratory analysis will be collected from each of the temporary wells.
All soil and groundwater samples will be submitted to Pace Analytical Service, Indianapolis,
Indiana (Pace Analytical) and analyzed for lead, volatile organic compounds (VOCs), and
polycyclic aromatic hydrocarbon compounds (PAHs). Soil and groundwater samples collected in
the vicinity of the hydraulic lifts will also be analyzed for polychlorinated biphenyls (PCBs)
(Table 1).
The following sections provide detailed field investigation methods and procedures to be
conducted during the Phase II ESA.
P:\Former K-Mart II ESA SAP 4
Section 3.0
GEOPHYSICAL SURVEY
3.1 GENERAL
A geophysical survey of the Site will be completed based on the findings of the Phase I ESA
(Heartland, 2016). The geophysical survey will be conducted utilizing GPR. A site-specific health
and safety plan (HASP) has been developed for use during implementation of the geophysical
survey is provided in Appendix A.
3.2 OBJECTIVES
The objective of the geophysical survey is to locate any suspected USTs and the former UST
excavation pit(s). Geophysical surveying may also be utilized to identify other underground
utilities such as water and electrical lines to assist with the utility clearance around soil boring
locations.
3.3 GEOPHYSICAL SURVEY METHODOLOGY
GPR is a geophysical technique that uses electromagnetic waves for willow subsurface
reconnaissance and exploration. An electromagnetic impulse in the form of ultra-high frequency
radio waves are emitted into the ground by a transmitting antenna, and the resulting reflection of
transfer of waves from contamination plumes, boundary layers or buried objects is detected by a
receiving antenna. The presence of buried objects or significant changes in conductivity of the
layers will cause the electromagnetic wave to be reflected. Together these images provide direct
information concerning subsurface conditions. These images will then be transposed onto a final
map, documenting the locations of any anomalies, including USTs and/or UST excavation pits, in
the final Phase II ESA results report.
P:\Former K-Mart II ESA SAP 5
Section 4.0
SOIL ASSESSMENT
4.1 GENERAL
The sampling and analytical approach for soil is based on the findings of a Phase I ESA
(Heartland, 2016). A site-specific HASP has been developed for use during implementation of
soil assessment work and is provided in Appendix A.
4.2 OBJECTIVES
Heartland will conduct Phase II ESA field activities to address RECs identified in the Phase I ESA
(Heartland, 2016). Site investigation activities will include the collection of subsurface soil
samples to identify potential historical leaks and/or spills associated with the former and/or
existing USTs and the hydraulic lifts. All sampling procedures and analytical methods will be
conducted in accordance with the approved, grant-wide QAPP (Heartland, 2016).
4.3 SOIL BORING AND SUBSURFACE INVESTIGATION
Soil boring locations will be cleared for underground utilities by notifying applicable utility
companies and reviewing any records available from the City or elsewhere regarding utility
locations.
Soil sampling equipment such as drill rods will be decontaminated prior to arrival onsite. To
prevent cross contamination, all drilling and downhole equipment will be decontaminated in
between use at the Site utilizing a high-pressure spray washer, an Alconox solution wash,
followed by a distilled water rinse.
The soil investigation will consist of up to 7 soil borings advanced using direct push drilling
methods. Soil borings will be advanced in the western portion of the Site, in the vicinity of the
former automotive repair center. Soil borings SB-1 through SB-4 will be advanced in the vicinity
of the former UST pit(s). Soil borings SB-5 through SB-7 will be advanced within the Site building
garage in the area of the hydraulic lifts. Locations of the proposed soil borings are depicted on
Figure 3.
Soil samples will be collected continuously at 2 foot intervals to the anticipated total boring depth.
Soil samples will be visually and physically examined by Heartland field staff, and observations
will be made of the general soil type, any visible layering, evidence of non-native fill materials if
any, indications of chemical or other staining, odors, and any other distinctive features. Pertinent
observations noted during advancement of the soil borings will be documented on the soil boring
logs.
Additionally, each soil sample will be field-screened for the presence of organic vapors using a
photoionization detector (PID). The PID will be calibrated daily in the field in accordance with the
manufacturer’s specifications. The calibration of the PID will be checked periodically during the
sampling day. PID readings will be recorded on the soil boring logs.
P:\Former K-Mart II ESA SAP 6
One soil sample for laboratory analysis will be collected from each soil boring. The soil sample
interval where the highest PID reading is detected will be submitted to the laboratory for chemical
analysis. If organic vapors are not detected in a boring, a soil sample for laboratory analysis will
be collected from immediately above the water table, anticipated to be approximately 16 feet
below ground surface (bgs).
Soil samples will be collected and analyzed for VOCs using EPA method 8260B, PAHs using
EPA method 8270SIM, and lead using EPA method 6020B. Soil samples collected in the vicinity
of the hydraulic lifts will also be analyzed for PCBs using EPA method 8082. All samples will be
placed in laboratory-supplied containers, preserved as appropriate, stored on ice, sealed with
signed and dated custody seals, and submitted under chain-of-custody procedures to Pace
Analytical for analysis.
Soil samples will be identified using a Sample Identification Number (SIN) with the following
format:
Sample Type Sample
Location
Sample Interval
(feet bgs) Sample Name
Soil Boring SB-1 (1-2) SB-1(001002)
Methanol Trip
Blank - - - - MTB-1
bgs = below ground surface
4.3.1 Special Handling Considerations
Soil samples for laboratory analysis will be collected and preserved in accordance with applicable
laboratory and EPA method requirements. The laboratory will supply the appropriate sample
collection containers.
Methanol trip blanks will be analyzed for VOCs to verify that sample handling procedures have
not affected the integrity of the field samples. Methanol trip blanks will be provided by the
laboratory and will be subject to the same handling and transportation procedures as the original
samples. Trip blanks will be required at the rate of one per shipping container per day.
If reusable sampling equipment is used, equipment blanks will be prepared by filling the
decontaminated sampling device with laboratory supplied reagent water, transferring the sample
to bottles, and submitting the sample to the laboratory for analysis. If contaminants are found in
the equipment or trip blanks, the source of the contamination will, if possible, be identified and
corrective action, such as modifying the procedure and/or re-sampling if appropriate, will be
initiated.
Field duplicates (FD) and matrix spike/matrix spike duplicate (MS/MSD) samples will be collected
and analyzed to assess the quality of the data resulting from the field sampling and analytical
programs. Soil FD samples will be collected from the soil borings at a rate of one duplicate for
every 10 investigative samples. MS/MSD samples will be collected at a rate of one for every 20
investigative samples. The estimated number of FD, MS, and MSD samples to be analyzed for
each constituent is provided in Table 1.
P:\Former K-Mart II ESA SAP 7
4.3.2 Chain-of-Custody
The chain-of-custody will allow for the tracking of possession and handling of individual samples
from the time of field collection through laboratory submittal. The chain-of-custody will include
sample identifiers, date collected, sample collection time, number of containers, analysis
requested, sample preservation and special handling information, requested turnaround time and
name(s) and signature(s) of sample collector(s). Additional chain-of-custody information
includes; Heartland project manager, project name and number, name of laboratory, and the
laboratory project manager contact information.
4.3.3 Field Log Book
An up-to-date field log book will be kept and maintained during all field investigation activities.
The log book will include a general list of tasks performed, additional data, or observations not
listed on field data sheets, and document communication with onsite personnel or visitors as it
applies to the project.
4.3.4 Management of Investigative Waste
Investigative wastes generated during subsurface investigation will be properly managed and
maintained. Waste soil cuttings will be collected in Department of Transportation (DOT)-approved
steel drums or another appropriate container, sealed, labeled, and stored onsite pending the
completion of laboratory analysis and determination of disposal restrictions, if any. As
appropriate, waste soil cuttings will be handled, transported, and disposed of by a licensed waste
handler per federal and state requirements. The generator of the waste will be the property owner
at the time of the investigation.
4.3.5 Horizontal and Vertical Survey of Boring Locations
The horizontal and vertical location of the top of the ground surface at each soil boring will be
surveyed using a sub-centimeter global positioning system (GPS). Horizontal accuracies within
the capabilities of a sub-meter GPS unit (approximately 1.5 feet of error) are acceptable. Vertical
accuracy of at least 0.01 feet is required.
P:\Former K-Mart II ESA SAP 8
Section 5.0
GROUNDWATER ASSESSMENT
5.1 GENERAL
The sampling and analytical approach for groundwater is based on the findings of a Phase I ESA
(Heartland, 2016). A site-specific HASP has been developed for use during implementation of
groundwater assessment work and is provided in Appendix A.
5.2 OBJECTIVES
Heartland will conduct groundwater sampling activities to characterize groundwater at the Site to
address identified RECs in the Phase I ESA (Heartland, 2016). All sampling procedures and
analytical methods will be conducted in accordance with the approved, grant-wide QAPP
(Heartland, 2016).
5.3 TEMPORARY MONITORING WELL INSTALLATION AND SAMPLING
All 7 of the soil borings will be converted into one-inch diameter temporary groundwater
monitoring wells. Each temporary groundwater monitoring well will be installed to the extent of
the first encountered groundwater saturated zone, anticipated to be approximately 16 feet bgs.
Each soil boring will be advanced approximately 5 feet below the water table. Each temporary
groundwater monitoring well will be constructed using polyvinyl chloride well screen and well
casing.
The temporary groundwater monitoring wells will be allowed to stabilize and will be sampled within
at least 24-hours following well installation. Groundwater samples will be collected from each
temporary well utilizing Indian Department of Environmental Management (IDEM) approved low
flow sampling methodology. Low-flow sampling methodology will include a flow through sampling
cell for measuring groundwater quality parameters (temperature, pH, conductivity, dissolved oxygen,
oxygen reduction potential and turbidity).
Depth to groundwater data will be collected from each temporary well to evaluate groundwater
flow direction at the site. Groundwater monitoring wells will be additionally gauged utilizing a
Solinst Oil/Water Interface Probe to confirm presence/absence of light non-aqueous phase liquids
(LNAPL).
Groundwater samples will be submitted for analysis of VOCs using EPA method 8260, PAHs
using EPA method 8270SIM and dissolved lead using EPA method 6010B. Groundwater
samples collected in the vicinity of the hydraulic lifts will also be analyzed for PCBs using EPA
method 8082. Groundwater samples will be analyzed by Pace Analytical.
After collection of the groundwater samples, the temporary wells will be properly abandoned in
accordance with Indiana Administrative Code 312 IAC 13-10-2 and the boreholes will be finished
to grade.
P:\Former K-Mart II ESA SAP 9
Groundwater samples will be identified using a SIN with the following format:
Sample Type Sample
Location
Indicate
Groundwater
Matrix
Sample
Name
Temporary
Well SB-1 -GW SB-1-GW
Trip Blank TB -01 TB-1
5.3.1 Special Handling Considerations
Collection of groundwater samples for analysis for VOCs will be performed in accordance with
the QAPP. Headspace should not be present in the sample container, thus minimizing the
volatilization of organics from the sample. The laboratory will supply the pre-preserved 40-ml
glass vials with Teflon™-lined caps.
An unfiltered and unpreserved groundwater sample will be provided to the laboratory for lead
analysis. The laboratory will be instructed to filter and preserve the sample upon the laboratories
receipt of the sample prior to analysis. The lead results will be reported as dissolved.
A trip blank will accompany each sample cooler to verify that sample handling procedures have
not affected the integrity of the field samples. Trip blanks will be provided by the laboratory and
will be subject to the same handling and transportation procedures as the samples. Trip blanks
will be required at the rate of one per shipping container of VOCs.
If reusable sampling equipment is used, equipment blanks will be prepared by filling the
decontaminated sampling device with laboratory supplied reagent water, transferring the sample
to bottles, and submitting the sample to the laboratory for analysis. If contaminants are found in
the equipment or trip blanks, the source of the contamination will, if possible, be identified and
corrective action, such as modifying the procedure and/or re-sampling if appropriate, will be
initiated.
FD and MS/MSD samples will be collected and analyzed to assess the quality of the data resulting
from the field sampling and analytical programs. The FD samples will be collected from the wells
at a rate of one duplicate for every 10 investigative samples. MS and MSD samples will be
collected at a rate of one for every 20 investigative samples. The estimated number of FD, MS,
and MSD samples to be analyzed for each constituent is provided in Table 1.
5.3.2 Chain-of-Custody
The chain-of-custody will allow for the tracking of possession and handling of individual samples
from the time of field collection through laboratory analysis. The chain-of-custody program will
include: sample labels, custody seals, field logbook, chain-of-custody form/sample analysis
request sheet, and laboratory logbook. All chain-of-custody procedures will be performed in
accordance with the QAPP.
P:\Former K-Mart II ESA SAP 10
5.3.3 Field Log Book
An up-to-date field log book will be kept and maintained during all field investigation activities.
The log book will include a general list of tasks performed, additional data, or observations not
listed on field data sheets, and document communication with onsite personnel or visitors as it
applies to the project.
5.3.4 Management of Investigative Waste
Investigative wastes generated during the assessment of groundwater is anticipated to be
minimal. However, purge water will be collected in DOT-approved drums or other appropriate
containers, sealed, labeled, and stored on site pending the completion of laboratory analysis and
determination of disposal restrictions, if any. As appropriate, waste groundwater will be handled,
transported, and disposed of by a licensed waste handler in accordance with federal and state
requirements. The generator of the waste will be the property owner at the time of the
investigation.
5.3.5 Horizontal and Vertical Survey of Well Locations
The horizontal and vertical location of the top of the well casing and the top of the ground surface
(borehole) at each well will be surveyed using a sub-centimeter GPS unit. Horizontal accuracies
within the capabilities of a sub-meter GPS unit (approximately 1.5 feet of error) are acceptable.
Vertical accuracy of at least 0.01 feet is required.
P:\Former K-Mart II ESA SAP 11
Section 6.0
REPORT, SCHEDULE, AND ESTIMATED COSTS
6.1 REPORT
The Phase II ESA field investigation will provide soil and groundwater condition data and identify
potential contaminant sources at the Site. A Phase II ESA summary report will be prepared and
include the following:
A summary of field methods and procedures,
Maps of borings and well locations,
Map of GPR survey area and findings,
Tables and figures summarizing analytical results for soil and groundwater
samples,
Groundwater elevation and flow direction data,
A description of modifications to the scope of work in this SAP and an explanation
for the deviation,
A comparison of the project data to the IDEM Remediation Closure Guide (RCG)
default cleanup levels,
Photographs of assessment activities,
Laboratory analytical reports, and
Soil boring lithologic logs including PID data.
Recommendations for future actions, if necessary, will be provided in the Phase II ESA Report.
6.2 SCHEDULE
Fieldwork will be scheduled within 5 business days upon approval of this SAP. Fieldwork,
including soil boring advancement, temporary monitoring well installation, and groundwater
sampling is anticipated to take 2 days to complete. Laboratory analysis of soil and groundwater
samples are anticipated to take up to 10 business days. The final Phase II ESA report will be
submitted no later than 45 days after the receipt of the final laboratory analytical results report.
6.3 ESTIMATED COSTS
The total estimated costs for the scope of work for this Phase II ESA are $14,000. A cost
breakdown for each task involved in this project is provided in Table 2.
P:\Former K-Mart II ESA SAP 12
Section 6.0
REFERENCES
Heartland, 2016, Phase I Environmental Site Assessment, Former K-Mart Shopping Center, 4850
West Western Avenue, South Bend, Indiana, April 12, 2016.
Heartland, 2015, Quality Assurance Project Plan, City of South Bend Brownfields Coalition,
Community-Wide Brownfields Assessment Project, prepared for The City of South Bend and
Coalition Partners, The City of Mishiwaka, and Saint Joseph County, Indiana, February 2015.
TABLES
Sample Location Laboratory Analytical
Parameters Sampling Matrix Number of Samples
1 Soil/1 Groundwater
(1 per sample location)
1 Soil/1 Groundwater
(1 per sample location)
FD-1
(QA/QC Sample)
FD-2
(QA/QC Sample)
MS/MSD-1
(QA/QC Sample)
MS/MSD-2
(QA/QC Sample)
Trip Blank (a) Water
(QA/QC Sample)(Laboratory Provided)
Methanol Trip Blank (a)Liquid
(QA/QC Sample)(Laboratory Provided)
(a) =
SB =Soil boring
FD =Field Duplicate
MS/MSD =Matrix Spike/Matrix Spike Duplicate
QA/QC =Quality Assurance/Quality Control
VOCs =Volatile organic compounds
PAHs =Polycyclic Aromatic Hydrocarbons
PCBs =Polychlorinated Biphenyls
SB-5 through SB-7 PCBs Soil and Groundwater
Groundwater analysis for lead is for the dissolved fraction.
TABLE 1
Sampling Volume and Laboratory Analysis Schedule
Former K-Mart Shopping Center, South Bend, Indiana
SB-1 through SB-7 VOCs, PAHs, lead Soil and Groundwater
Phase II Environmental Site Assessment
VOCs, PAHs, lead,
PCBs Soil 1 Soil
VOCs, PAHs, lead,
PCBs Groundwater 1 Groundwater
VOCs, PAHs, lead Soil 1 Soil
VOCs, PAHs, lead Groundwater 1 Groundwater
A trip blank and/or methanol blank will be prepared and submitted to the
laboratory each day groundwater and/or soil samples are collected.
VOCs 1 Water
VOCs 1 Methanol
Table 1 Analytical Schedule 1 of 1
ITEM ESTIMATED COST
Project Management and Coordination $1,900
Soil Boring and Sampling Oversite $1,700
Equipment and Supplies $600
Soil and Groundwater Laboratory Analytical $2,690
Drilling Subcontractor and Waste Disposal $2,310
Report Preparation $4,800
PROJECT TOTAL $14,000
TABLE 2
Phase II Environmental Site Assessment
Estimated Costs
Former K-Mart Shopping Center, South Bend, Indiana
Table 2 Estimated Costs 1 of 1
FIGURES
APPENDIX A
SITE SPECIFIC HEALTH AND SAFETY PLAN
Heartland Environmental Associates, Inc.
“Your dependable partner for environmental compliance”
3410 Mishawaka Ave. South Bend, Indiana 46615 Phone 574.289.1191 Fax 574.289.7480
HEALTH AND SAFETY PLAN
Former K-Mart Shopping Center
4850 Western Avenue
South Bend, Indiana 46619
May 1, 2016
Former K-Mart Shopping Center, 4850 Western Avenue in South Bend, Indiana Health and Safety Plan
Heartland Environmental Associates, Inc.
This report is prepared by:
Heartland Environmental Associates, Inc.
3410 Mishawaka Avenue, South Bend, IN 46615
574-289-1191 Fax: 574-289-7480
Prepared for:
The City of South Bend Brownfields Coalition
227 West Jefferson Boulevard
13th Floor
South Bend, Indiana 46601
For the Site:
Former K-Mart Shopping Center
4850 Western Avenue
South Bend, Indiana 46619
Report prepared by:
05/01/2016
Nivas R. Vijay, CHMM
Heartland Environmental Associates, Inc. Date
Former K-Mart Shopping Center, 4850 Western Avenue in South Bend, Indiana Health and Safety Plan
Heartland Environmental Associates, Inc.
TABLE OF CONTENTS
1.0 General Information ............................................................................................ 1
2.0 Site Description ................................................................................................... 1
3.0 Project Objectives ................................................................................................ 2
4.0 Project Organization ............................................................................................ 2
5.0 Hazard Analysis ................................................................................................... 4
6.0 Site Control ........................................................................................................ 10
7.0 Personal Protective Equipment ......................................................................... 11
8.0 Medical Surveillance ......................................................................................... 13
9.0 Decontamination ................................................................................................ 13
10.0 Air Monitoring ................................................................................................. 14
11.0 Contingency Plan ............................................................................................. 15
12.0 Emergency Response Plan .............................................................................. 16
13.0 Emergency Response ...................................................................................... 18
14.0 Signature Page ................................................................................................. 19
LIST OF ATTACHMENT
Material Safety Data Sheets ..................................................................... Attachment A
Site Location Map ..................................................................................... Attachment B
Hospital Directions ................................................................................... Attachment C
Emergency Contact Numbers ................................................................... Attachment C
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
1
1.0 General Information
1.1. Project Name
Former K-Mart Shopping Center – South Bend, Indiana Brownfields Environmental Assessment
1.2. Project Number
Heartland Project ID Number: 5200-16-08
1.3. Location
Site is located at 4850 Western Avenue in South Bend, Indiana. The assessment area consists of a
commercial shopping center plaza with associated parking lot and landscaped areas totaling
approximately 9.75-acres.
1.4. Client
All work provided under the planned scope of work will be completed for the City of South Bend
Brownfields Coalition. Work is being completed under a USEPA Community-Wide Brownfields
Assessment Grant for Petroleum Substances provided to the City of South Bend Brownfields
Coalition.
1.5. Plan Prepared By
Nivas R. Vijay, CHMM - Senior Project Manager - Heartland Environmental Associates, Inc.
1.6. Plan Approved By
John R. Barnhart, LPG – Senior Project Manager - Heartland Environmental Associates, Inc.
2.0 Site Description
2.1. General Site Description
The site has historically been developed and utilized as a commercial shopping center plaza. The
site is located on approximately 9.75-acres situated on one parcel (Parcel #s 018-4129-504324). ,
The site was developed in 1976 as a K-Mart Shopping Center. The site operated as a K-Mart
retail store from 1976 through 2005, when the site was vacated. The eastern portion of the site
was subsequently segmented and began operation as a Family Dollar retail store in 2007. Three
additional retail vendors have operated in the eastern portion of the site since 2007, with the
vendors including a restaurant, an insurance sales office and a cellular phone retailer. Prior to
development as K-Mart the site was undeveloped. A site location map is provided as Figure 1.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
2
3.0 Project Objectives(s)
3.1. Description of Work Area Activities Planned
The scope of work for this project involves the advancement of soil borings, the installation of
temporary groundwater piezometers, and the collection of soil and groundwater samples at the site.
The scope of work also includes for sampling of groundwater from temporary piezometers utilizing
Indiana Department of Environmental Management approved low-flow sampling methodology.
Potential remedial alternatives selected will be addressed as determined.
4.0 Project Organization
Table 1
Team Member Responsibility
Ryan Eckdale-Dudley Symbiont – Project Director
Nivas R. Vijay Project Manager/Site Supervisor/Primary Point of
Contact
John R. Barnhart, LPG Health and Safety Officer
David Nye Senior Technician/Site Personnel
John A. Sill Site Personnel
All personnel allowed on site will have current Health & Safety Training as required by 29 CFR 1910.120.
4.1. Responsibilities
4.1.1. Senior Project Manager/Site Supervisor
The Project Manager will be responsible for preparation of the site work plan, provide adequate
personnel, time, and resources to conduct on-site activities. The Project Manager will also be
responsible for the project schedule and on-time completion of the project. The Project Manager is
also responsible for overall site safety.
The Site Supervisor will be responsible for field team operations and safety. The Site Supervisor
will manage daily site operations. The Site Supervisor will conduct daily on-site safety briefings
and make sure proper safety procedures and policies are being conducted.
4.1.2. Health and Safety Officer
The Health and Safety Officer (HSO) will advise the Project Manager of all on-site health and
safety issues. The HSO will develop or assist in development of this site-specific health and safety
plan and is responsible for making sure that the procedures outlined in this plan are properly
implemented. The safety officer shall be notified of any emergencies. The safety officer will be
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
3
available to evaluate changes in site conditions or site operations that may potentially warrant
changes in the site safety plan.
4.1.4. Site Personnel
Site personnel will be required to follow safety policies and procedures outlined and set forth in this
document. Each individual conducting operation at the site will be required to read and sign the
safety plan.
4.1.5. Subcontractors
Drilling subcontractors and UST removal subcontractors conducted site work will be required to be
trained on the health and safety plan and will be required to work within all state, federal and
OSHA guidelines. Subcontractors involved with site operations dealing with hazardous materials
will be required to have current 24 or 40-hour training under 29 CFR 1910.120. Heartland will
inform subcontractors of potential site hazards and each subcontractor will be required to develop
their own site-specific plan. Each subcontractor will be required to maintain a high level of safety
while conducting operations.
4.1.6. Notes
Any violations of the safety plan may result in disciplinary action against the individual.
The safety plan may be changed at any time by the project manager due to changes in scope
of work or site conditions. The project manager will be immediately notified of the changes.
All on-site staff will review the safety plan with the senior project manager/project manager
before entry onto the site.
5.0 Hazard Analysis
The chemical and physical hazards that may be present are discussed in the following subsections.
5.1. Chemical Hazards
The primary impacts encountered at the site are related to historic operations at the site as a bulk oil
terminal. These COCs include petroleum constituents (benzene, ethylbenzene, xylenes,
naphthalene), 1,2,4-trimethylbenzene, 1,3,5-trimethylbenzene and polyaromatic hydrocarbons
(PAHs) and lead. The chemical-specific Occupational Safety and Health Administration (OSHA)
permissible exposure limits (PELs) and chemical and physical properties are shown in the
following table.
Table 2
Principal
Contaminant(s)
PEL
ppm
IDLH
ppm
Incompatibilities &
Reactivities
Symptoms/Effects of ACWE
Exposure
Lead 0.050 100 Strong Oxidizers, acids, hydrogen
peroxide
Eyes, nose and throat irritant, dizziness,
headache, and nausea
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
4
Principal
Contaminant(s)
PEL
ppm
IDLH
ppm
Incompatibilities &
Reactivities
Symptoms/Effects of ACWE
Exposure
VOC’s/PAH’s - - Vary – Strong oxidizers Eyes, nose and throat irritant, dizziness,
headache, and nausea
*: Represent potential on site exposures
5.1.1. Waste Type(s)
Free Product – Potentially, residual petroleum product collected with purged groundwater
Liquid – Yes, water from soil borings and decontamination water, if necessary
Solid – Yes, soil cuttings from borings, if necessary
Sludge – No
Gas – Possible, volatile organic vapors from constituents in table above
5.1.2. Waste Characteristics
Corrosive – Unlikely, metals and SVOCs if present, but will present minimal hazard.
Flammable – Potentially. Flammable components not likely to be encountered, although
degraded petroleum free product is present.
Reactive – Unlikely.
Oxidizer – No
Toxic – Slightly, materials that may be present can be toxic in large quantities or high
concentrations for what is expected during this phase of work. If levels of these chemicals reach
the OSHA PELs, STELs, or IDLH, they could potentially be acutely toxic. This type of
symptom would occur if a person inhaled a very large dose of these chemicals or ingested a
large dose. Chronic or long-term exposure is most likely to occur in the human body when an
exposure occurs in lower levels over an extended period of time. This may cause damage to
internal organs weeks or years after the exposure. Exposure levels for constituents listed in the
table above are anticipated to be well below the OSHA PEL-Time Weighted Average (TWA).
Because the materials are in a soil or water mix, the toxicity level of the material is anticipated
to be very low.
5.1.3. Suspected Route of Exposure
Ingestion – moderate; impacted soil particles from soil cuttings, but likely from improper
sanitation after handling impacted soil or groundwater
Inhalation – low; vapors from impacted soil or groundwater
Skin Absorption – low; contact with impacted soil or groundwater.
Is there potential for direct contact or splash? – Potentially, but unlikely with proper personal
protective equipment (PPE). Employees must wear gloves when sampling soils or water.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
5
5.1.4. Safety Data Sheets (SDS)
The SDS for chemicals of concern are provided in Attachment A. Please refer to the SDS for proper
first aid and other relevant hazard information. SDS for chemicals most likely to be present are
included.
5.2. Physical Hazards
Physical hazards of major concern are trip hazards, heat and cold stress, equipment operations,
system operations, and utilities. Each of these issues has been addressed in the following sections.
5.2.1. Heat Stress
This is not as great of concern for this phase of the project, since operations will be conducted
during the spring months, but potential does exist for warmer weather days. The wearing of
personal protective equipment puts a worker at considerable risks for heat stress. Results from over
exposure to heat may include the following signs and symptoms.
Heat Rash results when moisture is held close to the skin when the body sweats, which prevents
evaporation and clogs pores. Signs and symptoms include:
Red rashes and
Blotchy skin
Heat Cramps are caused by prolonged exposure to heat and sweating without adequate fluid and
electrolyte replacement. Signs and symptoms include:
Muscle spasms in the abdomen and muscled most heavily used, and
Pain in the hands, feet and abdomen?
Heat Exhaustion occurs from increased stress on various body organs, including inadequate blood
circulation due to cardiovascular insufficiency or dehydration. Signs and symptoms include:
Pale skin
Heavy sweating
Dizziness, fainting, blurred vision, and
Low blood pressure and a rapid pulse
Heat Stroke is the most serious form of heat stress. Temperature regulation fails, and the body
temperature rises to critical levels. Immediate action must be taken to cool the body before serious
injury or death occurs. Competent medical help must be obtained immediately. Signs and
symptoms include:
Hot and unusually dry skin, red face
Lack of or reduced perspiration
Dizziness and confusion and
Strong, rapid pulse, and coma?
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
6
To reduce the risk of heat exposure workers will drink 16 ounces of non-caffeinated fluid
(preferably water or diluted drinks) before beginning work. Workers are urged to drink plenty of
fluids throughout the work shift, as needed. A total of 1.6 gallons is recommended, but more may
be necessary to maintain hydration. On-site medical monitoring will occur when ambient
temperatures indicate the likelihood for heat stress to occur (i.e. Level A or B work).
Operations conducted wearing impermeable ensembles will follow the work/break schedule.
Table 3
Adjusted Temperature Break Schedule
90 F or above After 15 minutes of work
87.5 – 90 F After 30 minutes of work
82.5-87.5 F After 60 minutes of work
77.5-82.5 F After 90 minutes of work
72.5-77.5 F After 120 minutes of work
5.2.2. Cold Stress
Exposure to cold temperatures increases the likelihood and potential for worker disorders or
conditions that could result in injury or illness. Strong wind accompanied by cold temperatures can
exacerbate the occurrence of injury or illness. The two generally recognized cold disorders or
conditions are frostbite and hypothermia. Contributing factors to these disorders or conditions are:
Exposure to extremely cold air temperatures
High winds (wind chill or equivalent chill temperature (ECT))
Contact with liquids (groundwater)
Inadequate clothing
Poor worker health
Control measures to prevent cold stress include dressing in warm, layered clothing (insulated or
water-impermeable clothing is best) and warming up as necessary by taking shelter or breaks. An
outer shell of windproof material is essential to preventing cold stress in high wind conditions when
the air temperature is below 39.2 F. Make sure to protect extremities, especially ears and hands.
Skin should be kept dry to avoid additional opportunities for frostbite. Replace wet clothing
immediately with warm dry clothing as needed.
5.2.3. Excessive Noise
Hearing protection must be utilized during noisy operations (i.e. when performing well installation
activities) to conserve hearing. The drilling and sampling activities that will occur for this project
should not require implementation of a hearing conservation program. If site operations indicate
noise level TWAs above the OSHA Action Level of 85 dBA, then applicable regulations (29 CFR
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
7
1910.95, 29 CFR 1926.52 and 29 CFR 1926.101) will be followed for site operations with respect
to hearing conservation.
5.2.4. Confined Space Entry
Not applicable for this project. Only Heartland personnel trained to enter areas determined to be a
permit-required confined space should do so, if necessary.
5.2.5. Open Excavations
Potential based on UST removal activities. Only UST decommissioning certified personnel in the
State of Indiana will be allowed to work with the open excavation areas.
5.2.6. Welding and/or Cutting
Welding is not expected for this project.
Heartland recommends that cold cutting or other similar method be utilized in lieu of hot
welding/cutting operations whenever possible. Welding operations should be performed in
accordance with the general requirements of 29 CFR 1910 Subpart Q and any specific requirements
of that subpart which apply (i.e. oxygen fuel gas welding on tanks and cylinders). The basic general
requirements must address fire prevention and protection during welding operations (including
providing fire extinguishers and training for personnel who may use them), personal protection of
welders and associated personnel, and ventilation in the welding areas. Air monitoring for lower
explosive limits (LELs) shall be performed before and during welding operations. If air monitoring
data indicates that a LEL exists, all welding/cutting operations should be halted immediately until
the hazard is eliminated.
5.2.7. Flammable Liquids
Impacted media are noncombustible in nature; however caution should be utilized when working
with or near highly impacted medias, if found to be present on site. Flammable liquids used on site
shall be handled, stored and marked properly. Flammable liquid containers will be OSHA-approved
Safety Containers. Storage of flammable materials is not expected for this phase of work, but if
containers will be stored at the site, they should be stored in a flammable storage cabinet or other
appropriate secured location outside the exclusion zone. The area will be posted with NO
SMOKING signs.
5.2.8. Equipment Operation/Tools
For the installation of soil borings and groundwater monitoring wells, Heartland will utilize a
GeoProbe rig to conduct all site activities. Regular hand held tools will be utilized for all remaining
aspects of the project. Heavy equipment (excavator/dozer) will be utilized for the UST removal and
backfilling.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
8
Equipment
Each piece of equipment in operation at the site will be inspected before it can be used at the
site. This will be the responsibility of the subcontractor. The equipment will be inspected to
make sure that all safety devices are clearly labeled and functioning properly. This will include
safety lights, emergency shut-off devices, and audio warning devices. Inspections of equipment
will also be completed daily. The inspections will attempt to identify any worn parts and/or
damaged safety equipment. If a safety issue is discovered, the piece of equipment will be
tagged, and placed out of commission. The equipment will either be replaced or repaired. Daily
inspection sheets will remain in the custody of the excavator. Each piece of heavy equipment
will have a working fire extinguisher and first aid kit.
Operators
Operators will be properly trained on each piece of equipment that they operate. This will be the
responsibility of the subcontractor. Operators will have demonstrated competency in the
operation of the equipment. Operators will inform other on-site staff of emergency shut-off
switches and other safety devices that may be used during emergency situations.
Site Personnel
Employees will not be allowed on or in the proximity of equipment until they have been
properly trained and have received a safety briefing. The site supervisor or site personnel will
keep a record of this briefing. Staff shall stay out of the operating range of any heavy equipment
onsite. Entry into the operating zone is allowed only after the operator’s attention has been
gained and all buckets or extensions have been grounded.
5.2.9. Slip, Trip, Fall Hazards
The site should be cleared of slip, trip, and fall hazards. Tools and equipment will be stored
appropriately, so as not to cause a slip or trip hazard, after decontamination. Any liquids will be
contained immediately; areas with permanent walking hazards will be identified with marking paint
or caution tape. The site supervisors will complete an assessment of general housekeeping at the
site.
5.2.10. Presence of Underground Utilities
In order to eliminate hazards from underground utilities such as electric lines and natural gas supply
lines, an underground utility marking service will be notified 48 hours in advance of any excavation
activities. The typical color markings used are shown below:
Electric: Marked by red paint.
Gas: Marked by yellow paint,
Water: Marked by blue paint.
Sewer: Marked by green paint.
Telephone: Marked by orange paint.
Specify exact location: Blocks of residential lots.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
9
Precautions to be taken: IUPPS will be contacted to mark all lines.
It should be noted that all underground utilities should be marked and all notifications to
Indiana Underground must be made a minimum of 48-hours prior to the initiation of any
drilling activities to confirm all utilities in the direct vicinity of the site have been located.
5.2.11. Presence of Overhead Utilities
Special precautions must be taken when using a drill rig or excavator onsite within the vicinity of
electrical power lines and other utilities. Contact with live power lines may lead to shock, burns and
even electrocution. Also, fires can potentially be started when power lines are contacted or downed.
Overhead utilities will be located, noted and emphasized in project work plans. Each overhead line
must be considered dangerous and noted before mobilization of the drill rig. An inspection of the
site prior to site operations will be conducted to assess overhead lines and their locations. Overhead
lines that are low or sagging must be noted, and the proper utility notified. No sagging or lowered
lines are to be touched by site workers.
Areas where excavators are in operation must be inspected before operations occur. The minimum
distance from any point or equipment extension to the nearest power lines should be determined
when the extension is raised or being raised. The extension should not be raised or equipment
operated if the distance is less than 20 feet. This is due to the potential of arcing and the movement
of lines in the wind.
5.2.12. Traffic
Traffic hazards are prevalent in this area of Indianapolis. Before leaving for a site, make sure
necessary traffic control equipment, cones, caution tape, and warning flags have been loaded into
the field vehicle. Warning vests suitable based on visibility must be warn when on-site. Be sure to
note traffic concerns, even when wearing vests and utilizing the following demarcation systems.
Installing a well or advancing a soil boring – Use an appropriate number of cones and flags to
demarcate the work zone. Cordon off the cone boundary with caution tape. Set-up the cone
system before beginning work and take away upon completion of work tasks.
5.2.13. Weather
Proper care should be taken to understand the daily seasonal weather conditions prior to working
onsite. Please refer to the sections on heat and cold stress above. If rain and/or snow is found on the
ground at the site, then special caution must be taken with regard to work processes and drilling.
Site personnel should exercise caution while walking or carrying equipment or other items on
snow. Special considerations should also be made, should excessive temperatures be present during
work activities.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
10
5.2.14. Animals/Insects
The site has wooded areas and residential parcels in the vicinity. When entering wooded areas and
vacant areas, examine the areas and create noise prior to entry to attempt to scare off any animals
present. Survey the areas where work will be performed for signs of insects, such as bee’s nests,
and use an insect repellant if necessary. If ticks or other attaching insects are prevalent, then site
personnel should inspect themselves prior to leaving the site. Be aware of any larger animals (dogs,
possums, etc.) that may be present and avoid these animals.
6.0 Site Control
6.1. Site Access
During the course of site activities, it is anticipated that sampling activities will need to be
conducted under modified Level C and Level D PPE. No personnel other than Heartland staff or
subcontractors who are 40-hr or 24-hr OSHA trained will be allowed onto the site to perform
sampling activities outlined in the Scope of Work for this project. Otherwise, site control will be
maintained by on site personnel. A sign in sheet of this health and safety plan will be utilized to
keep records of the workers entering and exiting the site. Heartland will place safety cones and
caution tape, if necessary, around areas where any drilling and sampling activities are being
conducted. Site personnel must check in prior to the start of any onsite work.
Work will be conducted at various locations at the site. Area-specific exclusion zones should be
set-up by the contractor performing the work at that location. Workers entering these areas will
sign in and out to keep track of personnel. Personnel entering these areas will be required to be in
level C, or modified C PPE gear, depending on the air monitoring results.
If an outside agency comes onto the site the following procedures should be followed:
Ask to see the representatives credentials and record pertinent information (name,
agency, ID #, etc.) in the field book
Request that any persons entering the exclusion zone be outfitted in the proper PPE
Exclusion Zones
It is not anticipated that exclusion zones will be required to be set up for this project. Should
exclusion zones be necessary, exclusion zones will be limited to the areas where the work
pertaining to the containment area is being conducted. Personnel entering this area must be in
Level D PPE and may be required to be in level C, or modified C PPE, depending on air
monitoring results. Employees are not allowed to smoke, eat, drink, or apply cosmetics or
sunscreen in the exclusion zone.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
11
Contamination Reduction Zone
This area is located outside of the exclusion zone. No impacted personnel, PPE, or heavy
equipment will be allowed leave the exclusion zone without being properly decontaminated.
Specific decontamination procedures are outlined in Section 9.0 of this plan.
Support Zone
The support zone will be considered the remaining area of the facility not included in the
exclusion zone or the contamination reduction zone. This area will not contain any
contaminated material of personnel. Personnel in this area will be required to have level D PPE.
7.0 Personal Protective Equipment (PPE)
Based on the evaluation of potential hazards, the following levels of personal protection have been
designated for site activities. Each contractor must make a hazard assessment in determining the
proper PPE required for the activities they will perform. The assessment should include air
monitoring and possibly analytical data in order to make the proper PPE determination.
Determination of the proper PPE includes decisions on the type of respirator, protective clothing
(chemical resistant suits and gloves) and other protective gear, such as hard hats. Site personnel
must have successfully passed a qualitative fit test in a respirator present for site use, if needed.
Additionally, site personnel must be trained in the use of the equipment utilized on site.
7.1. Level A
Not applicable
7.2. Level B
Not applicable
7.3. Level C
If site air monitoring or sampling results reveal elevated levels warranting respiratory protection,
site personal will use level C protection will include the following:
Poly-coated tyvek suit;
Inner glove;
Nitrile outer glove;
Inner boot;
Hard hat;
Outer boot; and,
Full-face respirator.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
12
Modified C PPE will be used when no inhalation hazards exist, but where there is a small potential
for contact with contamination. Modified C PPE includes the following items:
Poly-coated tyvek;
Inner glove;
Nitrile outer glove;
Inner boot;
Outer boot;
Hearing protection;
Hard hat; and,
Safety glasses
7.4. Level D
Level D equipment will include the following equipment:
Hard hat;
Safety glasses;
Steel-toed shoes; and
Long sleeve shirt with traffic safety vest
Level C PPE will be required only if soil and groundwater data and soil vapor air monitoring
suggests the upgrade in PPE. Soil and groundwater sampling will be conducted in modified level C.
It is anticipated that Level D and modified Level C will be the primary PPE levels utilized for site
work.
8.0 Medical Surveillance
To safeguard the health of field personnel, a medical monitoring program will be implemented.
Those Heartland employees and any contractors performing hazardous waste work on-site should
be included in the Medical Surveillance Program as highlighted below:
Any employees who are exposed to hazardous substances above the published exposure limits,
without the use of a respirator, for thirty days or more per year.
Any employee who wears a respirator for 30 days or more per year.
Any employee who develop symptoms due to overexposure to hazardous substances, become
ill, or who are injured due to overexposure to hazardous substances.
Member of HAZMAT teams.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
13
If Heartland employees and contractors fall into any of the above categories, a baseline medical
examination should include the following based on job task:
Medical and work history
Physical examination performed by a local licensed physician
Eye exam
pulmonary function test
X-ray (chest)
EKG
Audiogram
Urinalysis
Blood chemistry
Heavy metals
Other tests as deemed necessary
All employees working on-site who will be working in any of the above conditions or any potential
hazardous conditions will provide proof of a baseline examination. Periodic medical monitoring
every 12 or at a minimum of 24 months is required. Personnel medical records will be maintained
according to 29 CFR 1910.120(f) (8). Access to the records will be consistent with 29 CFR
1910.20. Any unexpected exposures will be reported to the safety officer.
9.0 Decontamination
All decontamination procedures will follow Heartland’s SOPs. All equipment, machinery, trucks,
and personnel shall be properly decontaminated prior to exiting the area. Decontamination of
equipment will include washing with both Isopropyl alcohol, Liquinox soap water and a de-ionized
water rinse.
9.1. Personnel Decontamination Procedures
All personnel entering the exclusion zone will undergo decontamination prior to leaving the site.
Personnel will proceed through the following Level C decontamination stations:
9.1.1. Station 1
Thorough wash of all equipment (hand tools, monitoring equipment, etc.)
Disposal of gloves and disposable coveralls
Equipment Required: Disposal containers, liquid collection facilities
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
14
9.1.2. Station 2
Thorough wash of boots, respirator, and other equipment that is not disposable
Equipment Required: Alconox and water
9.1.3. Station 3
Storage facilities for decontaminated PPE and tools.
Equipment Required: storage shelves
9.1.4. Heavy Equipment Decontamination
Inspection of heavy equipment and vehicles for gross contamination will be conducted prior to
leaving the work zone. The equipment will then be placed into a decontamination pad in a
contamination reduction zone. A power washer and brushes will be used to remove contaminated
material; residual material will be collected and containerized for proper disposal.
9.2. Decontamination Waste Water
Collection: Collect all wastewater on-site in a labeled 55-gallon drum pending analysis.
Disposal: Solid and liquid material will be evaluated and sent for proper waste disposal offsite.
10.0 Air Monitoring
Air monitoring will be conducted by site personnel trained in the use and calibration of the
equipment utilized at the site, should chemical hazards be encountered where air monitoring is
deemed necessary. Calibration of air monitoring equipment should be conducted in the field and
recorded in the log book. Monitoring should be conducted at a minimum as follows: 1) prior to
initiating work, 2) when work conditions change, or 3) when conditions dictate that continuous
monitoring is necessary. Please note that air monitoring will only be initiated when conditions
present themselves to indicate environmental hazards are present which present a threat to human
health or the environment.
10.1 Personal Air Monitoring
In accordance with 29 CFR 1910.120, each contractor and subcontractor, as applicable and
according to their respective SOPs, will conduct personal air monitoring for their employees.
Personal sampling should be performed for those workers in worst-case or high-risk situations.
Documentation of sampling and results must be made available, if requested.
10.2 Perimeter/Area Monitoring
Photo-ionization detectors (PIDs) will be used to monitor for elevated levels of contaminants and
determine if upgrades in the level of PPE will be necessary. Air monitoring may also be conducted
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
15
for LELs and oxygen levels in the atmosphere near the drilling operation using a combustible gas
indicator (CGI). If an LEL is detected, operations will be stopped to determine the reason for the
reading occurring and if and how the hazardous condition will be eliminated. If oxygen levels are
detected below 19.5% or above 23.5%, work will also be stopped to determine the reason for those
readings.
Calibration of all equipment will be conducted in accordance with manufacturer’s specifications.
All documentation of calibration of equipment and sampling results must be available from each
contractor and subcontractor upon request.
11.0 Contingency Plan
11.1. Emergency Communication Signal(s)
Emergency communication between Heartland personnel will be direct, if possible. If visual contact
cannot be maintained, hand-held radios will be used when and if necessary. Hand signals should be
used when necessary as follows:
Signal Message
Hand gripping throat Can’t breathe
Grip partners wrist(s) Leave area immediately
Hands on top of head Need assistance
Thumbs up I’m OK/I understand
Thumbs down No/negative
11.2. Emergency Escape Route(s)
In case of an emergency, all site personnel will be directed north of the site. Personnel will be
directed to the vacant parking area located off of East Washington Street north of the site to a safe
distance away from the site as determined by the onsite H&SO. If it is found that airborne hazards
are being carried to this location, then an alternate location should be selected based on weather
conditions (i.e. wind direction).
11.3. Emergency Equipment on Site
Each contractor and subcontractor should supply the proper emergency equipment necessary based
on the respective job tasks at the site. The Heartland H&SO will be responsible for making sure
contractors and subcontractors have the necessary minimum emergency equipment and coordinate
the use, if necessary, of these items between subcontractors.
First Aid Kit: Yes, in field vehicles
Fire Extinguisher: Yes, in field vehicles
Telephone: Mobile phone with on site personnel
Eye Wash/Safety Shower: Eyewash in field vehicles
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
16
11.4. Hazards on Site
The on-site safety hazards include the previously mentioned chemical hazards and physical hazards.
11.5. Re-entry to the Exclusion Zone
Re-entry to the Exclusion Zone following an on-site emergency shall not be permitted until the
following conditions are satisfied:
The conditions resulting in an emergency have been corrected.
Appropriate personnel have received medical attention, if applicable.
The hazards have been re-evaluated.
The Site Safety Plan has been reviewed and determined adequate for the hazards encountered.
All site personnel have been instructed in any new hazards and changes to the Site Safety Plan.
12.0 Emergency Response Plan
12.1. Pre-Emergency Planning
All personnel shall read the Health & Safety Plan (HASP) and sign the signature page. Emergency
procedures outlined in this plan should be discussed with on site personnel and followed when
appropriate. Should an emergency occur, a safety meeting must be held and documented and
relevant personnel outlined in this plan contacted. Site personnel should follow the chain-of-
command outlined in this plan with the senior Heartland personnel relinquishing authority to the
LEPC when on site. All small, non-life threatening operations will be controlled by site personnel.
This will include small releases less than reportable quantities, small equipment fires, or non-
emergency first aid issues.
In the case of large emergencies or life-threatening situations, efforts will be focused on the removal
of site workers from the hazardous situation. Emergency contact will be made immediately,
including all necessary state, local, Federal, and Heartland personnel.
12.2. Lines of Authority
Heartland’s Project Manager ............................................................................................ 574-360-0961
Heartland’s Health & Safety Officer ................................................................................ 574-289-1191
Heartland’s Phone No.: .................................................................................................... 574-289-1191
12.3. Hazard Analysis
Refer to Section 5.0 of this Health & Safety Plan
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
17
12.4. Safe Distances & Refuge
In the event of an evacuation, personnel will meet at a pre-determined designated location upwind
of the site. Information will be gathered and relayed to the first emergency responder at the scene.
The location of the meeting place will be determined by the onsite supervisor, due to the fact that
operations maybe from various areas at the site.
12.4.1. Air Monitoring
In the event of emergency, Heartland will use real time air monitoring to determine a safe distance.
12.4.2. Refuge
Refuge may be sought in a location pre-determined by the site supervisor. If this area is not
considered safe, then the company support vehicles will be used to transport site personnel to a safe
distance. The support vehicle should be placed at safe distance from site activity and upwind, if
possible.
12.5. Site Control & Security
Heartland will assist emergency responders in maintaining site security.
12.6. Evacuation Procedures
Staff will be instructed to move to a safe location or meeting point to make emergency calls and
further evaluate the emergency situation.
12.7. Emergency Decontamination
Emergency decontamination will consist of removal of potentially contaminated or otherwise
impacted PPE, clothing, disposable gloves and boot covers by workers adequately protected in an
environment where the victim will not be re-contaminated. It is not anticipated that PPE will be
utilized at the site; therefore any emergency decontamination will be conducted to take care of
potential skin absorption, inhalation and ingestion personal pathways.
12.8. Emergencies
Emergencies will be made known to the property owners through the line authority. An evaluation
of the situation will dictate whether additional emergency equipment/personnel are necessary to
mitigate the problem. Medical treatment for minor problems may be obtained from on site first aid
kits. Major medical problems may be addressed at Wishard Hospital, located at 1001 West 10th
Street in Indianapolis. Directions to the hospital and emergency phone numbers can be found in
Attachment C. When notifying any authority or responder of a chemical emergency, also inform
them of the chemical hazards involved.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
18
13.0 Emergency Response
See Attachment A for the SDS sheets. Attachment B includes a general map of the site with
relocation areas. Attachment C includes emergency phone numbers and a map with directions to
the nearest hospital.
Former K-Mart Shoppigng Center Property, 4850 Western Avenue, South Bend, Indiana Health and Safety Plan
19
14.0 Signature Page
All personnel have read the above plan and are familiar with its provisions. All personnel have
received medical surveillance and training in compliance with the health and & safety policies
outlined in this plan, including all applicable Federal, state and local regulations. Heartland
personnel may stop work at the site if it is not performed in accordance with this plan or OSHA
regulations. In addition, subcontractors shall provide and make available a site safety plan at least as
stringent as this plan. Heartland reserves the right to review any subcontractors plan and determine
its authority.
All on-site personnel, subcontractor personnel, and any visitors within the confines of the work area
are required to sign the following agreement prior to conducting work at the site.
1. I have read and fully understand this Site Health and Safety Plan.
2. I agree to abide by the provisions and my responsibilities outlined in this Site Health
and Safety Plan.
Name (Company) Signature
Former K-Mart Shopping Center, 4850 Western Avenue in South Bend, Indiana Health and Safety Plan
Heartland Environmental Associates, Inc.
ATTACHMENT A
MATERIAL SAFETY DATA SHEETS
Aldrich - T73601 Page 1 of 7
SIGMA-ALDRICH sigma-aldrich.com
Material Safety Data Sheet
Version 4.2
Revision Date 11/21/2012
Print Date 03/14/2013
1. PRODUCT AND COMPANY IDENTIFICATION
Product name : 1,2,4-Trimethylbenzene
Product Number : T73601
Brand : Aldrich
Supplier : Sigma-Aldrich
3050 Spruce Street
SAINT LOUIS MO 63103
USA
Telephone : +1 800-325-5832
Fax : +1 800-325-5052
Emergency Phone # (For
both supplier and
manufacturer)
: (314) 776-6555
Preparation Information : Sigma-Aldrich Corporation
Product Safety - Americas Region
1-800-521-8956
2. HAZARDS IDENTIFICATION
Emergency Overview
OSHA Hazards
Combustible Liquid
Target Organs
Central nervous system
GHS Classification
Flammable liquids (Category 3)
Acute toxicity, Inhalation (Category 4)
Acute toxicity, Oral (Category 5)
Skin irritation (Category 2)
Eye irritation (Category 2A)
Specific target organ toxicity - single exposure (Category 3)
Acute aquatic toxicity (Category 2)
GHS Label elements, including precautionary statements
Pictogram
Signal word Warning Hazard statement(s)
H226 Flammable liquid and vapour.
H303 May be harmful if swallowed.
H315 Causes skin irritation.
H319 Causes serious eye irritation.
H332 Harmful if inhaled.
H335 May cause respiratory irritation.
H401 Toxic to aquatic life. Precautionary statement(s)
P261 Avoid breathing dust/ fume/ gas/ mist/ vapours/ spray.
P305 + P351 + P338 IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if
Aldrich - T73601 Page 2 of 7
present and easy to do. Continue rinsing.
HMIS Classification
Health hazard: 1
Chronic Health Hazard: *
Flammability: 2
Physical hazards: 0
NFPA Rating
Health hazard: 2
Fire: 2
Reactivity Hazard: 0
Potential Health Effects
Inhalation May be harmful if inhaled. May cause respiratory tract irritation.
Skin May be harmful if absorbed through skin. May cause skin irritation.
Eyes May cause eye irritation.
Ingestion May be harmful if swallowed.
3. COMPOSITION/INFORMATION ON INGREDIENTS
Formula : C9H12
Molecular Weight : 120.19 g/mol
Component Concentration
1,2,4-Trimethylbenzene
CAS-No.
EC-No.
Index-No.
95-63-6
202-436-9
601-043-00-3
-
4. FIRST AID MEASURES
General advice
Consult a physician. Show this safety data sheet to the doctor in attendance.Move out of dangerous area.
If inhaled
If breathed in, move person into fresh air. If not breathing, give artificial respiration. Consult a physician.
In case of skin contact
Wash off with soap and plenty of water. Consult a physician.
In case of eye contact
Rinse thoroughly with plenty of water for at least 15 minutes and consult a physician.
If swallowed
Do NOT induce vomiting. Never give anything by mouth to an unconscious person. Rinse mouth with water. Consult a
physician.
5. FIREFIGHTING MEASURES
Conditions of flammability
Flammable in the presence of a source of ignition when the temperature is above the flash point. Keep away from
heat/sparks/open flame/hot surface. No smoking.
Suitable extinguishing media
Use water spray, alcohol-resistant foam, dry chemical or carbon dioxide.
Special protective equipment for firefighters
Wear self contained breathing apparatus for fire fighting if necessary.
Hazardous combustion products
Hazardous decomposition products formed under fire conditions. - Carbon oxides
Further information
Use water spray to cool unopened containers.
Aldrich - T73601 Page 3 of 7
6. ACCIDENTAL RELEASE MEASURES
Personal precautions
Use personal protective equipment. Avoid breathing vapors, mist or gas. Ensure adequate ventilation. Remove all
sources of ignition. Evacuate personnel to safe areas. Beware of vapours accumulating to form explosive
concentrations. Vapours can accumulate in low areas.
Environmental precautions
Prevent further leakage or spillage if safe to do so. Do not let product enter drains. Discharge into the environment
must be avoided.
Methods and materials for containment and cleaning up
Contain spillage, and then collect with an electrically protected vacuum cleaner or by wet-brushing and place in
container for disposal according to local regulations (see section 13).
7. HANDLING AND STORAGE
Precautions for safe handling
Avoid contact with skin and eyes. Avoid inhalation of vapour or mist.
Keep away from sources of ignition - No smoking. Take measures to prevent the build up of electrostatic charge.
Conditions for safe storage
Keep container tightly closed in a dry and well-ventilated place. Containers which are opened must be carefully resealed
and kept upright to prevent leakage.
8. EXPOSURE CONTROLS/PERSONAL PROTECTION
Components with workplace control parameters
Components CAS-No. Value Control
parameters
Basis
1,2,4-
Trimethylbenzen
e
95-63-6 TWA
25 ppm
125 mg/m3
USA. OSHA - TABLE Z-1 Limits for Air Contaminants -
1910.1000
TWA
25 ppm
123 mg/m3
USA. ACGIH Threshold Limit Values (TLV)
TWA
25 ppm
125 mg/m3
USA. NIOSH Recommended Exposure Limits
Remarks hemimellitene is a mixture of the 1,2,3-isomer with up to 10% of related aromatics such as the
1,2,4-isomer.
Personal protective equipment
Respiratory protection
Where risk assessment shows air-purifying respirators are appropriate use a full-face respirator with multi-purpose
combination (US) or type ABEK (EN 14387) respirator cartridges as a backup to engineering controls. If the
respirator is the sole means of protection, use a full-face supplied air respirator. Use respirators and components
tested and approved under appropriate government standards such as NIOSH (US) or CEN (EU).
Hand protection
Handle with gloves. Gloves must be inspected prior to use. Use proper glove removal technique (without touching
glove's outer surface) to avoid skin contact with this product. Dispose of contaminated gloves after use in
accordance with applicable laws and good laboratory practices. Wash and dry hands. Full contact
Material: Fluorinated rubber
Minimum layer thickness: 0.7 mm
Break through time: > 480 min
Material tested:Vitoject® (Aldrich Z677698, Size M) Splash protection
Material: Nitrile rubber
Minimum layer thickness: 0.4 mm
Break through time: > 30 min
Aldrich - T73601 Page 4 of 7
Material tested:Camatril® (Aldrich Z677442, Size M)
data source: KCL GmbH, D-36124 Eichenzell, phone +49 (0)6659 87300, e-mail sales@kcl.de, test method: EN374
If used in solution, or mixed with other substances, and under conditions which differ from EN 374, contact the
supplier of the CE approved gloves. This recommendation is advisory only and must be evaluated by an Industrial
Hygienist familiar with the specific situation of anticipated use by our customers. It should not be construed as
offering an approval for any specific use scenario.
Eye protection
Face shield and safety glasses Use equipment for eye protection tested and approved under appropriate
government standards such as NIOSH (US) or EN 166(EU).
Skin and body protection
Complete suit protecting against chemicals, Flame retardant antistatic protective clothing, The type of protective
equipment must be selected according to the concentration and amount of the dangerous substance at the specific
workplace.
Hygiene measures
Handle in accordance with good industrial hygiene and safety practice. Wash hands before breaks and at the end of
workday.
9. PHYSICAL AND CHEMICAL PROPERTIES
Appearance
Form liquid, clear
Colour light blue
colourless
Safety data
pH no data available Melting
point/freezing point
-43.7 °C (-46.7 °F)
Boiling point 168.0 - 169.0 °C (334.4 - 336.2 °F) Flash point 48.0 °C (118.4 °F) - closed cup
Ignition temperature 515 °C (959 °F)
Autoignition
temperature
515.0 °C (959.0 °F)
Lower explosion limit 0.9 %(V)
Upper explosion limit 6.4 %(V) Vapour pressure 2.3 hPa (1.7 mmHg) at 20.0 °C (68.0 °F)
6.0 hPa (4.5 mmHg) at 37.7 °C (99.9 °F)
9.3 hPa (7.0 mmHg) at 44.4 °C (111.9 °F) Density 0.88 g/cm3
Water solubility insoluble Partition coefficient:
n-octanol/water
no data available
Relative vapour
density
no data available
Odour no data available
Odour Threshold no data available Evaporation rate no data available
10. STABILITY AND REACTIVITY
Aldrich - T73601 Page 5 of 7
Chemical stability
Stable under recommended storage conditions.
Possibility of hazardous reactions
no data available
Conditions to avoid
Heat, flames and sparks.
Materials to avoid
Strong oxidizing agents
Hazardous decomposition products
Hazardous decomposition products formed under fire conditions. - Carbon oxides
Other decomposition products - no data available
11. TOXICOLOGICAL INFORMATION
Acute toxicity
Oral LD50
LD50 Oral - rat - 5,000 mg/kg
Inhalation LC50
LC50 Inhalation - rat - 4 h - 18,000 mg/m3
Dermal LD50
no data available
Other information on acute toxicity
no data available
Skin corrosion/irritation
no data available
Serious eye damage/eye irritation
no data available
Respiratory or skin sensitization
no data available
Germ cell mutagenicity
Genotoxicity in vitro - in vitro assay - S. typhimurium - with or without metabolic activation - negative
Genotoxicity in vivo - rat - male and female - Intraperitoneal - negative
Carcinogenicity
no data available
IARC: No component of this product present at levels greater than or equal to 0.1% is identified as
probable, possible or confirmed human carcinogen by IARC.
ACGIH: No component of this product present at levels greater than or equal to 0.1% is identified as a
carcinogen or potential carcinogen by ACGIH.
NTP: No component of this product present at levels greater than or equal to 0.1% is identified as a
known or anticipated carcinogen by NTP.
OSHA: No component of this product present at levels greater than or equal to 0.1% is identified as a
carcinogen or potential carcinogen by OSHA.
Reproductive toxicity
no data available
Teratogenicity
no data available
Aldrich - T73601 Page 6 of 7
Specific target organ toxicity - single exposure (Globally Harmonized System)
May cause respiratory irritation.
Specific target organ toxicity - repeated exposure (Globally Harmonized System)
no data available
Aspiration hazard
no data available
Potential health effects
Inhalation May be harmful if inhaled. May cause respiratory tract irritation.
Ingestion May be harmful if swallowed.
Skin May be harmful if absorbed through skin. May cause skin irritation.
Eyes May cause eye irritation.
Signs and Symptoms of Exposure
prolonged or repeated exposure can cause:, narcosis, Bronchitis., Symptoms and signs include headache, dizziness,
fatigue, muscular weakness, drowsiness and in extreme cases, loss of consciousness., To the best of our knowledge, the
chemical, physical, and toxicological properties have not been thoroughly investigated.
Synergistic effects
no data available
Additional Information
RTECS: DC3325000
12. ECOLOGICAL INFORMATION
Toxicity
Toxicity to fish LC50 - Pimephales promelas (fathead minnow) - 7.72 mg/l - 96.0 h
Toxicity to daphnia
and other aquatic
invertebrates
Immobilization EC50 - Daphnia magna (Water flea) - 3.6 mg/l - 48 h
Persistence and degradability
no data available
Bioaccumulative potential
no data available
Mobility in soil
no data available
PBT and vPvB assessment
no data available
Other adverse effects
An environmental hazard cannot be excluded in the event of unprofessional handling or disposal.
Toxic to aquatic life.
13. DISPOSAL CONSIDERATIONS
Product
Burn in a chemical incinerator equipped with an afterburner and scrubber but exert extra care in igniting as this material
is highly flammable. Offer surplus and non-recyclable solutions to a licensed disposal company.
Contaminated packaging
Dispose of as unused product.
14. TRANSPORT INFORMATION
DOT (US)
UN number: 3295 Class: 3 Packing group: III
Proper shipping name: Hydrocarbons, liquid, n.o.s.
Aldrich - T73601 Page 7 of 7
Marine pollutant: No
Poison Inhalation Hazard: No
IMDG
UN number: 3295 Class: 3 Packing group: III EMS-No: F-E, S-D
Proper shipping name: HYDROCARBONS, LIQUID, N.O.S.
Marine pollutant: No
IATA
UN number: 3295 Class: 3 Packing group: III
Proper shipping name: Hydrocarbons, liquid, n.o.s.
15. REGULATORY INFORMATION
OSHA Hazards
Combustible Liquid
SARA 302 Components
SARA 302: No chemicals in this material are subject to the reporting requirements of SARA Title III, Section 302.
SARA 313 Components
The following components are subject to reporting levels established by SARA Title III, Section 313:
1,2,4-Trimethylbenzene
CAS-No.
95-63-6
Revision Date
2007-07-01
SARA 311/312 Hazards
Fire Hazard
Massachusetts Right To Know Components
1,2,4-Trimethylbenzene
CAS-No.
95-63-6
Revision Date
2007-07-01
Pennsylvania Right To Know Components
1,2,4-Trimethylbenzene
CAS-No.
95-63-6
Revision Date
2007-07-01
New Jersey Right To Know Components
1,2,4-Trimethylbenzene
CAS-No.
95-63-6
Revision Date
2007-07-01
California Prop. 65 Components
This product does not contain any chemicals known to State of California to cause cancer, birth defects, or any other
reproductive harm.
16. OTHER INFORMATION
Further information
Copyright 2012 Sigma-Aldrich Co. LLC. License granted to make unlimited paper copies for internal use only.
The above information is believed to be correct but does not purport to be all inclusive and shall be used only as a
guide. The information in this document is based on the present state of our knowledge and is applicable to the
product with regard to appropriate safety precautions. It does not represent any guarantee of the properties of the
product. Sigma-Aldrich Corporation and its Affiliates shall not be held liable for any damage resulting from handling or
from contact with the above product. See www.sigma-aldrich.com and/or the reverse side of invoice or packing slip for
additional terms and conditions of sale.
Supelco - 442236 Page 1 of 7
SIGMA-ALDRICH sigma-aldrich.com
Material Safety Data Sheet
Version 3.4
Revision Date 12/19/2012
Print Date 03/14/2013
1. PRODUCT AND COMPANY IDENTIFICATION
Product name : 1,3,5-Trimethylbenzene
Product Number : 442236
Brand : Supelco
Supplier : Sigma-Aldrich
3050 Spruce Street
SAINT LOUIS MO 63103
USA
Telephone : +1 800-325-5832
Fax : +1 800-325-5052
Emergency Phone # (For
both supplier and
manufacturer)
: (314) 776-6555
Preparation Information : Sigma-Aldrich Corporation
Product Safety - Americas Region
1-800-521-8956
2. HAZARDS IDENTIFICATION
Emergency Overview
OSHA Hazards
Combustible Liquid, Target Organ Effect, Irritant
Target Organs
Peripheral nervous system., Central nervous system, Blood
GHS Classification
Flammable liquids (Category 3)
Acute toxicity, Inhalation (Category 5)
Skin irritation (Category 2)
Eye irritation (Category 2B)
Specific target organ toxicity - single exposure (Category 3)
Acute aquatic toxicity (Category 2)
Chronic aquatic toxicity (Category 2)
GHS Label elements, including precautionary statements
Pictogram
Signal word Warning Hazard statement(s)
H226 Flammable liquid and vapour.
H315 + H320 Causes skin and eye irritation.
H333 May be harmful if inhaled.
H335 May cause respiratory irritation.
H411 Toxic to aquatic life with long lasting effects. Precautionary statement(s)
P261 Avoid breathing dust/ fume/ gas/ mist/ vapours/ spray.
P273 Avoid release to the environment.
P305 + P351 + P338 IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if
present and easy to do. Continue rinsing.
Supelco - 442236 Page 2 of 7
HMIS Classification
Health hazard: 2
Chronic Health Hazard: *
Flammability: 2
Physical hazards: 0
NFPA Rating
Health hazard: 2
Fire: 2
Reactivity Hazard: 0
Potential Health Effects
Inhalation May be harmful if inhaled. Causes respiratory tract irritation.
Skin May be harmful if absorbed through skin. Causes skin irritation.
Eyes Causes eye irritation.
Ingestion May be harmful if swallowed.
3. COMPOSITION/INFORMATION ON INGREDIENTS
Synonyms : Mesitylene
1,3,5-Trimethylbenzene
Formula : C9H12
Molecular Weight : 120.19 g/mol
Component Concentration
Mesitylene
CAS-No.
EC-No.
Index-No.
108-67-8
203-604-4
601-025-00-5
-
4. FIRST AID MEASURES
General advice
Consult a physician. Show this safety data sheet to the doctor in attendance.Move out of dangerous area.
If inhaled
If breathed in, move person into fresh air. If not breathing, give artificial respiration. Consult a physician.
In case of skin contact
Wash off with soap and plenty of water. Consult a physician.
In case of eye contact
Rinse thoroughly with plenty of water for at least 15 minutes and consult a physician.
If swallowed
Do NOT induce vomiting. Never give anything by mouth to an unconscious person. Rinse mouth with water. Consult a
physician.
5. FIREFIGHTING MEASURES
Conditions of flammability
Flammable in the presence of a source of ignition when the temperature is above the flash point. Keep away from
heat/sparks/open flame/hot surface. No smoking.
Suitable extinguishing media
Use water spray, alcohol-resistant foam, dry chemical or carbon dioxide.
Special protective equipment for firefighters
Wear self contained breathing apparatus for fire fighting if necessary.
Supelco - 442236 Page 3 of 7
Hazardous combustion products
Hazardous decomposition products formed under fire conditions. - Carbon oxides
Further information
Use water spray to cool unopened containers.
6. ACCIDENTAL RELEASE MEASURES
Personal precautions
Use personal protective equipment. Avoid breathing vapors, mist or gas. Ensure adequate ventilation. Remove all
sources of ignition. Evacuate personnel to safe areas. Beware of vapours accumulating to form explosive
concentrations. Vapours can accumulate in low areas.
Environmental precautions
Prevent further leakage or spillage if safe to do so. Do not let product enter drains. Discharge into the environment
must be avoided.
Methods and materials for containment and cleaning up
Contain spillage, and then collect with an electrically protected vacuum cleaner or by wet-brushing and place in
container for disposal according to local regulations (see section 13).
7. HANDLING AND STORAGE
Precautions for safe handling
Avoid contact with skin and eyes. Avoid inhalation of vapour or mist.
Keep away from sources of ignition - No smoking. Take measures to prevent the build up of electrostatic charge.
Conditions for safe storage
Keep container tightly closed in a dry and well-ventilated place. Containers which are opened must be carefully resealed
and kept upright to prevent leakage.
8. EXPOSURE CONTROLS/PERSONAL PROTECTION
Components with workplace control parameters
Components CAS-No. Value Control
parameters
Basis
Mesitylene 108-67-8 TWA
25 ppm
125 mg/m3
USA. OSHA - TABLE Z-1 Limits for Air Contaminants -
1910.1000
TWA
25 ppm
123 mg/m3
USA. ACGIH Threshold Limit Values (TLV)
TWA
25 ppm
125 mg/m3
USA. NIOSH Recommended Exposure Limits
Personal protective equipment
Respiratory protection
Where risk assessment shows air-purifying respirators are appropriate use a full-face respirator with multi-purpose
combination (US) or type ABEK (EN 14387) respirator cartridges as a backup to engineering controls. If the
respirator is the sole means of protection, use a full-face supplied air respirator. Use respirators and components
tested and approved under appropriate government standards such as NIOSH (US) or CEN (EU).
Hand protection
Handle with gloves. Gloves must be inspected prior to use. Use proper glove removal technique (without touching
glove's outer surface) to avoid skin contact with this product. Dispose of contaminated gloves after use in
accordance with applicable laws and good laboratory practices. Wash and dry hands.
Full contact
Material: Fluorinated rubber
Minimum layer thickness: 0.7 mm
Break through time: 480 min
Material tested:Vitoject® (KCL 890 / Aldrich Z677698, Size M) Splash protection
Material: Fluorinated rubber
Minimum layer thickness: 0.7 mm
Supelco - 442236 Page 4 of 7
Break through time: 480 min
Material tested:Vitoject® (KCL 890 / Aldrich Z677698, Size M) data source: KCL GmbH, D-36124 Eichenzell, phone +49 (0)6659 87300, e-mail sales@kcl.de, test method: EN374
If used in solution, or mixed with other substances, and under conditions which differ from EN 374, contact the
supplier of the CE approved gloves. This recommendation is advisory only and must be evaluated by an Industrial
Hygienist familiar with the specific situation of anticipated use by our customers. It should not be construed as
offering an approval for any specific use scenario.
Eye protection
Face shield and safety glasses Use equipment for eye protection tested and approved under appropriate
government standards such as NIOSH (US) or EN 166(EU).
Skin and body protection
Impervious clothing., Flame retardant antistatic protective clothing, The type of protective equipment must be
selected according to the concentration and amount of the dangerous substance at the specific workplace.
Hygiene measures
Handle in accordance with good industrial hygiene and safety practice. Wash hands before breaks and at the end of
workday.
9. PHYSICAL AND CHEMICAL PROPERTIES
Appearance
Form liquid, clear
Colour colourless
Safety data
pH no data available
Melting
point/freezing point
Melting point/range: -45 °C (-49 °F) - lit.
Boiling point 163 - 166 °C (325 - 331 °F) - lit. Flash point 53.0 °C (127.4 °F) - closed cup Ignition temperature 550 °C (1,022 °F) Auto-ignition
temperature
550.0 °C (1,022.0 °F)
Lower explosion limit 0.88 %(V) Vapour pressure 18.7 hPa (14.0 mmHg) at 55.0 °C (131.0 °F)
3.3 hPa (2.5 mmHg) at 25.0 °C (77.0 °F)
Density 0.864 g/cm3 at 25 °C (77 °F) Water solubility no data available Partition coefficient:
n-octanol/water
no data available
Relative vapor
density
no data available
Odour no data available Odour Threshold no data available Evaporation rate no data available
10. STABILITY AND REACTIVITY
Chemical stability
Stable under recommended storage conditions.
Supelco - 442236 Page 5 of 7
Possibility of hazardous reactions
no data available
Conditions to avoid
Heat, flames and sparks.
Materials to avoid
Strong oxidizing agents
Hazardous decomposition products
Hazardous decomposition products formed under fire conditions. - Carbon oxides
Other decomposition products - no data available
11. TOXICOLOGICAL INFORMATION
Acute toxicity
Oral LD50
LD50 Oral - mouse - 7,000 mg/kg
LD50 Oral - rat - 5,000 mg/kg
Inhalation LC50
LC50 Inhalation - rat - 4 h - 24,000 mg/m3
Dermal LD50
no data available
Other information on acute toxicity
no data available
Skin corrosion/irritation
no data available
Serious eye damage/eye irritation
Eyes - rabbit - Mild eye irritation - 24 h
Respiratory or skin sensitization
no data available
Germ cell mutagenicity
no data available
Carcinogenicity
IARC: No component of this product present at levels greater than or equal to 0.1% is identified as
probable, possible or confirmed human carcinogen by IARC.
ACGIH: No component of this product present at levels greater than or equal to 0.1% is identified as a
carcinogen or potential carcinogen by ACGIH.
NTP: No component of this product present at levels greater than or equal to 0.1% is identified as a
known or anticipated carcinogen by NTP.
OSHA: No component of this product present at levels greater than or equal to 0.1% is identified as a
carcinogen or potential carcinogen by OSHA.
Reproductive toxicity
no data available
Teratogenicity
no data available
Specific target organ toxicity - single exposure (Globally Harmonized System)
May cause respiratory irritation.
Specific target organ toxicity - repeated exposure (Globally Harmonized System)
Supelco - 442236 Page 6 of 7
no data available
Aspiration hazard
no data available
Potential health effects
Inhalation May be harmful if inhaled. Causes respiratory tract irritation.
Ingestion May be harmful if swallowed.
Skin May be harmful if absorbed through skin. Causes skin irritation.
Eyes Causes eye irritation.
Signs and Symptoms of Exposure
To the best of our knowledge, the chemical, physical, and toxicological properties have not been thoroughly investigated.
Synergistic effects
no data available
Additional Information
RTECS: OX6825000
12. ECOLOGICAL INFORMATION
Toxicity
Toxicity to fish LC50 - Carassius auratus (goldfish) - 12.52 mg/l - 96.0 h Toxicity to daphnia
and other aquatic
invertebrates
Immobilization EC50 - Daphnia magna (Water flea) - 6 mg/l - 48 h
Persistence and degradability
no data available
Bioaccumulative potential
no data available
Mobility in soil
no data available
PBT and vPvB assessment
no data available
Other adverse effects
An environmental hazard cannot be excluded in the event of unprofessional handling or disposal.
Toxic to aquatic life with long lasting effects.
13. DISPOSAL CONSIDERATIONS
Product
Burn in a chemical incinerator equipped with an afterburner and scrubber but exert extra care in igniting as this material
is highly flammable. Offer surplus and non-recyclable solutions to a licensed disposal company. Contact a licensed
professional waste disposal service to dispose of this material.
Contaminated packaging
Dispose of as unused product.
14. TRANSPORT INFORMATION
DOT (US)
UN number: 2325 Class: 3 Packing group: III
Proper shipping name: 1,3,5-Trimethylbenzene
Marine Pollutant: No
Poison Inhalation Hazard: No
IMDG
UN number: 2325 Class: 3 Packing group: III EMS-No: F-E, S-D
Proper shipping name: 1,3,5-TRIMETHYLBENZENE
Supelco - 442236 Page 7 of 7
Marine Pollutant: No
IATA
UN number: 2325 Class: 3 Packing group: III
Proper shipping name: 1,3,5-Trimethylbenzene
15. REGULATORY INFORMATION
OSHA Hazards
Combustible Liquid, Target Organ Effect, Irritant
SARA 302 Components
SARA 302: No chemicals in this material are subject to the reporting requirements of SARA Title III, Section 302.
SARA 313 Components
SARA 313: This material does not contain any chemical components with known CAS numbers that exceed the threshold
(De Minimis) reporting levels established by SARA Title III, Section 313.
SARA 311/312 Hazards
Fire Hazard, Acute Health Hazard, Chronic Health Hazard
Massachusetts Right To Know Components
Mesitylene
CAS-No.
108-67-8
Revision Date
1994-04-01
Pennsylvania Right To Know Components
Mesitylene
CAS-No.
108-67-8
Revision Date
1994-04-01
New Jersey Right To Know Components
Mesitylene
CAS-No.
108-67-8
Revision Date
1994-04-01
California Prop. 65 Components
This product does not contain any chemicals known to State of California to cause cancer, birth defects, or any other
reproductive harm.
16. OTHER INFORMATION
Further information
Copyright 2012 Sigma-Aldrich Co. LLC. License granted to make unlimited paper copies for internal use only.
The above information is believed to be correct but does not purport to be all inclusive and shall be used only as a
guide. The information in this document is based on the present state of our knowledge and is applicable to the
product with regard to appropriate safety precautions. It does not represent any guarantee of the properties of the
product. Sigma-Aldrich Corporation and its Affiliates shall not be held liable for any damage resulting from handling or
from contact with the above product. See www.sigma-aldrich.com and/or the reverse side of invoice or packing slip for
additional terms and conditions of sale.
Former K-Mart Shopping Center, 4850 Western Avenue in South Bend, Indiana Health and Safety Plan
Heartland Environmental Associates, Inc.
ATTACHMENT B
SITE LOCATION MAP
Former K-Mart Shopping Center, 4850 Western Avenue in South Bend, Indiana Health and Safety Plan
Heartland Environmental Associates, Inc.
ATTACHMENT C
HOSPITAL DIRECTIONS AND EMERGENCY CONTACT
NUMBERS
Heartland Environmental Associates, Inc.
Emergency Phone Numbers
Heartland Health and Safety Officer....................................................................... (574) 289-1191
Heartland Project Manager...................................................................................... (574) 360-0961
US EPA Region V Emergency Response Center ....................................................(312) 886-2395
ATF Explosives Hotline...........................................................................................(800) 283-2662
Centers for Disease Control Emergency Response Hotline ....................................(770) 488-7100
National Response Center (HazMat Spills/Pipeline Leaks) ....................................(800) 424-8802
IDEM – Emergency Response..................................................................................(888) 233-7745
CHEMTREC ............................................................................................................(800) 262-8200
__________________________________________________________________
Hospital.....................................................................911 or (317) 639-6671
Name: Wishard Hospital
Address: 1001 West 10th Street, Indianapolis 46202
Travel Time: < 10 minutes
Directions: Head west from site on East 16th Street to the Dr. Martin Luther King. Head south
on Dr. Martin Luther King to West 11th Street. Head west of West 11th Street.
Map Attached: Yes
__________________________________________________________________
Site Control (Nivas R. Vijay)……………………………....... (574) 360-0961
Paramedics.............................................................................................. 911
Fire Department...................................................................................... 911
Local Police………………………………………………………………… 911