HAZARDOUS MATERIAL
MANAGEMENT
PLAN
Office of the Fire Marshal
Glendale Fire Department
December 2005
The City of Glendale Arizona has adopted the International Fire
Code (IFC), including appendix chapter B, 2003 Edition.
If your business uses, stores or handles hazardous materials and
quantities exceeding the Permit Level Amounts of Hazardous Materials
stated in the International Fire Code, you are required to obtain an
annual Hazardous Materials Permit from the Glendale Fire Department.
The permit constitutes permission to maintain, store, use or handle
materials, or to conduct processes that produce conditions hazardous
to life or property, or to install equipment used in connection with
such activities.
Information contained in this file will provide instruction on how to
complete the General Occupancy Information Form, the Hazardous
Materials Management Plan, and the Hazardous Materials Inventory
Statement as required by the fire code. Renewals shall be submitted
60 days prior to expiration of permit. Please complete all forms and
return them within 10 business days. These forms must be submitted
on a CD in Excel format.
If you have any questions or comments regarding the forms,
please contact the Fire Marshal’s office at (623) 930-3401.
2
PENALTIES


Failure to comply with the fire code, false statements or
misrepresentations of information provided in the submittal may
result in a criminal complaint being issued for violation of Section
109.3 of the fire code which is a class one misdemeanor punishable
by a fine of not more than $2,500 or imprisonment not exceeding
one year, or both such fine and imprisonment.
The permit may be suspended or revoked when it is determined that
the permit was issued in error or in violation of an ordinance,
regulation or code.
3
PLEASE NOTE
The person responsible for completing these reporting forms
should have a good understanding of the chemicals and processes
used in each operation, should know how to use material safety data
sheets, and possess a basic understanding of building construction.
Our goal has been to make this reporting process as user-friendly
as possible, but the complexity of certain operations may involve a
high degree of knowledge and technical skills that can make this
reporting process very difficult to complete for the average person.
We suggest that you purchase a copy of the 2003 International
Fire Code for reference.
We recommend that a third party reporting agency be consulted
to complete these forms if you have difficulty in their preparation.
4
RESOURCES
This CD also contains the following resources:
 Occupancy Information Form
 Hazardous Material Inventory Statement Form (HMIS)
 List of Definitions
 Key symbols for Facility Map
 Reference Tables: IBC table 414.2.2, IFC 105.6.11, IFC 105.6.17, IFC
105.6.21, IFC 2703.11.1
5
INTENT
To provide instruction on the preparation and
submittal of the General Occupancy Information
Form, Hazardous Material Management plan
(HMMP) and the Hazardous Materials Inventory
Statement (HMIS) in order to meet compliance
with the requirements of the City of Glendale
Fire Code.
6
RESPONSIBILITY
Persons responsible for the operation of
areas in which hazardous materials are stored,
dispensed, handled or used, shall be familiar
with the chemical nature of the materials and the
appropriate mitigating actions necessary in the
event of fire, leak, or spill.
7
WHEN IS A HAZARDOUS
MATERIALS PERMIT REQUIRED?
 A City of Glendale Hazardous Materials Permit is
required to store, transport on site, dispense,
use, or handle hazardous materials that equal or
exceed amounts listed in Table 105.6.21. of the
International Fire Code.
 Table 105.6.21 is included in the attached tables
folder.
8
WHEN IS A OCCUPANCY
INFORMATION FORM AND A HMIS
REQUIRED TO BE FILLED OUT
AND SUBMITTED?

Whenever a Fire Department Permit is
required to store hazardous materials.
9
WHEN IS A HAZARDOUS MATERIAL
MANAGEMENT PLAN (HMMP) REQUIRED TO
BE FILLED OUT AND SUBMITTED?





When:
Hazardous materials exceed EXEMPT amounts specified in the
Fire Code;
Fire Code requires exterior or detached storage of hazardous
materials;
If any part of the structure is rated as a “hazardous occupancy”
SARA Title III extremely hazardous substance is used, handled or
stored on site in quantities requiring a Fire Code permit and which
are above threshold planning quantities;
When otherwise determined necessary by the Fire Marshal
because of unique circumstances.
10
WHAT IS INCLUDED IN A HAZARDOUS
MATERIAL INVENTORY STATEMENT?
An HMIS consists of a spreadsheet listing the
following information for each individual control
area:




Product name or chemical name
Hazard classification
Chemical state and quantities stored or dispensed
Storage conditions.
11
WHAT IS INCLUDED IN A HAZARDOUS
MATERIAL MANAGEMENT PLAN?
An HMMP is a site-plan indicating the following information:
 Storage and use areas (control areas)
 Location of emergency isolation and mitigation valves and
devices.
 Product conveying piping containing liquids or gases, other than
utility-owned fuel gas lines
 On and off positions of valves for valves that are of the self
indicating type
 Storage plan showing the intended storage arrangement,
including the location and dimensions of aisles
 The location and type of emergency equipment. The plans shall
be legible and drawn approximately to scale. Separate
distribution systems are allowed to be shown on separate pages.
12
WHAT IS A “CONTROL AREA”


Control areas are spaces in a building or outside, where hazardous
materials (not exceeding the maximum quantities allowed by the
international fire Code) are stored dispensed, used, or handled.
A building may have multiple control areas, provided the maximum
allowable quantities within a single control area are not exceeded.

Control areas shall be separated from each other by not less than a 1-hour
fire barrier. Floor areas shall be separated by not less than a minimum
rating of 2 hours.

The maximum number of control areas in a building shall be in accordance
with IBC table 414.2.2 . A copy of table 414.2.2 is provided in the tables
folder.
13
What are the advantages of Control Areas?
 They provide an alternative method to a Group H
occupancy classification.
A high-hazard occupancy classification can be avoided,
provided there are no control areas that contain in excess of the
maximum allowable quantities indicated in IBC table 414.2.2 .
 They regulate quantities of hazardous materials per
control area rather than per building area.
Control areas, in conjunction with the maximum allowable
quantity tables in 2703.1, utilize a density concept for hazardous
materials. Without control areas, the maximum allowable
quantities for a hazardous material would be limited to a single
building area regardless of the overall size or height of the
building.
14
IBC TABLE 414.2.2 ALSO KNOWN AS IFC TABLE 2703.8.3.2
15
16
17
PLEASE FOLLOW EACH OF THE
FOLLOWING STEPS TO COMPLETE
THE GENERAL OCCUPANCY
INFORMATION FORM AND THE
HAZARDOUS MATERIAL
INVENTORY STATEMENT
18
STEP 1
 Refer to IFC table 105.6.21 for each type
and quantity of hazardous material that is
stored on your property.
 A material safety data sheet (MSDS)
should be used to obtain the correct
information for each chemical.
 The retailer or manufacturer can provide
this data sheet to you.
19
An MSDS sheet is
required to be
submitted with each
separate hazardous
chemical listed on
the HMIS that does
not have a CAS
number. MSDS
sheets can be
submitted in
hardcopy format or
preferably copied to
the CD with the
HMIS.
20
 Referring
to table 105.6.21.
Determine if any one chemical contained at your
site equals or exceeds the amounts listed, or the
total aggregate amount of the hazardous
materials in the same classification exceed the
amounts listed next to each classification. If so,
a permit is required.
 NOTE: For retail and wholesale storage and
display in Group M occupancies and Group S
storage, see also IFC Table 2703.11.1
21
PERMIT AMOUNTS FOR HAZARDOUS MATERIALS
PERMIT AMOUNTS FOR HAZARDOUS MATERIALS
Table 105.6.21
Table 105.6.21 (cont)
Combustible liquids
Corrosive materials
 Gases
 Liquids
 Solids
Explosive materials
Flammable materials
 Gases
 Liquids
 Solids
Highly toxic materials
 Gases
 Liquids
 Solids
Oxidizing materials
 Gases
 Liquids
o Class 4
o Class 3
o Class 2
o Class 1
 Solids
o Class 4
o Class 3
o Class 2
o Class 1
Organic peroxides
 Liquids
o Class I
o Class II
o Class III
o Class IV
o Class V
 Solids
o Class I
o Class II
o Class III
o Class IV
o Class V
See section 105.6.17 below
200 cubic ft at NTB
55 gallons
1,000 pounds
Manufacturing, storage, handling, sale or use of any
quantity of explosive material, fireworks, or pyrotechnic
special effects within the scope of chapter 33.
(Except cryogenic fluids and liquefied petroleum gases)
200 cubic ft at NTB.
See section 105.6.17 below
100 pounds
Any amount
Any amount
Any amount
(including oxygen) 504 cubic ft at NTB
Any amount
1 gallons
10 gallons
55 gallons
Any amount
10 pounds
100 pounds
500 pounds
Any amount
Any amount
1 gallon
2 gallons
No permit required
Any amount
Any amount
10 pounds
20 pounds
No permit required
Pyrophoric materials
 Gases
 Liquids
 Solids
Toxic materials
 Gases
 Liquids
 Solids
Unstable (reactive) materials
 Liquids
o Class 4
o Class 3
o Class 2
o Class 1
 Solids
o Class 4
o Class 3
o Class 2
o Class 1
Water reactive Materials
 Liquids
o Class 3
o Class 2
o Class 1
 Solids
o Class 3
o Class 2
o Class 1
Any amount
Any amount
Any amount
10 gallons
100 pounds
Any amount
Any amount
5 gallons
10 gallons
Any amount
Any amount
50 pounds
100 pounds
Any amount
5 gallons
55 gallons
Any amount
50 pounds
500 pounds
PERMIT AMOUNTS FOR CRYOGENIC FLUIDS
Table 105.6.11
TABLE OF CRYOGENIC
FLUID
Flammable
Inert
Oxidizing (includes O2)
Physical or health hazard not
indicated above.
INSIDE BUILDING
(GALLON)
More than 1
60
10
Any amount
OUTSIDE BUILDING
(GALLON)
60
500
50
Any amount
22
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_________________________
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PERMIT AMOUNTS FOR HAZARDOUS MATERIALS
105.6.17 Flammable and combustible liquids:
1. To use or operate a pipeline for the transportation within facilities of flammable or
combustible liquids. This requirement shall not apply to the off-site transportation in
pipelines regulated by the Department of Transportation (DOTn) nor does it apply to
piping systems.
2. To store, handle or use Class I liquids in excess of 5 gallons in a building or in excess
of 10 gallons outside of a building, except that a permit is not required for the following:
2.1 The storage or use of Class I liquids in the fuel tank or a motor vehicle,
aircraft, motorboat, mobile power plant or mobile heating plant, unless such
storage, in the opinion of the code official, would cause and unsafe condition.
2.2 The storage or use of paints, oils, varnishes or similar flammable mixtures
when such liquids are stored for maintenance, painting or similar purposes for a
period of not more than 30 days.
3. To store, handle or use Class II or IIIA liquids in excess of 25 gallons in a building or
in excess of 60 gallons outside a building, except for fuel oil used in connection with oil
burning equipment.
4. To remove Class 1 or Class II liquids from an underground storage tank used for
fueling motor vehicles by any means other than the approved, stationary on-site pumps
normally used for dispensing purposes.
5. To operate tank vehicles, equipment, tank plants, terminals, wells, fuel dispensing
stations, refineries, distilleries and similar facilities where flammable and combustible
liquids are produced, processed, transported, stored, dispensed or used.
6. To place temporarily out of service (for more than 90 days) an underground, protected
above-ground or above ground flammable or combustible liquid tank.
7. To change the type of contents stored in a flammable or combustible liquid tank to a
material which poses a greater hazard than that for which the tank was designed and
constructed.
8. To manufacture, process, blend or refine flammable or combustible liquids.
9. To engage in the dispensing of liquid fuels into the fuel tanks of motor vehicles at
commercial, industrial, governmental or manufacturing establishments.
10. To utilize a site for the dispensing of liquid fuels from tank vehicles, into the fuel
tanks of motor vehicles at commercial, industrial, governmental or manufacturing
establishments.
23
STEP 2
Determine the accurate “Occupancy Classification” for your building
and each specific area where hazardous materials are stored. This
information should be obtained from either the building or fire
departments.
It is possible to have multiple classifications. Examples:
Assembly Group A
Business Group B
Educational Group E
Factory Group F
High Hazard Group H
Institutional Group I
Mercantile Group M
Residential Group R
Storage Group S
Utility and Misc. Group U
24
STEP 3
Determine how many inside and outside
control areas are located at your site.
( See IBC table 414.2.2 ).
25
STEP 4
Complete the General Occupancy Information Report
 The General Occupancy Information Report form is located on
the CD in Excel 2000 format.
 The form is self-explanatory.
 Accurate occupancy classification and type of construction are
important. This information can be obtained from the Glendale
Building Safety Department at (623) 930-2800 if you are not
sure.
 It is required that you submit this report on a CD along with the
HMIS (and HMMP if required). A signed copy of the Occupancy
Information report is required to also be submitted on hardcopy
26
General Occupancy
Information Form
GLENDALE FIRE DEPARTMENT
Hazardous Materials Inventory Statement
General Occupancy Information
PART 1-Contact Information
Example:
Facility Information
Business Name:
Street Address:
Telephone Number:
FAX Number:
E-mail Address:
Owner Information
Name:
Address:
City/State/Zip:
Phone:
24 Hour Emergency Contacts
Name:
Home Phone:
Work Phone:
Cell Phone:
Pager:
1
2
3
4
Fire Alarm (Y/N)
Inside/Outside
Part II-Building Information
Occupancy Classification:
Type of Construction:
Roof Structure Type:
Year Structure was Built:
Total Square Footage:
Number of Stories:
Basements:
Control Areas
Occupancy Classification
Square Footage
AFES (Y/N)
1
2
3
4
5
6
Describe principle business activities involving hazardous materials:
ANNUAL RENEWALS ONLY: I declare that there have been no changes to last years Hazardous Material Management
Plan or the Hazardous Material Inventory Statements. Last submittal date: MM/DD/YY
Declaration must be signed by owner/operator or authorized representative.
I certify that the information as part of this Hazardous Materials Inventory Statement and/or Hazardous Materials
Management Plan is true and correct to the best of my knowledge.
Print Name:
Signature:
Date:
27
MM/DD/YY
FMO 12/7/2005
 If you submitted either an HMMP or a
HMIS last year and “no” changes have
taken place on either form, you do not
have to resubmit another copy.
 Complete an updated General Occupancy
Information Form and enter the date of last
year’s submittal in the block provided.
28
STEP 5
 A separate Hazardous Materials Inventory
Statement (HMIS) is required for each separate
control area.
 A copy of the HMIS is contained on this disk in
Excel format. Additional copies of the HMIS can
be made from disk for each control area.
29
STEP 6
 Fill in the company name, control area, address, and
date at the top of the page.
 If the control area is protected by an approved automatic
fire extinguishing system, please mark “yes” in the space
provided.
COMPANY NAME:
ADDRESS:
Item #
Product or Chemical Name
Material Classification
Class
Comb. Liq. / Cryogenic /
I / II / etc
CAS #
Explosive / Flam. Liq. /
Oxidizer / etc.
Solid
STORAGE
Liquid
Gas
Pounds
Gallon
cubic ft
(cubic feet) (pounds)
at NTB
CONTROL AREA:
DATE:
SPRINKLERED Y/N
USE-CLOSED SYSTEM
Solid
Liquid
Gas
Pounds
Gallon
cubic ft
USE-OPEN SYSTEM
NFPA 704
Solid
Liquid Health Flamm React
Pounds
Gallon
(Blue)
(Red)
Spec
(Yellow ) (White)
30
Column descriptions:
Item #
Use this space to indicate each separate item that you are logging. The
correct format is 1,2,3,4, etc.
Product or Chemical Name
The official name of the product.
Material Classification
What is the common classification of the product (Combustible,
flammable liquid, explosive, oxidizer, organic peroxide, flammable solid,
etc.)
Class
For products that break down into different classifications (example:
Class 4 oxidizer, or Class III organic peroxide).
COMPANY NAME:
ADDRESS:
Item #
Product or Chemical Name
Material Classification
Class
Comb. Liq. / Cryogenic /
I / II / etc
Explosive / Flam. Liq. /
CAS #
STORAGE
Solid
Liquid
Pounds
Gallon
Gas
31
cubic ft
 Quantities in brackets indicate
quantity units in brackets at the
head of each column.
STORAGE
Solid
Liquid
Gas
USE-CLOSED SYSTEM
Solid
Liquid
Gas
USE-OPEN SYSTEM
Solid
Liquid
Pounds
Gallon
cubic ft
Pounds
Gallon
cubic ft
Pounds
Gallon
[cubic feet]
[pounds]
at NTB
[cubic feet]
[pounds]
at NTB
[cubic feet]
[pounds]
10
[1]
[1] Pound
10 Gallons
32
REPORTING GUIDELINES





Mixtures shall be classified in accordance with hazards of the
mixture as a whole.
When a material has multiple hazards, all hazards shall be
addressed.
If the aggregate total for any product/chemical meets or exceeds
the permit levels in any classification then they shall be reported.
If the products/chemicals to be bulked are stored/used in different
control areas in your facility, each location will require a separate
entry on the HMIS.
Products/chemicals that are in temporary locations (awaiting
transport on shipping dock, etc.) shall be reported from their primary
or permanent location.
33
CONVERSION
 Where quantities are
indicated in pounds and
when the weight per
gallon of the liquid is not
provided to the fire code
official, a conversion of 10
pounds per gallon shall
be used.
34

CAS# CAS Registry Numbers, (often referred to as CAS RNs or CAS Numbers) These
are unique identifiers for chemical substances. A registry number itself has no
inherent chemical significance but provides an unambiguous way to identify a
chemical substance or molecular structure when there are many possible
systematic, generic, proprietary, or trivial names. A CAS (Chemical Abstracts
Service) Registry Number is a unique identifier that tells you, for example, that
acetone and dimethyl ketone are actually the same substance. From a safety
and inventory perspective, CAS numbers uniquely identify a chemical, but not
necessarily the manufacturer or concentration.

Storage
The keeping, retention, or leaving of hazardous materials in closed containers,
tanks, cylinders, or similar vessels or vessels supplying operations through
closed connections to the vessel. Storage is divided into that of solids, liquids
and gases.
COMPANY NAME:
ADDRESS:
Item #
Product or Chemical Name
Material Classification
Class
Comb. Liq. / Cryogenic /
I / II / etc
Explosive / Flam. Liq. /
CAS #
STORAGE
Solid
Liquid
Pounds
Gallon
Gas
cubic ft
35
Use-Closed System
Use of a solid or liquid hazardous material involving a closed vessel or
system that remains closed during normal operations where vapors
emitted by the product are not liberated outside of the vessel or system
and the product is not exposed to the atmosphere during normal
operations; and all uses of compressed gases.
Examples of closed systems for solids and liquids include product
conveyed through a piping system, into a closed vessel, system or piece
of equipment. Storage is divided into that of solids, liquids and gases.
CONTROL AREA:
DATE:
USE-CLOSED SYSTEM
Solid
Liquid
Gas
SPRINKLERED Y/N
USE-OPEN SYSTEM
NFPA 704
Solid
Liquid Health Flamm React
Spec
36

Use-open system
The use of a solid or liquid hazardous material involving a vessel or
system that is continuously open to the atmosphere during normal
operations and where vapors are liberated, or the product is exposed to
the atmosphere during normal operations.
Examples of open systems for solids and liquids include dispensing from
or into open beakers or containers, dip tank and plating tank,operations.
Storage is divided into that of solids and liquids.

NFPA 704
Hazard Identification ratings system (the
familiar NFPA "hazard diamond" shown
on the right) for health, flammability, and
instability. These numbers can be
obtained from the MSDS or The NFPA's
Fire Protection Guide to Hazardous
Materials.
37
 Cabinets
If this chemical is
stored in an approved
hazardous material
cabinet, check “yes”.
Or “no,” if it is not.
Safety Cans
If this chemical is
stored in an
approved safety
can, check “yes.”
Or “no,” if it is not.
38

15 PSI
SPRINKLERED Y/N
USE-CLOSED SYSTEM
Solid
Liquid
Gas
Pounds
Gallon
(cubic feet) (pounds)
USE-OPEN SYSTEM
NFPA 704
Solid
Liquid Health Flamm React
cubic ft
Pounds
Gallon
at NTB
(cubic feet)
(pounds)
(Blue)
(Red)
Spec
(Yellow ) (White)
15 PS1 Y/N
DATE:
CABINETS Y/N
.
CONTROL AREA:
SAFETY CANS Y/N
This only applies if the chemical is a flammable or combustible liquid. If it is
flammable or combustible, and it is stored or used at pressures greater than 15
psi, enter “Y” for yes. Otherwise enter “N” for no.
39
STEP 7
Prepare a Hazardous Material Management Plan (if required). A
basic drawing of the facility site is required. The following items
need to be included:
 Storage and use areas (control areas)
 Location of emergency isolation and mitigation valves and
devices
 Product conveying piping containing liquids or gases, other than
utility-owned fuel gas lines
 On and off positions of valves for valves that are of the selfindicating type
 Storage plan showing the intended storage arrangement
including the location and dimensions of aisles.
 Location and type of emergency equipment. Plans shall be
legible and drawn approximately to scale. Separate distribution
systems are allowed to be shown on separate pages.
 Business name, address, person who drew the plan, and their
phone number with area code.
40
The Hazardous Materials Management Plan
needs to be drawn and transferred to a CD.
It is required to be submitted with the Hazardous
Materials Inventory Statement.
41
 Included on this CD is a reference sheet
which provide key symbols to be used for
drawing the Facility Map.
Key Symbols for Facility Map
FDC
Fire Department Connection
^^^^^
E
OSY
PIV
E
O S and Y Valve
Evacuation Route
Power Lines
Post Indicator Valve
Railroad Track
Wire Fence
4th St.
FH
FCP
(indicate by name)
CG
CG
Compressed Gas Cylinders
CG
CG
Compressed Gas Cabinet
Risers for Sprinklers
Fire Alarm Control Panel
Hose Cabinet/Connection
E
Hazardous Material Drum
Fire Extinguisher
Fire Pump
Hazardous Material
Storage Cabinet
Roof Fan
GD
HD
Underground Storage Tank
In Vault
Insulated Tank
IT
WT
Haz. Mat.
FP
UHT
Pressurized Tank
Water Tank
Cryogenic Dewar
HMD
FX
Above Ground Vertical Tank
Above Ground Horizontal Tank
HT
PT
CRY
HC
VT
Streets and Alleys
Fire Hydrant
(indicate type and size)
R
Berms and Dikes
Gas Detector
ESD
G
HVAC
Electrical Panel
Electrical Shut Down
Gas Shutdown
HVAC Shut Down
W
(specify type)
Heat Detector
Wall Fan
Key
Water Shut-Off
Fire Dept Key Box
Visual Alarm
SD
Smoke Detector
Audible alarm
Storm Drain
Floor Drain
SPILL
Roof Access
Roof
1
4
Trash
Material Safety Data Sheets
INFO
Emergency Info., Business Plan,
Chemical Inventory, and Maps
ECS
Elevator
E
Spill Control Equipment
Secondary Containment
Attic Access
Attic
MSDS
Emergency Control Station
Evacuation Staging Area
GS
Guard Station
HMS
HAZARDOUS MATERIAL STORAGE
HMH
HAZARDOUS MATERIAL HANDLING
Stairway (low to high)
Trash/Refuse
HMW
HAZARDOUS MATERIAL WASTE
42
HMMP EXAMPLE
43
PHOTOGRAPHS
Digital photographs are a tremendous asset to firefighters
if they are dispatched to your business for an emergency.
Photographs take some of the guesswork out of the lay of
the building, which can improve firefighter safety.
Digital photographs of the
control areas, storage
areas, mixing areas, and
any other process or area
that will help illustrate your
operation are encouraged.
44
FREQUENTLY ASKED QUESTIONS
How will this information be used?
It will benefit the Fire Department in the prevention, control a mitigation of dangerous
conditions related to storage, dispensing, use, and handling of hazardous materials; and
when responding to emergency calls to your facility.
Is it necessary for me to report each chemical in the facility?
Yes Exceptions:
1. The quantities of alcoholic beverages, medicines, foodstuffs and cosmetics, containing
not more than 50% by volume of water-miscible liquids and with the remainder of the
solutions not being flammable, in retail sales, occupancies are unlimited when packaged
in individual containers not exceeding 4 liters.
2. Application and release of pesticide products and materials intended for
use in weed abatement, erosion control, soil amendment, or similar
applications.
Do I have to use the forms provided?
Yes. It is important that we maintain uniformity in our records for all facilities reporting
information.
45
How often must I complete a Hazardous Materials Inventory
Statement?
Annually, when you renew your permit. Also, an amended HMIS shall be
provided within 30 days of the storage of any hazardous materials which
changes or adds a hazard class or which is sufficient in quantity to cause an
increase in the quantity which exceeds 5% for any hazard class.
Is it important that I submit copies of the Hazardous Materials
Inventory Statement?
Yes. This will assist you in preparing the forms the following year.
Do I need to submit the Material Safety Data Sheet (MSDS) with this
form?
Yes, for all chemicals that do not have a CAS number. Preferably copied to CD.
46
INFORMATION SUBMITTAL
FOR RENEWAL OF HAZARDOUS MATERIALS PERMIT ONLY
 Submit CD with completed General Information Form, Hazardous Material Inventory
Statement (HMIS) and (if required) the Hazardous Material Management Plan
(HMMP), along with a signed hardcopy of the General Information Form to:
Glendale Fire Marshal
Hazardous Materials Unit
6835 N. 57th Drive
Glendale, AZ 85301

FOR NEW CONSTRUCTION, TENANT IMPROVEMENTS AND ANY RELOCATION
Submit CD with completed General Information Form, Hazardous Material Inventory
Statement (HMIS) and (if required) the Hazardous Material Management Plan
(HMMP), along with a signed hardcopy of the General Information Form to:
Glendale City Hall
2nd Floor, Suite 263
Fire Department Plans Review
5850 W. Glendale Avenue
Glendale, AZ 85301
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WHAT HAPPENS WITH THIS
INFORMATION?
 The information you submit will be examined to
insure that the quantities listed do not exceed
the maximum allowable quantities.
 Storage locations will be examined to insure that
each hazardous material is safely separated
from other incompatible materials.
 A copy will also be sent to the Glendale Fire
Department Hazmat Unit in the event they are
dispatched to your business.
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We appreciate your efforts in
completing this report. The
information you provided is vital in
helping us provide for the safety of
the citizens of Glendale, the
firefighters who serve this community,
and your property.
THANK YOU.
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