FDNY memo regarding hazardous substance disclosure forms

NYC 9/11 Public Portal Document

E(O Di Page 1 of J pages Form Approved OMB No. 2050-0072

Facility Identification Owner/Operator Name Name Genuity New York City - Telecom Name Genuity Solutions Phone (781)262-4000 Tier Two Street 2 World Trade Center Suite 11060 Mail Address 235 Presidential Way, Woburn MA 01888-4100 EMERGENCY City New York County State NY Zip 10048 AND emergency Contact HAZARDOUS SIC Code 4813 Dun & Brad Number 00-176-3499 CHEMICAL Name Ed Saiya Title Route Manager INVENTORY Phone (212) 938-0800 24 Hr. Phone (917) 763-7798 FOR I ID# J Specific OFFICIAL Name William Irwin Tills Mgr. Envir. Comp. Information USE I Date Received 1 Phone (781) 865-3860 24 Hr. Phone (617)529-3762 by Chemical ONLY Important: Read all instructions before completing form I Reporting Period From January 1 to December 31,2000 111 Check if information below is identical to the information submitted last year.

e3 Physical c S3 2o Storage Codes and Locations n c Chemical Description and Health Inventory M » o. (Non-Confidential) o Hazards ss e a. £ iS a. O (check all that apply) Storage Locations Trade CAS 7664-93-9 Secret [] Fire Max. Daily E 1 4 Electrolyte in Lead Acid Batteries Chern. Name Sulfuric Acid/Battery Electrolyte [ ] Sudden Release I 0 I 3~~| Amount (code) Battery Room in Building of Pressure Checkall [] [XI [] [X] [] [] [X] Reactivity I 0 I 3 I Avg. Daily Amount that apply Pure Mix Solid Liquid Gas EHS [X j Immediate (acute) (code) EHS Name Sulfuric Acid__________________ [ ] Delayed (chronic) 1 3 1 6 151 No. of Days On-site (days) 11 Trade CAS Secret [] Fire Max. Daily Chern. Name [ ] Sudden Release L-ZZI ] Amount (code) of Pressure Checkall [J [] [] [] [] [] [ Reactivity 1 i J Avg. Daily Amount that apply Pure Mix Solid Liquid Gas EHS i Immediate (acute) (co^ EHS Name _____________________________ [] Delayed (chronic) I I 1 J No. of Days [] On-site (days)

CAS Trade Secret [] Fire Max. Daily + Chern. Name [ J Sudden Release i 1 ] Amount (code) of Pressure Checkall [j [J [] [] [] [] [] Reactivity I I J Avg. Daily Amount that apply Pure Mix Solid Liquid Gas EHS [ Immediate (acute) (c^e) EHS Name _____________________________ ( I Delayed (chronic) I I I J No. of Days [] On-site (days) Certification (Read and sign after completing all sections) Optional Attachments I certify under penalty of law that 1 have personally examined and am familiar with thrflJIforMation submitted in pages one through _t___ , and that based [ ] I have attached a site plan

y sa^i on my inquiry of those individuals responsible for obtaining the information, I belie/eAat tna submitted information is true, accurate, and William Irwin, Manager Environmental Compliance Name and official title of owner/operator OR owner/operator’s Signatur^ Date signed [ ] I have attached a list of site coordinate abbreviations i ] 1 have attached a description of dikes and other safeguards measures authorized representative

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