NYC-WTC_000166105

NYC 9/11 Public Portal Document Revised Pioyy . portant: Read all instructions before completing form Reporting period: From January | to December 51,7069 Page of “ pages | aaa vale Name SAtongn SMITH @BAQUEY Hoed UES, (HC, xe Name_SAwnouw Suite Caevey Phone (2/2) 723 -20e0 Right-to-Know § Sweet 2 Woetn TRADE CEsree Ek Mail Address SAHE FACILITY | 2 City Yeu Yyeew State VY Zipt4 (0048 - 1196. S - INVENTORY | & ‘Velephone (212) 783-7000 County Name Eowagn J. CAMPRELL Title PaohERii fAager FORM 2 SIC! Dun & Brad. . Day Phone (2:2 ) 783-3523 24-hr phone! Pll NER TEWO PE Cou Gl21 tH} number LOL} Lele ts} Lele ty i) Et Name Tito ©. Mesias Title Asst. fecpsaty Masa - © 8 Day Phone (212. )783-¥!2 2 24-hr phone! Pll Kor Official Use Only: IDI | Date Received: wo y ( 183 : P Physical and Storage Codes and Locations . woe Health (Non-Confidential) Chemical Description Hazards Inventory |i i [ Storage Locations Check all that apply CETTE OOo ie Ll} a yor . i) - —~, Secret Sudden Release Max Amount (code) Bit 4 UMPELELsU Dy LEVEL information — DIESEL FUEL 100% (68476-34-6) T Presse , = 3 7 + fa1-20-3) Of Pressure WESTEGN ose Bays OF spied = <4. i HALENE {-20- > is identica 2 § Ol fe PArHTHALEHE * [ ] Reactivity (ole) at (code) LEADHE DOCK to last year & y. f EC, 5 & IEai Immediate (acute) Fleln ee Check all that upply: [A Delayed(chmnic) No. of Days Present [J Pure [Mix [| Solid Wf Liquid | ] Gas ] EHS ys res CAS | | | | 1! CC secret CT fo fz| Check box | \ Seerct Sudden Release | Afax Amount (cade) Filly fist Flwo0€ information — OTH Achyuc SEN - Gloss Of Pressure submitted Sa | is identical Rg (21% Tirbatuy Dow dé (i246 2622) [] Reactivity to last year E ‘ 25% 2wC onvseuar€ (7779790°) immediate (acute) vg. Amount (code) : eae H c oY & 42% Eruytbt G6Lytor fig7eut) [A 3 16 1] [| Check all that apply: No. of Days Present [| } Pure [4Mix [ | Solid (7 Liquid [ ]Gas[{ ] EHS [A Delayed{chninic) , . CAS Trade Check box CTT TTT Oo Osis C |e Lut | fit ox : Sudden Retense Max Amount (code) FI UY 47th Fro “ss | information ‘a0 EeOxXY Thinsee j OF Pressure | “SY submitted = 0%. eve (1320207 is identical 2 § af : o Aiene (12 [J Reactivity to fast year E E 10°, Exuye RE y2Ew Bl 04ry | | Avg. Amount (code) “ ve wrfie ZG SOt%,_ METHIE SoguTYL Ketows [robo ai Immediate (acute) C Check all that apply: [7 Delayed{chronic) No. of Days Present { ] Pure [Mix [| | Solid [ Liquid { ]Gas[ ] EHS ‘ . Certification (Read and sign after completing all sections) OPTIONAL [certify under penalty of law that | have personally examined and am familiar with the information submitted in pages one through , and that based | I have attached a on my inquiry of those individuals responsible for obtaining the information, I believe that the submiited information is true, accurate and complete. site plan TOW HaARKSoo _einft Vice PRESIDEAT ; CJ Name and official title of owner/operator OR owner/operator's authorized representative Signature Date signed i 23 NYC-WTC_000166331